Incidence of Gynaecological and Obstetric Complications Immediately After Surgical Procedure; A Retrospective Study

Aneela Mumtaz; Atikka Masud; Aisha Yousaf; Wasim Ahmad

Aneela Mumtaz Department of Gynae & Obs, BMC Bannu-KP
Atikka Masud Assistant Professor, Obstetrics and Gynaecology Department, Foundation University Medical College, Rawalpindi
Aisha Yousaf Department of Gynae & Obs, MMC, Mirpur
Wasim Ahmad Department of Allied Health Sciences, SHS Peshawar

Keywords: Gastritis, Obesity, Diabetes

Abstract

Objective: To assess the incidence of gynecological and obstetric complications reported immediately after surgical procedures.

Methodology: This retrospective study was conducted in Pak international hospital a tertiary care private institute in Peshawar from January 2022 to December 2022. The Institutional Review Board approved the study protocol.150 female patients, who received elective or emergency surgical procedures were enrolled in the study using non-probability, purposive sampling method. Informed consent was taken from all the study participants. Data was collected using a pre-designed proforma. Departmental record was scanned for retrospective data of the patients. Demographic data and comorbidity information of the patients was also recorded. The collected data was subjected to SPSS version 21 for analysis. Mean and SD was calculated for age and hospital stay whereas, percentage and frequency was premeditated for comorbidity type.

Results: The mean age of the patients was recorded as 30.0±6.24 year whereas; mean hospitalization time was recorded as 3.0±1.0 days. Majority of the study participants i.e. 138 (92.0%) were Muslim with an exception of 4 (2.66%) women who were from Christianity, 2 (1.33%) from Hindu religion and 6 (4.0%) from Sikh religion. As for as their socioeconomic status is concerned, 15 (10.0%) were from lower class, 104 (69.33%) from middle and rest of the 31 (20.66%) from an upper class. Out of 150 participants, 21 (14.0%) had an obesity, 30 (20.0%) were anemic whereas, 9 (6.0%) possessed DM. post-op vomit and nausea was observed in majority of the study participants i.e. in 108 (72.0%) patients followed by fever in 32 (21.33%) patients. 10 (6.66%) patients were observed with post-op gastritis, abdominal distention and paralytic ileus. SSIs (dehiscence) was observed in only 3 (2.0%) patients whereas wound infection was monitored in 8 (5.33%) patients.

Conclusion: Our study concluded that post-op nausea and vomiting was the most communal impediment in gynecological surgeries followed by fever, anemia, obesity, DM and gastritis subsequently. A poor rate of SSI (dehiscence) and wound infection was reported in the study participants.