Comparison of Nulliparas Undergoing Cesarean Section in First and Second Stages of Labour: A Prospective Study in a Tertiary Teaching Hospital
2011

Comparison of Cesarean Sections in First and Second Stages of Labour

Sample size: 1389 publication Evidence: moderate

Author Information

Author(s): Ayhan Sucak, Çelen Şevki, Akbaba Eren, Soysal Sunullah, Moraloglu Ozlem, Danışman Nuri

Primary Institution: Zekai Tahir Burak Maternity and Research Hospital

Hypothesis

Is there a difference in maternal and neonatal outcomes between cesarean sections performed in the first and second stages of labour?

Conclusion

Cesarean section in the second stage of labour is associated with increased maternal and neonatal morbidities.

Supporting Evidence

  • Women undergoing cesarean section in the second stage had higher rates of urinary injuries and transfusion requirements.
  • Cesarean sections in the second stage resulted in longer hospital stays compared to those in the first stage.
  • Birth weights of neonates were heavier in the second stage cesarean sections.

Takeaway

This study found that women having cesarean sections during the second stage of labour face more health problems than those in the first stage.

Methodology

A prospective observational audit study comparing outcomes of cesarean sections in first and second stages of labour.

Limitations

The study did not include cases of instrumental delivery attempts.

Participant Demographics

Nullipara women, with fetuses in vertex presentation and gestational age older than 36 weeks.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1155/2011/986506

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