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[Complications following cesarean section].

S A Rasmussen1, J M Maltau

  • 1Kvinneklinikken Regionsykehuset i Tromsø.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 30, 1990
PubMed
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Cesarean sections led to complications in nearly 30% of women, with infection being most common. Risk factors include emergency surgery, obesity, and fetal position, suggesting strategies to reduce C-sections and complications.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Surgical Outcomes

Context:

  • A seven-year study at the University Hospital of Tromsø analyzed cesarean section (C-section) rates and associated complications.
  • Cesarean sections accounted for 9.9% of all deliveries during the study period.

Purpose:

  • To identify the incidence of complications following cesarean sections.
  • To determine factors associated with cesarean section complications.
  • To suggest methods for reducing both C-section rates and complication incidence.

Summary:

  • 898 women (9.9%) underwent cesarean sections over seven years, with 29.3% experiencing complications (8.5% intraoperative, 23.1% postoperative).
  • Infection was the most frequent complication (22.3%).

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  • Associated risk factors included emergency operations, obesity, labor before surgery, prolonged labor, ruptured membranes, low gestational age, and fetal station below the ischial spines. Low hemoglobin levels (<12.0 g/100 ml) increased infection risk.

    • Impact:

    • Identifies key risk factors for cesarean section complications, enabling targeted interventions.
    • Provides data to support strategies aimed at reducing cesarean delivery rates.
    • Highlights the need for improved management of factors contributing to surgical site infections and other adverse events post-cesarean.