Comparison of maternal complication in elective vs. emergency Cesarean section

Ashraf, Razia; Gul, Asma; Bashir, Aliya; Tajammal, Arif

doi:10.21649/akemu.v12i2.902

Cited by 3 publications

(3 citation statements)

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“…8 In emergency c/s maternal mortality and morbidity is high. 9 The current study shows the emergency CS rate 62.5% is higher than elective CS 37.5% and the most common indication for cesarean section is previous cesarean section 29.2%. This is probably because our hospital is a referral hospital and most cases were unbooked 58.3%.…”

Section: Discussionmentioning

confidence: 59%

A study of maternal morbidity associated with caesarean delivery in tertiary care hospital

Gayathry¹,

Guthi²,

Bele³

et al. 2017

Int J Community Med Public Health

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Background: Cesarean section is one of the most commonly performed surgical procedures in the world. Several studies have demonstrated that c/s poses a greater risk of maternal morbidity and mortality compared to vaginal delivery. Therefore, it is important to assess the morbidities associated with a c/s. Methods: A hospital based, cross sectional study was conducted among 240 women during the period of March-May 2014. A semi-structured questionnaire was used to evaluate the socio-demographic characteristics, obstetrical characteristics, indications and complications following c/s. Results: A total of 150 (62.5%) respondents underwent emergency c/s whereas 90 (37.5%) were having elective c/s. The most common indication for cesarean delivery was a previous c/s observed in 70 (29.2%). No postpartum morbidity was observed in 152 (63.3%) of the respondents, whereas 88 (36.7%) had reported some or other kinds of morbidities. Among the various maternal morbidities, postpartum anemia was the most commonly observed morbidity in 22 (9.2%) of the respondents, followed by postpartum hemorrhage by 10 (4.2%) and wound infection was observed in 15 (6.25%). Conclusions: High maternal morbidity following c/s was observed in studied sample as more than one third of the women had shown some or other kinds of morbidities. Efforts should be made to evaluate the reasons for increasing c/s rate and to reduce the incidence of c/s by careful antenatal and intranatal management.

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Section: Discussionmentioning

confidence: 59%

A study of maternal morbidity associated with caesarean delivery in tertiary care hospital

Gayathry¹,

Guthi²,

Bele³

et al. 2017

Int J Community Med Public Health

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“…Morbidity and mortality rates are seen to be 12-fold and 8fold higher in case of emergency as compared to elective sections. [5][6][7] A high percentage of the total number of caesarean sections were accounted for by previous caesarean births. The presumed risks associated with breech delivery prompts towards increasing number of planned caesarean sections.…”

Section: Discussionmentioning

confidence: 99%

Comparison of foeto-maternal outcomes of planned verses emergency caesarean section

Anurag

Narshetty²,

Kumar³

2022

Int J Reprod Contracept Obstet Gynecol

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Background: Caesarean section is the most commonly performed obstetrical procedure. Caesarean sections can be divided into either planned or emergent, with the latter accounting for a higher frequency of complications.Methods: A prospective observational comparative study conducted in the department of obstetrics & gynaecology at MGM Medical College, Navi Mumbai over a period of 1 year. All women with singleton pregnancies undergoing emergency or elective caesarean section were included in the study. 600 patients were included with 300 in each group. Incidences of the various indications for caesarean sections was assessed for both groups. Relevant pre-operative, intra-operative and post-operative findings were noted. Maternal outcome assessed in terms of intraoperative complications, postoperative complications, need for intensive care unit (ICU) stay, maternal mortality rate. Foetal outcome was assessed in terms of APGAR score at birth, birth injuries, admission to neonatal intensive care unit (NICU), and perinatal mortality.Results: In our study, cases undergoing emergency caesarean sections were seen to have significantly higher rate of maternal as well as foetal complications as compared to those undergoing planned caesarean sections.Conclusions: Early pregnancy registration and thereby screening high risk patients for managing and planning accordingly for caesarean section, can significantly reduce the incidence of presumed risks, consequences and complications that may result due to emergency caesarean sections.

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“…Maternal morbidity outcome variables includes early and late postpartum hemorrhage, wound infection (abdominal and episiotomy) and puerperal febrile morbidity. 16 In our setup majority times it occurs because deliveries conducted at home by traditional birth attendants and referred to tertiary care hospital with prolong labor/ obstructed labor in moribund conditions. 1 Many re admissions after caesarean section is due to puerperal sepsis 13.2%.…”

mentioning

confidence: 99%

Primigravidas; Frequency of Different Mode of Deliveries and Associated Maternal Complications

Memon

Rauf²

2017

TPMJ

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ABSTRACT… Objectives: To determine frequency of different mode of deliveries and associated maternal complications in primigravidas in tertiary care setup. Study Design: Case series study. Setting: Department of Obstetrics and Gynaecology (Liaquat University Hospital) Hyderabad, Sindh, Pakistan. Period: 6 months from Jan 2009 till June 2009. Methodology: All the primigravidas underwent delivery by any means i-e emergency\elective caesarean section or spontaneous vaginal delivery\instrumental vaginal delivery and developed postpartum complications up till 7 days after delivery were included. Data was analyzed on pre-designed profoma and was analyzed through software program SPSS version 10. Results: In this study most frequent mode of delivery were found to be spontaneous vaginal delivery 46(36.8%) and emergency caesarean section 29(23.2%) while forceps 8.8%, vacuum 20% and elective caesarean section 1.2%. Complications associated with mode of deliveries included postpartum hemorrhage were reported to be 51.2%, abdominal wound infection 11.2%, perineal wound infection 17.6%, retained products of conception 28% and puerperal sepsis 16.8%. Conclusion: Deliveries in our setup are mostly conducted by dais (birth attendants) without any aseptic measures and without assessing the abnormalities that will leads to emergency caesarean section or instrumental vaginal deliveries and in the consequence of these entire patients develop postpartum complications. Key words:Spontaneous vaginal delivery, Primigravidas, Perineal wound infection

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Comparison of maternal complication in elective vs. emergency Cesarean section

Cited by 3 publications

References 0 publications

A study of maternal morbidity associated with caesarean delivery in tertiary care hospital

A study of maternal morbidity associated with caesarean delivery in tertiary care hospital

Comparison of foeto-maternal outcomes of planned verses emergency caesarean section

Primigravidas; Frequency of Different Mode of Deliveries and Associated Maternal Complications

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