High Order Cesarean Section: Is It Associated With More Operative Complications Then Lower Order Cesarean Section

• Published in: Pakistan Armed Forces Medical Journal
• Main Authors: Umbreen Akram, Sumaira Khan, Adiba Akhtar Khalil, Asifa Siraj, Samina Rehan Khan, Umairah Yaqub
• Format: Article
• Language: English
• Published: Army Medical College Rawalpindi 2023-06-01
• Subjects: Complications; Higher order cesarean section; Lower order cesarean section; Scar dehiscence
• Online Access: https://www.pafmj.org/index.php/PAFMJ/article/view/8886
• ISSN: 0030-9648; 2411-8842

Objective: To detect complications associated with higher order versus lower order cesarean section. Study Design: Prospective longitudinal study. Place and Duration of Study: Department of Obstetrics and Gynecology, Combined Military Hospital, Mardan Pakistan, from Mar to Aug 2021. Methodology: The study was conducted on 210 women, the participants were categorised into two Groups: Group-I (Higherorder), who had undergone fourth and fifth cesarean sections, and Group-II (Lower order), who had undergone second and third Cesarean Sections. The presence of complications were noted in both the Groups. Results: The frequency of higher and lower-order Cesarean Sections was 75(35.7%) and 135(64.3%), respectively. Mean gestational age and parity were 38.96±0.69 weeks and 3.49±2.12, respectively. Dense omental adhesion was a significantly common complication in both Groups. Scar dehiscence was 35(25.9%) among Group-II. There was no significant association between the high-order cesarean section and its complications. Conclusion: The higher-order repeat cesarean section was not associated with more intraoperative complications when compared with lower-order cesarean section in our study. Certain factors like maternal age, parity and gestational age affect the intraoperative complications of the cesarean section.