Volume : IV, Issue : V, May - 2015

STUDY OF SECOND STAGE OF LABOUR

Dr. Jagruti Brahmbhatt, Dr. Gautam Unagar, Dr. Krutik Brahmbhatt

Abstract :

 Background:The second stage of labour from full dilatation of cervix to complete expulsion of fetus is the great  physical strain,often for mother and always for fetus. It is all the more surprising therefore that, compared with the  volumes written about pregnancy and the first stage of labour, so little attention has been focussed on the much shorter but more dramatic  second stage.The second stage is short but full of events which can be potentially hazardious for both mother and baby.The present study  mainly focuses on primary clinical issues during the second stage like, duration, clinical course, events, proper timing of and type of assistance required during second stage of labour Objective:Objective of this study is to analyze second stage along with incidence of type of assistance if required including rate of delivery by  LSCS.  Material and method: cohort of 96 women, out of which 48 were nullipara and 48 were multipara having live , singletone baby with maturity  >38wks,who spontaneously laboured and has reached the second stage were selected and included in study.Second stage was observed with  watchful expectancy along with FHS and uterine contractions.Decision for either vaginal delievery or LSCS was taken according to clinical  assessment of mother and/or fetal condition.Either instrumental assistance or ephysiotomy was given if required.Data was collected and the  second stage of labor was analyzed  Results:In the present study majority 74(77.08%) were registered patients as compare to emergency admissions.The commonest age group  was 21–25 yrs. of age for both nullipara as well as multipara.Average duration of second stage in this study was 45 min. for primipara while  27.5min. for multigravida.Incidence of normal vaginal delievery was 62.5% while incidence of operative vaginal delieveries and LSCS was  8.33% and 29.17% respectively.28(29.16%) had undergone LSCS out of which 10(10.41%) of cases birth weight was above 3kgs. 5 min. Apgar  score was 9–10 in 93.70% and 7–8 in 6.25% 0f babies in our study group.  Conclusion:The second stage of labour does not need to be terminated for duration alone.Instrumental delievery may help in reducing the  rate of LSCS. Restricted episiotomy has better maternal outcomes than a policy of routine episiotomy as well as it is costeffective.There is no  relationship between the second stage duration and low 5–minute Apgar score

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr.Jagruti Brahmbhatt, Dr.Gautam Unagar, Dr.Krutik Brahmbhatt STUDY OF SECOND STAGE OF LABOUR International Journal of Scientific Research, Vol : 4, Issue : 5 May 2015

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