Risk factors for relaparotomy after cesarean section

Roy Kessous, Daniela Danor, Y. Adi Weintraub, Arnon Wiznitzer, Ruslan Sergienko, Iris Ohel, Eyal Sheiner

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Objective: To investigate risk factors for relaparotomy after cesarean section (CS). Methods: A retrospective case-control study comparing all CS that were complicated with relaparotomy to cesarean deliveries without this complication. Results: Relaparotomy complicated 0.23% (n80) of CS during the study period (n34,389). Independent risk factors for relaparotomy following CS from a multivariable logistic regression model were post partum hemorrhage, cervical tears, placenta previa, uterine rupture, placental abruption, severe preeclampsia and previous CS. Most women (51.2%) underwent relaparotomy during the first 24h after CS. The leading causes for relaparotomy was bleeding (70%) and burst abdomen (8.8%). Hysterectomy was performed in 31.3% of the patients. Conclusion: Risk factors for relaparotomy after CS are previous CS, severe preeclampsia, placenta previa, uterine rupture, placental abruption, cervical tear and PPH. Experienced obstetricians should be involved in such cases and the possibility for complications including relaparotomy should be emphasized.

Original languageEnglish
Pages (from-to)2167-2170
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume25
Issue number11
DOIs
StatePublished - 1 Nov 2012
Externally publishedYes

Keywords

  • Burst abdomen
  • Cesarean section
  • Hysterectomy
  • Post partum hemorrhage
  • Relaparotomy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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