RISK FACTORS FOR WOUND COMPLICATIONS AFTER CESAREAN SECTION IN TERTIARY CARE HOSPITAL MUZAFFARABAD- A RETROSPECTIVE COHORT STUDY
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Keywords
Gynecological Surgery, Wound, Cesarean Section Complications
Abstract
Background: Cesarean delivery is a widely practiced surgical procedure globally.
Objective of the Study: The primary objective of this retrospective cohort study is to pinpoint and examine the factors that contribute to wound complications after cesarean section in a tertiary hospital in Muzaffarabad.
Subjects and Methods: The study analyzed 250 women who had cesarean sections at Tertiary Care Hospital Muzaffarabad from November 2020 to January 2021. Patient interviews and clinical examinations were conducted to gather detailed information.
Results: This study included 250 participants who had gynecological surgeries. Among them, 32% were above 30 years old. Wound Infections were noted in 12% (30 patients), while wound dehiscence happened in 4% (10 patients). Surgeries lasting more than 90 minutes had a strong link to complications (OR = 5.40, 95% CI: 2.56-11.41, p < 0.001). Emergency cesarean sections had a high risk (OR = 5.56, 95% CI: 2.83-10.94, p < 0.001), with the lack of preoperative antibiotics being the most crucial factor (OR = 7.00, 95% CI: 3.44-14.26, p < 0.001).
Conclusion: Surgeries lasting more than 90 minutes, and Ages above 30 years are the main risk factors for having complications after cesarean section.
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Nosheena Akhter Shabbir
MBBS, FCPS Obstetrics and Gynecology, CMH/SKBZ, Assistant Professor AJK Medical College, Muzaffarabad AJK, Pakistan
Uzma Khwaja
MBBS, FCPS Obstetrics and Gynecology, CMH/SKBZ Muzaffarabad, Senior Registrar AJK Medical College
Hina Pirzada
MBBS, FCPS Obstetrics and Gynecology, CMH/SKBZ, Assistant Professor AJK Medical College, Muzaffarabad AJK, Pakistan
Amna Anwar
MBBS, Registrar Obstetrics, and Gynecology, CMH/SBKZ Muzaffarabad
Madiha Saleem
MBBS, Registrar Obstetrics, and Gynecology, CMH/SKBZ Muzaffarabad, AJK
Zubina Adnan
MBBS, FCPS Obstetrics and Gynecology, CMH/SKBZ, Assistant Professor AJK Medical College, Muzaffarabad AJK, Pakistan