Maternal and Fetal Outcome in First Stage versus Second Stage Caesarean Section
DOI:
https://doi.org/10.21276/8fa1kz83Keywords:
Maternal, First StageAbstract
Background: Caesarean Section (CS) is the most commonly performed abdominal operation in women all over the world. CS can be performed before labour or during the first and second stages of labour. Hence; the present study was undertaken for assessing maternal and fetal outcome in first stage versus second stage caesarean section.
Materials & Methods: 100 caesarean sections were studied in the present study, out of which, 60 sections were done in first stage of labour (Group A) and the remaining 40 sections were performed in the second stage of labour (Group B). Assessment of signs for first stage Caesarean section, signs for second stage Caesarean section was done. Assessment of intra-operative complications was done. Neonatal outcome was assessed. Presence of any adverse effects to the mother and baby which developed during their hospital stay was also recorded. All the results were recorded in Microsoft excel sheet and were analysed by SPSS software. Chi-square test was used for assessment of level of significance.
Results: Significantly higher incidence of complications was seen among subjects of group B in comparison to group A. Postpartum hemorrhage was found to be present in 5 subjects of group A and 29 subjects of group B. Blood transfusion requirement was seen in 7 patients of group A and 20 patients of group B. postoperative wound infection was seen in 2 patients of group A and 8 patients of group B.In the present study, neonatal complications were significantly higher in subjects of group B in comparison to group A. Respiratory distress was seen in 23 neonates of group A while it was seen in 29 neonates of group B. No mortality was seen in group A while 4 neonates died in group B.
Conclusion: Subjects in the second stage (delivered by caesarean section) are associated with a higher risk of complications. Therefore; it is suggested that second stage caesarean should preferably be performed by an experienced and skilled obstetrician.
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Belay T, Yusuf L, Negash S. A comparative study on first stage versus second stage caesarean section on maternal and perinatal outcome. Ethiop Med J. 2014 Jan;52(1):1-8.
Selo-Ojeme D, Sathiyathasan S, Fayyaz M. Caesarean delivery at full cervical dilatation versus caesarean delivery in the first stage of labour: comparison of maternal and perinatal morbidity. ArchsGynecolObstet 2008; 278:245–9.
Murphy DJ, Liebling RE, Verity L, Swingler R, Patel R. Early maternal and neonatal morbidity associated with operative delivery in second stage of labour: a cohort study. Lancet 2001;358:1203–7.
Bahl R, Strachan B, Murphy DJ. Outcome of subsequent pregnancy three years after previous operative delivery in the second stage of labour: cohort study. BMJ 2004;328(7435):311.
Liebling RE, Swingler R, Patel RR, Verity L, Soothill PW, Murphy DJ. Pelvic floor morbidity up to one year after difficult instrumental delivery and caesarean section in the second stage of labor: a cohort study. Am J ObstetGynecol 2004;191:4–10.
Hall MH, Campbell DM, Fraser C, Lemon J. Mode of delivery and future fertility. Br J ObstetrGynaecol 1989;96:1297–1303.
Singh M, Varma R. New developments. Reducing complications associated with a deeply engaged head at caesarean section: a simple instrument. TOG 2008;10:38–41.
Sethuram R, Jamjute P, Kevelighan E. Delivery of the deeply engaged head: a lacuna in training. J ObstetGynaecol 2010;30:545–9.
Villar J, Valladares E, Wojdyla D, Zavaleta N,Carroli G, Velazco A, et al. Caesarean delivery ratesand pregnancy outcomes: the 2005 WHO globalsurvey on maternal and perinatal health in LatinAmerica. Lancet. 2006;367(9525):1819-29.
Levy R, Chernomoretz T, Appelman Z, Levin D, OrY, Hagay ZJ. Head pushing versus reverse breechextraction in cases of impacted fetal head duringCaesarean section. Eur J ObstetGynecolReprodBiol2005;121(1):24-6.
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 ObstetGynaecol. 2014 Oct;34(7):598-604.
Das S, Sarkar SK. Delivery in a Tertiary Rural Medical College. Feto Maternal Outcome in Second versus First Stage Caesarean. IOSR Journal of Dental and Medical Sciences. 2014; 13(12): 28- 30.
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