ABSTRACT

The aim of the study is to evaluate the surgical complications after cesarean section in our clinic and its possible risk factors regarding the literature.

Records of 687 patients with caesarean sections in our department of Obstetrics and Gynecology between January 2007 and December 2009 were retrospectively studied. Cases were reviewed regarding the age, type of anesthesia, number of caesarean sections and complications, surgery time of intervention and leading factors.

The mean age of all patients included in the study was 25,1±5,8 years. Average gravidity: 2,3±1,4, parity: 1,1±2,1. In 54% cases, spinal anesthesia and in 46% cases, general anesthesia was performed. 513 patients (74,7%) were operated in emergency conditions and 174 patients (25,3%) in elective conditions. Caesarean section was performed in 448 patients for the first time and 239 patients had multiple caesarean sections. The rate of complications of caesarean sections was 11,2 % and the mean duration of hospitalization was 2,3±1,5 days.

The most common complication after cesarean was bleeding. Overall complication rate was lower than the literature. Referral of highrisk patients to a reference center may play a role in low rate of complication.

Keywords: Cesarean, complications, risk factors