Objective: To study the fetomaternal outcome in cesarean sections done in second stage of labor
Method: It is a prospective observational study of 60 cases of cesarean sections done in second stage of labor in Rajah Muthiah Medical College and Hospital, Annamalai University, Chidambaram, from November 2014 to October 2016.
Result: There were 4725 deliveries including 3071 cesarean sections in the study period. The cesarean rate was 64.99%. Of 3071 cases 60 were performed in second stage of labor contributing 1.26% of all cesarean sections. Most common indication for cesarean section in second stage of labor is obstructed labour due to CPD. Second stage cesarean sections are associated with increased risk of atonic PPH requiring medical management (8.3%), lower segment tears including angle extension and broad ligament hematoma (25%) along with other complications like extraction difficulty, post operative fever, wound sepsis, longer duration of hospital stay. Meconium stained amniotic fluid is present in 43.3% cases. Though timely second stage cesarean sections reduce perinatal mortality complications like low apgar, MAS, neonatal death can occur.
Conclusion: Cesarean sections done in second stage of labor are associated with increased intra-operative maternal complications and neonatal morbidity.
Theme: Healthy mother, healthy baby: Timely intervention to reduce fetomaternal complications.
