Study of maternal and perinatal outcome of caesarean delivery in late first stage and second stage of labour

Authors

  • Shweta Bhatia Department of Obstetrics and Gynecology, KMC Mangalore, Karnataka, India
  • Vijaya M. Revankar Department of Obstetrics and Gynecology, KMC Mangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20211128

Keywords:

Caesarean, Labour, Second stage of labour

Abstract

Background: Second-stage caesarean sections are known to be associated with increased maternal and perinatal complications as compared to late first stage caesarean sections. The objective of the study was to evaluate the maternal and perinatal outcome of caesarean deliveries in the late first stage and second stage of labour.

Methods: The prospective observational study of caesarean deliveries done in the late first stage (~8 cm of cervical dilatation) and second stage of labour was conducted at Lady Goshen Hospital, Mangalore and Kasturba Medical College Attavar, Mangalore from August 2018 to June 2020. Comparison of maternal and perinatal outcomes were assessed in late first stage and second stages of caesarean delivery.

Results: In the present study intraoperative complications such as extensions of uterine incisions, atonic PPH and bladder base injury and post-operative complications like need for blood transfusion, febrile morbidity and prolonged catheterisation were found more in second stage of labour. Perinatal complications such as hyperbilirubinemia and respiratory distress were found to be more in second stage of labour.

Conclusions: As caesarean deliveries are increasing, it is better to make an institutional protocol regarding duration of second stage of labour, use of instrumental delivery to guide us about timely intervention (operative vaginal/caesarean) in advanced labour, thereby aiming to reduce the maternal and perinatal complications.

 

Author Biography

Shweta Bhatia, Department of Obstetrics and Gynecology, KMC Mangalore, Karnataka, India

Junior Resident ,Department of Obstetrics and Gynecology, KMC ,Mangalore

References

Ronald G, Karlan S, Beth Y. Cesarean delivery. 10th ed. Danforth’s Obstetr Gynecol, Lippincott Publications. 2008;27:490-1.

Desai G, Anand A, Modi D, Shah S, Shah K, Shah A, et al. Rates, indications, and outcomes of caesarean section deliveries: A comparison of tribal and non-tribal women in Gujarat, India. PLoS One. 2017;12(12):e0189260.

Gifford DS, Morton SC, Fiske M, Keesey J, Keeler E, Kahn KL. Lack of progress in labor as a reason for cesarean. Obstet Gynecol. 2000;95(4):589-95.

Bugg GJ, Siddiqui F, Thornton JG. Oxytocin versus no treatment or delayed treatment for slow progress in the first stage of spontaneous labour. Cochrane Database Syst Rev. 2011;(7):CD007123.

Asıcıoglu O, Güngördük K, Yildirim G, Asıcıoglu BB, Güngördük OÇ, Ark C, Günay T, Yenigül N. Second-stage vs first-stage caesarean delivery: comparison of maternal and perinatal outcomes. J Obstet Gynaecol. 2014;34(7):598-604.

Anusha SR, Deepak AV, Jacob KJ. Maternal and neonatal outcome in second stage cesarean section versus first stage: a comparative study. International Journal of Reproduction, Contraception, Obstetr and Gynecol. 2018;7(11):4640-5.

Goswami KD, Parmar MM, Kunjadiya AN. Study of fetomaternal outcome in second stage caesarean section. International Journal of Reproduction, Contraception, Obstetrics and Gynecol. 2019;8(6):2169-71.

Fasubaa OB, Ezechi OC, Orji EO, Ogunniyi SO, Akindele ST, Loto OM, et al. Delivery of the impacted head of the fetus at caesarean section after prolonged obstructed labour: a randomised comparative study of two methods. J Obstet Gynaecol. 2002;22(4):375-8.

Jayaram J, Mahendra G, Vijayalakshmi S. Fetomaternal Outcome in Cesarean Sections Done in Second Stage of Labor. Indian Journal of Obstetrics and Gynecology Research. 2016;3(51).

Downloads

Published

2021-03-24

Issue

Section

Original Research Articles