PMID- 33633880
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210227
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 13
IP  - 1
DP  - 2021 Jan 21
TI  - Common Complications of Cesarean Section During the Year 2017 in King Abdulaziz 
      Medical City, Jeddah, Saudi Arabia.
PG  - e12840
LID - 10.7759/cureus.12840 [doi]
LID - e12840
AB  - Cesarean section (CS) is one of the most well-known major obstetrics surgeries 
      and one of the oldest operations in the area of abdominal surgery. It is used for 
      the purpose of delivering the newborn and the placenta through the abdominal wall 
      incision (laparotomy) as well as Uterine incision (hysterotomy), followed by 
      suture of the uterus and abdominal wall layers. Most common maternal 
      complications internationally, according to literature were bleeding and wound 
      infection. Most common fetal complications according to the literature were 
      depressed Appearance, Pulse, Grimace, Activity, and Respiration (APGAR) score, 
      low blood pH and ICU admissions. The aim of this study is to determine the most 
      common CS complications among all the deliveries at King Abdulaziz Medical City 
      (KAMC) in Jeddah in 2017 and to estimate maternal and fetal complication rates 
      following CS. Comparing the rate of complication between residents and 
      non-residents physicians performing a CS was tested as a secondary outcome. To 
      the best of our knowledge, this is a novel research in this medical center at 
      KAMC Jeddah that will aid in quality improvement in both clinical services and 
      training activities of residents. The maternal and fetal complication rates were 
      assessed in a cross-sectional chart review study. In order for this method to be 
      achieved, a secondary data collection sheet was constructed to collect all 
      eligible patient health records. This literature review was based on estimating 
      the rate of CS complications for the mothers and their neonates that founded 
      approximately 7% and 6%, respectively, where the procedure was either performed 
      electively or emergently within the period of 1 January to 31 December 2017. 
      Also, all patients with medical and surgical conditions were included while 
      intrauterine fetal death was excluded. The most common maternal complications 
      documented in our population were bleeding and wound extension, while the most 
      common fetal complications were low APGAR score and NICU admissions. No 
      statistical significance was found in either complications in terms of the 
      correlation between demographical factors, maternal health conditions and gravida 
      status. As for the secondary objective, the association between operator level of 
      training and rate of complications revealed a higher percentage rate of maternal 
      and fetal complications among consultants, which were 6.2% and 8.2%, 
      respectively, mainly because the number and complexity of their cases in 
      comparison to cases held by residents and others.
CI  - Copyright (c) 2021, Aljohani et al.
FAU - Aljohani, Aljoharah A
AU  - Aljohani AA
AD  - Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.
AD  - Medicine, King Saud Bin Abdulaziz University for Health Sciences College of 
      Medicine, Jeddah, SAU.
FAU - Al-Jifree, Hatim M
AU  - Al-Jifree HM
AD  - ‏Gynecological Oncology, King Saud Bin Abdulaziz University for Health Sciences, 
      Jeddah, SAU.
AD  - Oncology, King Abdullah International Medical Research Center, Jeddah, SAU.
AD  - Oncology, Ministry of National Guard Health Affairs, Jeddah, SAU.
FAU - Jamjoom, Refal H
AU  - Jamjoom RH
AD  - Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.
AD  - Medicine, King Saud Bin Abdulaziz University for Health Sciences College of 
      Medicine, Jeddah, SAU.
FAU - Albalawi, Rawan S
AU  - Albalawi RS
AD  - Obstetrics and Gynecology, King Abdullah International Medical Research Center, 
      Jeddah, SAU.
AD  - Obstetrics and Gynecology, King Saud Bin Abdulaziz University for Health Sciences 
      College of Medicine, Jeddah, SAU.
FAU - Alosaimi, Amal M
AU  - Alosaimi AM
AD  - Oncology, College of Medicine, King Saud Bin Abdulaziz University for Health 
      Sciences, King Abdullah International Medical Research Center, Jeddah, SAU.
LA  - eng
PT  - Journal Article
DEP - 20210121
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC7899252
OTO - NOTNLM
OT  - c section
OT  - cesarean delivery
OT  - cesarean section
OT  - complications
OT  - cs
OT  - emergency and elective cesarean
OT  - fetal complications
OT  - maternal complications
OT  - multiparity
OT  - pregnancy
COIS- The authors have declared that no competing interests exist.
EDAT- 2021/02/27 06:00
MHDA- 2021/02/27 06:01
PMCR- 2021/01/21
CRDT- 2021/02/26 06:04
PHST- 2021/02/26 06:04 [entrez]
PHST- 2021/02/27 06:00 [pubmed]
PHST- 2021/02/27 06:01 [medline]
PHST- 2021/01/21 00:00 [pmc-release]
AID - 10.7759/cureus.12840 [doi]
PST - epublish
SO  - Cureus. 2021 Jan 21;13(1):e12840. doi: 10.7759/cureus.12840.