Volume : VII, Issue : XII, December - 2018

SECOND STAGE CAESAREAN SECTION:IMPACT ON FOETO-MATERNAL OUTCOME-AN OBSERVATIONAL STUDY IN A TERTIARY CARE HOSPITAL

Dr. Mousumi Dutta, Dr. Rezina Banu, Dr. Gouranga Sarkar, Dr. Ibadahun Suchiang

Abstract :

 

Objectives- To study the various feto-maternal outcome in relation of second stage caesarean section.

Method- It is a prospective observational study of 80 patients from January 2018 to october 2018 .The feto-maternal outcomes were recorded in all singleton pregnant mothers undergoing second stage caesarean section and analysed.

Results- Total number of deliveries in study period were 10,300. Total number of caesarean section (CS) were 3400 in the study period, rate of CS is 33%. Second stage CS is 80, rate is 2.35%. Mean maternal age was 26.7 years .Though most common indication was non-progress of labour(56.25%) and a good number of obstructed labour (31.25%) was also  found. Most patients were multiparous (37.5%). 75% patient had spontaneous onset of labour. Several maternal complications were there e.g. mostly post partum haemorrhage(PPH) 31.64%, puerperal infection 31.25%, blood transfusion 37.5%, prolonged hospital stay more than seven days 15%,uterine angle extension 25%. We even encountered one maternal death due to ruptured uterus in second stage of labour 1.25%.  Mean birth weight of neonate was 2.90Kg . 37.5% babies were more than 3kg. 50% babies were between 2.5 -3kg. 40 neonates were admitted in neonatal intensive care unit (NICU). Mostly 37.5% had birth asphyxia then hyperbilirubinemia 30%, sepsis 25%, respiratory distress syndrome 25%. One neonate was fresh stillborn 1.25% and eight perinatal death occurred in NICU  that is 11.25%. 5% neonate had foetal injuries during extraction either bony or visceral.                                             

Conclusion- Second stage CS are associated with maternal and foetal morbidity and mortality but it can be greatly avoided by an expert team of obstetrician and neonatologists where decision, judgement and operative skills and new born resuscitation matter a lot.

Keywords :

Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

SECOND STAGE CAESAREAN SECTION:IMPACT ON FOETO-MATERNAL OUTCOME-AN OBSERVATIONAL STUDY IN A TERTIARY CARE HOSPITAL , DR. MOUSUMI DUTTA, DR. REZINA BANU, DR. GOURANGA SARKAR, DR. IBADAHUN SUCHIANG , GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-7| Issue-12 | December-2018


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