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| Effects of En Caul cesarean section for women with preterm labor on their perinatal blood loss and neonatal outcomes |
| Nanchong East Hospital, Nanchong, Sichuan Province, 637000 |
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Abstract To investigate the effects of En Caul cesarean section for women with preterm labor on their perinatal blood loss and neonatal outcomes. Methods: 80 women with preterm labor who wanted cesarean section were selected and were randomly divided into two groups (40 case in each group) from January 2020 to January 2023. The women in the observation group were given En Caul cesarean section and the women in the control group were given traditional cesarean section. The perinatal blood loss, the operation-related indexes, and neonatal outcomes of the women in the two groups were recorded. Results: The perinatal blood loss (500.24±90.77 ml) of the women in the observation group was significantly less than that (590.30±105.19 ml) of the women in the control group. The Apgar scores of the newborns in the observation group at 1min (8.42±0.95 points) and at 5min (9.64±0.22 points) after birth were significantly higher than those (7.75±1.10 points and 9.40±0.31 points) of the newborns in the control group. The levels of the neonatal blood lactic acid (1.71±0.20 mmol/L) and the creatine kinase (246.90±49.77 U/dl) of umbilical cord blood, and the creatine kinase isoenzyme (72.09±12.68 U/dl) in the observation group were significantly lower than those (1.89±0.44 mmol/L, 305.464±80.54 U/dl and 89.67±20.54 U/dl) in the control group. The incidences of the neonatal respiratory distress syndrome (0) and the neonatal asphyxia (2.5%) in the observation group were significantly lower than those (15.0% and 20.0%) in the control group (all P<0.05). Conclusion: En Caul cesarean section for treating the women with preterm labor can reduce their perinatal blood loss, reduce their neonatal complications incidence in the near term, improve their neonatal Apgar score, and have a positive impact on their neonatal outcomes.
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