A study of maternal morbidity and mortality in elective and emergency lower segment caesarean section

Background: Lower segment caesarean section is one of the commonest operations performed now a day.It has been seen that in cases with previous caesarean section there is increased maternal morbidity and mortality due to placenta previa, adherent placenta and caesarean hysterectomy.The present study was conducted to know the fetomaternal outcome and intra and immediate post-operative complications in cases with previous two lower segment caesarean section.Methods: The present study was conducted in TMMC Moradabad between January 2017-January 2018.Total 68 cases were previous two lower segment caesarean section were included in the study. Neonatal outcome and intraoperative and immediate postoperative complications were seen in these cases.Results: In the present study majority of the cases were in 30-34 years age group (39.7%), the maximum number of caesarean sections were done between gestational age of 37-39.6 weeks (47.1%). Intraoperatively adhesions between uterus, anterior abdominal wall and bladder was seen in less than half of the cases i.e. in 42.6% cases. Out of 68 cases with previous two lower segment caesarean operated 13 cases had placenta previa and 4 cases had adherent placenta.Conclusions: The present study shows that the maternal and perinatal morbidity and mortality is increased with increasing number of caesarean sections. So, there should be reduction in rate of primary caesarean section which can reduce the rate of placenta previa and adherent placenta in subsequent pregnancies.

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HYPOTENSION DURING SPINAL ANAESTHESIA FOR CAESAREAN SECTION: IMPLICATIONS, DETECTION PREVENTION AND TREATMENT

Fetal and Maternal Medicine Review ◽

10.1017/s0965539506001756 ◽

2006 ◽

Vol 17 (2) ◽

pp. 157-183 ◽

Cited By ~ 16

Author(s):

KIM S KHAW ◽

WARWICK D NGAN KEE ◽

SHARA WY LEE

Keyword(s):

Caesarean Section ◽

General Anaesthesia ◽

Spinal Anaesthesia ◽

Regional Anaesthesia ◽

Maternal Morbidity ◽

Morbidity And Mortality ◽

Maternal Deaths ◽

Maternal Morbidity And Mortality ◽

Prevention And Treatment

Regional anaesthesia is preferred by most anaesthetists for the majority of caesarean sections. The major advantage of regional anaesthesia is the avoidance of maternal morbidity and mortality associated with general anaesthesia. The importance of this can be seen in the most recent Report of Confidential Enquires into Maternal Deaths in which it was reported that of the direct maternal deaths attributed to anaesthesia, all six were associated with difficulties during general anaesthesia. Although a number of regional anaesthesia techniques are available, spinal anaesthesia is particularly popular because it is fast, easy to perform and provides excellent intraoperative analgesia.

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MORBID ADHERENT PLACENTA: PREDICTION, DIAGNOSIS AND MANAGEMENT

Fetal and Maternal Medicine Review ◽

10.1017/s0965539507002057 ◽

2007 ◽

Vol 18 (4) ◽

pp. 357-381 ◽

Cited By ~ 6

Author(s):

JM PALACIOS JARAQUEMADA ◽

CH BRUNO ◽

WA CLAVELLI

Keyword(s):

Caesarean Section ◽

Maternal Morbidity ◽

Placenta Accreta ◽

Close Relation ◽

Morbidity And Mortality ◽

Vital Importance ◽

Diagnosis And Management ◽

On Demand ◽

Adherent Placenta ◽

Maternal Morbidity And Mortality

Morbid adherent placenta (MAP), also known as placenta accreta, increta or percreta, is one of the main causes of maternal morbidity and mortality. Its incidence has noticeably increased in the last few decades, a fact directly related to the increase in caesarean sections. There is a close relation between iterative caesarean sections and MAP. This connection is of vital importance, since caesarean rates have risen worldwide, especially in the countries where there is the possibility of caesarean section on demand.

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Repeat Caesarean Section: A Clinical Study with Special reference to Maternal Morbidity and Mortality

Scholars Journal of Applied Medical Sciences ◽

10.21276/sjams.2016.4.7.2 ◽

2016 ◽

Vol 4 (7) ◽

pp. 2318-2321

Author(s):

Patar Jagannath ◽

Malakar Himangshu ◽

Pronamika Konyak ◽

BalsriCh Marak

Keyword(s):

Clinical Study ◽

Caesarean Section ◽

Special Reference ◽

Maternal Morbidity ◽

Morbidity And Mortality ◽

Maternal Morbidity And Mortality

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A CASES OF ACUTE COLONIC PSEUDO-OBSTRUCTION LEADING TO CECAL PERFORATION POST LSCS CASE.

10.36106/gjra/0916054 ◽

2021 ◽

pp. 225-226

Author(s):

Rahul Khatri ◽

Bhoomika Jain ◽

Sabrina Mhapankar ◽

Sushil Kumar

Keyword(s):

Caesarean Section ◽

Maternal Morbidity ◽

Surgical Intervention ◽

Bowel Perforation ◽

Morbidity And Mortality ◽

Severe Maternal Morbidity ◽

Ogilvie’S Syndrome ◽

Maternal Morbidity And Mortality ◽

Cecal Perforation

Acute colonic pseudo-obstruction is rare but not very un-common to nd post LSCS, if diagnosed late can cause severe maternal morbidity and mortality. Surgical intervention is must if diagnosed late, and is associated with long term morbidity to the patient. In this case, signs of bowel perforation were noted and laparotomy performed, ndings suggestive of cecal perforation were seen. Although uncommon after a Caesarean section but diagnosis of Ogilvie’s syndrome should be kept in mind.

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Absence of Wharton’s jelly: an association with feto-maternal morbidity

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20200926 ◽

2020 ◽

Vol 9 (3) ◽

pp. 1318

Author(s):

Swati Trivedi ◽

Lata Ratanoo ◽

Shivani Purohit ◽

Prasoon Rastogi

Keyword(s):

Blood Flow ◽

Caesarean Section ◽

Umbilical Cord ◽

Maternal Morbidity ◽

Perinatal Outcomes ◽

Wharton’S Jelly ◽

Lower Segment ◽

Umbilical Vessels ◽

Lower Segment Caesarean Section ◽

Wharton's Jelly

Umbilical cord contains two arteries and one vein connecting fetus to the placenta and is responsible for blood flow between the two. It is surrounded by Wharton’s jelly which is a gelatinous substance and functions as adventitia layer of umbilical vessels, thereby providing insulation and protection to the umbilical cord. Umbilical cord abnormalities are associated with poor perinatal outcomes. Very few cases of absent Wharton’s jelly are reported in literature. Ours might be the 8th one in which we did a lower segment caesarean section for meconium stained liquor but the baby died after 12 hours.

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