Cesarean delivery is associated with significant perioperative surgical complications, including visceral and vascular injuries, hysterectomy, hematomas, wound issues, ileus or bowel obstruction, acute peritonitis, and shock. A recent large-scale analysis of 594,655 cesarean deliveries from California hospitals assessed the prevalence and risk factors of these morbidities. The study identified 10,182 cases of severe perioperative morbidity.
The most frequently reported complications were wound complications (59/10,000), bladder or genitourinary injuries (45/10,000), ileus or bowel obstruction (33/10,000), shock (15/10,000), and intraoperative bowel injury (14/10,000). The risk was notably higher for intrapartum cesarean deliveries compared with prelabor procedures (203/10,000 vs 146/10,000). Patients with placenta accreta spectrum disorder had the greatest risk among all subgroups…
