en General پژوهشي Research Article <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><strong>Background:</strong>The rate of cesarean delivery is increasing worldwide despite alarming potential risks.<strong><br> Objectives:</strong>This study aimed to evaluate the relationship between maternal co-morbidities and adverse outcomes of cesarean sections.<strong><br> Methods:</strong>This study was conducted at Alzahra Hospital in Rasht, Iran, during 2023. Demographic data of pregnant women, their co-morbidities, and cesarean outcomes, defined as mortality or complications including postoperative ICU admission and the first-minute neonate&rsquo;s Apgar score, were recorded. The relationship between maternal co-morbidities, the number of co-morbidities, cesarean section outcomes, and the first-minute neonate&rsquo;s Apgar score were analyzed. The data were analyzed using SPSS version 21. The Kolmogorov&ndash;Smirnov test, chi-squared test, and two independent t-tests were used.<br> <strong>Results:</strong>The data from 246 women were analyzed. Gestational diabetes mellitus (36.2%) was the most common co-morbidity. More than 90% of babies had an Apgar score of 7 - 10. Regarding the relationship between maternal co-morbidities and unwanted outcomes, no statistically significant association was found except for hypertensive disorders (P = 0.003). Apgar scores were not affected by maternal co-morbidities (P = 0.183). No cases of mortality were reported.<br> <strong>Conclusions:</strong>Despite a notable number of maternal co-morbidities, limited adverse outcomes with no mortality were documented, emphasizing the role of cohesive teamwork in improving outcomes.</span></span></div> esarean Section,Morbidity,Outcome Assessment 0 0 http://mcj.bums.ac.ir/browse.php?a_code=A-10-1-294&slc_lang=en&sid=1 Sara Farzadi 10031947532846004992 10031947532846004992 No Department of Obstetrics and Gynecology, Alzahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Fatemeh Hosseinzadeh 10031947532846004993 10031947532846004993 No Department of Obstetrics and Gynecology, Alzahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Soheil Soltanipour 10031947532846004994 10031947532846004994 No Department of Community Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Samaneh Ghazanfar Tehran 10031947532846004995 10031947532846004995 No Department of Anesthesiology, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran Maryam Kounani 10031947532846004996 0009-0005-7945-0665 No School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Mahin Tayefeh Ashrafiyeh 10031947532846004997 10031947532846004997 No Department of Anesthesiology, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran Gelareh Biazar gelarehbiazar1386@gmail.com 10031947532846004998 10031947532846004998 Yes Department of Anesthesiology, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran