Socio-demographic profile and maternal-fetal prognosis of emergency caesarean section versus caesarean section programmed on scar uterus

ABSTRACT

Background: The objective of this study was to determine the maternal-fetal prognosis of emergency caesarean sections on the scar uterus to contribute to the reduction of maternal-fetal morbidity and mortality.Methods: An analytical cross-sectional study of pregnant women who were observed from admission to discharge including their newborns at Panzi Reference General Hospital in gynecology and obstetrics department. The sample was comprehensive for convenience consisting of 150 deliveries by caesarean section who had previously delivered at least once by caesarean section. (In 4 months, from 01st December 2018 to 31st March 2019). A pre-established survey sheet allowed us to collect the data. For data analysis, SPSS software and Microsoft excel were used. The chi-square test was used at the 0.05 level.Results: A total 95.2% of newborns were found to be of normal weight, their mothers were emergency cesarized but should be programmed and macrosomia was noted in 4.8%; (p >0.05). In addition, 57.1% of urgent caesarean sections scheduled to be performed were performed in female children (p <0.05). We note the low Apgar in 26.2% of newborns whose mothers were emergency cesarized but should be programmed; (p <0.05). Afterwards, 33.3% of the emergency cesarized gestates, their newborns were transferred to neonatology with transfer reasons asphyxia light in 50%, moderate asphyxia in 28.5% and in 21.5% for the infectious risk. The neonatal prognosis at discharge, we noted two cases of neonatal deaths or 4.7% in pregnant emergency cesarized (p >0.05). On the maternal side, morbidity was dominated by puerperal infections in 16.7% and uterine rupture in 2.4% in the emergency caesarean section, and no maternal deaths occurred in both groups during the study period.Conclusions: Maternal-fetal prognosis was characterized by asphyxia, neonatal infection and two cases of neonatal death. Study did not register a maternal death but we noticed puerperal infections.