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

The aim of the study was to ascertain risk factors and outcomes of elective cesarean deliveries performed urgently prior to their scheduled date. Women carrying a viable singleton fetus who were scheduled for elective cesarean delivery at a tertiary medical center between 2012-2020 were identified b...

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Bibliographic Details
Published in:PloS one 2023-08, Vol.18 (8), p.e0289655-e0289655
Main Authors: Danieli-Gruber, Shir, Shalev-Rosenthal, Yael, Matot, Ran, Brzezinski-Sinai, Noa, Zeevi, Gil, Pardo, Anat, Orbach, Sharon, Hadar, Eran
Format: Article
Language:English
Subjects:
Biology and Life Sciences
Birth weight
Blood transfusions
Cesarean section
Childbirth & labor
Cohort analysis
Complications and side effects
Corticoids
Corticosteroids
Delivery scheduling
Diabetes
Fetuses
Gestational age
Health care facilities
Health risks
Heart rate
Hemorrhage
Hypertension
Medical centers
Medical research
Medicine and Health Sciences
Medicine, Experimental
Multivariate analysis
Neonates
Newborn babies
Obstetrics
Parameter identification
Patient outcomes
Placenta
Placental abruption
Pregnancy
Pregnancy complications
Review boards
Risk factors
Schedules
Statistical analysis
Steroids
Vagina
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Summary:The aim of the study was to ascertain risk factors and outcomes of elective cesarean deliveries performed urgently prior to their scheduled date. 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. 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
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0289655