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Published on: June 6, 2020
Outcome in elective and emergency cesarean sections: A comparative study.
L Al Nuaim1, M H Soltan, T Khashoggi
1Department of Obstetrics and Gynecology, King Khalid University Hospital, Riyadh, Saudi Arabia.
Annals of Saudi Medicine
|November 1, 1996
Summary
Emergency cesarean sections (CS) are linked to poorer maternal and infant outcomes compared to planned CS. Prioritizing planned deliveries can mitigate complications associated with emergency procedures.
Area of Science:
- Obstetrics
- Maternal-Fetal Medicine
- Surgical Outcomes
Background:
- Cesarean section (CS) is a common obstetric procedure with varying outcomes based on its elective or emergency nature.
- Understanding the factors influencing CS outcomes is crucial for improving maternal and neonatal care.
Purpose of the Study:
- To compare the obstetrics outcomes of elective versus emergency cesarean sections.
- To identify factors associated with adverse outcomes in emergency CS.
Main Methods:
- A comparative study involving 1426 females who underwent CS at King Khalid University Hospital (KKUH).
- Analysis of various factors correlating with elective and emergency CS procedures.
Main Results:
- Emergency CS was significantly associated with younger maternal age, lower parity, and irregular antenatal clinic attendance.
- Emergency CS correlated with increased intrapartum complications, higher postoperative morbidity, and lower Apgar scores for neonates.
- No significant association was found between the type of CS and the overall CS rate.
Conclusions:
- Planned cesarean sections, when feasible and determined antenatally, are recommended to reduce complications associated with emergency CS.
- Efforts should focus on optimizing planned CS to improve maternal and neonatal well-being.
- The study suggests that promoting planned CS is unlikely to increase the overall cesarean section rate.
