Risks of urgent cesarean delivery preceding the planned schedule: A retrospective cohort study

Author:

Danieli-Gruber ShirORCID,Shalev-Rosenthal Yael,Matot Ran,Brzezinski-Sinai Noa,Zeevi Gil,Pardo Anat,Orbach Sharon,Hadar EranORCID

Abstract

Purpose The aim of the study was to ascertain risk factors and outcomes of elective cesarean deliveries performed urgently prior to their scheduled date. Methods Women carrying a viable singleton fetus who were scheduled for elective cesarean delivery at a tertiary medical center between 2012–2020 were identified by retrospective database. Differences in maternal and neonatal parameters between those who ultimately required urgent cesarean delivery and those who underwent the procedure as scheduled were analyzed. Results Of 4403 women who met the inclusion criteria, 559 underwent urgent cesarean delivery before the scheduled date. On multivariate analysis, factors significantly associated with a risk of transformation to an urgent cesarean delivery were chronic hypertension (aOR 1.92, 95% CI 1.30–2.83 P = 0.001), antenatal corticosteroids administration (aOR 3.26, 95% CI 2.38–4.47, P <0.001), and contraindication for vaginal delivery as the reason for elective cesarean delivery (aOR 1.67, 95% CI 1.32–2.12, P <0.001). Neonates born via urgent cesareans had an increased risk of 1-minute Apgar <7 (6% vs. 1.7%, P <0.001), intensive care unit admission (6.6% vs. 2.5%, P <0.001); their mothers were at risk of postpartum hemorrhage (5.9% vs. 3%, P = 0.001). Conclusions The present study sheds light on the risk factors and maternal and fetal morbidities associated with elective cesarean deliveries that become urgent before the originally scheduled date. Physicians should take this information into account when planning an optimal date for elective cesarean delivery.

Publisher

Public Library of Science (PLoS)

Subject

Multidisciplinary

Reference41 articles.

1. World Health Organization. WHO recommendations non-clinical interventions to reduce unnecessary caesarean sections. WHO recommendations non-clinical interventions to reduce unnecessary caesarean sections. [WHO website] 2018. https://apps.who.int/iris/bitstream/handle/10665/275377/9789241550338-eng.pdf?ua=1. Accessed July 12, 2022.

2. The increasing trend in caesarean section rates: global, regional and national estimates: 1990–2014;AP Betrán;PLoS One,2016

3. Global epidemiology of use of and disparities in caesarean sections;JC Wells;Lancet,2019

4. Primary cesarean delivery in the United States;A Boyle;Obstet Gynecol,2013

5. Indications contributing to the increasing cesarean delivery rate;EL Barber;Obstet Gynecol,2011

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