Caesarean Section: Mortality and Morbidity
Caesarean Section (CS) is the most common obstetric surgery performed today. With advancement of anaesthesia and technique resulting in improved outcome and safety, its rate has been rising. Nevertheless, it carries risk of complications resulting in morbidity and sometimes mortality. Therefore, CSs...
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| Format: | Article |
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JCDR Research and Publications Private Limited
2018-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/11994/37034_CE[Ra1]_F(SHU)_PF1(SH_SS)_PN(SS).pdf |
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| author | Mamta Gupta Vandana Saini |
| author_facet | Mamta Gupta Vandana Saini |
| author_sort | Mamta Gupta |
| collection | DOAJ |
| description | Caesarean Section (CS) is the most common obstetric surgery performed today. With advancement of anaesthesia and technique resulting in improved outcome and safety, its rate has been rising. Nevertheless, it carries risk of complications resulting in morbidity and sometimes mortality. Therefore, CSs done without medial indications, remains questionable. Maternal mortality and morbidity after caesarean birth is nearly five times than vaginal births, especially the risks of haemorrhage, sepsis, thromboembolism and amniotic fluid embolism. In a subsequent pregnancy, CS increases the risks of placenta previa and adherent placenta which may further result in higher risk of haemorrhage and peripartum hysterectomy. Technical difficulties due to adhesions increase the risk of injury to bladder and bowel. Though CS can be life saving for a foetus in jeopardy, yet in countries with high caesarean rate increased neonatal mortality and morbidity is seen i.e., iatrogenic pre-term births and respiratory morbidity. Risk of rupture uterus and stillbirths in women with previous CS also increase perinatal mortality. Neonatal adaptations is delayed in caesarean babies i.e., maintenance of body temperature, glycaemia and pulmonary respiration. Development of neonatal immune system is also affected in babies born by CS. Hence, CS should be done only if medically indicated. |
| first_indexed | 2024-12-11T09:27:40Z |
| format | Article |
| id | doaj.art-9322ee96a27647978195f7c7e0af645e |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-11T09:27:40Z |
| publishDate | 2018-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-9322ee96a27647978195f7c7e0af645e2022-12-22T01:13:06ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-09-01129QE01QE0610.7860/JCDR/2018/37034.11994Caesarean Section: Mortality and MorbidityMamta Gupta0Vandana Saini1Consultant, Department of Obstetrics and Gynaecology, GLM Hospital, New Delhi, India.Senior Specialist, Department of Obstetrics and Gynaecology, Hindu Rao Hospital, New Delhi, India.Caesarean Section (CS) is the most common obstetric surgery performed today. With advancement of anaesthesia and technique resulting in improved outcome and safety, its rate has been rising. Nevertheless, it carries risk of complications resulting in morbidity and sometimes mortality. Therefore, CSs done without medial indications, remains questionable. Maternal mortality and morbidity after caesarean birth is nearly five times than vaginal births, especially the risks of haemorrhage, sepsis, thromboembolism and amniotic fluid embolism. In a subsequent pregnancy, CS increases the risks of placenta previa and adherent placenta which may further result in higher risk of haemorrhage and peripartum hysterectomy. Technical difficulties due to adhesions increase the risk of injury to bladder and bowel. Though CS can be life saving for a foetus in jeopardy, yet in countries with high caesarean rate increased neonatal mortality and morbidity is seen i.e., iatrogenic pre-term births and respiratory morbidity. Risk of rupture uterus and stillbirths in women with previous CS also increase perinatal mortality. Neonatal adaptations is delayed in caesarean babies i.e., maintenance of body temperature, glycaemia and pulmonary respiration. Development of neonatal immune system is also affected in babies born by CS. Hence, CS should be done only if medically indicated.https://jcdr.net/articles/PDF/11994/37034_CE[Ra1]_F(SHU)_PF1(SH_SS)_PN(SS).pdfcomplicationsmaternal outcomeneonatal outcome |
| spellingShingle | Mamta Gupta Vandana Saini Caesarean Section: Mortality and Morbidity Journal of Clinical and Diagnostic Research complications maternal outcome neonatal outcome |
| title | Caesarean Section: Mortality and Morbidity |
| title_full | Caesarean Section: Mortality and Morbidity |
| title_fullStr | Caesarean Section: Mortality and Morbidity |
| title_full_unstemmed | Caesarean Section: Mortality and Morbidity |
| title_short | Caesarean Section: Mortality and Morbidity |
| title_sort | caesarean section mortality and morbidity |
| topic | complications maternal outcome neonatal outcome |
| url | https://jcdr.net/articles/PDF/11994/37034_CE[Ra1]_F(SHU)_PF1(SH_SS)_PN(SS).pdf |
| work_keys_str_mv | AT mamtagupta caesareansectionmortalityandmorbidity AT vandanasaini caesareansectionmortalityandmorbidity |