Maternal and Fetal Outcomes in Elective vs Emergency Cesarean Section
Conditions
Brief summary
Cesarean section (CS) rates have increased substantially worldwide and in Egypt, where they now account for the majority of deliveries. Maternal and neonatal outcomes may differ between elective and emergency CS. Emergency cesarean sections are generally associated with higher maternal morbidity, including increased risks of postpartum hemorrhage, infection, blood transfusion, longer operative time, and prolonged hospital stay. Neonatal outcomes following emergency CS may also be less favorable, with higher rates of low Apgar scores, respiratory distress, and NICU admission. However, findings remain inconsistent across studies, highlighting the need for further prospective research to comprehensively compare maternal and fetal outcomes between elective and emergency cesarean deliveries.
Interventions
PROCEDUREemergency cesarean section
emergency cesarean section
PROCEDUREelective cesarean section
elective cesarean section
Sponsors
Assiut University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* 1- Pregnant women undergoing cesarean section 2- Singleton pregnancy 3- Gestational age ≥ 28 weeks 4- Age 18-45 years
Exclusion criteria
* 1- Multiple pregnancy 2- Known fetal anomalies 3- Intrauterine fetal demise before cesarean section 4- Severe maternal comorbidities (e.g., cardiac disease, renal failure) 5- Rupture uterus 6- patients with placenta previa or accreta spectrum
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Maternal morbidity composite outcome • Neonatal morbidity composite outcome | From cesarean delivery until hospital discharge (up to 7 days postpartum). |
Secondary
| Measure | Time frame |
|---|---|
| Length of stay | From cesarean delivery until maternal hospital discharge (days), up to 7 days postpartum. |
| Operative time | Assessed during cesarean section, from skin incision to skin closure (minutes). |
| Infection rate | From cesarean delivery through 6 weeks postpartum. |
| Effect of confounding factors on neonatal outcomes (gestational age at delivery, type of anaesthesia) | Assessed at birth and during neonatal hospitalization, up to 28 days after birth. |
| Effect of confounding factors on maternal outcomes (BMI) | BMI assessed at admission for delivery; association with maternal outcomes evaluated from cesarean delivery through hospital discharge (up to 7 days postpartum). |
Contacts
CONTACTAlwany Elsenousy Eldreemy Elkasse, professor
CONTACTMohamed Bahaa Mohamed Ahmed, lecturer
Outcome results
None listed