Cesarean delivery outcomes after a prolonged second stage of labor

Sung, Joyce F.; Daniels, Kay; Brodzinsky, Laura; El‐Sayed, Yasser Y.; Caughey, Aaron B.; Lyell, Deirdre J.

doi:10.1016/j.ajog.2007.07.005

Cited by 88 publications

(79 citation statements)

References 14 publications

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“…-14 -Sung et al found that a second stage of labor longer than 4 hours was associated with an increase in unintentional hysterotomy extensions at cesarean delivery and prolonged operative time (15). In the PEOPLE trial, there is no data about adverse events occurring during caesarean such as hysterotomy extension or bladder injury.…”

Section: Commentmentioning

confidence: 99%

When to stop pushing: effects of duration of second-stage expulsion efforts on maternal and neonatal outcomes in nulliparous women with epidural analgesia

Ray

Audibert

Goffinet

et al. 2009

American Journal of Obstetrics and Gynecology

165

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Dr. Audibert receives salary support through a CIHR New Investigator Award. Word count:-abstract: 153-text: 2807-3 - CONDENSATIONRelative to the first hour of expulsive efforts, chances of spontaneous vaginal delivery decrease every hour, while maternal risks increase.-4 - The risk of postpartum hemorrhage and intrapartum fever increased significantly after 2h of pushing. Conclusion:Faced with a decreasing probability of SVD and increased maternal risk of morbidity after 2 hours, we raise the question as to whether expulsive efforts should be continued after this time.

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Section: Commentmentioning

confidence: 99%

When to stop pushing: effects of duration of second-stage expulsion efforts on maternal and neonatal outcomes in nulliparous women with epidural analgesia

Ray

Audibert

Goffinet

et al. 2009

American Journal of Obstetrics and Gynecology

165

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“…Intraoperative complications of emergency cesarean section done in advanced labour add significantly to maternal mortality and morbidity in terms of increased risk of cervical tears, extension of uterine incision and excessive intra-operative haemorrhage. 7,8 The commonest intra operative complication encountered was atonicity of the uterus (Table 7), which might be due to various factors like prolonged labour, inducing agents and drugs used for cervical ripening. Uterine atonicity was noted in 33.2% of patients.…”

Section: Modified Patwardhan Technique 45mentioning

confidence: 99%

Rising rates of second stage caesarean section and its impact on maternal outcome

Kumaresan¹,

Loganathan²

2018

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONCaesarean section represents the most significant interventional operative procedure in all of obstetrics. Its development and meaningful application has helped us to provide safe motherhood and improved quality of life of mother and new born by avoiding serious delivery complications. The incidence of cesarean section has increased tremendously over the recent years. The rate of cesarean deliveries continues to increase despite efforts to constrain operative abdominal deliveries. This is a cause for concern because cesarean section is associated with higher likelihood of adverse outcomes for both mother and fetus as compared to vaginal delivery. There is an alarming rise in caesarean section leading to increased adverse outcomes for both the mother and fetus when compared with vaginal delivery. With this increasing caesarean section rate, there is a concerning increase in the rate of second stage caesarean section. This study highlights includes the rate of caesarean deliveries in the second stage of labour, the indications for delivery and the associated maternal morbidity in this cohort of women.Methods: This was a prospective cohort review of all women with a singleton, cephalic fetus at term delivered by caesarean section in the second stage of labor between July, 2016 and December 31, 2017 at government medical college hospital Dharmapuri. The main outcome measures were second stage caesarean section, indications and its maternal morbidity. Results: 250 women underwent caesarean delivery in the advanced labor. Among the 250 patient's majority of them were in the age group of 21-30 yrs. about 76% of the patients were primigravidae and only the remaining 24% were multigravida. The commonest indications for doing caesarean section in the second stage of labor was cephalo pelvic disproportion and non-reassuring fetal heart rate patterns. The difficult task was delivery of the deeply engaged head, the increased likelihood of intraoperative and post-operative complications. Conclusions: Cesarean sections done in second stage of labor are associated with several intra-operative maternal complications and morbidity.

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“…3,4 However, maternal morbidities are increased and include operative vaginal delivery, anal sphincter tears, postpartum haemorrhage and emergency Caesarean sections (CSs). [5][6][7][8] Furthermore, the rates of CS have risen steadily in the past two decades and may be associated with a disproportionate rise in second-stage CS due to a decline in the use of instrumental deliveries. 9 Most reports on second-stage CS originate in well-resourced countries [3][4][5][6][7][8] and tertiary academic institutions and have led to the Royal College of Obstetricians and Gynaecologists recommending the presence of a consultant obstetrician whenever a CS is performed in the second stage of labour.…”

Section: Introductionmentioning

confidence: 99%

Second-stage primary Caesarean deliveries: Are maternal complications increased?

Moodley

Devjee

Khedun

et al. 2009

South African Family Practice

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Cesarean delivery outcomes after a prolonged second stage of labor

Cited by 88 publications

References 14 publications

When to stop pushing: effects of duration of second-stage expulsion efforts on maternal and neonatal outcomes in nulliparous women with epidural analgesia

When to stop pushing: effects of duration of second-stage expulsion efforts on maternal and neonatal outcomes in nulliparous women with epidural analgesia

Rising rates of second stage caesarean section and its impact on maternal outcome

Second-stage primary Caesarean deliveries: Are maternal complications increased?

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