A glimpse into bladder injuries during emergency cesarean deliveries

Although bladder injury is a documented complication of emergency cesarean sections, there is a scarcity of comprehensive studies evaluating its incidence and associated risk factors.

The present retrospective study estimated data from emergency cesarean deliveries performed over a three-year period at a tertiary care center. Relevant clinical data, such as patient demographics, surgery specifics, different risk factors, and obstetric history, were gathered and examined in cases with recognized bladder injury.

The results declared that among all the cases of emergency caesarean, bladder injury occurred in 22 cases with an incidence rate of 0.18%. The study also assessed that most of the injuries happened during the initial phase of uterine incision. Moreover, a history of prior caesarean sections, the presence of an adherent placenta, and intraoperative adhesions were remarkable risk factors linked to bladder injury. 

From the findings, it was revealed that bladder injury presents itself as a significant complication of emergency cesarean deliveries, which warrants the need of a in-depth understanding of associated risk factors and preventive measures. This study highlights the need of customised measures to improve patient safety and lower maternal morbidity by providing important insights into the epidemiology and clinical correlates of bladder trauma in urgent obstetric interventions.

Source: Anand S et al. Navigating the unexpected: Insights into bladder injuries during emergency cesarean deliveries. Indian Journal of Obstetrics and Gynecology Research. 2024;11(3):438-441.https://doi.org/10.18231/j.ijogr.2024.079