Retrospective study of maternal and neonatal outcome in second stage lower segment caesarean section in a tertiary hospital


  • M. P. A. Sailakshmi Department of Obstetrics and Gynecology, Raja Rajeswari Medical College and Hospital, Bangalore, Karnataka, India
  • Vidhyadhare G. S. Department of Obstetrics and Gynecology, Raja Rajeswari Medical College and Hospital, Bangalore, Karnataka, India



Intraoperative complications, Neonatal morbidity, Second stage LSCS


Background: Caesarean section at second stage are increasing and are associated with significant maternal morbidity. The overall caesarean section rates are also increasing from last two decades.

Methods: A retrospective study conducted in Department of Obstetrics and Gynaecology, Raja Rajeswari Medical College and Hospital, Bangalore from January 2018 to July 2019. Second stage LSCS were analysed in terms of indications, intraoperative and post-operative complications, neonatal morbidity.

Results: In our hospital during study period there were 2639 deliveries and total number of LSCS 1146 (43.42%) and caesarean section rate was 35-45% and second stage LSCS 60 (5.23%).

Conclusions: Second stage LSCS associated with more number of maternal and neonatal morbidity. Adequate clinical exposure and appropriate training are essential for safe performance in second stage LSCS.



Cunningham FG, Lenovo KJ, Bloom SL, Dashe JS, Hoffman BL, Cassey BM, et al. William’s text book obstetrics. 24th ed. Mc Graw Hill Medical Publishing Division; 2016.

Vousden N, Cargill Z, Briley A, Tydeman G, Shennan AH. Caesarean section at full dilatation: incidence, impact and current management. Obstet Gynaecol. 2014;16(3):199-205.

Unterscheider J, McMenamin M, Cullinane F. Rising rates of cesarean deliveries at full cervical dilatation: a concerning trend. Eur J Obstet Gynaecol Reprod Boil. 2011;157;141-4.

Panday GV. Second Stage caesarean section at a tertiary centre in South Africa. J Matern Fet Neonatmed. 2010;23(10)1151-5.

McKelvey A, Ashe R, McKenna D, Roberts R. Caesarean section in the second stage of labour: a retrospective review of obstetric setting and morbidity. J Obstet Gynaecol. 2010;30(3):264.

Singh S, Kohli UA, Vardhan S. Management of prolonged second stage of labor. Int J Reprod Contracept Obstet Gynecol. 2018;7(7):2527-31.

Babre VM, Bendre KR, Niyogi G. Review of caesarean sections at full dilatation. Int J Reprod Contracept Obstet Gynecol. 2017;6:2491-3.

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






Original Research Articles