A Comparative Study of Maternal and Foetal Outcomes in Patients Undergoing Elective or Emergency Caesarean Section

P, Renuka

doi:10.18535/jmscr/v4i12.123

Cited by 7 publications

(15 citation statements)

References 15 publications

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“…The similar results were reported in a study conducted by Nag et al [26], who observed intra-operative adhesions in 44.8% of elective cesarean sections and 37.6% of emergency cesarean sections. On the contrary, in a study done by Renuka and Suguna [31], complications other than intra-operative adhesions were not reported. About 12% (24/200) of women had PPH which is similar to the percentage of women with PPH i.e., 8.3% (13/300) in a study conducted by Renuka and Suguna [31] and 12.6% (43/340) cases of PPH in a study by Darnal and Dangal.…”

Section: Discussionmentioning

confidence: 80%

“…On the contrary, in a study done by Renuka and Suguna [31], complications other than intra-operative adhesions were not reported. About 12% (24/200) of women had PPH which is similar to the percentage of women with PPH i.e., 8.3% (13/300) in a study conducted by Renuka and Suguna [31] and 12.6% (43/340) cases of PPH in a study by Darnal and Dangal. Out of 24 cases of PPH, 83.3% (20/24) were in emergency cesarean section and 16.7% (4/24) were in elective cesarean section.…”

Section: Discussionmentioning

confidence: 80%

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Comparison of the Maternal, Fetal, and Neonatal Outcome of Elective and Emergency Cesarean Section at a Tertiary Center

JYOTI SAINI,

SAWAI SINGH LORA,

DEEPIKA

2023

Asian J Pharm Clin Res

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Objective: Cesarean section is one of the most performed surgical procedures in the world and it carries high morbidity and mortality in comparison to vaginal delivery. The present study was conducted for evaluating the maternal and neonatal outcomes and complications in pregnant women who underwent elective versus emergency cesarean section so that appropriate measures can be taken to decrease morbidity and mortality soon. Methods: Cross-sectional comparative hospital-based study carried out at Zanana Hospital Jaipur from January 2022 to December 2022. There were 400 patients enrolled in the study 200 in elective and 200 in emergency cesareans selected randomly. Ethical approval was obtained from the ethical committee and informed consent was taken from the patients Results: The emergency cesarean section was significantly more as compared to an elective cesarean section in women in the age group 19–25 years and >35 years. Most of the cesarean sections in multipara were elective as compared to the relatively more emergency cesarean sections in nullipara. It was observed that 26.5% (52/200) of women had fetal complications. Out of them, 92.4% of underwent emergency cesarean section. About 65.5% (131/200) of participants had intra-operative complications. Out of these 62.5% (82/131) had adhesions, 17.5% (23/131) had difficult extraction, and 18.3% (24/131) had postpartum hemorrhage. Out of them, 83.3%% (20/24) occurred during emergency cesarean as compared to 16.7% (4/24) in elective cesarean. Conclusions: Maternal and fetal complications were significantly higher in the emergency cesarean section as compared to the elective cesarean section group.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 80%

Comparison of the Maternal, Fetal, and Neonatal Outcome of Elective and Emergency Cesarean Section at a Tertiary Center

JYOTI SAINI,

SAWAI SINGH LORA,

DEEPIKA

2023

Asian J Pharm Clin Res

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“…In the present study, median APGAR score at 1 minute was 7 in all the three groups (normal vaginal delivery group, elective and emergency caesarean groups). The study by Renuka et al at a medical college hospital Khammam reported that the Apgar score of <7 at 1 minute, was present in 16.3% of (n=25) of new born in elective caesarean sections and 18.3% (n=28) in emergency caesarean sections [10] . In our study also, mean and median APGAR score at 1 minute was similar and comparable indicating good practices during operative deliveries.…”

Section: Discussionmentioning

confidence: 99%

A study of respiratory disorders in neonates in emergency caesarean section, elective caesarean section and normal vaginal delivery at term

Kulkarni¹,

Garg²,

Kathpalia³

et al. 2021

Int. J. Clin. Obstet. Gynaecol.

