Impact of Primary Cesarean Section on Grand Multiparous Women

Background: Grand multiparty is common obstetrical problem, in Sudan large families desirable for cultural and religious backgrounds higher incidence of grandmultipra expected, the risk factors associated with adverse maternal outcomes have yet to be adequately investigated among grand multiparity need delivered by primary cesarean section. Objective: The main objective was determine impact section on multiparous, it indications complications. Methodology: It a descriptive prospective cross-sectional hospital-based study conducted at Omdurman Maternity Hospital during period October 2016 March 2017. An interview questionnaire used data collection. Demographic clinical concerning personal history, parity, section, type Cs, complication neonatal complications were recorded. Also, multiparous less than five delivery, previous lower segment caesarean known medical disorders except anemia twin pregnancy excluded. Results: During total 113 multipara included, 10%. Indication our 22.1% due malpresentation, fetl distress 15% prolonged first stage 13.4%, second 12.4% antepartum haemorrhage 11.5%. Postpartum developed 9.7%, hysterectomy 1.8%, uterine tear 5.4% bladder injury fetal laceration 3.6%, spinal anesthesia headache 7%, post-partum pyrexia 5.3%, sepsis 4.4%, urinary tract infections 2.7%. Conclusion: finding this showed 10% grandmultipra. most distress, labour. Most CS emergency.