Maternal Morbidity and Mortality Trends in Relation to the Number ofPrevious Cesarean Sections — A Clinical Study

Abstract

Introduction: Cesarean section (C/S) is a common surgical procedure used to deliver a baby through an abdominal and uterine incision. While it can be life-saving for both mother and baby, repeat cesarean sections are associated with increased maternal risks and complications. This study aims to explore the relationship between the number of prior cesarean sections and maternal outcomes, focusing on peri-operative complications and maternal morbidity and mortality. Methods & Materials: This observational cross-sectional study was conducted Department of Obstetrics & Gynaecology, Chittagong Medical College & Hospital, from December 16-June’17. All the pregnant women who underwent repeat Caesarean section in Chittagong Medical College Hospital, Chittagong during the study period were considered as the study population. A total of 100 study subjects were selected by consecutive convenient sampling techniques. Data analysis was done by SPSS (Statistical Package for Social Sciences) 16. In all cases, p value <05 was considered significant. Result: The results indicate that maternal morbidity increases with the number of previous cesarean sections, with higher rates of post-partum hemorrhage, blood transfusion, wound infection, and other complications in women who had two or more cesarean sections, especially in those with three. However, there was no statistically significant association between maternal mortality and the number of previous cesarean sections. Conclusion: The study shows increased maternal morbidity with multiple cesarean sections, especially after three, with higher rates of hemorrhage, transfusions, infections, and visceral injuries. No link was found between prior C-sections and maternal mortality.