Maternal and Fetal Outcome in Elective versus Emergency Cesarean Section

Suwal, A; Shrivastava, Veena Rani; Giri, Arun

doi:10.31729/jnma.2426

Cited by 29 publications

(32 citation statements)

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“…The maternal and fetal outcomes of trial of VBAC in selected women with one previous Cesarean delivery for non-recurrent indications were good. Obstetricians in this area should do more to allow VBAC in women with one previous Cesarean section for non recurrent indications, correlates with other studies [20,21] Maternal and perinatal outcome of our study correlates to study done byAnupamaSuwalet al [22], they found that the overall complication rate is higher in emergency cesarean section than in elective cesarean Section, similar to our study.…”

Section: Issn-2321-127xsupporting

confidence: 91%

Study of maternal and fetal outcome in elective and emergency caesarean section

Thakur¹,

Chiheriya

Thakur

et al. 2015

Int J Med Res Rev

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Introduction: Caesarean section is one of the most performed surgical procedures all over the world. The present study was conducted to determine the maternal & neonatal outcome and complications in two groups of pregnancy among women with elective and emergency cesarean section. So that measures can be taken to reduce morbidity and mortality in near future. Material & Methods: A prospective observational study carried out in department of Obstetrics and Gynecology, M.G.M Medical College and M.Y. Hospital ,Indore (M.P). All patients who underwent caesarean section are divided into two groups as per the timing of procedure in emergency or electively. The two groups were compared on the basis of age, parity, indication, booking status, intra operative & post op complications, and maternal & fetal outcome. Results: The incidence of caesarean section was 30.25%. The proportion of elective and emergency caesarean was 21.63% and 78.37% respectively. All of the complications were significantly higher in emergency group in terms of both maternal and fetal outcome. Conclusion: The incidence of caesarean section is high in MGM medical college Indore and the overall complication rate is higher in emergency caesarean than elective caesarean section group.

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Section: Issn-2321-127xsupporting

confidence: 91%

Study of maternal and fetal outcome in elective and emergency caesarean section

Thakur¹,

Chiheriya

Thakur

et al. 2015

Int J Med Res Rev

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“…12,16,20 Some other studies also identified previous CS as a common cause of CS. 10,22 Previous CS was the key indication of elective CS in our study as reported by Suwal et al 18 Due to lack of information about patients and some other reasons, practice trial for vaginal birth after caesarean section (VBAC) is less in Mid-Western Regional Hospital. Evidence has shown that women with history of previous CS can refuse the trial due to the complications such as scar dehiscence and rupture.…”

Section: Discussionmentioning

confidence: 66%

“…Fetal distress was the first leading indication for CS in our study accounting for 20.1% as found in other studies. 11,16,18 However, it is lower as compared to 26.25% reported by Subedi 11 and 40.2% reported by Pradhan et al 16 Many other studies also described that fetal distressis a common cause of CS. 9,12,15,19,20,22 In fact, fetal distress was found to be number one indication for emergency CS as defined by Suwal et al 18 However, the gold standard method of estimation of fetal distress -Fetal scalp PH estimation was not performed to identify fetal distress in our study.…”

Section: Discussionmentioning

confidence: 89%

Profile of Caesarean Section in Mid-Western Regional Hospital in Nepal

Dhakal

Bhandari

2018

J Nepal Health Res Council

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Background: Rising rate of caesarean section since few decades has been a global public health issue.This study is aimed to determine the rate of caesarean section plus examine the indications and complications of caesarean section.Methods: A retrospective cross-sectional study was conducted using secondary data sources at Mid-Western Regional Hospital in Surkhet, Nepal. Data were collected from patients’records ofthe hospital dating from 16 July 2016 to 15 July 2017. All patients who had delivered their baby by caesarean section were included in this study. Data were analyzed by help of SPSS version 21.Ethical approval was obtained from the hospital authority prior to the study.Results: During the study, out of total 3,694 deliveries, 695 (18.8%) were caesarean section. Most of the caesarean section were emergency than elective (83.0% vs 17.0%). Among all women who underwent caesarean section, majority were from 37 to 42 weeks pregnancy (88.5%), age group between 20 and 24 (42.9%) and multiparous (53.5%).Fetal distress (20.1%) was most common among all major indications of caesarean section. Maternal complications due to caesarean section was low (3.7%). Among all complications, Post-partum hemorrhage (30.5%) was the major maternal complication of caesarean section. Most of newborn babies had APGAR score six or more at one minute (94.5%) and five minutes (97.9%).Conclusions: In our study, caesarean section rate was 18.8%, which is higher than WHO recommendation (10 – 15%). Main indication for caesarean section was fetal distress. Maternal and fetal complications were low.

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“…This incidence is differently assessed d depending on the definition adopted and the time of occurrence. These hemorrhages may be due to general factors such as coagulation and hemostasis disorders or local factors of placental, uterine origin or secondary factors due to traumatic lesions [16] [17]. The causes of bleeding were dominated by uterine inertia.…”

Section: Perioperative Complicationsmentioning

confidence: 99%

Maternal Complications of Caesarean Section in a Resource-Limited Country: The Case of the Maternity Unit of Kankan Regional Hospital, Guinea

Diallo¹,

Baldé²,

Diallo³

et al. 2019

OJOG

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Introduction: Innovations in surgical and anaesthetic techniques to provide a good maternal and child safety have made the cesarean section a routine intervention in obstetrics. However, its complications, especially the short or long term per and postoperative maternal ones, are not exceptional and can affect mothers' vital prognosis. The objectives of this study were to describe the maternal per and postoperative complications encountered during the cesarean section. Patients and method: This is a prospective, descriptive and analytical study carried out at the maternity ward of Kankan Regional Hospital over a 6 month period from January 1, 2018 to June 30, 2018. Results: During this period, out of a total of 2229 deliveries, 319 caesarean sections were performed i.e. a rate of 12.51%. Complications concerned 111 patients (34.79%). The average age was 28 with extremes of 15 and 45. Non-medical transportation concerned 71.17% of our patients. The cesarean section was performed in emergency situations in 82.8% of cases. Indications were dominated by the fetopelvic disproportion. There was a statistically significant relationship between labour duration and the occurrence of complications. Intraoperative complications were dominated by bleeding (25.22% of all complications and 8.77% of total cesarean sections). Post-operative complications were dominated by parietal suppurations (94.49% of all complications and 34.79% of the total number of cesarean sections). In most cases, patients How to cite this paper: Diallo, M.982Open Journal of Obstetrics and Gynecology simultaneously developed several complications. Conclusion: The maternal complications of cesarean sections remain considerable. If the increase in the rate of caesarean sections has contributed to the improvement of the mother-fetal prognosis, the surgical procedure itself is not without complications, which encourages us to review its indications for a better management. Hemorrhagic and infectious complications were the most frequent. These results call for increased asepsis measures in our operation theaters to reduce infectious complications. The increase in Caesarean section rates over the years is faced with increased maternal morbidity in the short and long term. Its indications should be well thought out and should include the responsibility of an experienced obstetrician.

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Maternal and Fetal Outcome in Elective versus Emergency Cesarean Section

Cited by 29 publications

References 0 publications

Study of maternal and fetal outcome in elective and emergency caesarean section

Study of maternal and fetal outcome in elective and emergency caesarean section

Profile of Caesarean Section in Mid-Western Regional Hospital in Nepal

Maternal Complications of Caesarean Section in a Resource-Limited Country: The Case of the Maternity Unit of Kankan Regional Hospital, Guinea

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