Table 2 Comparison of Maternal and Perinatal Outcome between elective caesarean section and TOLAC in case of eLGA
Elective C-section (n = 65) | TOLAC (n = 170) | P value | |
|---|---|---|---|
Birth weight | 3865 (3659–4168) | 3815 (3597–4085) | 0.068 |
Birth weight > 90th percentile | 61 (93.85%) | 146 (85.88%) | 0.074 |
Gestational age (weeks) | 38.92 | 39.42 | < 0.001 |
pH | 7.27 (7.23–7.30) | 7.26 (7.22–7.31) | 0.763 |
Lactates | 2.2 (1.7–3.2) | 3.2 (2.4–4.6) | < 0.001 |
5-min Apgar score | 10 (10–10) | 10 (10–10) | 0.04 |
Shoulder dystocia (needing Jacquemier) | 0 | 4 (2.42%) | |
Hospitalization in neonatology | 4 (6.15%) | 7 (4.12%) | 0.519 |
Intubation | 1 (1.54%) | 1 (0.59%) | 0.503 |
VNI | 8 (12.31%) | 10 (5.88%) | 0.112 |
Fracture (clavicle) | 1 (1.54%) | 3 (1.76%) | 0.904 |
Brachial plexus | 0 | 1 | 0.419 |
Foetal death | 0 | 0 | |
Intra-cerebral haemorrhage | 0 | 0 | |
Hypoglycemia | 2 (3.08%) | 4 (2.35%) | 0.757 |
Phototherapy | 2 (3.08%) | 5 (2.96%) | 0.962 |
VBAC | 0 | 117 (68.8%) | |
Uterine rupture | 0 | 0 | |
Postpartum haemorrhage | 10 (15.38%) | 15 (8.82%) | 0,158 |
Blood transfusion | 1 (1.54%) | 1 (0.59%) | 0.503 |
Episiotomy | 0 | 9 (5.49%) | 0.025 |
3RD / 4TH perineal tear | 0 | 0 | |
Operative delivery | 4 (6.15%) | 34 (20%) | 0.005 |
CD complications | 4 (6.45%) | 6 (5.13%) | 0.542 |