Title: Maternal and neonatal complication of repeated caesarean section
Abstract: Objectives: To explore the maternal and neonatal complications of repeated caesarean section through comparative study. Methods: 272 pregnant women with repeated cesarean section( group A),300 pregnant women with repeated vaginal delivery( group B),and 350 pregnant women with the first cesarean section delivery( group C) were selected. The clinical data of pregnant women in the three groups were analyzed,and a follow-up of at least one year was conducted. The long- term and short- term maternal complications and neonatal complications of the three groups were compared. Results: 1. 70 cases( 25. 7%),9 cases( 3. 0%) and 42 cases( 12. 0%) had postoperative complications in group A,B and C respectively,with significant difference in the incidence between each two groups( P 0. 05). 2. The incidence of short- term complications( postpartum hemorrhage,infection of incision,postpartum fever) and the long- term complications( chronic pelvic inflammation,pelvic adhesion) of group A and C was significantly higher than that of group B,with statistically significant difference( P 0. 05). The incidence of short- term and long- term complications of group A was significantly higher than that of group C,with statistically significant difference( P 0. 05). 3. The proportions of meconium stained amniotic fluid,asphyxia of newborn and fetal distress of group A were significantly higher than those of group B and C,with statistically significant difference( P 0. 05). Conclusion: Repeated cesarean section can significantly increase the incidence of maternal intraoperative and postoperative complications and neonatal complications. Clinicians should avoid cesarean section of no indications,to reduce the cesarean section rate.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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