Publication:

Risk factors for relaparotomy after caesarian section:a study in a tertiary care hospital

Background Caesarian section (CS) is one of the most common reasons for the development of puerperal complications. Most of the women are treated conservatively, but sometimes there is a need for relaparotomy. Usually it is performed when the condition of the patient is too critical to withstand the risk of anaesthesia and repeat operation.

Methods Detailed demographic data was collected from the patients such as age, parity, indication for primary caesarian section, indications for relaparotomy and the interval between the two surgeries.

Results Most of the women were in the age group of 20-35 years with 1 case being 38 and most of them were multiparous except 3 for whom this was the first parity. Atonic post-partum haemorrhage was the most common indication for relaparotomy followed by traumatic postpartum haemorrhage and rectus sheath hematoma. Most of the surgeries took place within the first 24 hours of the primary surgery.

Conclusions Since there is a high rate of indications for relaparotomy, immediate action and careful monitoring of the patient is required post caesarian section.