Postoperative Complications Following LSCS: Incidence, Risk Factors, and Management-A Prospective Observational Study from the Bundelkhand Region.

Background: 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. Methods: 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). Results: 32% of patients experienced complications, with surgical site infection (12%) being most common. Emergency LSCS and anemia were significantly associated with higher morbidity (P < 0.05). Most complications were managed conservatively. Conclusion: 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.