DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20195323

A prospective observational study of fetomaternal outcome in second stage caesarean section

Isha ., Prabha Lal, Vikram Dutta, Aayushi Kaushal

Abstract


Background: Incidence of caesarean section is rapidly rising over last two decades and one fourth is contributed by caesarean section in second stage. The objective of this study was to study of fetomaternal outcome in second stage caesarean section.

Methods: Prospective observational study was done in 80 women undergoing second stage caesarean section from December 2015 to March 2017 at Lady Hardinge Medical Collage Delhi. These women observed from labour to caesarean section in second stage of labour till post-operative period for any complication. Intraoperative and postoperative complications were observed in these women.

Results: Caesarean section rate was 22% in which 3.9% were done in second stage of labour. Most common gestational age being 39-40 weeks (47%). Most common indication being deep transverse arrest (41.25%). Intraoperative complication as bladder injury (5%), extension of uterine incision (23%), PPH (33%) and need for blood transfusion (31%) and post-operative complication as wound sepsis in 58% and 20% requiring resuturing, post-operative fever, prolong hospital stay, prolonged catheterization etc. neonatal complications as severe birth asphyxia (2.5%), respiratory distress (55%), need for mechanical ventilation.

Conclusions: Thus, caesarean section done in second stage of labour is associated with increased maternal and neonatal morbidity.


Keywords


Caesarean section, Complication, Maternal and neonatal morbidity, Second stage of labour

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References


Dumont L, De Bernis MH, Bouvier C, Breat G, MOMA study group. Caesarean section rate for maternal indication in sub-Saharan Africa: a systematic review. Lancet. 2001;358:1328-33.

Zizza A, Tinelli I, Malvasi A, Barbone E, Stark M, Guido M, et al. Caesarean sections in the World: a new ecological approach. J Prevent Med Hyg. 2011;52:4.

Martin A, Hamilton BE, Ventura SJ, Osterman MJ, Kirmeyer S, Maathews TJ, et al. Birth: final data for 2009. Natl Vital Stat Rep. 2011;60:1-70.

Allen VM, O’Connell CM, Basket TF. Maternal morbidity associated with caesarean delivery without labour compared with spontaneous onset of labour at term. Int J Gynaecol Obstet. 2003;102:477-82.

Asicioglu O, Gungorduk K, Yildrim G, Cemal Ark. Second stage versus first stage caesarean delivery comparison of maternal and perinatal outcomes. J Obstet Gynecol. 2014;1:7.

Das S, Sarkar SK. Fetomaternal outcome in second versus first stage caesarean delivery in a tertiary rural medical collage. IOSR J Dent Med Sci. 2014;13(12):28-30.

Jain N, Prabha Lal. A retrospective comparative study of feto-maternal outcome in first and second stage caesarean section. Int J Reprod Contracep Obstet Gynecol. 2016;5(7):2282-6.

Jayaram J, Mahendra G, Vijayalakshmi S. Fetomaternal outcome in Caesarean sections done in second stage of labour. Indian J Obstet Gynecol India. 2016:3:51-4.

Shobha T, Jothi. The study of maternal and neonatal outcome of primary cesarean section at term - influence of labour and stage. International journal of science and research. 2016;5(4):2213-8.

Prameela. Comparison of obstetric and neonatal outcome between first and second stage caesarean sections in tertiary hospital MMC and RI, Mysore. Int J Recent Trends Sci Technol. 2015;14(3):520-2.

Moodley J, Devjee j, Khedun SM, Esterhuizen T. Second-stage primary Caesarean deliveries: Are maternal complications increased. SA Fam Pract. 2009;51(4):328-31.

Malathi J, Venigalla S. Comparison of obstetric outcome between first and second stage caesarean sections in rural tertiary hospital. Int J Pharma Biomd Res. 2012;3(4):222-5.