Post operative maternal consequences of Cesarean Section
Objective: The objective of this study was to analyze Post operative complication following Caesarean section and to find out the factors which can reduce maternal morbidity associated with Caesarean section. Study Design: Descriptive observational study conducted from September 2004 February 2005. (6 month) in department of Obstetrics Gynaecology, Lahore General Hospital, Lahore. Result: Total number of Births during this period were 2025 total number of Caesarean section were 597 (29.48% out of which emergency Caesarean section were 518(86.7% and elective were 79(13.2% The Post operative complication rate was (67.7% The different complications encountered in post operative period were anemia 58.86% febrile morbidity 22.2% endometritis 13.8% urinary tract infection 10.6% respiratory tract infection account for 7.4% paralytic illeus 1.2% wound infection 7.9% postpartum haemorrhage (Primary or Secondary) 4,9% one patient had strong suspicion of pulmonary embolism, sever headache due to postdural puncture was found in 3 patients. Other Anaesthesia complication and bladder injury incidence was about 0.74% 2 maternal deaths occurred one due to sever postpartum haemorrhage and 2nd due to pulmonary embolism. Conclusion: Anemia and infectious morbidity was most common cause of morbidity following Caesarean section: regular antenatal care, good surgical techniques, antibiotic prophylaxis, proper aseptic measures, patient`s education and counseling can all work to reduce postoperative complications.