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Maternal and perinatal morbidity and mortality of Caesarean delivery in the late first stage and second stage of labour
Abstract
Objective: To determine whether there is a higher maternal and perinatal morbidity in Caesarean deliveries performed in the late first stage and second stage of labour compared to Caesarean deliveries earlier in the first stage of labour.
Design: A case control retrospective study.
Setting: Tygerberg Academic Hospital, Cape Town (South Africa).
Subject: A cohort of 85 cases and 86 controls was selected from labour ward birth registers and data were collected from patient files. Rates of predefined complications of caesarean sections and perinatal morbidity were analysed using SPSS version 15 (statistical Package for the Social Science).
Results: There was no difference between cases and controls for the following variables: age, gravidity, parity, past obstetric history, gestational age, HIV status, cardiotocography (CTG) tracing, labour and anaesthesia. Intra-operative complications rates were higher in cases than control though not statistically significant. Maternal high care/ICU admission and neonatal complications rates were significantly higher in cases than controls.
Conclusion: Caesarean deliveries which are performed in the late first stage and second stage of labour are not associated with more maternal intra-operative complications but with significantly higher maternal high care and ICU admissions as well as neonatal complications compared to Caesarean deliveries earlier in the first stage of labour.
Design: A case control retrospective study.
Setting: Tygerberg Academic Hospital, Cape Town (South Africa).
Subject: A cohort of 85 cases and 86 controls was selected from labour ward birth registers and data were collected from patient files. Rates of predefined complications of caesarean sections and perinatal morbidity were analysed using SPSS version 15 (statistical Package for the Social Science).
Results: There was no difference between cases and controls for the following variables: age, gravidity, parity, past obstetric history, gestational age, HIV status, cardiotocography (CTG) tracing, labour and anaesthesia. Intra-operative complications rates were higher in cases than control though not statistically significant. Maternal high care/ICU admission and neonatal complications rates were significantly higher in cases than controls.
Conclusion: Caesarean deliveries which are performed in the late first stage and second stage of labour are not associated with more maternal intra-operative complications but with significantly higher maternal high care and ICU admissions as well as neonatal complications compared to Caesarean deliveries earlier in the first stage of labour.
