Bladder Injury as a Complication of Cesarean Deliveries And Peripartum Hysterectomy Tayeh Nagham K.1, Kareem Nada Kadhum2, Fawzi Hayder Adnan3 1Department of Gynecology and Obstetrics, Fatima Al-Zahraa Administrative hospital, Baghdad, Iraq 2Department of Gynecology and Obstetrics, Al-Mahaweel General Hospital, Babylon, Iraq 3Baghdad Medical City, Baghdad Teaching Hospital, Clinical Pharmacy Department, Baghdad, Iraq Online published on 6 April, 2019. Abstract Objective review the incidence of iatrogenic bladder injuries (IBI) in obstetrical procedures and to identify the risk factors for these injuries. Materials and Method A Retrospective research involve all patients that had cesarean deliveries (CS) and peripartum hysterectomies at Fatima Al-Zahraa Administrative hospital, from the 1st of January 2015 till the 30th of September 2018. Results A total of 35, 212 CS performed during the study period, 68(0.19%) CS and peripartum hysterectomies were complicated by bladder injury of them 41% were type 1, 53% were type 2, and 6% were type 3 complications. Adhesions documented in 73%, while 12% had placenta accreta and 15% had ruptured uterus. Elective CS performed in 47% of the cases. Most cases of IBI occurred during reflection of bladder flap 56% and are mainly in type 1 and type 2 while 30% occurred during delivering the baby. All cases of type 3 (6%) occurred during opening the peritoneum. Conclusion bladder injury is a rare complication of cesarean delivery and peripartum hysterectomy but knowledge of the obstetrical, surgical and anatomical factors that can predispose to injury is the key to prevention. Top Keywords Cesarean delivery, iatrogenic, bladder injury, adhesion, complication. Top |