Complications and perinatal outcomes of cesarean delivery in a tertiary care hospital in ghaziabad: a cross sectional study

Introduction: The prevalence of Cesarean section (CS) associated complications increase with each additional Cesarean. With this background, this study was planned to analyse various intra-operative complications and perinatal outcome in caesarean deliveries and to determine their association with repeat CS.
Methodology: The present study was cross sectional study conducted over a period of 6 months from August2019 to February 2020. All subjects who underwent delivery in Santosh medical college and hospital during the study time were recruited in the study and their mode of delivery was noted. Subjects undergoing cesarean section were observed for Intraoperative and Postoperative complications. Perinatal outcome was also noted. Frequencies were calculated for different variables. Data was analyzed and p value of <0.05 was taken significant.
Results: Total labour patients presenting in the Department of Obstetrics and Gynaecology in the study period from August 2019 to February 2020 were 404. Out of these 172(42.5%) delivered by caesarean section. The patients who underwent primary LSCS were 82(50.6%), secondary 58 (35.8%) and tertiary 22 (13.5%). Increased blood loss, increased surgery time, adherent placenta, thick LUS, adhesions and thin LUS were present more in repeat CS group and were statistically significant.
Conclusions: With repeat CS, prevalence and severity of complications increase. It is the responsibility of the obstetricians to avoid unnecessary primary cesarean sections.