Recently, the high rate of C-section is caused by obstetric indications and large number of elderly pregnant patients with maternal complications and fetal continuous monitoring use. C-section has higher risk of complication than vaginal delivery. Some post obstetric surgery complications require aggressive measures such as relaparotomy on critical conditions that cause morbidity. This retrospective study will analyze the profile of post-obstetric surgery referrals with surgical complications to Dr. Soetomo General Teaching Hospital. The records were total sampling according to inclusion and exclusion criteria using medical record data in 2019-2020. There were 27 cases of post-obstetric surgery referrals with surgical complications from all 70 post-obstetric surgery referrals (38.5%)?most referrals from outside Surabaya by private hospitals. Most patients were in 21-35 years (74%), 51.85% multiparity, only 18.5% with obesity. Most of the patients came with hypovolemic shock and complications of thrombocytopenia, prolonged haemostasis, and acute renal impairment. Most common indications for referrals are internal bleeding and postpartum hemorrhage. Operations at the referring hospital were performed emergency in 77.7% of cases. The most indications for surgery that increased the risk of relaparotomy were previous C-sections and the arrest of labors. Relaparotomy was performed in 23 cases (83.1%), most common findings were bleeding from the corner stitch of uterine incision and retroperitoneal hematoma. Most common procedures during relaparotomy were hysterectomy 42.42% and vascular ligation 30.3%. Relaparotomy on post obstetric surgery referrals was performed in patients with suspicion of internal bleeding due to bleeding from corner stitch of uterine incision and indications for surgery that were risk factors for relaparotomy were previous caesarean section and arrest of labors

caesarean section

referrals

surgical complication