Complications - Cesarean section

  1. Intraoperative complications

    Bleeding

    • Injuries to large blood vessels or poor uterine contraction.
    • Measures: Hemostasis techniques, blood transfusion.

    Injuries to Adjacent Organs

    • Bowel: Perforations or injuries due to dissection.
    • Bladder: Lacerations.
    • Ureter: Rare, but possible with adhesions.
    • Measures: Immediate repair by specialists, postoperative imaging.

    Fetal Injuries

    • Lacerations during extraction of the child.
    • Measures: Immediate neonatal care.

    Technical Difficulties

    • Adhesions complicate access to the uterus.
    • Measures: Targeted surgical dissection, adhesion barriers.

    Anesthesia Complications

    • Hypotension, allergic reactions, or airway problems.
    • Measures: Monitoring, adjustment of anesthesia.
  2. Postoperative complications

    Bleeding and Coagulation Disorders

    • Postpartum hemorrhages or hematomas.
    • Measures: Uterotonics, if necessary, surgical revision.

    Infections

    • Endometritis: Infection of the uterine lining.
    • Wound infections: Seromas or dehiscence.
    • Measures: Antibiotics, professional wound care.

    Thrombosis and Embolism

    • Deep vein thrombosis (DVT) or pulmonary embolism.
    • Measures: Thrombosis prophylaxis with heparin, early mobilization.

    Wound Healing Disorders

    • Slow healing or scar complications.
    • Measures: Drains, if necessary, surgical revision.

    Pain

    • Acute pain: Localized pain at the surgical site.
    • Measures: Pain medication, physical therapy.

    Psychological Stress

    • Postpartum depression or traumatic birth experience.
    • Measures: Psychological support, counseling.
Long-term effects

Placental DisordersPlacenta previa, accreta, percreta: Increased risk in future pregnancies.Measure

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