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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 14, Issue 3, April 2015 pp 520-522
Comparison of obstetric and neonatal outcome between first and second stage caesarean sections in Tertiary Hospital, MMC & RI, Mysore
Professor, Department of Obstetrics and Gynaecology, Mysore Medical College, Mysore, Karnataka, INDIA.
Aim: To determine maternal and neonatal outcome associated with caesarean section done in women at term in second stage of labour, and to compare them with outcomes in first stage caesarean sections. Materials and Methods: A retrospective cohort study, comparing two groups, Group I: 60 women who underwent caesarean section in second stage and Group II: 60 women who underwent caesarean section in first stage of labour. The study was done at Department of Obstetrics and Gynaecology at Cheluvamba Hospital, MMC and RI Mysore between June 2013 to June 2014. Data was collected from parturition register and from medical records of the patient. Results: Out of 10,190 deliveries, they were 3,752 caesarean deliveries with a rate of 36.8 %.The rate of second stage caesarean section was 1.6%. Group I patients had higher maternal and perinatal morbidity like uterine angle extension (28.3%), atonic PPH(50%), Prolonged bladder catheterisation(51.7%), wound infection (6.7%) and postpartum fever (26.7%) while only complication in first stage caesarean sections was atonic PPH (5%). They were more NICU admission in Group I( 68.3% VS 30%) than in Group II. There were 10 perinatal deaths in Group 1 and 2 in Group II. Mean birth weight of babies in Group I (3.03 kg VS 2.8 kg) (P<0.05). Conclusion: Second stage caesarean sections are associated with significant intra-operative and neonatal morbidity. Higher birth weight is a risk factor for second stage caesarean sections.