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.

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