COMPLICATIONS AND RISKS OF CESAREAN BIRTH
Keywords:
cesarean section, complication, mortality, morbidityAbstract
Cesarean section is a surgical procedure that is most often performed in gynecology and obstetrics In the world, including in our country, there is a trend of increasing the number and liberalization of cesarean sections. It is hard to believe that the very high frequency of cesarean sections has a medical justification. In current obstetric practice, the relative safety of cesarean delivery, focuses on short-term rather than long-term outcomes for the mother. However, after a cesarean section, women are at increased risk for a number of chronic gynecological conditions. The aim of the research is to determine the complications and risks of cesarean delivery in different parts of the world. Materials and methods: The article is the result of a review of scientific literature published in English and Bosnian. Using the search engine scholar.google.com and the Pubmed database, and using the keywords "cesarean section", "complications", "mortality" and "morbidity", 11 scientific papers were selected, which were published in the period 2013-2022. years. Results: By reviewing the scientific literature, we selected 11 scientific papers, from different parts of the world, which talk about the risks and complications of cesarean delivery. Complications that occur after cesarean delivery are shown in separate studies. The trend of increasing cesarean deliveries in twin pregnancies has led to increased morbidity and mortality of mothers and fetuses, as well as severe maternal morbidity in patients who were in trial delivery after a previous cesarean delivery, and an increased risk of deaths after cesarean delivery compared to to vaginal delivery. Conclusions: Cesarean section is the cause of up to three times higher maternal mortality rate compared to vaginal birth, either directly or by contributing to the existing risks. Common early maternal complications are postpartum hemorrhage, wound infection, and prolonged hospital stay. After a previous cesarean birth, a trial birth should be performed in institutions with 24-hour surgical services and under the constant supervision of qualified experts. Cesarean delivery in twin pregnancies is associated with increased maternal and fetal morbidity and mortality.
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