Maternal and fetal outcome in elective versus emergency Caesarean section in a developing country
| Autor: | Vesna, Elvedi-Gasparović, Tajana, Klepac-Pulanić, Branimir, Peter |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: |
Adult
Cesarean Section Croatia Infant Newborn Pregnancy Outcome female genital diseases and pregnancy complications caesarean section neonatus outcome decision-to-delivery interval DDI maternal and fetal outcome decision-to-delivery uterine rupture complications interval labor trial birth Elective Surgical Procedures Pregnancy decision-to-delivery interval (DDI) Apgar Score Anesthesia Obstetrical Humans Female Emergencies reproductive and urinary physiology |
| Zdroj: | Collegium antropologicum Volume 30 Issue 1 |
| ISSN: | 0350-6134 1848-9486 |
| Popis: | As the other major European countries, Croatia has also seen a marked increase in the rate of caesarean sections. The aim of this study was to determine the most common reasons for caesarean section, to compare emergency and elective caesarean section in regard to intraoperative and postoperative complications in both mother and child, and to assess the decision-to-delivery interval (DDI) in our clinic in comparison to current recommendations. Analyzing the results of our research we can say that the new-borns in the group with the elective caesarean section had considerably better Apgar index score in the first minute (p = 0.00056) and in the fifth minute (p = 0.054) than the children born in the group with emergency caesarean section. Children from the group with elective caesarean section had also less frequent asphyxia (p = 0.02315) and considerably less frequent resuscitation (p = 0.0143) than the children from the group with emergency caesarean sections. Only 39.73% of the emergency caesarean sections were performed within the "golden standard" period of 30 minutes. Regarding the data from the literature our results are similar with the ones from developed countries and 30 minute current standard seem to be not achievable. |
| Databáze: | OpenAIRE |
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