Prevalence of Post-Cesarean Readmission and Its Related Factors in Women Delivered by Cesarean of Qom Hospitals, 2017, (iran)

Abstract

Background and Objectives: In developing countries, complications of childbirth and pregnancy, especially cesarean delivery, are main reason for readmission and even mortality of women in reproductive age. The present study aimed to investigate the prevalence of post-cesarean readmission and its related factors in women delivered by cesarean.   Methods: In the present cross-sectional study (descriptive-analytic), the information of 300 women undergoing cesarean section, were investigated in hospitals of Qom city (2017). The samples were selected using simple random sampling and proportional to the size of each hospital. Data were collected by checklist based on the information in the medical records and interviews with patients, and were analyzed by descriptive statistics, Chi-square, and independent t-test.   Results: The prevalence of post-cesarean readmission in women delivered by cesarean section, was 31%, and the most important causes of re-hospitalization, respectively, were reported to be headache (39.8%), hematoma (23.77%), infection (19.4%), urinary retention (8.6%), and intestinal obstruction (8.6%). The surgeon's work history (p<0.001), mother's gestational diabetes (p<0.001), and type of anesthesia (p=0.016), were significantly associated with post-cesarean re-hospitalization.   Conclusion: The results of this study revealed, diabetes mellitus, surgeon's experience, and type of anesthesia significantly increase the rate of readmission in women with cesarean section. As a result, preventive interventions to reduce undesirable outcomes of pregnancy, and the accuracy of specialized physicians during surgery, are necessary for reduction of mother’ rehospitalization.    

Keywords

• hospitalization
• patient admission
• cesarean section
• delivery
• obstetric
• women.