European Journal of Molecular & Clinical Medicine

Abstract

Background: Second stage caesarean sections (SSCS’s) are becoming more common. More possibilities of foetal and maternal harm are linked to second stage caesarean sections. Although there are a number of methods stated to deliver the foetal head during a second stage caesarean operation, the "pull" approach has less risks. Aim & Objective: The purpose of the current study is to learn more about the surgical challenges, maternal complications, and neonatal problems associated with recurrent caesarean sections in second stage labour. Material and Methods:This was prospective observational study conducted at a rural tertiary care canter Karad. All second stage caesarean sections performed between June 2020 to May 2022 were analysed in terms of incidence, indications of caesarean-section, intra-operative and postoperative complications, maternal and fetal outcome. Results: During the study period there were total 6102 deliveries was observed. Out of them 100 were 2^nd stage caesarean sections contributing to 2.8% of total sections. Patwardhan method was used in 33% cases for delivery of deeply engaged head. Intra-operative complications were identified 51% patients in that majority of 26 patients had extraction difficulty in which 19 patients had lower uterine segment tear and angle extension and 7 patients had hematoma. In 11 patients there was atonic post-partum haemorrhage out if which 10 patients were managed medically and 1 patient underwent surgical intervention (B-lynch suture). In 3 patients there was injury to the bladder in which bladder repair was done. Conclusion: Caesarean sections during the second stage of labour are substantially more likely to result in maternal morbidity. The morbidity and death of new-borns are also rising. A professional obstetrician must use sound judgement when deciding whether to perform a caesarean section at complete cervical dilation.