Evaluation of Maternal and Neonatal Outcomes in Cesarean Sections Performed in the Second Stage of Labor

54 DO I: 10.4274/eamr.galenos.2017.60352 Eur Arch Med Res 2019; 35 (2): 54-9 Fatma Didem Yücel Yetişkin, Burak Arslan, Veli Mihmanlı, Büşra Cambaztepe, Gizem Pektaş, Aras Pektaş University of Health Sciences, İstanbul Okmeydanı Training and Research Hospital, Department of Obstetrics and Gynecology, İstanbul, Turkey ORIGINAL ARTICLE Cite this article as: Yücel Yetişkin FD, Arslan B, Mihmanlı V, Cambaztepe B, Pektaş G, Pektaş A. Evaluation of Maternal and Neonatal Outcomes in Cesarean Sections Performed in the Second Stage of Labor. Eur Arch Med Res 2019; 35 (2): 54-9 Address for Correspondence: Fatma Didem Yücel Yetişkin, University of Health Sciences, İstanbul Okmeydanı Training and Research Hospital, Department of Obstetrics and Gynecology, İstanbul, Turkey E-posta: didemyucel_86@hotmail.com ORCID ID: orcid.org/0000-0002-1024-3685 ©Copyright 2019 by the Health Sciences University, Okmeydanı Training and Research Hospital European Archives of Medical Research published by Galenos Publishing House. Received: 04.09.2017 Accepted: 24.11.2017 INTRODUCTION The rate of caesarean section in the world is increasing and it has reached 50% today (1). In our country, this ratio was around 6% between 1983-2001 and now it has increased up to 30% (2). The World Health Organization (WHO) reports that the cesarean birth rate should be less than 15% (3). Maternal mortality was reported to be 6/1 in vaginal delivery and 28/1 in cesarean delivery in healthy pregnant women without medical and obstetric problems (4). Maternal morbidities are also higher in cesarean deliveries than vaginal deliveries. Complications such as postpartum febrile morbidity, deep vein thrombosis, need for blood transfusion, long hospital stay, organ injuries, intraabdominal adhesions, infertility and chronic pelvic pain are also more frequent in cesarean delivery (5). Van Ham et al. (6) and Nielsen et al. (7) reported intraoperative surgical complication rates as 11.6% and 14.8% in cesarean deliveries. Regular uterine contractions, presence of membrane rupture, cervical patency more than 3 cm, and engagement are the most important risk factors for intraoperative complication development (7-9). In this study, 155 term primary cesarean section patients were divided into two groups as cesarean section in the “first” and “second” stages of labor, and age, gravida, parity, gestational week, caesarean indication, hospital stay, blood transfusion requirement, maternal outcomes such as intraoperative and postoperative surgical complications, and neonatal outcomes such as fetal birth weight, Apgar score and neonatal intensive care requirement were compared.