A 25yo had an LSCS 24h ago for fetal distress. She now complains of intermittent vaginal
bleeding. Observations: O2 sat=98% in air, BP=124/82mmHg, pulse=84bpm, temp=37.8C. The
midwife tells you that she had a retained placenta, which required manual removal in the OT.
Choose the most appropriate C-Section complication in this case?
a. Retained POC
b. Aspiration pneumonitis
c. Endometritis
d. Uterine rupture
e. DIC
answer C: infection due to excessive handling of tissue with the retained placenta removal
uterine rupture usually occurs before or during labor
cs complications
• anesthesia
• hemorrhage (average blood loss ~1,000 cc)
• infection (UTI, wound, endometritis)
ƒ single dose prophylactic antibiotic should be used (e.g. cefazolin 1-2 g)
• injury to surrounding structures (bowel, bladder, ureter, uterus)
• thromboembolism
• increased recovery time/hospital stay
• maternal mortality (<0.1%)
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