Evaluation of the results of emergency and elective cesarean deliveries performed in our hospital in the last year

Abstract

Aim: The aim of this study is to investigate whether there is a difference between cesarean sections performed under emergency and elective conditions in terms of obstetric-fetal outcomes and complications. In the elective cesarean section group, 221 patients whose cesarean section was planned by the patient and the clinician were included, while 238 patients whose cesarean section was unplanned and emergency cesarean section was performed in the emergency cesarean section group. The data was obtained by retrospective file scanning. Age, week of birth, birth weight, indication for cesarean section, laboratory findings, maternal and perinatal complications and number of hospitalizations in the neonatal intensive care unit (NICU) were compared between the two groups. Materials and Methods: Our study included 459 patients who had a cesarean section in Erzincan Binali Yıldırım University Gynecology and Obstetrics Clinic between January 1, 2020 and March 31, 2021. Results: In the elective cesarean section group the most common indication for cesarean section was previous cesarean section (85.5%), while the most common indications in the emergency cesarean section group were previous cesarean section (27.3%) and fetal distress (23.9%). While 16 patients (7.2%) who received insufficient antenatal care in the elective cesarean section group, this number was 40 (16.9%) in the emergency cesarean section(p=0,03). 5th minute apgar score below 7, hospitalization in the NICU for more than 24 hours, and meconium amnion were observed more frequently in the emergency cesarean section group (p<0.05). In the emergency cesarean section group, the number of patients who received blood transfusion, the number of patients with wound infection, the number of patients with post-op fever, and the post-op hospital stay after cesarean section were higher than in the elective cesarean section group (Table 3)(p<0.05) Conclusion: As a result; Emergency cesarean delivery is associated with significantly higher maternal and fetal complications than elective cesarean deliveries. In cases where cesarean delivery is necessary, emergency cesarean section and related maternal-fetal complications can be reduced with the right timing and planning.

Keywords

• Emergency cesarean section
• elective cesarean section
• maternal-fetal outcomes

Hastanemizde son bir yıl içerisinde yapılan acil ve elektif sezaryen doğum sonuçlarının değerlendirilmesi

Abstract

Amaç: Acil ve elektif şartlarda yapılan sezaryenler arasında obstetrik-fetal sonuçlar ve komplikasyonlar açısından fark olup olmadığını araştırmaktır. Gereç ve Yöntemler: Çalışmamıza 1 Ocak 2020-31 Mart 2021 tarihleri arasında Erzincan Binali Yıldırım Üniversitesi Kadın Hastalıkları ve Doğum Kliniğinde sezaryen doğum yapan 459 hasta dahil edildi. Elektif sezaryen grubuna, hasta ve doğum ekibince sezaryen tarihi önceden planlanmış 221, acil sezaryen grubuna ise sezaryeni planlanmadan acil alınan 238 hasta dahil edildi. Hasta bilgilerine retrospektif dosya taraması yapılarak ulaşıldı. İki grup arasında yaş, doğum haftası, doğum kilosu, sezaryen endikasyonu, laboratuvar bulguları, maternal ve perinatal komplikasyonlar ve yenidoğan yoğun bakım ünitesine(YYBÜ) yatış sayıları karşılaştırıldı. Bulgular: Elektif sezaryen grubunda en sık sezaryen endikasyonu geçirilmiş sezaryen (%85,5) iken acil sezaryen grubunda en sık endikasyonlar geçirilmiş sezaryen (%27,3) ve fetal distressti (%23,9). Elektif sezaryen grubunda yetersiz antenatal bakım alan hasta 16 (%7,2) iken, acil sezaryen grubunda bu sayı 40 (%16,9)’dı ve fark istatistiksel olarak anlamlıydı (p=0,03). 5’inci dakika apgar skorunun 7’nin altında olması, YYBÜ’nde 24 saatten fazla yatış ve mekonyumlu amniyon mayi görülmesi acil sezaryen grubunda daha fazla izlendi (p<0,05). Acil sezaryen grubunda kan transfüzyonu yapılan, yara yeri enfeksiyonu olan, post-op ateş görülen hasta sayısı ve post-op hastanede yatış süresi elektif sezaryen grubuna göre daha fazla idi (Tablo 3) (p<0,05). Sonuç: Sonuç olarak; acil sezaryen doğum, elektif sezaryen doğumlara göre anlamlı derecede daha yüksek maternal ve fetal komplikasyonlarla ilişkilidir. Sezaryen doğumun gerekli olduğu durumlarda doğru zamanlama ve planlama ile acil sezaryen ve ona bağlı maternal fetal komplikasyonlar azaltılabilir.

Keywords

• Acil sezaryen
• elektif sezaryen
• maternal-fetal sonuçlar

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