Feto-Maternal Outcome in Caesarean Sections Performed in Second Stage of Labour

Abstract

The second stage caesarean section is associated increased maternal and foetal morbidity due to its inherent technical difficulties. This was a prospective observational study of 25 cases of caesarean sections done in second stage of labour in Teaching Hospital Batticaloa, Sri Lanka. The main aim of the study was to identify the maternal and perinatal outcomes of second stage caesarean sections. The findings of this study will help for auditing of current practices and improve the standards of care. Blood stained urine was the major complication observed in 60% of patients followed by difficulty in extraction of the baby in 48%. The lower uterine segment tear and angle extension were observed in 12% of patients; PPH and Broad ligament hematoma were noted in one in each patient. Mean duration of hospital stay is 2.28 days. Longer duration was 5 days as she underwent total abdominal hysterectomy due to extensive uterine tears during caesarean section. All the babies had APGAR score of more than 7 at 5 minutes. Nearly 20% (n=5) of the babies were admitted to PBU, among them one required neonatal resuscitation at birth and two received IV antibiotics for possible sepsis. There were no maternal and neonatal mortality reported in this study.