Maternal and Fetal Outcomes in Elective vs Emergency Cesarean Section
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: emergency cesarean section, elective cesarean section.
- Who it may be relevant to
- Registry conditions: Maternal and Fetal Outcomes in Elective vs Emergency Cesarean Section. Basic parameters: 18 years — 45 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Maternal and Fetal Outcomes in Elective and Emergency Cesarean Section in Women's Health Hospital
Overview
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.
Interventions
- Procedure emergency cesarean section
emergency cesarean section - Procedure elective cesarean section
elective cesarean section
Primary outcome measures
- • Maternal morbidity composite outcome • Neonatal morbidity composite outcome [Time frame: From cesarean delivery until hospital discharge (up to 7 days postpartum).]
Secondary outcome measures (5)
- Length of stay [Time frame: From cesarean delivery until maternal hospital discharge (days), up to 7 days postpartum.]
- Operative time [Time frame: Assessed during cesarean section, from skin incision to skin closure (minutes).]
- Infection rate [Time frame: From cesarean delivery through 6 weeks postpartum.]
- Effect of confounding factors on neonatal outcomes (gestational age at delivery, type of anaesthesia) [Time frame: Assessed at birth and during neonatal hospitalization, up to 28 days after birth.]
- Effect of confounding factors on maternal outcomes (BMI) [Time frame: BMI assessed at admission for delivery; association with maternal outcomes evaluated from cesarean delivery through hospital discharge (up to 7 days postpartum).]
Eligibility criteria
Inclusion criteria
- 1- Pregnant women undergoing cesarean section 2- Singleton pregnancy 3- Gestational age ≥ 28 weeks 4- Age 18-45 years
Exclusion criteria
- 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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Center list to be confirmed — check the primary protocol.
Publications
- Lucas DN, Yentis SM, Kinsella SM, Holdcroft A, May AE, Wee M, Robinson PN. Urgency of caesarean section: a new classification. J R Soc Med. 2000 Jul;93(7):346-50. doi: 10.1177/014107680009300703. PMID 10928020
- Boerma T, Ronsmans C, Melesse DY, Barros AJD, Barros FC, Juan L, Moller AB, Say L, Hosseinpoor AR, Yi M, de Lyra Rabello Neto D, Temmerman M. Global epidemiology of use of and disparities in caesarean sections. Lancet. 2018 Oct 13;392(10155):1341-1348. doi: 10.1016/S0140-6736(18)31928-7. PMID 30322584
- Khasawneh W, Obeidat N, Yusef D, Alsulaiman JW. The impact of cesarean section on neonatal outcomes at a university-based tertiary hospital in Jordan. BMC Pregnancy Childbirth. 2020 Jun 1;20(1):335. doi: 10.1186/s12884-020-03027-2. PMID 32487165
- Souza JP, Gulmezoglu A, Lumbiganon P, Laopaiboon M, Carroli G, Fawole B, Ruyan P; WHO Global Survey on Maternal and Perinatal Health Research Group. Caesarean section without medical indications is associated with an increased risk of adverse short-term maternal outcomes: the 2004-2008 WHO Global Survey on Maternal and Perinatal Health. BMC Med. 2010 Nov 10;8:71. doi: 10.1186/1741-7015-8-71. PMID 21067593
- Sandall J, Tribe RM, Avery L, Mola G, Visser GH, Homer CS, Gibbons D, Kelly NM, Kennedy HP, Kidanto H, Taylor P, Temmerman M. Short-term and long-term effects of caesarean section on the health of women and children. Lancet. 2018 Oct 13;392(10155):1349-1357. doi: 10.1016/S0140-6736(18)31930-5. PMID 30322585
- Doke PP, Vaidya VM, Narula APS, Patil AV, Panchanadikar TM, Wagh GN, Iyengar KS. Relative risk of postpartum maternal morbidity among cesarean-delivered women: A multisite prospective cohort study in a large district, India. J Family Med Prim Care. 2022 Dec;11(12):7705-7712. doi: 10.4103/jfmpc.jfmpc_1292_22. Epub 2023 Jan 17. PMID 36994031
- Abdel-Aleem H, Shaaban OM, Hassanin AI, Ibraheem AA. Analysis of cesarean delivery at Assiut University Hospital using the Ten Group Classification System. Int J Gynaecol Obstet. 2013 Nov;123(2):119-23. doi: 10.1016/j.ijgo.2013.05.011. Epub 2013 Jul 31. PMID 23958586
- Betran AP, Torloni MR, Zhang JJ, Gulmezoglu AM; WHO Working Group on Caesarean Section. WHO Statement on Caesarean Section Rates. BJOG. 2016 Apr;123(5):667-70. doi: 10.1111/1471-0528.13526. Epub 2015 Jul 22. No abstract available. PMID 26681211
Identifiers
NCT: NCT07651241 · MF_CS_2026