[Puerperal complications in nulliparous women delivered by section caesarean: pair study].
OBJECTIVE
Research frequency of puerperal disorders in nulliparous women who had cesarean section in University Hospital Mostar in year 2004 and given results compared with nulliparus women who had vaginal mode of delivery.


METHODS
Research included 119 nulliparous women who had C-section in year 2004 (Tested group) and 119 nulliparous women who had vaginal mode of delivery (control group) taking in count time of delivery (first next one in delivery room protocol) and age (+/- 2 years). We analyzed type of puerperal disorders and their frequency in these groups and made comparison among them.


RESULTS
Frequency of puerperal disorders in nulliparous women delivered by cesarean section is higher increased compared with nulliparous women who had vaginal mode of delivery (chi2=15,015; p<0,001). In tested group was found significantly higher frequency of anemia (chi2=8,895; p=0,003) and puerperal fever (chi2=8,333; p=0,004). Higher risk of puerperal disorders in nulliparous women who had cesarean section was confirmed by odds ratio which was 4,183.


CONCLUSIONS
Higher incidence of puerperal disorders in nulliparous women who had cesarean section is confirmation of higher risks for women with operative mode of delivery which is concerning due to increased trend of cesarean sections in our country and in the world.
Marić
Tania
T
Klinicka Bolnica Mostar. tanja_maric@net.hr
Tomić
Vajdana
V
Darko
Knezević
K
D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D010298:Parity; D011247:Pregnancy; D011644:Puerperal Disorders