Maternal Morbidity Associated with Caesarean Section at Fully Dilated Cervix

Abstract

Objective: To study the rate and maternal morbidity due to second stage caesarean section at fully dilated cervix. Methods: This cross sectional descriptive study was conducted from first January 2015 to 30 April 2018 at Gynae and Obs department ofPUMHS, Nawabshah at tertiary care hospital. Women with fully dilated cervix having singleton pregnancy with cephalic presentation at more than 37 weeks' gestation with induce or spontaneous labour and failed instrumental vaginal delivery. The demographic and clinical data was collected on a pre-designed proforma. and statistically analysed. Results: During study period total 9532/29000 38°•ii ) women were delivered by caesarean section over all ratio of operative delivery was 38 % in hospital from these operative births 356 women (3.7%) were performed at full cervical dilatation at more than 37 weeks' gestation. Maternal complication noted during operation were postpartum haemorrhage (.30%), increase need of blood transfusion about 9-12 % while operative complication were 6-8 % longer stay at hospital during post-operative period was noted about 35 %. Conclusion: Study conclude almost same type of complication but some variation in percentage. Caesarean section during labouring or non-labouring women have increased rate ofmorbidity.