Correlation between the Duration of Manual Fetal Extraction during Repeated Elective Cesarean Section and Apgar Score

Document Type : Original Article

Authors

Obstetrics and Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

10.21608/aimj.2025.446516

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.

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