Maternal complication of caesarean section at tertiary center: Siriraj Hospital, Bangkok, Thailand

Abstract

To study the complications of mothers related to caesarean sections, through a review of indications and details of complications occurring in mothers. This was a retrospective and descriptive study. A search of hospital records identified 3500 cases that underwent caesarean sections during 2017–2018. Demographic data, indications for caesarean section, maternal complications arising from the caesarean sections, and other relevant details were recorded. Most of the pregnant women were in their first pregnancy (43.49%) without underlying disease (86.40%). Two-thirds of the caesarean sections (70.23%; 2485/3500) were emergency procedures. A previous caesarean section (35.11%; 1229/3500) was the most frequent absolute indication for caesarean section, while advanced maternal age (34.14%; 1195/3500) was the most frequent relative indication. Caesarean sections at the request of mothers represented 7.11% of the cases (249/3500). All maternal complications were 5.14% (180/3500). Post-partum haemorrhage was the most common maternal complication (3.4%). In summary, maternal complications were found 5.14%. Most maternal complications were post-partum haemorrhage. Common indications for caesarean sections were a previous caesarean section and advanced maternal age. As the rate of caesarean sections continues to increase and is difficult to control, obstetricians must be well trained in performing caesarean sections to reduce maternal complications. (Afr J Reprod Health 2022; 26[8]: 142-154).