Maternal and Fetal Outcomes in Elective vs Emergency Cesarean Section

June 11, 2026 updated by: Abdelsalam Gomaa, Assiut University

Maternal and Fetal Outcomes in Elective and Emergency Cesarean Section in Women's Health Hospital

Cesarean section (CS) rates have increased substantially worldwide and in Egypt, where they now account for the majority of deliveries. Maternal and neonatal outcomes may differ between elective and emergency CS. Emergency cesarean sections are generally associated with higher maternal morbidity, including increased risks of postpartum hemorrhage, infection, blood transfusion, longer operative time, and prolonged hospital stay. Neonatal outcomes following emergency CS may also be less favorable, with higher rates of low Apgar scores, respiratory distress, and NICU admission. However, findings remain inconsistent across studies, highlighting the need for further prospective research to comprehensively compare maternal and fetal outcomes between elective and emergency cesarean deliveries.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Estimated)

210

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Pregnant women undergoing cesarean section (elective or emergency) at Women's Health Hospital during the study period. Eligible participants will include women with singleton pregnancies who meet the inclusion criteria and provide complete clinical data. Maternal and neonatal outcomes will be assessed and compared between elective and emergency cesarean section groups.

Description

Inclusion Criteria:

  • 1- Pregnant women undergoing cesarean section 2- Singleton pregnancy 3- Gestational age ≥ 28 weeks 4- Age 18-45 years

Exclusion Criteria:

  • 1- Multiple pregnancy 2- Known fetal anomalies 3- Intrauterine fetal demise before cesarean section 4- Severe maternal comorbidities (e.g., cardiac disease, renal failure) 5- Rupture uterus 6- patients with placenta previa or accreta spectrum

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
• Maternal morbidity composite outcome • Neonatal morbidity composite outcome
Time Frame: From cesarean delivery until hospital discharge (up to 7 days postpartum).
From cesarean delivery until hospital discharge (up to 7 days postpartum).

Secondary Outcome Measures

Outcome Measure
Time Frame
Length of stay
Time Frame: From cesarean delivery until maternal hospital discharge (days), up to 7 days postpartum.
From cesarean delivery until maternal hospital discharge (days), up to 7 days postpartum.
Operative time
Time Frame: Assessed during cesarean section, from skin incision to skin closure (minutes).
Assessed during cesarean section, from skin incision to skin closure (minutes).
Infection rate
Time Frame: From cesarean delivery through 6 weeks postpartum.
From cesarean delivery through 6 weeks postpartum.
Effect of confounding factors on neonatal outcomes (gestational age at delivery, type of anaesthesia)
Time Frame: Assessed at birth and during neonatal hospitalization, up to 28 days after birth.
Assessed at birth and during neonatal hospitalization, up to 28 days after birth.
Effect of confounding factors on maternal outcomes (BMI)
Time Frame: BMI assessed at admission for delivery; association with maternal outcomes evaluated from cesarean delivery through hospital discharge (up to 7 days postpartum).
BMI assessed at admission for delivery; association with maternal outcomes evaluated from cesarean delivery through hospital discharge (up to 7 days postpartum).

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Assiut University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

July 1, 2026

Primary Completion (Estimated)

July 1, 2027

Study Completion (Estimated)

September 1, 2027

Study Registration Dates

First Submitted

June 11, 2026

First Submitted That Met QC Criteria

June 11, 2026

First Posted (Actual)

June 16, 2026

Study Record Updates

Last Update Posted (Actual)

June 16, 2026

Last Update Submitted That Met QC Criteria

June 11, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • MF_CS_2026

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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