Association Between Maternal Co-morbidities and Cesarean Delivery Outcomes: A Retrospective Study

AuthorSara Farzadien
AuthorFatemeh Hosseinzadehen
AuthorSoheil Soltanipouren
AuthorSamaneh Ghazanfar Tehranen
AuthorMaryam Kounanien
AuthorMahin Tayefeh Ashrafiyehen
AuthorGelareh Biazaren
OrcidSara Farzadi [0000-0002-6274-2515]en
OrcidFatemeh Hosseinzadeh [0000-0002-8871-4483]en
OrcidSoheil Soltanipour [0000-0001-7768-1121]en
OrcidSamaneh Ghazanfar Tehran [0000-0002-9910-2394]en
OrcidMaryam Kounani [0009-0005-7945-0665]en
OrcidMahin Tayefeh Ashrafiyeh [0000-0002-0706-6681]en
OrcidGelareh Biazar [0000-0002-4571-6059]en
Issued Date2024-10-31en
AbstractBackground: The rate of cesarean delivery is increasing worldwide despite alarming potential risks. Objectives: This study aimed to evaluate the relationship between maternal co-morbidities and adverse outcomes of cesarean sections. Methods: This study was conducted at Alzahra Hospital in Rasht, Iran, during 2023. Demographic data of pregnant women, their co-morbidities, and cesarean outcomes, defined as mortality or complications including postoperative ICU admission and the first-minute neonate’s Apgar score, were recorded. The relationship between maternal co-morbidities, the number of co-morbidities, cesarean section outcomes, and the first-minute neonate’s Apgar score were analyzed. The data were analyzed using SPSS version 21. The Kolmogorov–Smirnov test, chi-squared test, and two independent t-tests were used. Results: The data from 246 women were analyzed. Gestational diabetes mellitus (36.2%) was the most common co-morbidity. More than 90% of babies had an Apgar score of 7 - 10. Regarding the relationship between maternal co-morbidities and unwanted outcomes, no statistically significant association was found except for hypertensive disorders (P = 0.003). Apgar scores were not affected by maternal co-morbidities (P = 0.183). No cases of mortality were reported. Conclusions: Despite a notable number of maternal co-morbidities, limited adverse outcomes with no mortality were documented, emphasizing the role of cohesive teamwork in improving outcomes.en
DOIhttps://doi.org/10.5812/mcj-148171en
KeywordCesarean Sectionen
KeywordMorbidityen
KeywordOutcome Assessmenten
PublisherBrieflandsen
TitleAssociation Between Maternal Co-morbidities and Cesarean Delivery Outcomes: A Retrospective Studyen
TypeResearch Articleen

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