Skip to main content

Table 2 Clinical characteristics of mothers and neonatal outcomes (N = 441)

From: Maternal predictors of neonatal outcomes after emergency cesarean section: a retrospective study in three rural district hospitals in Rwanda

Clinical characteristics

Number

Percent

Number of fetuses

 1

402

91.2

 2

39

8.8

Gestational age

N = 366

  < 38 weeks

59

16.1

 38–42 weeks

284

77.6

  > 42 weeks

23

6.3

Duration of contractions prior to admission

N = 279

  ≤ 12 h

83

29.7

 13–24 h

113

40.5

  > 24 h

83

29.8

Fetal heart rate at admission (bpm)

N = 429

  < 120

59

13.8

 120–160

352

82.1

  > 160

18

4.2

Maternal blood pressure at admission (SBP/DBP)

N = 397

 Hypotensive (<90/<50)

2

0.5

 Normal (90–140/50–90)

368

92.7

 Hypertensive (>140/>90)

27

6.8

Oxygen saturation on admission

N = 216

 Low saturation (≤94%)

7

3.2

 Normal saturation (>94%)

209

96.8

Hemoglobin level (grams/deciliter)

N = 285

 Low (<12)

48

16.8

 Normal (12–16)

231

81.1

 Above range (>16)

6

2.1

History of prior cesarean section

N = 349

 No

220

63.0

 Yes

129

37.0

Indications for cesarean section

 Fetal distress

141

32.0

 Prolonged labor

135

30.6

 Prior cesarean section

129

29.3

 Malpresentation

108

24.5

 Cephalopelvic disproportion

69

15.6

 Prolonged rupture of membranes

46

7.9

 Placenta previa

21

4.8

 Intra-uterine rupture

7

1.6

 Cord prolapse

6

1.4

 Preeclampsia

6

1.4

 Abruption placenta

5

1.1

Number of indications per woman

 Single indications

238

54.0

 2 indications

179

40.6

 3+ indications

24

5.4

Severity of cesarean indication

 Very severe indicationa

180

40.8

 Severe indicationb

261

59.2

Neonatal clinical outcome

 Alive and APGAR ≥ 7

401

91.0

 Died, or APGAR < 7

40

9.0

  1. SBP Systolic blood pressure
  2. DBP Diastolic blood pressure
  3. aVery severe indication was defined as intrauterine rupture, fetal distress, cord prolapse, and abruptio placentae
  4. bSevere indication was defined as preeclampsia, prolonged rupture of membranes, cephalo-pelvic disproportion, prolonged labor and mal-presentation