Comparison of feto maternal outcome between first and second stage cesarean sections in rural tertiary hospital

Nanthini and Mirunalini S

Aim: To determine maternal and neonatal outcome associated with cesarean section done in women at term in second stage of Labour, and to compare them with outcomes of first stage cesarean section. Materials and Methods: A prospective observational study, comparing two groups: Group I: 60 women, who underwent cesarean section in second stage of labour and Group II: 60 women, who had cesarean section in first stage of labour. The study was done at Rajah Muthiah Medical College and Hospital, Annamalai University, Chidambaram. November - 2014 to October - 2016. Results: Out of 4725 deliveries, 1.26% of cesareans were performed in second stage. Group 1 patients had higher maternal and perinatal morbidity like uterine incision extension (25%), atonic PPH (8.3%), prolonged bladder catheterization (35%), wound infection (20%) and postpartum fever (9%) while complication in first stage sections was wound infection (5%), post partum fever (10%), blood transfusion (6.7%). There were more NICU admissions in Group I (66%) vs (40%) than in Group II. There were 3 perinatal deaths in Group I and one in Group II. Mean birth weight of babies was more in group I (2.96 kg vs 2.72kg) (P<0.05). Conclusion: Second stage cesareans are associated with significant intra-operative and neonatal morbidity higher birth weight is a risk factor for cesarean section in second stage of labour

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