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