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Study on maternal and perinatal outcome of pregnancy with history of previous caesarean section

机译:既往有剖腹产史的孕产妇和围产期结局研究

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Background : This is a Prospective observational study conducted in Department of Obstetrics and Gynaecology, BSMMU, Dhaka. Objective : The purpose of this study was to evaluate maternal and perinatal outcome of pregnancy with history of previous caesarean section. Method : Data were collected as per questionnaire by researchers herself by interviewing the patients and by observing the operations, investigation records and post-operative follow-up. A total number of 150 patients admitted with pregnancy with history of one or more previous caesarean section. Outcome measure : To find out antepartum complications, per-operative and post-operative complications specially related to previous caesarean section and to find out perinatal mortality and morbidity. Results : Among 150 patients who were delivered after one or more previous caesarean section, 88 (52%) patients had antepartum complications, the majority (88%) pregnancies were term pregnancy. The per-operative problem was difficulty to reach lower uterine segment due to adhesion with bladder was 16%. Overall post-operative complications were 20% cases. The common complications were wound infection (86%). Perinatal complications were 20 (30%) cases. Conclusion : The wide spread improvement in anaesthesia, surgical technique, antibiotics and blood transfusions have decreased the morbidity and mortality from caesarean section, but it is not without hazard. Bangladesh Journal of Medical Science Vol.15(3) 2016 p.392-398
机译:背景:这是在达卡BSMMU的妇产科进行的前瞻性观察研究。目的:本研究的目的是评估有剖腹产史的妊娠孕妇和围产儿结局。方法:由研究人员本人通过问卷调查,访谈患者,观察手术,调查记录和术后随访来收集数据。共有150名接受过一次剖腹产病史的妊娠患者。结果测量:找出产前并发症,术前和术后并发症,尤其与先前的剖腹产有关,并找出围产期的死亡率和发病率。结果:在进行了一次或多次剖腹产后分娩的150例患者中,有88例(52%)发生了产前并发症,大部分(88%)妊娠为足月妊娠。术中的问题是由于与膀胱的粘连率为16%,难以到达子宫下段。术后总体并发症为20%。常见并发症为伤口感染(86%)。围产期并发症为20例(30%)。结论:麻醉,手术技术,抗生素和输血的广泛应用降低了剖宫产的发病率和死亡率,但并非没有危害。孟加拉国医学杂志Vol.15(3)2016 p.392-398

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