Fetomaternal Outcome of Second Stage Cesarean Section in GMC/DHQ MTI Dera Ismail Khan
DOI:
https://doi.org/10.70749/ijbr.v3i6.3098Keywords:
Caesarean section, Fetal distress, Obstetric labour complications, Postpartum haemorrhage, SepsisAbstract
Background: Second stage caesarean section is associated with difficult delivery and increased risk of adverse maternal and neonatal outcomes due to impacted fetal head and prolonged labour. Objective: To determine the fetomaternal outcome of second stage caesarean section. Study Design: Cross sectional study. Duration and Place of Study: This study was conducted from 02 November 2024 to 02 April 2025 in the Department of Obstetrics and Gynaecology, GMC/DHQ MTI Dera Ismail Khan. Methodology: A total of 138 women aged 18–45 years with singleton term pregnancy undergoing second stage caesarean section were included by non-probability purposive sampling. Fetomaternal outcomes including postpartum haemorrhage, neonatal intensive care unit admission, meconium aspiration, birth asphyxia, sepsis and prolonged labour were assessed. Data were analysed using Statistical Package for Social Sciences version 25. Results: Mean age was 28.40 ± 6.62 years and mean gestational age was 38.57 ± 1.73 weeks. Postpartum haemorrhage was observed in 39 (28.3%) patients. Neonatal intensive care unit admission was required in 38 (27.5%) neonates. Meconium aspiration was noted in 29 (21.0%) cases. Sepsis occurred in 16 (11.6%) women and birth asphyxia in 15 (10.9%) neonates. Prolonged labour was seen in 12 (8.7%) patients. Conclusion: Second stage caesarean section is associated with high fetomaternal morbidity, particularly postpartum haemorrhage and neonatal intensive care unit admission.
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