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

Authors

  • Isha . Department of Obstetrics and Gynecology, PGIMER, Chandigarh, India
  • Prabha Lal Department of Obstetrics and Gynecology, Lady Hardinge Medical College, New Delhi, India
  • Vikram Dutta Department of Paediatrics, Lady Hardinge Medical College, New Delhi, India
  • Aayushi Kaushal Department of Obstetrics and Gynecology, PGIMER, Chandigarh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20195323

Keywords:

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

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.

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Published

2019-11-26

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Original Research Articles