Clinical presentation and management of post caesarean section complication admitted in DMCH as referred case
Abstract
Background: Caesarean Section (CS) is the most frequent obstetric surgical treatment carried out today. With the development of anesthesia and method ensuing in expanded consequence and safety, its rate has been rising. Nevertheless, it includes the chance of issues ensuing in morbidity and sometimes mortality. Therefore, CSs completed barring medical indications, stay questionable. Objectives: The aim of this study is to assess the Clinical presentation and management of post-caesarean section complications admitted in DMCH as a referred case. Methods: This is an observational study. The study used to be carried out in the admitted patient’s Department of Gynecology and Obstetrics, Dhaka Medical College Hospital, Dhaka, Bangladesh. In Bangladesh for the duration of the period from January 2007 to June 2008. Results: Type of complication the Postpartum hemorrhage, Shock, DIC, Abdominal distension, Paralytic ileus, Hemoperitoneum, Injury to the viscera, Wound infection, Wound dehiscence, Ureter injury, Bladder injury, ruptured uterus, Intrauterine infection, Subrectal hematoma, and Anaesthetic hazards were 20(20.62%), 20(20.62%), 4(4.12%), 10(10.31%), 1(1.03%), 14(14.44%), 1(1.03%), 2(2.06%), 2(2.06%), 1(1.03%), 3(3.09%), 5(5.15%), 2(2.06%), 4(4.12%), 5(5.16) and 6(6.18%) respectfully. Conclusions: Most of the operation of the case was done of EOC and general practitioners. Most of the cases need laparotomy. Those who are working as a service provider in UCH or district hospital must have appropriate training before they start any surgery in his respective site. They must be confident enough to handle the cases.
Downloads
References
Finger, C., 2003. Caesarean section rates skyrocket in Brazil. The Lancet, 362(9384), p.628.
Calleja-Agius, J. and Brincat, M.P., 2015. The urogenital system and the menopause. Climacteric, 18(sup1), pp.18-22.
Perera, M.S. and Dei, L.P., 2018. Management of uterine fibroid along with Metrorrhagia through Virechen, Lekhan Basti and Uttar Basti-A case study. International Journal of AYUSH Case Reports, 2(2), pp.25-30.
Perusanova–Pavlova, L., 2015. SOCIAL AND CULTURAL IMPACTS ON THE PREGNANT WOMAN. Trakia Journal of Sciences, 13(2), pp.221-225.
DeCherney, A.H., Nathan, L., Laufer, N. and Roman, A.S., 2014. Current. Diagnóstico e Tratamento. Ginecologia e Obstetrícia. 11st ed. Porto alegre: AMGH.
Shipp, T.D., Zelop, C., Cohen, A., Repke, J.T. and Lieberman, E., 2003. Post–cesarean delivery fever and uterine rupture in a subsequent trial of labor. Obstetrics & Gynecology, 101(1), pp.136-139.
Häger, R.M., Daltveit, A.K., Hofoss, D., Nilsen, S.T., Kolaas, T., Øian, P. and Henriksen, T., 2004. Complications of cesarean deliveries: rates and risk factors. American journal of obstetrics and gynecology, 190(2), pp.428-434.
Rothenberg, K.H., 2006. National Institutes of Health State-of-the-Science Conference Statement: cesarean delivery on maternal request. 107 Obstetrics & Gynecology 1386.
Clark, S.L., Phelan, J.P., Yeh, S.Y., Bruce, S.R. and Paul, R.H., 1985. Hypogastric artery ligation for obstetric hemorrhage. Obstetrics and Gynecology, 66(3), pp.353-356.
Evans, S.T.E.P.H.E.N. and McSHANE, P.A.T.R.I.C.I.A., 1985. The efficacy of internal iliac artery ligation in obstetric hemorrhage. Surgery, gynecology & obstetrics, 160(3), pp.250-253.
Greenwood, L.H., Glickman, M.G., Schwartz, P.E., Morse, S.S. and Denny, D.F., 1987. Obstetric and nonmalignant gynecologic bleeding: treatment with angiographic embolization. Radiology, 164(1), pp.155-159.
Brown, B.J., Heaston, D.K., Poulson, A.M., Gabert, H.A., Mineau, D.E. and Miller Jr, F.J., 1979. Uncontrollable postpartum bleeding: a new approach to hemostasis through angiographic arterial embolization. Obstetrics and gynecology, 54(3), pp.361-365.
Deux, J.F., Bazot, M., Le Blanche, A.F., Tassart, M., Khalil, A., Berkane, N., Uzan, S. and Boudghène, F., 2001. Is selective embolization of uterine arteries a safe alternative to hysterectomy in patients with postpartum hemorrhage?. American Journal of Roentgenology, 177(1), pp.145-149.
Pelage, J.P., Dref, O., Jacob, D., Soyer, P., Herbreteau, D. and Rymer, R., 1999. Selective arterial embolization of the uterine arteries in themanagement of intractable post-partum hemorrhage. Acta Obstetricia et Gynecologica Scandinavica, 78(8), pp.698-703.
Yalamanchili, S., Harvey, S.M., Friedman, A., Shams, J.N. and Silberzweig, J.E., 2008. Transarterial embolization for inferior epigastric
artery injury. Vascular and endovascular surgery, 42(5), pp.489-493.
Vedantham, S., Goodwin, S.C., McLucas, B. and Mohr, G., 1997. Uterine artery embolization: an underused method of controlling pelvic hemorrhage. American journal of obstetrics and gynecology, 176(4), pp.938-948.
Nadišauskienė, R., Vaicekavičius, E., Tarasevičienė, V. and Simanavičiūtė, D., 2007. Conservative treatment of cervical pregnancy with selective unilateral uterine artery embolization. Medicina, 43(11), p.883.
