EVALUATION OF COMPLICATIONS OF CESAREAN SECTION DURING THE SECOND STAGE OF LABOR IN PATIENTS REFERRED TO KOWSAR HOSPITAL

Considering the importance of complications caused by cesarean sections performed during the second stage of labor for both the mother and the newborn, as well as its impact on future pregnancies, the purpose of this study is to investigate the complications associated with cesarean sections during the second stage of labor.

Materials & Methods :

In this case-control study, the case group includes patients who underwent cesarean section in the second stage of labor, and the control group includes patients who underwent elective cesarean section. Finally, the clinical findings obtained between the two groups of cases and controls were analyzed.

Out of 60 mothers in this study, 30 were in the control group and 30 were in the intervention group. The duration of hospitalization for the control and intervention groups was 2.94 ± 1.14 days and 4.03 ± 1.35 days, respectively. Statistically, the difference between the two groups was significant (P = 0.002). Additionally, the average volume of bleeding, as indicated by the number of sterile gauzes used, was 7.9 ± 1.3 gauzes in the control group and 13.9 ± 2.8 gauzes in the intervention group. The difference in the volume of bleeding between the two groups was statistically significant (P < 0.001).

Cesarean section in the second stage of labor is associated with higher maternal complications compared to elective cesarean sections. These complications include a higher rate of hemodynamic instability and blood pressure disorders, more bleeding, a higher blood transfusion rate, extension of unintentional uterine incision, uterine atony, sepsis, fever, more antibiotic treatment, more admissions to the ICU, longer hospitalization days after cesarean section, need for hysterectomy, longer operation time, re-laparotomy, postoperative pyrexia, and wound infection.