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NCT Number: NCT07651241

Maternal and Fetal Outcomes in Elective vs Emergency Cesarean Section

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.

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Key information

Age range

18 year–45 year

Sex eligibility

Female

Study type

Observational

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

emergency cesarean section

Procedure

emergency cesarean section

elective cesarean section

Procedure

elective cesarean section

Primary outcomes

  1. • Maternal morbidity composite outcome • Neonatal morbidity composite outcome

    Time frame: From cesarean delivery until hospital discharge (up to 7 days postpartum).

Secondary outcomes

  1. Length of stay

    Time frame: From cesarean delivery until maternal hospital discharge (days), up to 7 days postpartum.

  2. Operative time

    Time frame: Assessed during cesarean section, from skin incision to skin closure (minutes).

  3. Infection rate

    Time frame: From cesarean delivery through 6 weeks postpartum.

  4. 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.

  5. 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).

Study contacts

Contact information is provided by the study sponsor or research team.

Alwany Elsenousy Eldreemy Elkasse, professor

CONTACT

[email protected]

+2001225005036

Mohamed Bahaa Mohamed Ahmed, lecturer

CONTACT

[email protected]

+200 10 22422960

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

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

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jun 16, 2026
Registry last updated
Jun 16, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.