Abstract
Background: Caesarean section is a procedure in which delivery of the fetus is carried out through a surgical incision on the abdomen and uterus of the mother. It is said to be a life-saving both for mother and fetus during pregnancy and labor.
 Objectives: To determine the Fetal Outcome in Emergency Caesarean Section.
 Methodology: A retrospective descriptive study was conducted in Obstetrics and Gynecology department, of Al-Aleem Medical College attached with Gulab Devi Educational Complex Lahore from 1st March 2020 to Feb 2021. All emergency caesarean sections during above mentioned period were enrolled in the study. Information’s regarding Mother Age, Gravida Parity, Booking status, Socio-economic status, Mode of onset of labor and Fetal outcome as Apgar score, fetal maturity, Birth weight and Nursery admission were gathered by entering all information in the predesigned Performa.
 Results: There were 635 deliveries during the said time, SVD were 380 (60%) and caesarean section were 255 (40%). The rate of ECS was 54.90% (140 women), whereas elective CS was 45.09% (115 women). The prevalence of ECS was 22% (140 of 635 deliveries). Nursery admission rate was 27.85% percent due to different indication, majority of them 89.74% discharged and unfortunately 10.25% expired due to prematurity, sepsis and birth asphyxia.
 Conclusion: Fetal distress was the commonest cause of Emergency Caesarean Sections and resulted high perinatal morbidity and mortality.
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