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[Emergency Cesarean section--analysis of 143 emergency sections]
C T Beck1, H Klingemann, W Dallacker
1Frauenklinik, Paracelsus-Krankenhaus Ruit, Ostfildern.
Geburtshilfe Und Frauenheilkunde
|February 1, 1992
Summary
Emergency Cesarean sections carry risks, but outcomes are not significantly affected by timing or location. Antibiotic prophylaxis is beneficial, reducing complications.
Area of Science:
- Obstetrics and Gynecology
- Surgical Outcomes
- Maternal-Fetal Medicine
Context:
- Emergency Cesarean sections involve compromises in preparation, anesthesia, and hygiene.
- Analysis of 143 emergency Cesarean sections from 37,583 deliveries (1981-1990) across four departments.
- Investigated risks, complications, and maternal/fetal morbidity and mortality.
Purpose:
- To evaluate the outcomes of emergency Cesarean sections.
- To identify factors influencing maternal and fetal well-being in emergency Cesarean births.
- To assess the efficacy of antibiotic prophylaxis in reducing complications.
Summary:
- Two maternal deaths (1.4%) and 3.3% perinatal mortality were recorded.
- No significant impact found from timing, location, or indication on fetal outcome or maternal morbidity.
- Pre- and intraoperative bleeding were primary causes of maternal morbidity; antibiotic prophylaxis reduced secondary healing complications.
Impact:
- Highlights the importance of antibiotic prophylaxis in mitigating complications.
- Identifies specific challenges, such as delivering the second twin after a Cesarean section.
- Provides data on maternal and fetal outcomes in emergency Cesarean births, informing clinical practice.