Feto Maternal Outcome in Second versus First Stage Caesarean Delivery in a Tertiary Rural Medical College

Abstract

Objective: We performed a hospital based cohort study to compare neonatal and maternal outcomes of the primary caesarean section performed in first stage versus second stage of labour. Methods: At least 100 cases underwent caesarean delivery in the second stage of labour were taken. For each case two consecutive cases underwent caesarean delivery during the first stage of labour were taken as control for the study. Primary maternal outcomes of interest were uterine atonia, transfusion requirements, urinary system injury and requirement for uterine artery/ hypogastric artery ligation. Results: Urinary injury, transfusion requirement, uterine atonia and requirement for uterine artery or hypogastric artery ligation were significantly more frequent in women who underwent caesarean section in the second stage of labour compare to women undergoing caesarean delivery in the first stage of labour. Conclusion: Caesarean section in the second stage of labour is associated with increased maternal and neonatal morbidities. Special attention is required to the patients undergoing caesarean section in the second stage of labour.