Volume 18, Issue 2 (Pajouhan Scientific Journal, Winter 2020)                   psj 2020, 18(2): 52-57 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Zandi S, Imani B, Mostafayi M, Rabie S. Prevalence of Early Maternal Complications of Cesarean Section and its Relationship with Body Mass Index in Fatemieh Hospital of Hamadan. psj. 2020; 18 (2) :52-57
URL: http://psj.umsha.ac.ir/article-1-554-en.html
1- Student Operating Room (MSc), Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
2- Assistant professor, Department of Operating Room, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran , behzadiman@yahoo.com
3- Associate Professor, Surgeon and Gynecologist, Department of Obstetrics and Gynecology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (992 Views)
Background and Objective: Maternal BMI (body mass index) plays an important role in pregnancy outcome that can lead to more surgical complications in pregnant women. The aim of this study was to determine the prevalence of Maternal Short-Term Complications of cesarean section and its relationship with body mass index.
Materials and Methods:
This cross-sectional study was performed on 120 patients undergoing cesarean section at Hamadan Fatemieh Hospital in June-July 2019. Samples were selected by random sampling. duration of surgery, bleeding during surgery, duration of ileus, pain, analgesic dose, surgical wound inflammation, surgical wound secretion and redness were evaluated by checklist. Data were analyzed in SPSS 23 using descriptive and inferential statistics.
Results: The results showed that the mean duration of surgery was 44 minutes, mean bleeding during surgery was 776 ml, duration of ileus 17 hours, pain rate was 4.82 and the mean analgesic dose was 1.66 diclofenac. The incidence of inflammation was 4/2%, surgical wound secretion 4/2% and wound area redness 5/8%. There was a positive and significant relationship between body mass index and variables such as duration of surgery, bleeding, pain, and analgesic dose (P<0.05), but there was no significant relationship between this variable with duration of ileus and incidence of inflammation, secretion and redness of surgical wound area (P>0.05).
Conclusion: The results of this study showed that there is a relatively high prevalence of maternal short-term complications in cesarean section and there is a positive and significant relationship between duration of surgery, bleeding, pain and number of analgesics with maternal BMI.
Full-Text [PDF 691 kb]   (92 Downloads)    
Type of Study: Research Article | Subject: Medicine & Clinical Sciences
Received: 2019/12/13 | Accepted: 2020/02/16 | Published: 2020/01/10

