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Title: Caesarean Section During Second Stage of Labor in a Tertiary Centre
Authors: Gurung, Padma
Malla, Sameer
Lama, Sushma
Malla, Anagha
Singh, Alka
Citation: GurungP., MallaS., LamaS., MallaA., & SinghA. (2017). Caesarean Section During Second Stage of Labor in a Tertiary Centre. Journal of Nepal Health Research Council, 15(2), 178-181.
Issue Date: 2017
Publisher: Nepal Health Research Council
Keywords: Caesarean complications
Emergency caesarean section
Maternal morbidity
Neonatal morbidity
Second stage of labor
Series/Report no.: May-Aug, 2017;1016
Abstract: Abstract Background: There is an alarming rise in caesarean section leading to increased adverse outcomes for both the mother and fetus when compared with vaginal delivery. Within this increasing caesarean section rate, there is a concerning increase in the rate of second stage caesarean section. This study highlight the feto-maternal outcome of caesarean section in second stage of labour. Methods: This was a retrospective cohort review of all women with a singleton, cephalic fetus at term delivered by caesarean section in the second stage of labor between April 1, 2013 and March 30, 2017 at Patan Academy of Health Sciences. The main outcome measures were second stage caesarean section, indications and its maternal and fetal morbidity. Results: During the study period, there were 40,860 deliveries. A total of 18,011 (44%) babies were born by caesarean section, 10484 emergency and 7527 elective. Out of the emergency caesarean section, 200 (1.9 %) were performed in second stage of labor. In this study, the most common indication was cephalopelvic disproportion. (92.4%) were delivered without a trial of instrumental delivery. In terms of maternal complications, atonic post partum haemorrhage uterine incision extension 18 (12.5%), postoperative fever 27(18.8%), wound infection 7 (4.8%) were observed. In perinatal complications, meconium stained amniotic fluid 49(34.2%), neonatal hyperbilirubinemia 14(9.7%) and increased nursery admission 2(15.3%) and 2(1.3%) perinatal mortality were seen. Conclusions: Cesarean sections done in second stage of labor are associated with several intra-operative maternal complications and neonatal morbidity. Keywords: Caesarean complications; emergency caesarean section; maternal morbidity; neonatal morbidity; second stage of labor.
Description: Original Article
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol 5 No 2 Issue 36 May-Aug 2017

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