BEYOND THE INCISION: UNVEILING THE SURGICAL COMPLEXITIES, MATERNAL MORBIDITY, AND NEONATAL OUTCOMES IN SECOND STAGE CAESAREAN SECTIONS

Abstract

Introduction: At a rural tertiary care centre in Karad, Maharashtra, this study examines the fetomaternal outcomes linked to caesarean births made during the second stage of labour. Understanding how important it is to make decisions on time, the research attempts to provide light on the complications and hazards associated with this particular delivery method, particularly for women who have already had caesarean sections and those who have used instruments in the past.

Background: Research on second-stage caesarean births has shown its share of difficulties and problems. It also emphasises the necessity for a thorough understanding of indications, complications, and potential morbidities. By comparing this work to other research, Anupama D et al., C oglu, O et al., Thirukumar M. et al., and Goswami KD et al., it offers a more nuanced understanding of maternal and newborn outcomes in various contexts.

Materials and Methods: One hundred patients in the second stage of labour participated in a prospective observational trial that ran from November 2020 to August 2022. Comprehensive demographic information, parity, gestational age, and caesarean section reasons were documented. All neonatal outcomes were carefully recorded, including birth weight, respiratory distress, and hospitalisations to the intensive care unit. The approach made it possible to thoroughly examine all of the variables affecting fetomaternal outcomes.

Results: Analysis of the data revealed a higher risk of complications, particularly for primiparous women and those with fetal distress as an indication for caesarean delivery. Fetal positions during the procedure, attempted ventouse applications, and diverse indications provided a detailed understanding of the challenges faced by healthcare professionals. Neonatal outcomes, including respiratory distress and NICU admissions, highlighted the multifaceted nature of second-stage caesarean deliveries.

Conclusion: The study underscores the importance of early decision-making in optimizing maternal and neonatal outcomes during second-stage caesarean deliveries. Comparative analyses with previous research reaffirm the consistency in maternal and neonatal complications associated with this mode of delivery. The findings contribute valuable insights for informed decision-making and improvements in clinical practices in similar healthcare settings.