Abstract

COMPARISON OF THE FREQUENCY OF SURGICAL SITE INFECTIONS IN PATIENTS UNDERGOING ELECTIVE AND EMERGENCY CAESAREAN SECTION

Ferzana Khan, Rukhsana, Rehana Kamal*, Aisha Siddiqa, Farida Kakar and Arifa Inayat

Abstract

Objectives: To compare the frequency of surgical site infections in patients undergoing elective and emergency caesarean section. Study design: Randomized controlled trial. Settings: Department of Obstetrics & Gynecology, CMH, Quetta. Study duration: 6 month From 1st june 2019 to 31st December 2019. Materials & Methods: Total 90 (45 in each group) women aged between 18-45 years at the gestational age 37-41 weeks were selected. Women with DM, immuno-compromised patients and having CRF & CLD were excluded. After taking informed written consent, all patients were given injection ceftriaxone 1 gram before cesarean section. In all patients cesarean section was performed under all aseptic measures. In all patients cesarean section was done by the researcher herself and patients were followed regularly for 3 weeks post-operatively for presence or absence of surgical site infections. Results: The mean age of women in elective CS group was 29.29 ± 4.93 years and in emergency CS group was 29.02 ± 5.94 years. Majority of the patients 53 (58.89%) were between 18 to 30 years of age. The mean gestational age in elective CS was 38.87 ± 1.16 weeks and in emergency CS group was 38.92 ± 1.16 weeks. Frequency of surgical site infections in patients undergoing elective caesarean section was found in 02 (4.44%) patients and in emergency caesarean section was found in 16 (35.56%) (p-value = 0.0001). Conclusion: This study concluded that the frequency of surgical site infections is higher in patients undergoing emergency caesarean section as compared to elective cesarean section.

Keywords: Cesarean section, Surgical site infection, Emergency.