Maternal and Fetal Outcomes in Elective and Emergency Caesarean Section at Ali Omar Asker Hospital, 2016

الملخص

Caesarean section (CS) is one of the most performed surgical procedures all over the world and its incidence is
increasing throughout the world. This increasing rate does not seem to improve the overall fetal outcome but is
associated with increased morbidity and costs. The study aimed to compare the maternal and fetal outcomes in
elective versus emergency caesarean sections in Ali Omar Asker hospital.
Retrospective study was carried out at obstetrics and gynecology department of Ali Omar Askar hospital, Sebea,
including 600 womenwho underwent caesarean section. The data was collected from the medical records;
demographic andobstetrics characteristics, maternal and fetal morbidity, and mortalities outcomes were analysed
by SPSS program version 16.
A total of 331 (55.2%) respondents underwent emergency SC whereas 269 (44.8%) hadelective CS. The mean
age of pregnant women in this study was 31 ± 6 years; most ofthewomen were term between 37- 40 weeks. The
most common indication for cesarean delivery was a previous CS (41.2%). The most common intra operative
complication was excessive bleeding; presented more in emergency group (9.4%). Regarding postoperative
complication, anaemia was more frequent in emergency group (50.4%) as compared to elective group (36.5%).
Neonatal death reported in 9 cases (1.5%). Majority (86.2%) of neonates had no complication, while the remaining
show respiratory distress syndrome, birth asphyxia, neonatal sepsis, meconium aspiration, more common in
emergency than elective group (P= 0.025).
Maternal and fetal morbidity was found to be more in emergency caesarean sections than in elective caesarean
sections deliveries.Careful antenatal and intranatal management to decrease the risks and complications is
recommended.