Relaparotomies After Obstetric Surgeries at a Tertiary Care Hospital

Abstract

Background: Relaparotomies are dangerous and complicated, but necessary for obstetric postoperative issues. However, few research has addressed this issue, especially in low-resource environments. Understanding relaparotomies' frequency, reasons, and effects can enhance obstetric treatment and outcomes. This study will examine Katihar Medical College & Hospital relaparotomies to fill this information gap by determining their prevalence and factors may have caused them.

Methods: Analyses of 90 relaparotomies from 2020 to 2023 were retrospective. SPSS 25 was used for statistical analysis, recommendations, results, and demographics. Descriptive statistics summarised logistic regression and chi-square tests' findings.

Results: Haemorrhage (38.9%) and infection (27.8%) caused relaparotomy most often. Case fatality was 8.9% and morbidity 55.6%. Complications occurred 44.4% of the time. With 22.2% of patients requiring critical care, hospital stays averaged 12.7 days. Statistics indicate a substantial association between bleeding and the need for relaparotomy (p < 0.05).

Conclusion: Relaparotomies after obstetric procedures have substantial morbidity and complications, demonstrating their importance. When bleeding was found as a major relaparotomy indication, diligent observation and prompt intervention were highlighted. The study's retrospective design and limited sample size limit its information on relaparotomies in obstetric practice, yet it provides useful insights.