Second Stage Cesarean Sections Dilemmas and Difficulties

AIMS AND OBJECTIVES: To analyze the second stage cesarean sections that took place with respect to indications, morbidity and mortality in the mother and neonate. MATERIALS AND METHODS: A retrospective analysis was conducted to assess all second stage cesarean sections over 2 years [July 2016 to June 2018] in terms of indications, intraoperative complications, maternal and perinatal outcome RESULTS: Total 6267 confinements took place of which 4035 were vaginal deliveries and 2232 were cesarean sections. LSCS rate was 35.61 %, second stage CS were 86, 3.85 % of which 70 % second stage CS were done for nonprogress of labour. There were no maternal deaths, but 1 FSB, 4 NND, 18 NICU admissions. CONCLUSION: Second stage cesareans are must know in modern day obstetrics. A close watch on the progress of labour with partographic monitoring will help to pick up nonprogress of labour early.