Maternal and Neonatal Outcome for Singleton and Twin Pregnancies in Emergency Cesarean Section vs. Urgent Cesarean Section in a Retrospective Evaluation from 2003-2012Reportar como inadecuado




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Objectives: Emergencycesarean is performed, when a situation requires immediate action in order toreduce the risk to mother and-or child, while urgent cesarean is done if anon-life threatening but compromising situation occurs. The aim of the studywas to investigate the maternal and fetal outcome for emergency and urgentcesarean. Study Design: A retrospective case-control study was performed; casesunderwent emergency cesarean section, while controls underwent urgent cesareansection. We included 303 cases of women and 336 cases of children, and controlswere matched. Maternal and fetal outcome parameters for singleton and twinpregnancies were investigated using the Wilcoxon test and the Chi-square-test.Results: Maternal outcome: Higher bloodloss cases: mean 383.12 ± 232.89, range 100 - 2500 vs. controls: 336.06 ±129.19, range 100 - 1000, p =0.008, hemorrhage 34 vs. 11, p < 0.001 and puerperal anemia 30 vs. 10, p< 0.001. Neonatal outcome: One, five, and ten minutes Apgar levels andumbilical cord pH values are lower for cases p < 0.001 and p < 0.001,respectively. Twins had lower five and ten minutes Apgar levels p = 0.040 and0.002, but higher umbilical cord pH values than singletons p < 0.001. Theperinatal mortality among singletons was 3.8%, among twins 8.1%. For cases theperinatal mortality among singletons was 5.7% and 17.14% for twins controlgroup 1.41% and 2.63%, respectively. Conclusion: The maternal and fetaloutcome is poorer in emergency cesarean section. Especially the perinatalmortality is high in emergency cesarean section, particular for twins.

KEYWORDS

Emergency Cesarean Section, Maternal Outcome, Neonatal Outcome, Twins, Urgent Cesarean Section

Cite this paper

Mölgg, A. , Jirecek, S. , Girtler, V. and Lehner, R. 2014 Maternal and Neonatal Outcome for Singleton and Twin Pregnancies in Emergency Cesarean Section vs. Urgent Cesarean Section in a Retrospective Evaluation from 2003-2012. Open Journal of Obstetrics and Gynecology, 4, 881-888. doi: 10.4236-ojog.2014.414124.





Autor: Andrea Mölgg, Stefan Jirecek, Victoria Girtler, Rainer Lehner*

Fuente: http://www.scirp.org/



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