Correlation between the Duration of Manual Fetal Extraction during Repeated Elective Cesarean Section and Apgar Score | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 4, April 2025, Pages 145-148 PDF (281.85 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aimj.2025.446516 | ||
| Authors | ||
| Hossam Abd Elnasser Ebaid; Ahmed Taha Abd El-Fattah; Bahaa Eldin El-Mohamdy Mohamed | ||
| Obstetrics and Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: Cesarean delivery is the most prevalent and important obstetric surgical procedure in the globe. Aim: This investigation aimed to determine whether there is an association between the period of manual extraction of fetus throughout repeated elective cesarean sections and the Apgar score. Patients and methods: This prospective observational investigation, involved one hundred pregnant women were selected from the attendee of Obstetrics and Gynecology department of Al-Azhar University Hospitals from April 2023 to March 2024. Results: The mean value of Anesthesia till cord clamping was 15.79 ± 4.05, and the mean value of uterine incision till cord clamping was 1.28 ± 0.51. 80% of neonates had no admission, 6% of neonates had TTN, 11% of neonates had RD2, and 3% of neonates had RD3. Regarding pregnancy outcome, 49% of neonates were males, while 51% of neonates were females. There was a highly statistically significant positive correlation between the increased time of uterine incision till cord clamping (U-CC) and low Apgar score, with the possibility of developing TTN or NICU admission. While there was insignificant association between the increased time among initiation of anesthesia till cord clamping (A-CC) and low Apgar score. Conclusion: The results revealed a significant positive association between the time of uterine incision until cord clamping (U-CC) and low Apgar score, potentially indicating TTN or NICU admission, and no significant association between the time among initiation of anesthesia till cord clamping (A-CC) and low Apgar score. | ||
| Keywords | ||
| Repeated Elective Cesarean Section; Manual Fetal Extraction; Apgar Score | ||
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