Caesarean section under three different environmental conditions in earthquake-stricken area: Analysis of 264 cases

Objective To study the health condition of maternal and newborns before and after earthquake as well as the safety of cesarean section under 3 different environmental conditions in earthquake-stricken area. Methods A total of 264 parturients from the earthquake-stricken area in Shifang were divided into control group,emergency group and reconstruction group.Their basic data including abnormal pregnancy,cesarean section and hospital infection were retrospectively analyzed. Results The rate of cesarean section was 80.9% and 76.4% respectively for emergency group and reconstruction group,which was higher than that（70.9%） for control group.Premature rupture of fetal membranes occurred in 14 cases of reconstruction group,accounting for 66.7%（14/21） of all abnormal pregnant cases,higher than that in control group（36.0%,9/25） and in emergency group（29.4%,5/17）.The average operation time was 37.1min in emergency group,which was shorter than that in control and reconstruction groups.The incision was healed in emergency and reconstruction groups with no hospital infection occurred. Conclusion The number of cesarean sections in normal pregnant women of emergency group and premature ruptures of fetal membranes in abnormal pregnant women of reconstruction group is greater after than before earthquake.Cesarean section can be safely performed in a temporary operation room after earthquake,and is an effective measure against hospital infection.