Abstract
The evolution of cesarean section during this century is a relatively safe procedure. It isgenerally accepted that a planned operation often does better in terms of morbidity than oneperformed as an emergency. The aim of the present study were to find out indications forelective and emergency CS and to compare elective and emergency CS regarding intraoperativeand postoperative complications in both mother and her newborn. A prospectivedesign was selected in carrying out this study and a representative sample of 400 parturientwomen (200 with elective CS and 200 with emergency CS) were recruited for this study inthe Maternity hospital at Zagazig University. The tools used for data collection were; aninterview questionnaire sheet, a clinical assessment form, the partograph, a summary of laborsheet and a neonatal assessment sheet. The results of the present study revealed that therewere no statistical significant differences in intra-operative and postoperative complicationsbetween two groups. Additionally, women who had elective cesarean section had a highermean apgar score at the first and fifth minutes (7.7 ± 1.2 and 9.2 ± 1.3) than those who hademergency cesarean section (6.9 ± 1.0 and 8.3 ± 1.5). It can be concluded that, the womenwho had emergency CS were younger than 25 years, had less mean number of gravida andpara and had lack of antenatal care attendance than those who had elective CS. The studyrecommended that: higher incidence of emergency cesarean section is associated with intraoperativeand postoperative complications, so cesarean should be done at earliest possibletime to reduce drastic outcome.
Published Version
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