Uterine Scar Condition and Complications Associated with Repeat Caesarean Section: A study in a Tertiary Care Hospital

ABSTRACT

Introduction: Lower segment cesarean section is thecommonest surgical procedure in obstetrics. Repeating acesarean section in subsequent pregnancies is the usualmethod of termination which involves many complications.Our objective was to study these complications and difficultiesobserved in a repeat cesarean section.Material and methods: It was a prospective observationalstudy of 241 cases of repeat cesarean section from October2017 to September 2018 in department of obstetrics andgynecology of Hi-Tech medical college and hospital,Bhubaneswar, odisha.Results: In this study, total 1610 patients are taken. Amongthese most common indication for cesarean section is CPDi.e56 (23%).Most common incidence of intraoperativecomplication of previous cesarean section is adhesion i.e.124(51.61%).Conclusion: Maternal morbidity is a cause of concern in repeatcesarean section because of the intraoperative complicationsencountered during surgery and thereafter. Reduction inprimary caesarean rate can reduce the complications. Patientswith previous cesarean section are categorized as high riskand counselled for VBAC in suitable cases.