OJOG  Vol.5 No.8 , August 2015
Re-Laparotomy after Caesarean Section at Omdurman Maternity Hospital-Khartoum, Sudan
ABSTRACT
Introduction: Caesarean section has avoidable morbidity which may lead to mortality especially in developing world. Caesarean section is a major operation which should be performed with maximum care and safety. Objectives: This study aimed to find incidence, indications, procedures and maternal outcome of re-laparotomy after caesarean delivery. Methods: This was a descriptive cross sectional prospective total coverage hospital based study conducted at Omdurman Maternity Hospital from June 2014 to January 2015. Results: The incidence for re-laparotomy after Caesarean section is (0.66%) and the main indication for re-laparotomy is hemorrhagic events. Re-laparotomy outcome reported 22 cases (64.7%) alive and well and 6 cases (17.6%) alive with morbidity (renal failure and massive blood transfusion complications) and 6 cases (17.6%) of maternal mortality mainly due to sepsis. Conclusion: Re-laparotomy after Caesarean section is contributing to morbidity and maternal mortality. The majority of re-laparotomy was done after emergency Caesarean section. Lacks of skills, experience; safety measures of perfection and infection control are points to be concern.

Cite this paper
Fazari, A. , Eldeen, N. , Mohammed, W. , Muror, M. and Gailii, E. (2015) Re-Laparotomy after Caesarean Section at Omdurman Maternity Hospital-Khartoum, Sudan. Open Journal of Obstetrics and Gynecology, 5, 448-454. doi: 10.4236/ojog.2015.58065.
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