Radha P, Shephali T, Muhammad Fairuz AR, Tee
CS
Correspondence: Dr Pandian Radha, radhahk@gmail.com
ABSTRACT
Introduction This study aimed to assess
maternal and perinatal outcomes following second stage Caesarean sections.
Methods:
A retrospective study was conducted in a Singapore-based tertiary referral
centre from January 1, 2009 to December 31, 2009. The medical records of all
the women who underwent emergency Caesarean sections in the second stage of
labour were reviewed.
Results:
Out of 2,501 emergency Caesarean sections performed, 116 were Caesarean
sections in the second stage of labour. Women with non-vertex, twins and
preterm deliveries were excluded, and 110 (4.4%, 110/2,501) Caesarean sections
were recruited. The majority of the Caesarean sections were determined and
performed by registrars or consultants. With regard to maternal outcome, 2.7%
(3/110) of patients had primary postpartum haemorrhage and 4.5% (5/110) of
patients had vertical or lateral lower uterine segment tears. As for neonatal
outcome, although the Apgar scores of newborns were low at birth for 8.2%
(9/110) of patients, the Apgar score was > 4 at 5 minutes for all patients.
Conclusion:
Overall, there was no statistically significant adverse maternal or perinatal
outcome.
Keywords: Caesarean section, maternal morbidity,
perinatal morbidity
Singapore Med J 2012; 53(10): 655–658
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