Surgical site wound infection rates and its risk factors following emergency caesarean sections.


  • Samia Ghulam Mohammad BUHSC, Karachi.
  • Tasneem Ashraf Bolan University of Medical Health Sciences, Quetta, Pakistan.
  • Khadija Farrukh BUHSC, Karachi.
  • Samina Rehan Khan PNS SHIFA Hospital, Karachi.
  • Amera Tariq PNS Shifa Hospital, Karachi.
  • Ayesha Arif PNS Shifa Hospital, Karachi.



Emergency Caesarean Section, Prolong Duration of Labor, Surgical Site Wound Infection


Objective: To determine the frequency of surgical site wound infection and factors responsible for it following emergency Caesarean section performed in, PNS SHIFA Hospital Karachi. Study Design: Cross Sectional study. Setting: Department of Obstetrics and Gynecology, PNS SHIFA Hospital Karachi. Period: 4th July 2021 to 4th January 2022. Material & Methods: Three hundred eleven women with term pregnancy undergoing emergency Caesarean section for maternal or foetal indications were included in this study. Wound inspection for signs of infection was done every day. Factors responsible of causing wound infection were noted from the discharge card. All the information was recorded on a preformed questionnaire. Results: 62(19.94%) of 311 women experienced surgical site wound infections in which prolonged duration of rupture of membranes was the commonest factors i.e. 51.6% (32/62), prolong duration of labor before operation 29%(18/62) and excessive volume of intra operative blood loss 29% (18/62). Conclusion: It is concluded there is a need to adopt specific preventative measures to decrease the frequency of identified factors so that the frequency of wound infection after the emergency caesarean section can be controlled with decreasing maternal morbidity and reduce hospital stays and thus, reducing the cost of treatment.

Author Biographies

Samia Ghulam Mohammad, BUHSC, Karachi.

FCPS, Senior Registrar Gynecology & Obstetrics, 

Tasneem Ashraf, Bolan University of Medical Health Sciences, Quetta, Pakistan.

MBBS, DGO, FCPS, Professor of Gynecology & Obstetrics / Director ORIC, 

Khadija Farrukh, BUHSC, Karachi.

BDS, Assistant Professor & Head Medical Education, 

Samina Rehan Khan, PNS SHIFA Hospital, Karachi.

FCPS, Assistant Professor & Head Obstetrics & Gynaecology, 

Amera Tariq, PNS Shifa Hospital, Karachi.

FCPS, Associate Professor Obstetrics & Gynaecology, 

Ayesha Arif, PNS Shifa Hospital, Karachi.

FCPS, Professor Obstetrics & Gynaecology,