TOG 2016
Introduction
Caesarean section is one of the commonest operations performed in the UK and its incidence is increasing.
According to the Hospital Episode Statistics data for 2013–2014 the caesarean section rate for England was 26.2% (or 166 081 operations).
The incidence of re-laparotomy after caesarean section is 0.12–1.04%.
the most common indications being intra-abdominal bleeding, intra-abdominal abscess or
bladder and bowel complications.
Haemorrhage
NICE guideline on caesarean section gives a rate of 1.1% for postpartum haemorrhage following planned caesarean section versus 6.0% for planned vaginal birth.
Postoperative sepsis
Caesarean section is the most important risk factor for postpartum sepsis.
Wound infection and endometritis are the commonest sites of postoperative infection, although the
urinary tract, respiratory tract and nervous system must alsobe considered.
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