ISSN 2736-1594
International Journal of Obstetrics and Gynecology ISSN 2326-7234 Vol. 6 (2), pp. 207-210, February, 2018. © International Scholars Journals
Full Length Research Paper
Fetomaternal outcome in second stage Caesarean section - An audit
Sandya MR1*, Shirley George2 and Lissy Varghese3
Senior Resident1*, Professor and HOD2, Junior Resident3
Department of Obstetrics and Gynaecology, St John’s Medical College Hospital Bangalore, Karnataka, India.
Corresponding author. Email: [email protected]
Accepted 05 January, 2017
Abstract
Caesarean section (CS) at full dilatation of cervix has many implications for maternal & neonatal morbidity and mortality. The objective of the study was to analyse the indication for second stage CS & its associated fetomaternal outcome. This cohort study was carried out in the Department of Obstetrics & Gynaecology for a period of one year during which we analysed 42 women who underwent second stage CS. Data was obtained by reviewing medical records. During the study period total number of CS performed were 1951 (36.42%), of these 42 (2.15%) was performed at full dilatation of cervix. Majority were primigravidae (92.8%), mean age was 25.38 ± 3.72 years and mean gestational age was 38.8 ± 1.16 wks. Duration of second stage was <2hrs in 47.6% & >2hrs in 26.2%. Significant caput was present in 85.7%. The most common indication for second stage CS was secondary arrest of descent seen in 54.7%. Commonest maternal complications were haematuria 76.1%, atonic PPH 26.1% and extension of uterine incision in 14.3%. Fourteen babies (33.3%) required NICU care. There was no maternal or perinatal mortality in the present study. Involvement of skilled obstetrician in decision making and delivery is crucial to minimise the complications.
Keywords: Second stage caesarean section, Fetomaternal outcome, maternal complications, neonatal complications.