Pattern of Caesarian Section complications among Primiparous Versus Multiparous

Abstract

Background: Caesarean section is the delivery of a baby by surgery also known as abdominal birth. Cesarean section is one of the major surgeries where both mother and a newborn can be at risk. Aims: to Estimate the pattern of cesarean complications encountered among Primiparous versus Multiparous during Puerperium. Researchdesign: A prospective study designed adopted for this study. Setting: This study was conducted in the postpartum wards of Obstetrics Department, Women's Health Center, Assiut University Hospital, Egypt. Tool: Structured interviewing questioner and follow-up sheet used for data collection Results: more than half of women in both groups had an emergency cesarean section (69.1% vs. 54.5%) with a significant statistical difference. Fetal distress was the most common indication for cesarean section in primiparous, While repeated cesarean section was at the top of the list in multigravida, Incidence of complications encountered among both group nearly equal, there were no associations between the type of Cesarean Section and postoperative complications (p=0.736) and there was no significant statistical difference between both groups as regarding to intraoperative or postoperative cesarean complications. Conclusion: There was no significance statistically difference regarding Caesarian Section Complications encountered among puerperal women either during intraoperative or post-operative among Primiparous Versus Multiparous. Recommendations: implementation of the training program for nurses to improve their knowledge and skills regarding the prevention, assessment, and management of cesarean section complications. A list of counseling hotlines or health-care centers should also be included. Nurses and childbirth educators are in an ideal situation to discuss postpartum issues.