Indications for and Risks of Elective Cesarean Section

Mylonas, Ioannis; Friese, Klaus

doi:10.3238/arztebl.2015.0489

Cited by 272 publications

(332 citation statements)

References 143 publications

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“…36 In present study, the morbidity rate was found as 12.02%. Surgical site infection (4.35%) was the commonest complication followed by atonic PPH (2.43%).…”

Section: Maternal Morbidities and Mortalitiesmentioning

confidence: 68%

The rate and indication of caesarean section in a tertiary care teaching hospital eastern India

Das

Subudhi

Mohanty

2018

Int J Contemp Pediatr

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Background: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide. It was mainly evolved as a lifesaving procedure for mother and foetus during the difficult delivery. To analyze the rate and indications for C-Section and associated maternal morbidity and mortality were the main objectives of present study.Methods: This retrospective study was conducted over a period of one year from 1st May 2017 to 30th April 2018 at the Department of Pediatrics and OBG, IMS & SUM Medical college and Hospital, Bhubaneswar (Odisha), eastern India. Data of Patients who delivered by C-Section in our hospital during the defined study period was recorded and a statistical analysis of various parameters namely, the caesarean section rates, its indications, the patient’s morbidity and mortality was done.Results: The total numbers of women delivered over the study period were 1619, out of which C-Sections were 574.The overall CS rate was 35.45%. Previous LSCS was the leading indication to the CS rate (29.96%) followed by arrest of labour (13.94%), CPD (11.84%), foetal distress (10.97%), breech presentation (5.74%), oligohydroaminous/IUGR (5.21%), failed induction of labour (5.21%), pregnancy induced hypertension(PIH) (4.87%) and multifetal gestation (3.84%), prematurity (3.31%). 12.01% patients had various complications mainly infection (6.27%) and hemorrhage (3.48%). There was no mortality during this period.Conclusions: Being a tertiary care hospital, a high rate of Caesarean deliveries was observed, Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit CSR.

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“…36 In present study, the morbidity rate was found as 12.02%. Surgical site infection (4.35%) was the commonest complication followed by atonic PPH (2.43%).…”

Section: Maternal Morbidities and Mortalitiesmentioning

confidence: 68%

The rate and indication of caesarean section in a tertiary care teaching hospital eastern India

Das

Subudhi

Mohanty

2018

Int J Contemp Pediatr

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“…36 In our study, the morbidity rate was found as 11.60%. Surgical site infection (4.40%) was the commonest complication followed by atonic PPH (3.01%).…”

Section: Maternal Morbidities and Mortalitiesmentioning

confidence: 73%

The rate and indications of caesarean section in a tertiary care hospital at Jaipur, India

Gupta

Garg

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide. It was mainly evolved as a lifesaving procedure for mother and foetus during the difficult delivery. To analyze the rate and indications for C-Section and associated maternal morbidity and mortality were the main objectives of present study.Methods: This retrospective study was conducted over a period of one year from 1st Jan 2016 to 31st Dec 2016 at the Department of OBG, RUHS College of Medical Sciences, Jaipur (Rajasthan), North India. Data of patients who delivered by C-Section in our hospital during the defined study period was recorded and a statistical analysis of various parameters namely, the caesarean section rates, its indications, the patient’s morbidity and mortality was done.Results: The total numbers of women delivered over the study period were 2959, out of which C-Sections were 931. The overall CS rate was 31.46%. Previous LSCS was the leading indication to the CS rate (36.52%) followed by arrest of labour (13.65%), CPD (12.03%), foetal distress (11.82%), breech presentation (7.52%), oligohydroamnios/IUGR (5.16%) and failed induction of labour (3.54%). 11.60% patients had various complications mainly infection (5.58%) and haemorrhage (3.98%). There was no mortality during this period.Conclusions: Being a tertiary care hospital, a high rate of Caesarean deliveries was observed. Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit CSR.

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“…[17][18][19][20] Mylonas et al states that the anxiety of vaginal delivery which is called as Tocophobia also plays a major role in increasing number of elective LSCS. 21 In present study 14 (12.2%) at 38 weeks and 16 (17.0%) patients had thinned out lower uterine segment. This was not statistically significant.…”

Section: Discussionmentioning

confidence: 74%

“…That is 0.1% and 0.09% in 38 weeks and 39 weeks respectively.10Hourani et al, Bakr et al and Okeke et al in their study observed that the risk of low APGAR score decrease with increase in gestational age. [20][21][22][23] Wilmink et al states that only after 40 weeks the APGAR score is 100% good <40 weeks babies had minor risk of low APGAR score which was not statistically significant. 16 In the present study 0.9 % at 38 weeks and 2.1% at 39 weeks babies had respiratory distress syndrome out of 209 women who underwent elective LSCS.…”

Section: Discussionmentioning

confidence: 99%

Comparison of maternal and neonatal outcome in elective lower segment cesarean section done at 38 and 39 weeks

Sebastian

Ghose

Soundararajan

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Time to perform elective LSCS is a relevant issue related to mother and foetus. LSCS can be done from 37 weeks onwards because foetal lungs mature by then. But foetuses born at 37 weeks of gestation have more risk of developing respiratory problems, transient tachypnoea of new born, hypothermia, hypoglycaemia and NICU admission.The purpose of this study is to find out appropriate gestational age at which elective LSCS can be performed without adverse maternal and neonatal outcome.Methods: This is an observational comparative study done on 209 antenatal women who underwent elective caesarean section from December 2014 to January 2016.Patients were divided into two groups after taking consent. Maternal parameters like formation of lower uterine segment need for blood transfusion. Neonatal parameters like Apgar score, respiratory distress syndrome and NICU admission with indication and duration were analyzed by chi-square test. Gestational Age and Pre-Op Hb and Post-Op Hb were analyzed by independent ‘t’test.Results: In this study 55% of the pregnant women belong to 38 weeks,45% belongs to 39 weeks. The formation of lower uterine segment was statistically significant and the need for blood transfusion was slightly increased at 39 weeks. But there was no significant difference in Apgar score, Respiratory distress, NICU admission comparing both study groups.Conclusions: Elective caesarean section can be done safely at 38 weeks without affecting maternal and perinatal outcome.

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Indications for and Risks of Elective Cesarean Section

Cited by 272 publications

References 143 publications

The rate and indication of caesarean section in a tertiary care teaching hospital eastern India

The rate and indication of caesarean section in a tertiary care teaching hospital eastern India

The rate and indications of caesarean section in a tertiary care hospital at Jaipur, India

Comparison of maternal and neonatal outcome in elective lower segment cesarean section done at 38 and 39 weeks

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