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Background: Previous studies indicate that new-borns delivered by elective caesarean section are more prone to respiratory morbidity after birth. Objective: To find out whether the mode of delivery is associated with the neonatal respiratory outcomes. Methods: In this observational study, following three groups of pregnant women (30 in each group) were included a) normal vaginal delivery b) elective LSCS and c) emergency LSCS. Respiratory morbidity (Tachypnoea, chest retraction, grunting, and nasal flaring) and APGAR scores were compared between three groups. Results: Respiratory morbidity was higher in elective and emergency LSCS groups compared to normal vaginal delivery group. However, the differences were not statistically significant. APGAR scores at 1 and 5 minutes were similar in three groups. NICU admissions were higher in elective caesarean groups as compared to the other two groups. Conclusion: Higher incidence of respiratory distress syndrome was noted in babies born to mothers who have undergone elective caesarean section.

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“…However, ndings from this study contrast with ndings from Finland, India, Norway, Israel and South Africa which showed emergency CS, cervical dilatation, maternal characteristics and fetal factor were associated with all complications. (11,22,24,29).However, this serves as a continuous alarm to physicians to modify the already known risk factors before surgery to minimize incidences of complications while optimizing good maternal-fetal outcomes.…”

Section: Discussionmentioning

confidence: 99%

Postoperative complications and risk factors among women who underwent caesarean delivery from Northern Tanzania: a hospital-based analytical cross-sectional study

Mangi

Mlay

Oneko

et al. 2022

Preprint

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Background: Caesarean section is one of the most performed surgeries across the whole globe. However, just like any major surgery, CS is associated with complications like haemorrhage, surgical site infection, Venous thromboembolism and anaesthesia related complications. These associated morbidity and mortality have been there despite improvements in blood transfusion services, the use of prophylactic antibiotics, anaesthesia and surgical techniques. This study aims to determine the rate of caesarean section complications, characterize their timing and identify risk factors to maternal complications among women delivered at KCMC hospital.Method: A cross-sectional analytical study of 386 women who delivered by CS at Kilimanjaro Christian Medical Center(KCMC) hospital from October 2018 to May 2019 was done. Data were obtained from the delivery register, patients, clinical and anaesthesia notes using a structured pre-tested questionnaire. Social-demographic characteristic, past medical, obstetric, surgical and family social history were sought from every study participant. Prevalence of complication was computed as a proportion of women with one or more complications out of all the women delivered during the study period. STATA version 13 was used for multivariable analysis to determine independent risk factors for the most prevalent complications. Odds ratio and 95% CI has been used to make an association. Whereby P-value <0.05 is considered statistically significant. Results: Out of 386 deliveries,106(27.5%) had one or more complications. The most common immediate complications were anaesthesia related, blood transfusion , postpartum hemorrhage(PPH), hysterectomy and ICU admission. While most common early complications (24 -72 hours of the operation) were puerperal sepsis, anaesthesia related complications, blood transfusion and ICU admission. Longer duration of surgery was significantly associated with all the complications (aOR 2.90, 95% CI 1.02-8.50), Grand multiparity was significantly associated with blood transfusion (aOR 7.0, 95% CI 1.40-34.35) and PPH (aOR 6.4, 95%CI 1.5-24.24) while pre-operative anaemia was significantly associated with blood transfusion (aOR 4.34,95% CI 1.90-9.45).Conclusion: Longer duration of surgery, grand multiparity and pre-operative anaemia are associated with complications. Hence, the medical team should be alert of the possible morbidity and mortality that can occur and get prepared beforehand.

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A Comparative Study of Maternal and Foetal Outcomes in Patients Undergoing Elective or Emergency Caesarean Section

Cited by 7 publications

References 15 publications

Comparison of the Maternal, Fetal, and Neonatal Outcome of Elective and Emergency Cesarean Section at a Tertiary Center

Comparison of the Maternal, Fetal, and Neonatal Outcome of Elective and Emergency Cesarean Section at a Tertiary Center

A study of respiratory disorders in neonates in emergency caesarean section, elective caesarean section and normal vaginal delivery at term

Postoperative complications and risk factors among women who underwent caesarean delivery from Northern Tanzania: a hospital-based analytical cross-sectional study

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