MATERNAL MORBIDITY ASSOCIATED WITH EMERGENCY VERSUS ELECTIVE CAESAREAN SECTION

Main Article Content

Mehnaz Raees
Sumaira Yasmeen
Sadaqat Jabeen
Naeema Utman
Rukhsana Karim

Abstract

Objective: To compare maternal morbidity in elective versus emergency caesarean section in a tertiarycare teaching hospital.

Methodology: This comparative study was conducted at Department of Gynecology & Obstetrics, LadyReading Hospital Peshawar, Pakistan, from July 2006 to June 2007. A total of 100 patients, 50 inemergency and 50 in elective caesarean section group through convenient sampling were included in thestudy. The sample size was calculated as 100 by keeping 8% prevalence of caesarean section in Pakistanand using WHO software for sample size estimation. The complications were compared in both groupsusing a semi structured proforma. The comparison was done by using Chi-square test and p-value< 0.05was considered statistically significant.

Results: The mean age was 31.54+4.64 and 30.83+5.08 in emergency and elective caesarean section grouprespectively. Anesthesia related complications were only observed in 11 cases of emergency caesareansection group [Delayed recovery with 8 Cases occurred most] and none in the elective group. Tears incervix and uterus were noted in 8 cases of emergency caesarean section group only. Hemorrhage wasnoted in 58% and 4% patients in emergency and elective caesarean section groups respectively.Postoperative complications were found higher in emergency caesarean section as compare to electivecaesarean section groups like anemia (70%vs.40%), post partum hemorrhage(40%vs.6%), fever(30%vs.8%)and abdominal distention(30%vs.8%) with p-values of 0.004, 0.007, 0.01, 0.01 respectively.

Conclusions: The maternal morbidity including anesthesia related complications, Intra-operative, and postoperative complications were more in the emergency caesarean section as compared to elective caesareansection group.

Article Details

How to Cite
1.
Raees M, Yasmeen S, Jabeen S, Utman N, Karim R. MATERNAL MORBIDITY ASSOCIATED WITH EMERGENCY VERSUS ELECTIVE CAESAREAN SECTION. J Postgrad Med Inst [Internet]. 2012 Dec. 17 [cited 2024 Oct. 5];27(1). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/1432
Section
Original Article

Most read articles by the same author(s)

1 2 3 4 > >>