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Related Experiment Videos

How safe is caesarean section

J Mukherji1, J C Samaddar

  • 1Department of Obstetrics and Gynaecology, Eden Hospital Medical College, Calcutta, India.

Journal of Obstetrics and Gynaecology (Tokyo, Japan)
|February 1, 1995
PubMed
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Maternal deaths following caesarean section (CS) were significant, accounting for 1 in 8 overall deaths. Hemorrhagic shock and sepsis were leading causes, highlighting risks in complex obstetric cases.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Surgical Outcomes

Background:

  • Caesarean section (CS) is a common obstetric procedure worldwide.
  • Maternal mortality remains a critical concern in healthcare, particularly following surgical interventions.
  • Understanding the specific risks associated with CS is vital for improving patient safety.

Purpose of the Study:

  • To analyze the incidence and causes of maternal mortality associated with caesarean sections.
  • To identify high-risk patient groups and clinical scenarios contributing to CS-related deaths.
  • To evaluate the institutional mortality rate for caesarean sections.

Main Methods:

  • Retrospective analysis of 8,017 caesarean sections performed over nearly five years.

Related Experiment Videos

  • Categorization and quantification of maternal deaths attributed to caesarean sections.
  • Identification of primary causes of death and contributing obstetric conditions.

    • Main Results:

    • 51 maternal deaths occurred following caesarean section, representing 1 in 8 of all maternal deaths.
    • The institutional mortality rate for caesarean section was 5.7 per 1,000 operations.
    • Hemorrhagic shock (37.3%) and sepsis (13.7%) were the most frequent causes of death.

    Conclusions:

    • Caesarean section carries a significant risk of maternal mortality, necessitating careful patient selection and management.
    • Hemorrhagic shock, anesthesia complications, hypertensive disorders, and sepsis are key contributors to CS-related deaths.
    • High-risk pregnancies, including those with antepartum hemorrhage and adherent placentae, are associated with increased caesarean mortality.