Multiple Cesarean Section Outcomes and Complications: A Retrospective Study in Jazan, Saudi Arabia

Author:

Murtada Maha1,Hakami Nasser2,Mahfouz Mohamed3ORCID,Abdelmola Amani3,Eltyeb Ebtihal4,Medani Isameldin1,Maghfori Ghadah5,Zakri Atheer5,Hakami Ahlam1,Altraifi Ahmed1,Khormi Ali1,Chourasia Uma1

Affiliation:

1. Obstetrics and Gynecology Department, Jazan University, Jazan 82621, Saudi Arabia

2. Surgery Department, Jazan University, Jazan 82621, Saudi Arabia

3. Family and Community Medicine Department, Jazan University, Jazan 82621, Saudi Arabia

4. Pediatrics Department, Jazan University, Jazan 82621, Saudi Arabia

5. Ministry of Health Jazan City, Jazan 45142, Saudi Arabia

Abstract

Background: Given the increase in the rate of cesarean sections (CSs) globally and in Saudi Arabia, this study was conducted to assess the maternal and perinatal complications after repeat cesarean sections in the studied population. Methods: This retrospective study was conducted by reviewing the records of all women who underwent CSs between January and July 2023 in three hospitals in the Jazan region of Saudi Arabia. Results: Of the 268 women studied, 195 (72.7%) had a CS for the first or second time and 73 (27.3%) had two, three, or four previous CSs (repeat CS). The most common maternal intra-operative complications reported by the repeat CS group were intra-peritoneal adhesions (7.5%) and fused abdominal layers (7.1%) while the most common postoperative complications were the need for blood transfusion (22%) and UTIs (3%). The most common neonatal complications were a low Apgar score (19%), needing neonatal resuscitation (2.6%), and intensive care admission. In addition, 3.7% of mothers failed to initiate breastfeeding in the first 24 h. Conclusions: The frequent complications were intra-peritoneal adhesions, fused abdominal wall layers, blood transfusion, and postoperative infections which were overcome by the optimal hospital care. However, the frequent neonatal complications were a low Apgar score, needing neonatal resuscitation, and intensive care admission.

Funder

Jazan University

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference24 articles.

1. Comparison of maternal and fetal complications in elective and emergency cesarean section: A systematic review and meta-analysis;Yang;Arch. Gynecol. Obstet.,2017

2. Incidence of adhesions and maternal and neonatal morbidity after repeat cesarean section;Arlier;Arch. Gynecol. Obstet.,2017

3. World Health Organization Human Reproduction Programme (2015). WHO statement on caesarean section rates. Reprod. Health Matters, 23, 149–150.

4. Maternal mortality in the United States: Report from the Maternal Mortality Collaborative;Rochat;Obstet. Gynecol.,1988

5. Multiple repeat cesarean sections: Operative difficulties, maternal complications and outcome;Gasim;J. Reprod. Med.,2013

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