الفهرس 
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Abstract
Summary and Conclusion
Caesarean section represents the most significant
operative intervention in all of obstetrics. Its development and
application has saved the lives of countless mothers and infants.
On the other hand, its inappropriate use can be a direct
avoidable cause of maternal mortality and morbidity.
For these reasons, caesarean section probably represents
the largest source of controversy and debate in modern
obstetrics. The frequency with which it is carried out continues
to rise.
This study was conducted to evaluate maternal and
neonatal morbidities associated with both elective and
emergency caesarean sections.
Our study is a prospective study that was conducted at
Ain Shams Maternity Hospital.
It included 200 patients in which they were divided
into two groups:
Group 1 :100 patients who had elective CS.
Group 2:100 patients who had an emergency CS for maternal or
fetal indication.
Our results show highly significant difference between
the two study groups as regard gestational age of patients as
18% of emergency CS cases were less than 37 weeks
gestational age.
There was also highly significant difference between the
two study groups as regard adequate fasting state and the
presence of uncontrolled medical disorder as only 15% of
emergency CS were with adequate fasting state and 29% of
emergency CS were with presence of un- controlled medical
disorders.
While 100% of elective group were 100% with adequate
fasting state and only 4% of the group were with the presence
of uncontrolled medical disorders.
In comparison between both groups as regard intraoperative
complications.
There was a highly significant difference in amount of
bleeding between the two groups as 14 cases in the elective
group was with mild / moderate bleeding while 19 cases in
emergency group was with severe bleeding.
There was no significant difference between both groups
as regard anesthesia complications and bladder or intestine
injury.But there was significant difference between the two
groups as regard uterine wound extension. Emergency group
show a high incidence of uterine wound extension.
In comparison between the two groups as regard blood
transfusion and post-operative anemia. There was a highly
significant difference between the two groups. in the time that
2 cases had blood transfusion in the elective group there was
12 cases had blood transfusion in the emergency group and
when only 13 cases of elective group established post-operative
anemia 29 cases of emergency group established post-operative
anemia of course emergency CS cases showed higher
percentage of cases receiving blood transfusion and developing
anemia.In regard to other post-operative complications there was
no significant difference between the two study group as regard
major wound infection but significant difference between the
two study groups as regard minor wound infection as the
emergency group shows higher percentage (15% vs7%) in
minor wound infection.
There was no significant difference between the two
study group as regard post-operative urinary or respiratory tract
infection.
In our study as regard neonatal complications there was
no significant difference between the two groups as regard fetal
life, neonatal respiratory problems and neonatal intensive care
unit admission there was no neonatal injury.
In conclusion, the maternal morbidities among emergency caesarean sections was higher than elective
caesarean sections and there was no difference in neonatal
morbidities.