Maternal and Foetal Outcomes in Full dilatation Caesarean Section (FDCS) in A Teaching Institution in North Kerala, India

Authors

  • Jensy Chembakassery Junior Resident, Department of Obstetrics and Gynaecology, KMCT Medical College, Kozhikode, Kerala, India
  • Heera Shenoy T Associate Professor, Department of Obstetrics and Gynaecology, KMCT Medical College, Kozhikode, Kerala, India
  • Chellamma V K Professor and Head of Department of Obstetrics and Gynaecology, KMCT Medical College, Kozhikode, Kerala, India

Keywords:

Full dilatation Caesarean section (FDCS),second stage CS, Maternal outcome ,Foetal outcome.

Abstract

Background: Caesarean section (CS) is the most commonly performed abdominal operation in women in both industrialised and low-income countries. CS at full cervical dilatation is a technically more challenging procedure than CS in early labour. Methods: This prospective case- control study was conducted at a tertiary care teaching institute from Aug 1 2019 to July 31 2020. It included all women (N = 90) delivered by caesarean section. There were103 caesareans out of which 37 were FDCS and 66 were first stage caesareans. . Primary maternal outcomes measured included intraoperative surgical complications, surgery duration, need for blood transfusion, puerperal sepsis, requirement for hysterectomy, unintended extension, and length of hospital stay. Intraoperative complications were unintended extensions, visceral injury and associated with longer operation time and hospital stay. Neonatal outcomes include a 5 min Apgar score and extended NICU stay were measured.Results : Maternal morbidities: Women underwent second stage caesarean section had statistically significant uterine tear extension and Urinary tract infection. More women in FDCS group required blood transfusion due to associated PPH. There was extended SICU stay due to post -operative morbidities like haematuria and postoperative fever which caused prolonged hospital stay. • Neonatal morbidities: Babies born to FDCS group had lower Apgar scores and needed resuscitation and is statistically significant. More number of babies in second stage had hyperbilirubinemia and needed extended NICU and hospital stay thereby resulting in neonatal morbidity.Conclusion : Decision making in second stage caesarean section is often challenging and involvement of senior obstetrician is desired for decision making and for performing second stage CS. Special attention should be provided to the patients undergoing FDCS .

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Published

2021-08-16

How to Cite

Jensy Chembakassery, Heera Shenoy T, & Chellamma V K. (2021). Maternal and Foetal Outcomes in Full dilatation Caesarean Section (FDCS) in A Teaching Institution in North Kerala, India. International Journal of Health and Clinical Research, 4(14), 45–49. Retrieved from https://www.ijhcr.com/index.php/ijhcr/article/view/2228

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