Volume : 5, Issue : 1, January - 2016

Retrospective observational study of maternal and fetal outcome in forceps delivery and caesarean section in second stage of labour at a tertiary care hospital.

Dr Snehal Tate, Dr Kishorkumar Hol, Dr Neelesh Risbud

Abstract :

<p>Aim: To observe maternal and neonatal outcome of outlet forceps and second stage caesarean section deliveries at tertiary care centre over one year period. Material and Methods: All the patients delivered with outlet forceps or second stage caesarean section at Smt kashibai Navale Medical College between Jan 2014 to Dec 2014; with adequate follow up were included in study. Data collected from labour room records and follow up opd registers. Results: A total of 3764 patients delivered at our centre from Jan 2014 to Dec 2014; out of which Forceps were used in 122(3.24%) patients and Second stage Caesarean section in 58(1.55%) patients. Immediate complications like postpartum haemorrhage both atonic and traumatic requiring blood transfusion is more common in second stage caesarean section group. Contrary to popular belief neonatal injuries and NICU admission rate is more in patients who are delivered by second stage caesarean section. Conclusion: There is an association between maternal and neonatal outcome and mode of delivery. In selected group of patients outlet forceps delivery is a safer option than second stage caesarean section regarding maternal and neonatal outcome.</p>