High Order Cesarean Section: Is It Associated With More Operative Complications Then Lower Order Cesarean Section

Umbreen Akram; Sumaira Khan; Adiba Akhtar Khalil; Asifa Siraj; Samina Rehan Khan; Umairah Yaqub

doi:10.51253/pafmj.v73i3.8886

Authors

Umbreen Akram Department of Obs & Gynae, Combined Military Hospital, Mardan/National University of Medical Sciences (NUMS) Pakistan
Sumaira Khan Department of Obs & Gynae, Combined Military Hospital, Mardan/National University of Medical Sciences (NUMS) Pakistan
Adiba Akhtar Khalil Department of Obs & Gynae, Combined Military Hospital, Risalpur/National University of Medical Sciences (NUMS) Pakistan
Asifa Siraj Department of Obs & Gynae, Pakistan Naval Ship Hafeez Hospital, Islamabad Pakistan
Samina Rehan Khan Department of Obs & Gynae, Pakistan Naval Ship Shifa Hospital, Islamabad Pakistan
Umairah Yaqub Department of Obs & Gynae, Pak Emirate Military Hospital/ National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i3.8886

Keywords:

Complications, Higher order cesarean section, Lower order cesarean section, Scar dehiscence

Abstract

Objective: To detect complications associated with higher order versus lower order cesarean section.

Study Design: Prospective longitudinal study.

Place and Duration of Study: Department of Obstetrics and Gynecology, Combined Military Hospital, Mardan Pakistan, from Mar to Aug 2021.

Methodology: The study was conducted on 210 women, the participants were categorised into two Groups: Group-I (Higherorder), who had undergone fourth and fifth cesarean sections, and Group-II (Lower order), who had undergone second and third Cesarean Sections. The presence of complications were noted in both the Groups.

Results: The frequency of higher and lower-order Cesarean Sections was 75(35.7%) and 135(64.3%), respectively. Mean gestational age and parity were 38.96±0.69 weeks and 3.49±2.12, respectively. Dense omental adhesion was a significantly common complication in both Groups. Scar dehiscence was 35(25.9%) among Group-II. There was no significant association between the high-order cesarean section and its complications.

Conclusion: The higher-order repeat cesarean section was not associated with more intraoperative complications when compared with lower-order cesarean section in our study. Certain factors like maternal age, parity and gestational age affect the intraoperative complications of the cesarean section.