Maternl and Neonatal Outcomes of Elective and Emergency Cesarean Sections

Abstract

Cesarean section is safe surgical procedure, but increased cesarean section incidence leads to higher maternal and neonatal complications intraoperatively and postoperatively. This study aimed to assess the maternal and fetal outcomes of different types of cesarean sections in Kirkuk city. Hence, a prospective study was conducted in Obstetrics and Gynecology department of Azadi Teaching Hospital in Kirkuk city during 1st of October, 2013 to 31st of May, 2014, included 600 term pregnant women indicated for elective and emergency cesarean sections. It had been found that second stage Cesarean sections were significantly associated with womens’ obesity and irregular antenatal care (p<0.001). Extension of lower uterine incision, bladder injury and broad ligament hematoma were the reported introperative complication while, postoperative maternal complications were postpartum hemorrhage and secondary suturing of skin wound. Neonatal complications after first and second stage cesarean section were transient tachypnea, sepsis, admission to neonatal intensive care unit, hypoxic ischemic encephalopathy, birth asphyxia and low apgar score. In conclusion, the second stage cesarean section is obviously accompanied by many maternal and neonatal complications in comparison to elective and first stage cesarean sections.