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Corresponding Author

Mohamed Abou Shabana Mahmoud

Abstract

Background: The prevailing opinion regarding CS indications has been altered in numerous countries due to advancements in scientific knowledge and societal, cultural, and legal transformations.

Aim and objectives: To compare neonatal & maternal outcomes among females who underwent cesarean delivery on their requests versus women who delivered vaginally.

Patients and methods: This case-control study involved two hundred pregnant women with a single pregnancy and delivered at term (among ≥ thirty-seven weeks’ and ≤ forty-two weeks’ gestation) at Al-Hussein University Hospital from November 2022 to April 2023.

Results: There was statistically significant higher post-partum hemorrhage in vaginal delivery than cesarean delivery on maternal request p-value= 0.017. However, no statistically significant difference among cesarean delivery on maternal request vs. vaginal delivery as regards the need for a blood transfusion, need for ICU admission, chorioamnionitis, and local wound infection p= (0.097, 0.561, 0.316, 0.313) respectively. There was a statistically significant worsening of respiratory issues (respiratory distress due to transient tachypnea of newborn) p-value = 0.045 and higher breast-feeding delay in cesarean delivery on maternal request than vaginal delivery p<0.0001.

Conclusion: When compared to vaginal births, cesarean sections doubled the rate of transfer to the neonatal ICU & the risk of pulmonary problems. Postpartum hemorrhage and difficulties with nursing were among the maternal complications that were more common after cesarean sections

Article Type

Original Article

Keywords

Maternal and neonatal outcomes; caesarean delivery; vaginal delivery

Subject Area

Obstetrics and Gynecology

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