Evaluation of Maternal and Neonatal Outcomes in Cesarean Sections Performed in the Second Stage of Labor
1University of Health Sciences, İstanbul Okmeydanı Training and Research Hospital, Department of Obstetrics and Gynecology, İstanbul, Turkey
Eur Arch Med Res 2019; 35(2): 54-59 DOI: 10.4274/eamr.galenos.2017.60352
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Abstract

Objective: To compare maternal and neonatal outcomes in cesarean deliveries in the first and second stage of labor.

Methods: Sixty-five patients who had caesarean section in the second stage of labor and 90 patients who had caserean section in the first stage of labor were compared in terms of maternal and neonatal complications. Patient data was obtained from patient files and hospital electronic system records.

Results: Of the 155 patients included in the study, 58.1% (n=90) had a cesarean section in the first stage of labor and 41.9% (n=65) in the second stage of labor. The incidence of intraoperative surgical complication and postoperative endomyometritis was significantly higher in the cesarean section in the second stage of labor compared to the cesarean section in the first stage of labor. There was no significant difference in terms of blood transfusion requirement and neonatal complications between two groups.

Conclusion: Maternal morbidity risk is significantly higher in cesarean sections performed in the second stage of labor than in the first stage of labor.