A Cross Sectional Study of Feto-Maternal Outcome for Second Stage Cesarean Delivery

Abstract

Background: Caesarean delivery at full dilation of cervix is associated with increased technical difficulty and feto-maternal
complications.Objectives: To know the short term maternal and foetal outcome in second stage caesarean deliveries. Material & Methods: This
is a descriptive, prospective cross-sectional study done at Vani Vilas hospital attached to Bangalore medical college and research institute from
Jan 2022 to Dec 2022. Intra operative and immediate post operative complications were collected from case record, mother and new-born were followed during hospital stay till discharge. Data entered in MS excel sheet and analysed using SPSS version 20.0. Descriptive statistics of the explanatory and outcome variables were calculated by mean, standard deviation for quantitative variables, frequency and proportions for qualitative variables. Results: Sample size was 98 women in one year. Mean Age of the sample population is 25.71±3.26 years, 67.3% are primi gravid women. Common methods of extraction included Vertex and Patwardhan method. Extension of hysterotomy incision seen in 20.4%. PPH seen in 16% of women. About 16% of new-borns required NICU admission. One still birth and two neonatal deaths were noted. Conclusions: Second stage caesarean delivery carries increased morbidity both to mother and child. Skill and expertise are required to reduce the complications during second stage caesarean sections.