Fetomaternal Outcome in Second Stage Caesarean Section

Khaniya, Bishal

doi:10.3126/nmj.v3i1.28923

Cited by 6 publications

(8 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sameer et al also reported the same findings. [15][16][17][18][19][20][21][22][23][24][25][26][27] A retrospective study from Canada has shown that women delivered by caesarean sections at full dilatation of the cervix were 2.6 times more likely to have intraoperative trauma. 10 These difficulties were due to the edematous lower segment, overstretched and thinned-out lower segment, and impaction of presenting part in the pelvis as the duration for the second stage increases.…”

Section: Discussionmentioning

confidence: 99%

The study of fetomaternal outcome in second stage caesarean section

Khanam,

A.,

Ahmed

2024

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Caesarean section is commonly perceived as a simple alternative to difficult vaginal birth and in the recent years its prevalence during the second stage is increasing. Caesarean section in second stage of labor has additional associated risks for the mother such as obstetric hemorrhage, extended uterine tear, bladder injury and longer hospital stay. It is also associated with increased neonatal morbidity in terms of NICU admissions, fetal acidemia, hypoxemia and prolonged NICU stay. This study was conducted to know the indications of second stage caesarean section and to assess maternal and neonatal outcomes in second stage caesarean section. Methods: We conducted a prospective observational study conducted at a tertiary perinatal care center from August 2021 to August 2022. All second stage caesarean sections performed during this period were analyzed in terms of indication for caesarean section, intraoperative, postoperative complications and fetal outcomes. Results: During the study period there were a total of 10433 deliveries. Out of this, 5392 deliveries done by caesarean section, in which 67 were second stage caesarean section. Deep transverse arrest was the most common indication for caesarean section in second stage of labor. Most common intra operative complication was uterine atony, seen in 32.5% cases. 16 (24%) NICU admission were noted with respiratory distress being the most common indication. 15 (23%) had post operative complications like febrile illness. Conclusions: Second stage caesarean section is associated with significant maternal and neonatal morbidity. A skilled obstetrician and proper training are required to take appropriate decisions for caesarean section at full dilatation of cervix.

show abstract

Section: Discussionmentioning

confidence: 99%

The study of fetomaternal outcome in second stage caesarean section

Khanam,

A.,

Ahmed

2024

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…In general, caesarean delivery is associated with more severe maternal complications compared to vaginal deliveries. 2,3 The stage of labour at rate/risk of complication. 4 As the CS rate is rising everywhere, so is the incidence of second-stage CS.…”

Section: Introductionmentioning

confidence: 99%

Feto-maternal outcome of second stage cesarean section in B. P. Koirala institute of health sciences: a retrospective study

Yadav

Shrestha²,

Sah³

et al. 2023

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Cesarean section (CS) is a common surgical procedure performed in obstetrics. The rate of rise of CS can be attributed to the increase in safety of the procedure, enhanced surgical techniques, improved antibiotics, increase in number of women requesting for CS. In general, caesarean delivery is associated with more severe maternal complications compared to vaginal deliveries. The stage of labour at which CS is undertaken has been shown to influence the rate/risk of complication. Methods: It was an observational and retrospective study that depended on some clinical records related to more than 37 weeks’ gestation. The study was conducted in BP Koirala institute of health sciences, Dharan Nepal from 2021 December to 2022 December. The neonatal as well as maternal outcomes have been evaluated for CS among those who were observing the second stage in their labor period. The test statistics used to analyse the data were descriptive statistics chi-square test. Results: The total delivery was 16131 out of which there were 6748 cesarean deliveries. Out of 6748 CS 65 patients had cesarean in second stage of labour. The most common cause of CS in second stage of labor was arrest of descent and dilatation (40%), followed by meconium-stained liquor (15.38%), occipito-posterior position (12.30%), and obstructed labour (3.07%) Being the least cause. One patient had to undergo peri-partum hysterectomy and the most common complication of second stage CS was prolong foleys catheterization (15 patients), post-partum febrile illness (20 patients out of 65), followed by wound infection, PPH, blood transfusion. The neonatal admission for NICU were birth asphyxia and respiratory distress were 50% each. Conclusions: CS in the second stage of labor is correlated with considerably improved neonatal and maternal rate of morbidity along with expanded neonatal mortality. A proper judgment and skilled obstetrician are required to perform a second-stage CS. CS in the second stage of labor is a technically demanding procedure with an increased risk of maternal and neonatal morbidity compared to the CS in the first stage of labor.

