Analytic study of the intraoperative surgicalcomplications of elective & emergency cesarean sections: incidence & risk factors.

Abstract:Background: Cesarean section accounts for a substantial proportion of total deliveries & is associated with higher rates of maternal & neonatal morbidity.Objective: to determine the effect of the risk factors on the incidence of intraoperative surgical complications in elective & emergency cesarean sections. Methods: This study was conducted in AL-Zahra'a Teaching Hospital of Maternity & Pediatrics in Najaf city, from June to December 2011. A total of 600 patients who had lower-segment cesarean section (280 patients with elective cesareans &320 patients with emergency procedures) participated in the study. A comparison was done between major & minor surgical complications&neonatal outcome in both groups with estimation of the effect of maternal age, body mass index, parity, previous C/S & placenta previa on the incidence of intraoperative surgical complications. Results:Intra-operative surgical complications& poor neonatal outcomewere more commonly associated with emergency than with elective procedures (P