Elective Cesarean Section
Conditions
Interventions
Observation Group:None
Control group:None
Sponsors
The Second Nanning People's Hospital
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Single pregnancy, gestational age >= 37 weeks, elective cesarean section, pregnant woman/family member voluntarily requests a specific time, and there is no medical indication to perform surgery within a specific time.
Exclusion criteria
Exclusion criteria: Severe anemia;Thrombocytopenia;Poorly controlled hypertension;Poorly controlled hyperthyroidism;Poorly controlled diabetes mellitus;Immune system disorders;Heart disease;Voluntary withdrawal of informed consent;Conversion to emergency surgery prior to the procedure due to a medical indication;Intraoperative conversion to general anesthesia;Concurrent performance of myomectomy during the cesarean section;Occurrence of severe intraoperative complications (e.g., major hemorrhage, organ injury) necessitating a deviation from the original surgical plan;Failure to complete postoperative follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Perioperative Indicators: Surgery-related: Gestational age at delivery, indication for cesarean delivery, anesthesia type (neuraxial/general), incision-to-delivery (I-D) interval, total operative duration. Blood Management: Intraoperative blood loss (measured by weighing and volumetric method), postpartum hemorrhage (defined as blood loss =1000 ml), uterotonic usage (dose of carbetocin, methylergometrine, carboprost tromethamine), volume of crystalloid/colloid infusion (ml).;Postoperative Recovery Indicators: Complete blood count within 24 hours postoperatively (WBC, Hb, HCT, neutrophil percentage). Duration of postoperative antibiotic use. Postoperative hospital stay. Postoperative fever. Total hospitalization cost.;Neonatal Outcomes: Birth weight. Apgar score (1-min/5-min). Umbilical artery blood gas analysis (pH, BE, Lac; sampled within 1 minute after cord clamping). Neonatal hypoglycemia (blood glucose <2.6 mmol/L). NICU admission rate and indications.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal Baseline Data: Age, gravidity and parity, pre-pregnancy body mass index (BMI), pre-delivery BMI, gestational weight gain, gestational diabetes mellitus, hypertensive disorders of pregnancy.; | — |
Countries
China
Contacts
Public ContactKaisun Zhao
The Second Nanning People's Hospital
Outcome results
None listed