show abstract

“…Cesarean section (CS) is the delivery of the fetus through incisions in the abdominal and uterine walls and is considered an alternative to vaginal delivery [1][2][3]. Recent data demonstrate that the prevalence of CS is increasing rapidly with second-stage CS from 0.9% to 2.2% [4,5]. The second stage of labor which usually used to last two hours begins with full cervical dilation that is 10 cm and completes with the delivery of the fetus [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Either emergency or an elective CS, both are more likely to experience complications than a typical vaginal delivery. Owing to the complexity of CS in the second stage of labor, it is technically challenging to accomplish due to the profoundly impacted head of the fetus in the pelvis, the lack of liquor, and the occurrence of the oedematous thin segment at a lower level [5,9,12].…”

Section: Introductionmentioning

confidence: 99%

“…In spite of the rise in CS during the last 20 years, the escalation of emergencies has received little attention for CS in the second stage. For many women, CS is either unplanned or not even considered, and it's disappointing and traumatic for the women when CS is done after a very long and difficult second stage of labor (that is at complete cervical dilatation) [5,9,12]. Training gaps, inadequate monitoring of junior staff when making decisions, and an absence of national guidelines for conducting sections at full dilation are among the significant factors contributing to the alarming increase in CS deliveries [5,9,15].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Obstetrics Outcomes in Women Undergoing Second-Stage Cesarean Section: A Cross-Sectional Study

Vashi,

Vijay,

Bhalerao

et al. 2023

Cureus

View full text Add to dashboard Cite

BackgroundCesarean section (CS) involves the delivery of the fetus through incisions in the abdomen or uterine walls which is an alternative to vaginal delivery. In the majority of women, second-stage CS is performed without even attempting assisted vaginal delivery. This leads to difficulty for obstetricians for whether to perform an immediate CS or attempt a difficult vaginal birth as the effective method of delivery as CS are linked with higher morbidities which further increase when a CS is performed in the second stage. Hence, the present study was performed to find out obstetrics results in women undergoing second-stage CS. MethodA cross-sectional study was conducted in the Department of Obstetrics and Gynecology of a tertiary care center attached to a medical college to study obstetric outcomes in women undergoing second-stage CS from January 2021 to December 2022 on 54 postnatal women who underwent second-stage CS. ResultsThe mean age was 26.7 ± 3.9 years ranging between 19 and 35 years involving a majority of primiparity women. Maximum patients were having gestational age between 39 and 40 weeks and had spontaneous labor. The main indication of second-stage CS was non-reassuring fetal status and the method of delivery mainly involved for the deeply impacted head was the modified patwardhan technique in which if the head is embedded deeply in the pelvis in the OP position the anterior shoulder is delivered first followed by the same side leg then opposite side leg followed by the arm is gently delivered. Baby's trunk, legs, and buttocks are moved out by pulling them carefully and gently. And lastly, the head of the infant is finally moved out. The intra-operative complications mainly found were an extension of uterine angle and the post-operative complication was post-partum hemorrhage (PPH). The most common neonatal complication was the requirement for neonatal intensive care unit (NICU) admission. In conclusion, the present study reported a hospital range between seven and 14 days in comparison to other studies that reported hospital stays between three and 15 days. ConclusionIn conclusion, higher maternal and fetal morbidities were associated with CS performed at full dilation of the cervix. The most common maternal complication seen was an injury to uterine vessels along with PPH however neonatal complications included the requirement of NICU monitoring. As there are no appropriate guidelines for the same, formulation of guidelines for performing CS at full dilation is required.

show abstract

Fetomaternal Outcome in Second Stage Caesarean Section

Cited by 6 publications

References 11 publications

The study of fetomaternal outcome in second stage caesarean section

The study of fetomaternal outcome in second stage caesarean section

Feto-maternal outcome of second stage cesarean section in B. P. Koirala institute of health sciences: a retrospective study

Obstetrics Outcomes in Women Undergoing Second-Stage Cesarean Section: A Cross-Sectional Study

Contact Info

Product

Resources

About