Prevalence And Risk Factors for Incisional Hernia Following Cesarean Section: A Cross-Sectional Study

Authors

  • Sweta Rani Assistant Professor, Department of Obs & Gynae, ANMMCH, Gaya, Bihar, India
  • Anupam Ranjan Senior Resident, Department of General Surgery, ANMMCH, Gaya, Bihar, India
  • Girija Kumari Professor, Department of Obs & Gynae, ANMMCH, Gaya, Bihar, India.

DOI:

https://doi.org/10.51168/sjhrafrica.v5i6.1265

Keywords:

Incisional Hernia, Cesarean Section, Risk Factors, Postoperative Complications

Abstract

Background: Cesarean section (C-section) is a prevalent surgical procedure globally, essential for managing complicated deliveries. However, it carries risks, including the development of incisional hernias, which can significantly impact maternal health and healthcare costs. This study investigated the prevalence and risk factors associated with incisional hernia following cesarean sections.

Methods: A cross-sectional observational study was conducted. Eighty-six women who underwent C-sections were included. Data on demographics, medical history, surgical details, and postoperative outcomes were collected through structured questionnaires and medical record reviews. Participants were followed up at 6 weeks, 3-, 6-, and 12 months post-surgery for physical examinations. Statistical analysis was accomplished.

Results: The prevalence of incisional hernia was found to be 14.0%. Significant risk factors included higher BMI (OR: 1.15, p=0.035), hypertension (OR: 3.67, p=0.036), vertical incision type (OR: 4.82, p=0.037), postoperative wound infection (OR: 7.23, p=0.002), and low physical activity (OR: 3.21, p=0.046). These factors highlight the need for targeted interventions to reduce hernia incidence.

Conclusion: Incisional hernia is a common complication post-C-section, with significant risk factors identified as higher BMI, hypertension, vertical incisions, postoperative wound infections, and low physical activity.

Recommendations: To mitigate the risk of incisional hernia, it is recommended to manage patient weight and hypertension effectively, prefer Pfannenstiel incisions, ensure rigorous infection control, and promote appropriate postoperative physical activity.

Published

2024-06-30

How to Cite

Sweta Rani, Anupam Ranjan, & Girija Kumari. (2024). Prevalence And Risk Factors for Incisional Hernia Following Cesarean Section: A Cross-Sectional Study. Student’s Journal of Health Research Africa, 5(6). https://doi.org/10.51168/sjhrafrica.v5i6.1265

Issue

Section

Section of Obstetrics and Gynecology Research