Comparison of maternal morbidity in Emergency and Elective Cesarean Section

Authors

  • Selami Erdem Department of Gynecology and Obstetrics, Ozel Baglar Hastanesi, Diyarbakır, Turkey, Department of Gynecology and Obstetrics, Ozel Baglar Hastanesi, Diyarbakır, Turkey, https://orcid.org/0000-0002-8517-5787
  • Serhat Ege Department of Gynecology and Obstetrics, Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey, https://orcid.org/0000-0001-5430-602x
  • İhsan Bagli Department of Gynecology and Obstetrics, Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey, https://orcid.org/0000-0002-3195-9164 https://orcid.org/0000-0002-3195-9164

DOI:

https://doi.org/10.46328/aejog.v2i3.56

Keywords:

caesarean, complication, morbidity

Abstract

Objective: We aimed to compare emergency and elective cesarean patients in our hospital in terms of epidemiological features and maternal morbidity.

Material and Methods: We randomly retrospectively reviewed the records of 302 caesarean cases. Demographic features and indications for emergency (group 1) and elective caesarean section (C/S) (group 2) were recorded. The groups were compared in terms of indications and intraoperative and postoperative morbidity.

Results: It was found that the mean hematocrit decrease in group 1 was not different from group 2 (5.70 ± 1.16 and 5.62 ± 0.67). When the groups are examined according to cesarean indications; In group 1 patients, fetal distress, cephalopelvic disproportion (CPD), non-progress of labor, abruptio placentae were significantly higher compared to group 2, whereas in group 2 patients the previous 1 C / S and previous 2 C / S indications were significantly higher. Intraoperative hemorrhage and bladder injury were more common in group 1 patients compared to group 2 patients. When the groups are examined according to postoperative maternal complications; In group 1 patients, transfusion, prolonged bladder catheterization, admission to intensive care unite (ICU), was significantly higher compared to group 2.

Conclusion: It was found that many intraoperative and postoperative complications were more common in the emergency C/S group. it was also detected that all cases with bladder injuries had previous cesarean sections. Therefore, the presence of experienced personnel in these cases may be important for reducing morbidity due to the increased risk of complications.

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Published

2020-11-20

How to Cite

1.
Erdem S, Ege S, Bagli İhsan. Comparison of maternal morbidity in Emergency and Elective Cesarean Section. Aegean J Obstet Gynecol [Internet]. 2020 Nov. 20 [cited 2024 Apr. 23];2(3):44-7. Available from: https://www.aejog.com/index.php/aejog/article/view/56

Issue

Vol. 2 No. 3 (2020): Aegean Journal of Obstetrics and Gynecology

Section

Original Article

License

Copyright (c) 2020 Selami Erdem, Serhat Ege, İhsan Bagli

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