Caesarean Delivery in the Second Stage of Labour at a Tertiary Care Hospital


Caesarean section performed in the second stage of labour has many implications for maternal and neonatal morbidity as well as for subsequent pregnancies. A study was conducted to analyse the indications and maternal and neonatal prognosis of caesarean sections performed in the second stage of labour. Four percentage of caesarean sections were performed in the second stage of labour; 60% of these were referred cases. Most common indication was non-descent of head. Forty-three percentage of newborns were admitted in the neonatal intensive care unit. Hospital stay was prolonged which further increased the hospital burden. A proper judgement is required by the obstetrician to take decision for instrumental delivery or caesarean section. Early diagnosis and timely referral with a good infrastructure would help to decrease the maternal and neonatal morbidity.

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Corresponding author

Correspondence to Nupur Hooja.

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Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

Additional information

Smriti Bhargava: Assistant Professor., M.B.B.S., DGO, DNB. (Obst. & Gynae). Nupur Hooja: Senior Professor. M.B.B.S., M.S. (Obst. & Gynae). Manisha Kala: M.B.B.S., Resident, M.S. (Obst. & Gynae). Premlata Mital: Senior Professor, M.B.B.S., M.S. (Obst. & Gynae). Kritika Tulani: M.B.B.S., Resident, M.S. (Obst. & Gynae). Surabhi Arora: M.B.B.S., Resident, M.S. (Obst. & Gynae). Bhomraj Kumawat: M.B.B.S., Resident, M.S. (Obst. & Gynae). Shivani Gupta: M.B.B.S., Resident, M.S. (Obst. & Gynae).

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Bhargava, S., Hooja, N., Kala, M. et al. Caesarean Delivery in the Second Stage of Labour at a Tertiary Care Hospital. J Obstet Gynecol India 69, 558–560 (2019).

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  • Caesarean
  • Foetal distress
  • Instrumental
  • Second stage