TITLE:
Re-Laparotomy after Caesarean Section at Omdurman Maternity Hospital-Khartoum, Sudan
AUTHORS:
Atif Bashir Fazari, N. S. Eldeen, W. Mohammed, M. Muror, E. Gailii
KEYWORDS:
Re-Laparotomy, Caesarean Section, Maternal Morbidity, Maternal Mortality
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.8,
August
21,
2015
ABSTRACT: Introduction: Caesarean
section has avoidable morbidity which may lead to mortality especially in
developing world. Caesarean section is a major operation which should be
performed with maximum care and safety. Objectives: This study aimed to find
incidence, indications, procedures and maternal outcome of re-laparotomy after
caesarean delivery. Methods: This was a descriptive cross sectional prospective
total coverage hospital based study conducted at Omdurman Maternity Hospital
from June 2014 to January 2015. Results: The incidence for re-laparotomy after Caesarean
section is (0.66%) and the main indication for re-laparotomy is hemorrhagic
events. Re-laparotomy outcome reported 22 cases (64.7%) alive and well and 6
cases (17.6%) alive with morbidity (renal failure and massive blood transfusion
complications) and 6 cases (17.6%) of maternal mortality mainly due to sepsis.
Conclusion: Re-laparotomy after Caesarean section is contributing to morbidity
and maternal mortality. The majority of re-laparotomy was done after emergency Caesarean
section. Lacks of skills, experience; safety measures of perfection and infection
control are points to be concern.