Title: A Study on Intraoperative and Post Operative Complications of Caeserian Section Related to Anesthesia in Rural Tertiary Centre
Authors: Dr Sujay, Dr Santhosh Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v5i9.78
Abstract
Background: Cesarean section is the most common done obstetric emergency and the outcome of surgery differs depending on various factors. Maternal and fetal outcome depends on the profile of the patient and anaesthesia given.
Objectives: To study the anesthetic complications in rural referral patients (unbooked cases) undergoing emergency cesarean delivery and to compare them with booked cases undergoing emergency cesarean deliveries in Kammenni Institute of Medical Sciences.
Purpose: This study was undertaken to find out the difference in anesthetic complications between booked cases with proper antenatal follow up and unbooked cases referred from rural health centres.
Method: The study is a cross-sectional study conducted at Kammenni Institute of Medical Sciences from October 2013 – September 2015 over a period of 2 years. 560 cases of rural referrals (unbooked cases) undergoing emergency cesarean delivery were the study group. The control group consisted of 420 booked cases undergoing emergency cesarean delivery. Various parameters of maternal morbidity, neonatal morbidity and mortality due to anaesthesia were compared in both the groups.
Results: Of the various factors analysed in relation to type of Cesarean delivery, statistically significant associations were found between anaesthetic complications in emergency cesarean and younger patients, multi -parity, irregular attendance at antenatal clinic, no prenatal care.
Conclusion: Cesarean delivery done in rural referral son emergency basis is associated with significant intraoperative, postoperative morbidity and neonatal morbidity and mortality related to anaesthesia. Every effort should be directed to proper antenatal care and planned cesarean delivery, as determined during antenatal period. Importance of an effective health care package and timely referral from peripheral hospitals should be stressed so as to reduce the various anaesthetic problems associated with emergency cesarean delivery.
Key Words: Emergency cesarean delivery, booked and unbooked, maternal morbidity, neonatal morbidity and mortality due to anaesthesia.
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