Table 3 Intrapartum and operation related factors among those mothers who gave birth through emergency Cesarean section at WKUSH from January -June 2023
Variables | Low 5th minute APGAR score | P | ||
|---|---|---|---|---|
Yes (%) | No (%) | |||
Fetal presentation | Vertex | 75(96.5) | 183(95) | 0.95 |
Face | 2(3) | 4(2) | ||
Shoulder | 0 | 4(2) | ||
Brow | 1(1.5) | 1(1) | ||
Time of operation | Working hours | 23(31.1) | 96(49) | 0.47 |
Duty hours | 51(68.9) | 100(51) | ||
Type of anesthesia | Spinal anesthesia | 68(91.9) | 183(93.4) | 0.04 |
General anesthesia | 6(9.1) | 13(6.5) | ||
Maternal blood pressure at decision for operation (SBP/DBP) | < 100/60 | 1(1.4) | 1(0.5) | 0.31 |
100–139/60–89 | 66(89.2) | 139(70.9) | ||
140/90 and above | 7(9.4) | 56(28.6) | ||
Maternal blood pressure after anesthesia, but before fetal extraction | < 100/60 | 2(2.7) | 7(3.6) | 0.18 |
100–139/60–89 | 69(93.2) | 157(80.1) | ||
140/90 and above | 3(4.1) | 32(16.3) | ||
Type of skin incision | Pfannenstiel | 71(95.9) | 183(93.4) | 0.72 |
Midline | 3(4.1) | 13(6.6) | ||
Neonatal weight range | 1000–2499 g | 26(35.1) | 26(13.3) | < 0.01 |
2500–3999 g | 43(58.1) | 150(76.5) | ||
4000Â g and above | 5(6.8) | 20(10.2) | ||
Interval b/n decision to delivery | greater than 60Â min | 4(5.4) | 24(12.1) | 0.17 |
31–60 min | 44(59.5) | 90(45.9) | ||
less than 30Â min | 26(35.1) | 82(41.8) | ||
Skin incision to delivery | <=5Â min | 43(58.1) | 101(51.5) | 0.19 |
5–10 min | 29(39.2) | 92(46.9) | ||
> 10 min | 2(1.4) | 3(1.5) | ||
Stage of labor | second stage of labor | 9(9.6) | 15(16) | 0.05 |
active phase labor | 17(33.3) | 52(30.4) | ||
latent phase of labor | 30(57.1) | 89(53.6) | ||
duration Labor | >=24 h. | 19(25.7) | 10(5.1) | < 0.01 |
12–23 h. | 13(17.6) | 41(20.9) | ||
< 12 h. | 42(56.8) | 145(74) | ||
Cephalopelvic disproportion | Yes | 12(9.8) | 8(5.4) | 0.10 |
No | 110(90.2) | 140(94.6) | ||
Obstructed labor | Yes | 3(4.1) | 3(1.5) | 0.22 |
No | 71(95.9) | 193(98.5) | ||
Meconium-stained amniotic fluid | clear | 21(28.4) | 97(49.5) | < 0.01 |
meconium stained | 53(71.6) | 99(50.5) | ||
Fetal heart beat | < 120 | 23(31.5) | 19(9.7) | < 0.01 |
120–159 | 35(47.9) | 153(77.6) | ||
> 160 | 15(20.5) | 25(12.80 | ||