Abstract:

Objective: Comparison of maternal and fetal outcomes and complications in pregnant women who have a cesarean delivery in the 2nd stage of active labor with the 1st stage cesarean deliveries. Material & Methods: In this retrospective study, 50 cases who had term, singleton, uncomplicated pregnancy and gave birth by emergency cesarean section in the second stage of labor were compared cases (n=50) who gave birth in the first stage. Demographic characteristics of the cases, indications for cesarean section, intraoperative and postoperative surgical characteristics and complications (uterine incision lengthening, arterial and/or organ injuries, hemoglobin levels, bleeding, need for blood product transfusion, relaparotomy, operation times, postoperative hospital stay) and newborn outcomes were analyzed. A p value of <0.05 was considered statistically significant. Results: The demographic characteristics of the groups (age, number of pregnancies, body mass index, educational status) were similar (p>0.05). The rates of lengthening of the uterine incision, need for lengthening of the uterine incision, uterine artery and bladder injuries, and uterine atony were significantly higher in cesarean sections performed in the second stage (42% vs. 8%, p<0.001). Postoperative hospital stay was similar (p>0.05). Apgar scores, observation and intensive care unit needs were similar in both groups (p>0.05). No trauma or fracture occurred in newborns in either group. Conclusion: Cesarean deliveries in the second stage of active labor cause a significant increase maternal complication, although not in newborns. Performing cesarean deliveries in the second stage by experienced obstetricians is important for the prevention and management of complications.

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