Assessment of Antepartum and Intraoperative Complications in Pregnancy with Previous Caesarean Section

Abstract

Background: Despite the widespread adoption of cesarean section (CS), epidemiological data on intraoperative complications remain limited, particularly in resource-constrained settings. The purpose of this study was to assess the occurrence and impact of antepartum and intraoperative complications in pregnancies following a previous cesarean section.

Aim of the study: The aim of the study was to evaluate the occurrence and impact of antepartum and intraoperative complications in pregnancies following a previous caesarean section. Methods: This prospective observational study was conducted at the Department of Obstetrics and Gynecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from September 2005 to January 2006, including 150 patients with a history of one or more cesarean sections. Data on antepartum, intraoperative, and postoperative complications, as well as neonatal outcomes, were collected via antenatal records and observation. Data were analyzed using SPSS, and ethical clearance and informed consent were obtained.

Results: Among 150 patients, the majority were aged 26–30 years (48%) and had one previous C/S (88%). Most received regular antenatal care (80%). Common antepartum complications included pregnancy-induced hypertension (22%) and chronic abdominal pain (10%). Intraoperative challenges were mostly adhesion-related (86.7%), with additional issues such as uterine scar thinning (20%) and bladder adhesions (16%).

Conclusion: Pregnancies with a history of cesarean section are increasingly common and often complicated by significant antepartum and intraoperative challenges, highlighting the need for careful prenatal surveillance and surgical preparedness.