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Indian Journal of Forensic Medicine & Toxicology
Year : 2019, Volume : 13, Issue : 4
First page : ( 625) Last page : ( 630)
Print ISSN : 0973-9122. Online ISSN : 0973-9130.
Article DOI : 10.5958/0973-9130.2019.00361.X

Surgical Site Infection after Caesarean Section in Relation to Operative Time

Alkadhim Hanan K.1, Albdairi Adnan A.H.2

1Lecturer, Department of Gynecology and Obstetrics, College of Medicine, Babylon University, Iraq

2IVF Unit, Teeba IVF Center, Babyl, Iraq

Online published on 27 November, 2019.

Abstract

The main aim of this study is to find the incidence of post-operative infection and correlate it to the duration of Caesar section. In this study two group were made, patient group (who develop post-surgical infections), and control group (who do not develop any symptoms). Different demographic clinical data of both group measured such as age, duration of operation, duration of labor, type of CS, the presence of adhesions, subcutaneous thickness, an indication of CS (fetal distress, breech, APH, and cord prolapse) and BMI were recorded and compared with control group. A total of 120 women involved in C-section from both group and out of which 15 women develop post-operative SSI represent the incidence rate of 12.5% while the remaining one didn't develop any sign of post-surgical infections. The result of different parameters such as duration of operation (35.2± 16.4 min), obstetric history of Gravida/Para (G1P0 6 patient), emergency SC (53.3%), subcutaneous thickness >2cm (73.3%), Antepartum hemorrhage (6.7%), fetal distress (13.3%), cord prolapse (6.7%), indication of second stage of labor (20%), and primi breech (13.3%). The above mentioned parameters are found to be directly associated with post-operative surgical infections and with mother mortality and morbidity rate. The changes in incidence are because of differences in population characteristics and risk factors, perioperative practices, and the period from the procedure until ascertainment. Proper awareness would be able to prevent and/or shorten these post SSI and expensive hospital stay by early diagnosis and appropriate antibiotics treatment.

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Keywords

Cesarean delivery, post-surgical infection, surgical site infection, Antepartum hemorrhage, duration of time.

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