Risk factors for relaparotomy after caesarian section:a study in a tertiary care hospital


  • M.V. Naveen Reddy Department of Surgery, Shadan Institute of Medical Sciences and Research Institution, Hyderabad, Telangana,India
  • M.Rupa Reddy Department of Obstetrics and Gynaecology, Shadan Institute of Medical Sciences and Research Institution, Hyderabad, Telangana, India




Relaparotomy, Caesarian section, Risk factors


Background: Caesarian section (CS) is one of the most common reasons for the development of puerperal complications. Most of the women are treated conservatively, but sometimes there is a need for relaparotomy. Usually it is performed when the condition of the patient is too critical to withstand the risk of anaesthesia and repeat operation.

Methods: Detailed demographic data was collected from the patients such as age, parity, indication for primary caesarian section, indications for relaparotomy and the interval between the two surgeries.

Results: Most of the women were in the age group of 20-35 years with 1 case being 38 and most of them were multiparous except 3 for whom this was the first parity. Atonic post-partum haemorrhage was the most common indication for relaparotomy followed by traumatic postpartum haemorrhage and rectus sheath hematoma. Most of the surgeries took place within the first 24 hours of the primary surgery.

Conclusions: Since there is a high rate of indications for relaparotomy, immediate action and careful monitoring of the patient is required post caesarian section. 


Ragaab AE, Yasir H, Rafik MI, Abdel BH, Zayed A, Mohamed A, et al. Relaparotomy after caesarean section risks, indications and management options. J Academy Med Sci. 2014;68:41-3.

Gabert HA, Bey M. History and development of caesarean operation. Obstet Gynecol Clin North Am. 1988;15:591-601.

Wassmer SS. A Tool to Estimate the Risks of Repeat Cesarean Section. PLoS Med. 2005;2(9):325.

Maaike APC, Ham V, Pieter WJ, Dongen V, Mulder J. Maternal consequences of caesarean section; a retrospective study of intraoperative and post operative maternal complications of caesarean section during a 10-year period. European J Obst Gynae Reprod Bio. 1997;74:1-6.

Akther R, Hossain T, Rashid M. Relaparotomy after cesarean delivery: a prospective study. J Dhaka Med Coll. 2011;20(1):57-62.

Joseph KS, Young DC, Dodds L, Connell CM, Allen VM, Chandra S. Changes in maternal characteristics and obstetric practice and recent increases in primary caesarean delivery. Obstet Gynecol. 2003;102(4):791-800.

Biswas SP, Halder S, Shirin FB. Indications and outcome of relaparotomy after caesarean section. Bang Med J. 2012;45:19-23.

Seal SL, Kamilya G, Bhattacharyya SK, Mukherji J, Bhattarcharyya AR. Relaparotomy after caesarean delivery: experience from an Indian Teaching Hospital. J Obstet Gynaecol Res. 2007;33(6):804-9.

Levin I, Rapaport AS, Satzor L, Maslovitz S, Lessing JB, Almog B. Risk factors for relaparotomy after caesarean delivery. Int J Gynaecol Obstet. 2012;119:163-5.

Shinar S, Hareuveni M, Tal O, Many A. Relaparotomies after caesarean sections: risk factors, indications and management. J Perinatal Med. 2013;41:567-72.

Gedikbasi A, Akyol A, Asar E, Bingol B, Uncu R, Sargin A, et al. Relaparotomy after cesarean section: operative complications in surgical delivery. Arch Gynecol Obstet. 2008;278(5):419-25.

Seal SL, Kamilya G, Bhattacharyya SK, Mukherji J, Bhattacharyya AR. Relaparotomy after cesarean delivery: experience from an Indian teaching hospital. J Obstet Gynaecol Res. 2007;33(6):804-9.

Khan ANB, Kolasseri SS. Relaparotomy after caesarean section: an analysis of the risk factors, indications and outcome. Int J Reprod Contracept Obstet Gynecol. 2015;4:575-80.

Maternal morbidity in rural Bangladesh: where do women go for care? Available at http://pdf.usaid.gov/pdf_docs/pnacm637.pdf. Accessed on 12 January 2016.

Rather SY, Sultana S, Shaheena, Anim ZA, Alam I. Indications for relaparotomy in cesarean section in a tertiary care hospital of a developing country. Int J Scientific Research Pub. 2015;5(10):1-3.






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