Maternal complications of repeated cesarean section, comparison of second cesarean with more than twice cesarean sections

Document Type : Original Article

Authors

1 Associate professor, Department of Obstetrics and Gynecology, Abnormal Bleeding Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.

2 Assistant professor, Department of Obstetrics and Gynecology, Abnormal Bleeding Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.

3 Associate professor, Department of Socio-Medicine, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran

4 General Practitioner, Student Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.

Abstract

Introduction: With regard to increased rate of cesarean section in Iran in recent years and mothers' tendency as an important reason for doing cesarean; therefore, this study was performed with aim to we are going to compare maternal complications of second cesarean with more than twice cesarean sections.
Methods: This cross-sectional study was carried on 400 women who were hospitalized in Semnan Amiralmomenin hospital for cesarean from 2009 to 2012. A total of 400 cases including 200 cases in each group were evaluated in terms of hysterectomy following cesarean, placenta accreta, placenta previa, preterm delivery, bladder rupture, abnormal bleeding, blood transfusion during and after operation, early fever after operation and duration of hospitalization. Statistical analysis was performed by software SPSS (16 versions) and Chi-square, Fisher-exact. P≤0.05 was considered significant.
Results: The mean age of study group was higher than control group (P=0.022). The cases of cesarean hysterectomy (P=0.372), placenta accreta (P=0.372), Placenta previa (P=0.499), blood transfusion during cesarean (P=0.372), blood transfusion after cesarean (P=0.372) and early postpartum fever (P=0.103) was higher in study group than control group, but the difference between two groups was not significant. The rate of preterm delivery (P<0.0001), abnormal bleeding (P<0.001) and mean duration of hospitalization (P=0. 025) were higher in study group than control group.
Conclusion: Duration of hospitalization, abnormal bleeding and preterm delivery were higher in study group than control group, but the difference between two groups was not significant in terms of cesarean hysterectomy, placenta accereta, placenta previa, blood transfusion during and after cesarean and early postpartum fever.

Keywords

References

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 19, Issue 38
January 2017
Pages 7-12

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