Maternal and Fetal Outcomes in Elective and Emergency Cesarean Section in Women's Health Hospital
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 210
- 主要终点
- • Maternal morbidity composite outcome • Neonatal morbidity composite outcome
研究概览
简要总结
Cesarean section (CS) rates have increased substantially worldwide and in Egypt, where they now account for the majority of deliveries. Maternal and neonatal outcomes may differ between elective and emergency CS. Emergency cesarean sections are generally associated with higher maternal morbidity, including increased risks of postpartum hemorrhage, infection, blood transfusion, longer operative time, and prolonged hospital stay. Neonatal outcomes following emergency CS may also be less favorable, with higher rates of low Apgar scores, respiratory distress, and NICU admission. However, findings remain inconsistent across studies, highlighting the need for further prospective research to comprehensively compare maternal and fetal outcomes between elective and emergency cesarean deliveries.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •1- Pregnant women undergoing cesarean section 2- Singleton pregnancy 3- Gestational age ≥ 28 weeks 4- Age 18-45 years
排除标准
- •1- Multiple pregnancy 2- Known fetal anomalies 3- Intrauterine fetal demise before cesarean section 4- Severe maternal comorbidities (e.g., cardiac disease, renal failure) 5- Rupture uterus 6- patients with placenta previa or accreta spectrum
结局指标
主要结局
• Maternal morbidity composite outcome • Neonatal morbidity composite outcome
时间窗: From cesarean delivery until hospital discharge (up to 7 days postpartum).
次要结局
- Length of stay(From cesarean delivery until maternal hospital discharge (days), up to 7 days postpartum.)
- Operative time(Assessed during cesarean section, from skin incision to skin closure (minutes).)
- Infection rate(From cesarean delivery through 6 weeks postpartum.)
- Effect of confounding factors on neonatal outcomes (gestational age at delivery, type of anaesthesia)(Assessed at birth and during neonatal hospitalization, up to 28 days after birth.)
- Effect of confounding factors on maternal outcomes (BMI)(BMI assessed at admission for delivery; association with maternal outcomes evaluated from cesarean delivery through hospital discharge (up to 7 days postpartum).)
研究者
Abdelsalam Gomaa
principal investigator
Assiut University