Raheel Sikandar, Amna Memon.
Maternal & Perinatal outcome following emergency Cesarean section.
Med Channel Jan ;11(2):68-70.

OBJECTIVE: To evaluate maternal and fetal outcome after emergency C-Section. STUDY DESIGN: Observational - non randomized study during 3 month period from Jan – March 2003. STUDY SETTING: Liaquat University Hospital Obstetric Unit - 1, Hyderabad STUDY POPULATION: 100 women who came to labor ward during the study period and had emergency C-section. Outcome variables were recorded and analyzed. RESULTS: Emergency C-section was common among women in early reproductive age group 73% of women were between 20 to 30 years of age. 50% women required it for their Ist - 2nd pregnancy. Fetal distress was the commonest indication (I9%) whereas obstructed labor, malpresentation and malposition were other most common indications. Maternal pyrexia was commonest morbidity i.e. > 50% had fever >100°E Prolong catheterization was required among I5% women. Prolong use of injectable antibiotics i.e. >3 days was seen among 50% of these women. There were 10 still horn / IUDS and 11 babies died in neonatal period; 20% were horn with apgar <7; 29% were admitted in Pediatrics ward for more than 24 hours; 31% were given antibiotics for neonatal sepsis CONCLUSION: Emergency C-section doesn`t seems to reduce perinatal mortality in this study. The availability of emergency obstetric services at doorsteps of women with increasing rate of C-section may only he considered with in the scope of concomitant improvement in prenatal monitoring, obstetrical monitoring and neonatal medicine.

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