1. 1. Pfuntner A, Wier L, Stocks C. Most frequent procedures performed in US hospitals, 2010: Statistical Brief. 2006. [DOI]
2. 2. Saeed K, Greene R, Corcoran P, O'Neill S. Incidence of surgical site infection following caesarean section: a systematic review and meta-analysis protocol. BMJ open. 2017;7(1):e013037. [DOI]
3. 3. Betrán A, Merialdi M, Lauer J, Bing‐Shun W, Thomas J, Van Look P, et al. Rates of caesarean section: analysis of global, regional and national estimates. Paediatric and perinatal epidemiology. 2007;21(2):98-113. [DOI]
4. 4. Ahmadi Y, Sharififar S , Pishgooie SAH, Teimouri F, Hoseyni MS, M Y. Comparison of Quality of life in Postpartum Mothers Undergone Cesarean and Vaginal Delivery in Selected Hospitals of Tehran in 2015. Military Caring Sciences Journal. 2017; [DOI]
5. 3(4):242-8. [DOI]
6. 5. Mohammadbeigi A, Farhadifar F, Soufizadeh N, Mohammadsalehi N, Rezaiee M, Aghaei M. Fetal macrosomia: risk factors, maternal, and perinatal outcome. Annals of medical and health sciences research. 2013;3(3):546-50. [DOI]
7. 6. Getahun D, Kaminsky LM, Elsasser DA, Kirby [DOI]
8. RS, Ananth CV, Vintzileos AM. Changes in prepregnancy body mass index between pregnancies and risk of primary cesarean delivery. American journal of obstetrics and gynecology. 2007; [DOI]
9. 197(4):376. e1-. e7. [DOI]
10. 7. Gary C, Johnc H, leveno kh, Bloom SL, Glistrap L, KD w. Williams Obstetrics 22nd ed New york: MC Grow–Hill. 2005;218. [DOI]
11. 8. Flegal K, Carroll M, Kit B, Ogden C. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. Jama. 2012; [DOI]
12. 307(5):491-7. [DOI]
13. 9. Winkvist A, Stenlund H, Hakimi M, Nurdiati D, Dibley M. Weight-gain patterns from prepregnancy until delivery among women in Central Java, Indonesia. The American journal of clinical nutrition. 2002;75(6):1072-7. [DOI]
14. 10. Rowlands I, Graves N, De Jersey S, McIntyre H, Callaway L, editors. Obesity in pregnancy: outcomes and economics. Seminars in Fetal and Neonatal Medicine; 2010: Elsevier. [DOI]
15. 11. Sebire N, Jolly M, Harris J, Wadsworth J, Joffe M, Beard R, et al. Maternal obesity and pregnancy outcome: a study of 287 213 pregnancies in London. International journal of obesity. 2001;25(8):1175. [DOI]
16. 12. Kominiarek M, VanVeldhuisen P, Hibbard J, Landy H, Haberman S, Learman L, et al. The maternal body mass index: a strong association with delivery route. American journal of obstetrics and gynecology. 2010;203(3):264. e1-. e7. [DOI]
17. 13. Alanis M, Villers M, Law T, Steadman E, Robinson C. Complications of cesarean delivery in the massively obese parturient. American journal of obstetrics and gynecology. 2010;203(3):271. e1-. e7. [DOI]
18. 14. Hilson J, Rasmussen K, Kjolhede C. Excessive weight gain during pregnancy is associated with earlier termination of breast-feeding among white women. The Journal of nutrition. 2006;136(1):140-6. [DOI]
19. 15. Siega‐Riz A, Herring A, Olshan A, Smith J, Moore C. The joint effects of maternal prepregnancy body mass index and age on the risk of gastroschisis. Paediatric and perinatal epidemiology. 2009; [DOI]
20. 23(1):51-7. [DOI]
21. 16. Girsen AI, Osmundson S, Naqvi M, Garabedian M, Lyell D. Body mass index and operative times at cesarean delivery. Obstetrics and gynecology. 2014;124(4):684. [DOI]
22. 17. Conner S, Tuuli M, Longman R, Odibo A, Macones G, Cahill A. Impact of obesity on incision-to-delivery interval and neonatal outcomes at cesarean delivery. American journal of obstetrics and gynecology. 2013;209(4):386. e1-. e6. [DOI]
23. 18. Butwick A, Carvalho B, El-Sayed Y. Risk factors for obstetric morbidity in patients with uterine atony undergoing caesarean delivery. British journal of anaesthesia. 2014;113(4):661-8. [DOI]
24. 19. Paglia M, Grotegut C, Johnson L, Thames B, James A. Body mass index and severe postpartum hemorrhage. Gynecologic and obstetric investigation. 2012;73(1):70-4. [DOI]
25. 20. Olsen M, Butler A, Willers D, Devkota P, Gross G, Fraser V. Risk factors for surgical site infection after low transverse cesarean section. Infection Control & Hospital Epidemiology. 2008;29(6):477-84. [DOI]
26. 21. Jasim H, Sulaiman S, Amer Hayat Khan U, Rajah PS. Factors Affecting Post Caesarean Pain Intensity among Women in the Northern Peninsular of Malaysia. Journal of clinical and diagnostic research: JCDR. 2017;11(9):IC07. [DOI]
27. 22. Moradi Z, Moradi P, Sharafi M, Akbarzadeh Z. Evaluation of wound complications after cesarean section and its related factors in women referring to Vali-e-Asr hospital FASA 1394. Journal of Fasa University of Medical Sciences. 2018;8(1):701-7. [DOI]
28. 23. Saeed K, Corcoran P, O'Riordan M, Greene RA. Risk factors for surgical site infection after cesarean delivery: A case-control study. American journal of infection control. 2019;47(2):164-9. [DOI]

Add your comments about this article : Your username or Email:

Send email to the article author

© 2020 All Rights Reserved | Pajouhan Scientific Journal

Designed & Developed by : Yektaweb