Comparison of neonatal outcomes between category-1& non‑category-1 Primary Emergency Cesarean Section: A retrospective record review in a tertiary care hospital | Shahwar | Pakistan Journal of Medical Sciences
 
مبل راحتی صندلی مدیریتی صندلی اداری میز اداری وبلاگدهی گن لاغری بازی اندروید تبلیغات کلیکی آموزش زبان انگلیسی پاراگلایدر مارکت اندروید تور آهنگ محسن چاوشی مسیح و آرش پروتز سینه پروتز باسن پروتز لب میز تلویزیون

Comparison of neonatal outcomes between category-1& non‑category-1 Primary Emergency Cesarean Section: A retrospective record review in a tertiary care hospital

Syeda Dure Shahwar, Iffat Ahmed, Azra Amerjee, Zahra Hoodbhoy

Abstract


Objective: To compare neonatal outcomes between Category-1 and Non-Category-1 Primary Emergency Cesarean Section.

Methods: This was a retrospective analysis, conducted at Aga Khan University Hospital Karachi from January 1st 2016 till December 31st 2016. Non-probability purposive sampling technique was used. A sample size of 375 patients who had primary Emergency Caesarean Section (Em-CS) was identified by keeping CS rate of 41.5% and 5% bond on error. Data was collected from labor ward, operating theatre and neonatal ward records by using structured questionnaire.

Results: In the current study, out of 375 participants who underwent primary Em-CS; majority (89.3%) were booked cases. Two-hundred-eighty-two (75.2%) were primiparous women. Two hundred and thirty (61.3%) were at term and 145(38.7%) were preterm. The main indication among Category-1 CS was fetal distress (15.7%). For Non-Category-1 CS, non-progress of labour (45.1%) was the leading cause of abdominal delivery. Except for APGAR score at one minute (p value = 0.048), no other variables were statistically significant when neonatal outcomes were compared among Category 1 and Non-Category-1 CS.

Conclusion: In this study, fetal distress and non-progress of labor were the main indications for Category-1 and Non-Category-1 CS respectively. We did not find statistically significant association between indications of Em CS and neonatal outcomes. However further prospective studies are required to confirm this association.

doi: https://doi.org/10.12669/pjms.344.14496

How to cite this:Shahwar D, Ahmed I, Amerjee A, Hoodbhoy Z. Comparison of neonatal outcomes between category-1 & non‑category-1 Primary Emergency Cesarean Section: A retrospective record review in a tertiary care hospital. Pak J Med Sci. 2018;34(4):823-827.   doi: https://doi.org/10.12669/pjms.344.14496

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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