Morbidity Following Cesarean Section Warranting Relaparotomy-AReview

Abstract

Objective: To review cases following elective and emergency caesarean section with maternal morbidity warranting relaparotomy and critical care management 

Methods: An analysis of cases undergoing relaparotomy after cesarean section was done in a tertiary care centre, Institute of Maternal & Child health, Government Medical College Kozhikode, Kerala in the year 2022 –April 2024.A series of 9 cases needing relaparotomy were studied.

Results: There were total 9 cases of relaparotomy following cesarean section. Most common reason for relaparotomy was haemorrhage (4 cases) rectus sheath haematoma causing hemoperitoneum (2 cases), sepsis (2 cases) and 1 case of bladder injury not detected during primary cesarean section. Majority of cases were previous cesarean section (5 cases)

Conclusion: Meticulous steps should be taken during primary surgery to avoid complications of relaparotomy and subsequent morbidity during cesarean section.