FACTORS ASSOCIATED WITH REPEAT CAESAREAN SECTIONS IN TERTIARY CARE HOSPITAL

  • ANILA MEHMOOD Assistant Professor, gynae and OBS, LUMHS Jamshoro/ Hyderabad
  • NUSRAT LAKHO Associate Professor, gynae and OBS, LUMHS Jamshoro/ Hyderabad
  • RIZWANA LAKHO Consultant Gynecologist, LUMHS Jamshoro/ Hyderabad
  • SHOAIBUNISA Associate professor gynae and OBS, GMMCH Sukkur
  • PRIYA KUMARI FCPS part -1 CPSP Karachi

Abstract

Objective: To evaluate the causative factors responsible for repeat caesarean section among
patients presented at Zaid Women Hospital CMCH Larkana.
Design: Descriptive cross-sectional study.
Setting: Department of Obstetrics & Gynecology, Zaid Women Hospital CMCH Larkana.
Duration: 6 months from March 2018 to Augusta 2018.
Subject and Methods: A total of 114 women underwent repeated caesarean sections, age more
than 17 years, of either gestational age, parity and booking status were included. After taking
complete medical history and clinical revelations, the patients were assessed regarding factors
associated to the repeated caesarean sections including Cephalopelvic disproportion, short
Interval, mal presentation, bad obstetrical history, lower segment fibroids, congenital uterine
anomalies, septate uterus, bicornuate uterus and didelphys uterus etc. All the information was
collected by using the study proforma. Data analysis was done by using SPSS version 26.
Results: A total 114 women those who underwent repeated cesarean sections were studied, their
average age was 27.11±5.66 years and mean gestational age was 36.43+2.49 weeks.
Cephalopelvic disproportion, short Interval, mal presentation, bad obstetrical history, lower
segment fibroids, congenital uterine anomalies, septate uterus, bicornuate uterus and didelphys
uterus were significant factors of repeated caesarean section.
Conclusion: As per study conclusion the cephalopelvic disproportion, short Interval, mal
presentation, bad obstetrical history, lower segment fibroids, congenital uterine anomalies,
septate uterus, bicornuate uterus and didelphys uterus were observed to the factors responsible
for repeated cesarean sections. Maternal health care providers should be trained to provide
respectful and individualized care to the mother and the neonate, thus ensuring the safety of both
during birth.
Key Words: Repeated, Caesarean Section, indications

Published
2022-09-04
Section
Original Articles