Adverse Pregnancy Outcomes Associated with Preterm Caesarean Delivery
Author(s): Wahida Memon, Sanober Qazi, Nazish Naqvi*, Meena Bai, Madhu Bala and Nazia Memon
Purpose: Cesarean delivery at a preterm age of gestation has been associated with maternal complications such as infection and bleeding. Though, earlier reports are contradictory and there is no harmony on this issue. Our goal was to explain the adverse effect of premature caesarean section by drawing attention to the maternal bleeding. Place and Duration: In the Obstetrics and Gynaecology department of civil hospital Tandoallahyar Pakistan from 2018 to March 2021. Study design: This retrospective analysis was done to compare the incidence of adverse maternal sequelae between term emergency Cesarean delivery and preterm emergency Cesarean delivery. This analysis encompassed 520 premature cases and 629 full term birth cases. The incidence of abnormal bleeding, definite as 1500 ml or above as the primary outcome, the secondary outcome was definite as the postoperative antibiotic administration rate and rate of blood transfusion as were analyzed. For confounding variables, Logistic regression analysis was done like primiparity, age of birth, obesity, placental abnormalities, history of uterine surgery, hypertension during pregnancy, impaired glucose tolerance, GA during surgery and premature rupture of membranes. As a secondary analysis, we compared the negative outcomes between classical Cesarean delivery, upper segment incision and inverted T incision in early emergency Cesarean delivery to examine the effects of the incision method. Results: Premature caesarean section was characterized by an expressively high ratio of abnormal bleeding, transfusions and antibiotic use compared to term caesarean section. The classical incision was associated with a greater frequency of blood transfusions and antibiotic need among females with preterm delivery. Conclusion: Premature caesarean section upsurges the maternal bleeding. This must be considered specifically in the context of premature preterm birth.