{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:44:39Z","timestamp":1787071479739,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 4","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"\n Background:<\/jats:title>\n Lower Segment Cesarean Section (LSCS) is a common obstetric procedure, yet it carries a significant risk of postoperative complications, especially in resource-limited settings like Bundelkhand. This study aimed to assess the incidence and risk factors of post-LSCS complications and discuss management strategies for improved maternal outcomes.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This prospective observational study was conducted on 300 post-LSCS patients at a tertiary care center over one year. Data on patient demographics, type of LSCS, comorbidities, and postoperative complications were collected and analyzed using SPSS Version 25.0 (IBM Corp., Armonk, NY, USA).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n 32% of patients experienced complications, with surgical site infection (12%) being most common. Emergency LSCS and anemia were significantly associated with higher morbidity (\n P<\/jats:italic>\n < 0.05). Most complications were managed conservatively.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Post-LSCS morbidity remains high in emergency cases and anemic patients. Early identification, standardized surgical protocols, and region-specific strategies are essential to reduce complications and improve maternal health in underserved areas.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1429_25","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T08:00:59Z","timestamp":1766044859000},"page":"S2987-S2989","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative Complications Following LSCS: Incidence, Risk Factors, and Management\u2014A Prospective Observational Study from the Bundelkhand Region"],"prefix":"10.4103","volume":"17","author":[{"given":"Priyanka","family":"Patel","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of Obstetrics and Gynaecology, Bundelkhand Medical College Sagar, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siftie Kaur","family":"Banga","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Obstetrics and Gynaecology, Bundelkhand Medical College Sagar, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simran","family":"Jain","sequence":"additional","affiliation":[{"name":"Postgraduate Resident, Department of Obstetrics and Gynaecology, Bundelkhand Medical College Sagar, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Khare","sequence":"additional","affiliation":[{"name":"Professor and Head, Department of Ophthalmology, Bundelkhand Medical College Sagar, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta","family":"Bhatnagar","sequence":"additional","affiliation":[{"name":"Professor and Head, Department of Dentistry, Bundelkhand Medical College, Sagar, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailendra","family":"Patel","sequence":"additional","affiliation":[{"name":"Professor and Head, Department of Forensic Medicine and Toxicology, Bundelkhand Medical College, Sagar, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poornima","family":"Patel","sequence":"additional","affiliation":[{"name":"Masters in Dental Surgery(MDS), Department of Oral and Maxillofacial Surgery, Govt Dental College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"R1-20251218","doi-asserted-by":"crossref","first-page":"e0148343","DOI":"10.1371\/journal.pone.0148343","article-title":"The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014","volume":"11","author":"Betr\u00e1n","year":"2016","journal-title":"PLoS One"},{"key":"R2-20251218","doi-asserted-by":"crossref","first-page":"193","DOI":"10.4103\/2277-9175.166154","article-title":"Maternal and neonatal morbidity and mortality rate in caesarean section and vaginal delivery","volume":"4","author":"Ghahiri","year":"2015","journal-title":"Adv Biomed Res"},{"key":"R3-20251218","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1111\/j.1365-2648.1995.tb03102.x","article-title":"Postoperative morbidity following Caesarean delivery","volume":"22","author":"Hillan","year":"1995","journal-title":"J Adv Nurs"},{"key":"R4-20251218","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1186\/s12884-025-07835-2","article-title":"Predictors of post caesarean section surgical site infection and referral pattern for caesarean section in a tribal dominant and resource constraint tertiary level health care Center of Central India","volume":"25","author":"Singh","year":"2025","journal-title":"BMC Pregnancy Childbirth"},{"key":"R5-20251218","first-page":"10","article-title":"Maternal morbidity in emergency versus elective caesarean section at a tertiary care hospital","volume":"24","author":"Ghazi","year":"2012","journal-title":"J Ayub Med Coll Abbottabad"},{"key":"R6-20251218","first-page":"QC01","article-title":"Maternal Outcomes Associated with Caesarean versus Vaginal Delivery","volume":"11","author":"Zandvakili","year":"2017","journal-title":"J Clin Diagn Res"},{"key":"R7-20251218","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1053\/j.seminhematol.2015.07.003","article-title":"Iron Deficiency Anemia in Pregnancy","volume":"52","author":"Breymann","year":"2015","journal-title":"Semin Hematol"},{"key":"R8-20251218","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1016\/S0140-6736(06)69380-X","article-title":"Lancet Maternal Survival Series steering group. Maternal mortality: Who, when, where, and why","volume":"368","author":"Ronsmans","year":"2006","journal-title":"Lancet"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1429_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:46:43Z","timestamp":1787068003000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1429_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":8,"journal-issue":{"issue":"Suppl 4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_1429_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-08-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-30","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}