A study for Pertinence in Emergent Cesarean Section

Yuk, Jin Sung; Kim, Sang Hoon; Kim, Pyeong Sik; Park, Cheul Hong; Hong, Seo Yu; Shin, Jung Whan; Seo, Yong Soo

Abstract

OBJECTIVE
The purpose of this study was to analyze the inclination, pertinence and influential factor in emergent cesarean section according to the assortment and analysis of the indication of emergent cesarean section.
METHODS
The retrospective study was performed with the review of 360 emergent cesarean section cases from January 2003 to December 2003.
RESULTS
The indication of cesarean section was followed by the order of progress failure (47.5%), previous cesarean section (19.2%), and fetal distress (15.8%). The improper operation of emergent cesarean section was done in fetal distress (28.1%), progress failure (8.6%), and induction failure (16.7%). The absence of acceleration with prolonged bradycardia was the most common (50.0%) type of fetal distress. The emergent cesarean section were done more commonly on Tuesday and Friday during weekdays and it was the peak time in a whole day of cesarean section from 11 o'clock to 12 o'clock and 16 o'clock to 17 o'clock.
CONCLUSION
It was proved that twenty six (7.2%) cases of emergent cesarean section were done improperly. Now, work through the non-medical factors are considered more important to reduce improper section rate.