Prevalence of Early Maternal Complications of Cesarean Section and its Relationship with Body Mass Index in Fatemieh Hospital of Hamadan

Maternal BMI (body mass index) plays an important role in pregnancy outcome that can lead to more surgical complications in pregnant women. The aim of this study was to determine the prevalence of Maternal Short-Term Complications of cesarean section and its relationship with body mass index.

This cross-sectional study was performed on 120 patients undergoing cesarean section at Hamadan Fatemieh Hospital in June-July 2019. Samples were selected by random sampling. duration of surgery, bleeding during surgery, duration of ileus, pain, analgesic dose, surgical wound inflammation, surgical wound secretion and redness were evaluated by checklist. Data were analyzed in SPSS 23 using descriptive and inferential statistics.

The results showed that the mean duration of surgery was 44 minutes, mean bleeding during surgery was 776 ml, duration of ileus 17 hours, pain rate was 4.82 and the mean analgesic dose was 1.66 diclofenac. The incidence of inflammation was 4/2%, surgical wound secretion 4/2% and wound area redness 5/8%. There was a positive and significant relationship between body mass index and variables such as duration of surgery, bleeding, pain, and analgesic dose (P<0.05), but there was no significant relationship between this variable with duration of ileus and incidence of inflammation, secretion and redness of surgical wound area (P>0.05).

The results of this study showed that there is a relatively high prevalence of maternal short-term complications in cesarean section and there is a positive and significant relationship between duration of surgery, bleeding, pain and number of analgesics with maternal BMI.