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Updated: Jun 11, 2025

External Cephalic Version: Is it an Effective and Safe Procedure?

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Published on: June 6, 2020

Does Monopolar Electrocautery Affect the Fetus during Cesarean Section?

Sevki Goksun Gokulu¹, Hamza Yildiz¹, Ali Yildizbakan¹

¹Department of Obstetrics and Gynecology, Mersin University Faculty of Medicine, 33343 Mersin, Turkey.

Medicina (Kaunas, Lithuania)

|September 28, 2024

Summary

Monopolar electrocautery use during cesarean delivery is safe for newborns. While it impacts fetal parameters like umbilical cord pH and calcium levels, it is associated with higher Apgar scores and lower hypoglycemia rates.

Keywords:

cesarean section electrocautery fetus newborns safety

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Neonatal Pial Surface Electroporation

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Neonatal Pial Surface Electroporation

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Published on: May 7, 2014

Area of Science:

Obstetrics and Gynecology
Neonatal Medicine
Surgical Technology

Background:

Assessing the fetal impact of monopolar electrocautery during cesarean sections is crucial for maternal-fetal medicine.
Understanding the safety and effects of surgical energy devices in obstetric procedures is an ongoing area of research.

Purpose of the Study:

To evaluate the impact of monopolar electrocautery on fetal outcomes during cesarean delivery.
To compare neonatal vital signs, blood parameters, and NICU admission rates between groups with and without electrocautery use.

Main Methods:

Retrospective analysis of 552 cesarean section cases.
Grouping patients based on the use (272) or non-use (280) of monopolar electrocautery for tissue separation.
Comparison of neonatal Apgar scores, umbilical cord blood gas and electrolyte levels, serum parameters, and NICU admission rates.

Main Results:

Higher 1st and 5th-minute Apgar scores in the electrocautery group (significance lost at 10th minute).
Significantly higher newborn pulse rate, umbilical cord blood pH, and partial oxygen pressure in the electrocautery group.
Lower umbilical cord blood calcium levels and reduced incidence of hypoglycemia observed in the electrocautery group.

Conclusions:

Monopolar electrocautery use during cesarean sections affects fetal parameters but is deemed safe.
Electrocautery is independently associated with alterations in fetal umbilical cord blood pH and calcium levels.
The use of electrocautery may correlate with a decreased incidence of neonatal hypoglycemia.