Chugh Amey, Lal Swati, Nijhawan Tanvi, Biradar Pooja
Department of Obstetrics and Gynecology, Dr D Y Patil Medical College, Hospital and Research Centre, D. Y. Patil Vidyapeeth, Pune, India.
Eur J Obstet Gynecol Reprod Biol X. 2023 Jul 4;19:100213. doi: 10.1016/j.eurox.2023.100213. eCollection 2023 Sep.
To evaluate the rising rates of primary caesarean section, its indications and neonatal outcomes.
This was a prospective observational study of 1000 deliveries after 28 weeks gestation. The 312 primary caesarean section (CS) cases were studied with respect to their antepartum and postpartum outcomes.
The primary caesarean section (PCS) rate was 31.2% which had risen from 17% in 2018-2019 at the institute of study. The most common indication of PCS was found to be foetal distress (34.2%). Out of all PCS 25.64% were preterm deliveries. 57.05% of PCS born babies required NICU admission after birth and 59.93% had 1 min APGAR score < 7. The most common indication for NICU admission was respiratory distress (55.13%).
The rising trend of CS can be attributed to rising PCS rate. Also the indications should be medically justified whenever a CS is attempted as it has significant adverse maternal as well as neonatal implications and also affects the subsequent pregnancy outcomes. CS delivered babies are more prone for respiratory distress syndrome (RDS) and NICU admissions.
评估剖宫产率的上升幅度、其指征及新生儿结局。
这是一项对1000例孕28周后分娩进行的前瞻性观察研究。对312例首次剖宫产病例的产前和产后结局进行了研究。
首次剖宫产率为31.2%，在研究机构已从2018 - 2019年的17%上升。首次剖宫产最常见的指征是胎儿窘迫（34.2%）。在所有首次剖宫产中，25.64%为早产。首次剖宫产出生的婴儿中有57.05%出生后需要入住新生儿重症监护病房（NICU），59.93%的婴儿1分钟阿氏评分＜7分。入住NICU最常见的指征是呼吸窘迫（55.13%）。
剖宫产率上升趋势可归因于首次剖宫产率的上升。此外，每当尝试进行剖宫产时，其指征都应有医学依据，因为剖宫产对母体和新生儿都有重大不良影响，还会影响后续妊娠结局。剖宫产分娩的婴儿更容易患呼吸窘迫综合征（RDS）并入住NICU。
