DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20222815
Published: 2022-10-28

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

Shravani Mohite, Aakriti Anurag, Jayshree Narshetty, Sushil Kumar

Abstract


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.


Keywords


Emergency caesarean section, Elective caesarean section, Planned caesarean section, Maternal mortality, Neonatal mortality

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References


Boerman T, Ronsmans C, Melesse DY, Barros AJ, Barros FC, Juan L, et al. Global epidemiology of use of and disparities in caesarean sections. The Lancet. 2018;392(10155):1341-8.

Kan A. Classical Cesarean Section. Surg J (N Y). 2020;6(2):S98-103.

Sultana A, Faisal M, Iqbal R, et al; Indications of Emergency vs Elective Cesarean Section: Cross-sectional Study done at Holy Family Hospital, Rawalpindi, Pakistan; Journal of South Asian Federation of Obstetrics and Gynaecology, January-March 2017;9(1):14-17

Darnal N, Dangal G. Maternal and Fetal Outcome in Emergency versus Elective Caesarean Section. J Nepal Health Res Counc. 2020 Sep 7;18(2):186-189. doi: 10.33314/jnhrc.v18i2.2093. PMID: 32969374.

Begum I, Khan A, Nasreen, Khan S. Outcome of previous caesarean section. Pakistan J Med Res. 2004;43:130-3.

Sikandar R, Memon A. Maternal & perinatal outcome following emergency caesarean Brazil. Med Channel. 2005;11:68-70.

Ashraf R, Gul A, Bashir A, Tajammal A. Comparison of maternal complication in planned vs. emergency caesarean section. Ann King Edward Med Uni. 2006;12:288-90.

Thakur V, Chiheriya H, Thakur A, Mourya S. Study of maternal and fetal outcome in elective and emergency caesarean section. Int J Med Res Rev. 2015;3(11).

Patel BS, Kedia N, Shah SR, Agrawal SP, Patel VB, Patel AB. Changing trends in cesarean section: from 1950 to 2020, Int J Reprod Contracept Obstet Gynecol. 2020;9:2222-6.

2. Liu S,Liston RM, Joseph KS, Heaman M, Sauve R, Krames MS. Maternal Mortality And Severe Morbidity Associated With Low Risk Planned Cesarean Delivery Versus Plannned Vaginal Delivery At Term. Can Med Assoc J. 2007;176(4):455-60.

Jackson N, Paterson-Brown S. Physical Sequelae Of Caesarean Secon. Best Pract Res Clin Obstet Gynaecol. 2001;15(1):49-61.

Ghazi A, Karim F, Hussain A, Ali T, Jabbar S. Maternal morbidity in emergency versus elective caesarean section at a tertiary care hospital. J Ayub Med Coll Abbottabad. 2012;24(1):10-3.

Pomela J, Bains H, Vidhushi B, Annika J. A Comparison of Maternal and Fetal Outcome in Elective and Emergency Caesarean Sections - Indian Obstetrics and Gynecology. Indian Obstet Gynecol. 2012;2(3).

De Luca R, Boulvain M, Irion O, Berner M, Pfister RE. Incidence of early neonatal mortality and morbidity after late-preterm and term cesarean delivery. Pediatrics. 2009;123(6):1064-71.