Comparison of Nulliparas Undergoing Cesarean Section in First and Second Stages of Labour: A Prospective Study in a Tertiary Teaching Hospital
Objective. We performed a prospective observational audit study to compare neonatal and maternal outcomes of the primary cesarean sections performed in first stage versus second stage of labour. Methods. One thousand three hundred and eighty-nine nullipara women who had undergone cesarean section in...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2011/986506 |
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| author | Ayhan Sucak Şevki Çelen Eren Akbaba Sunullah Soysal Ozlem Moraloglu Nuri Danışman |
| author_facet | Ayhan Sucak Şevki Çelen Eren Akbaba Sunullah Soysal Ozlem Moraloglu Nuri Danışman |
| author_sort | Ayhan Sucak |
| collection | DOAJ |
| description | Objective. We performed a prospective observational audit study to compare neonatal and maternal outcomes of the primary cesarean sections performed in first stage versus second stage of labour. Methods. One thousand three hundred and eighty-nine nullipara women who had undergone cesarean section in a tertiary teaching hospital between February 1, 2009 and January 31, 2010 were included in the study. Primary maternal outcomes of interest were uterine atonia, transfusion requirement, urinary system injury, requirement for hysterectomy, and duration of hospital stay. Results. A total of 1389 women underwent cesarean section at this 12 month time period. Of these 1389 cesarean sections, 1271 were in the first stage of the labour and 171 were in the second stage of the labour. Urinary injuries, transfusion requirement, and uterine atonia hysterectomy were significantly more frequent in women who underwent cesarean section in the second stage of the labour compared to women undergoing cesarean section in the first stage of the labour. Conclusion. Cesarean section in the second stage of the labour is associated with increased maternal and neonatal morbidities. Special attention is required to the patients undergoing cesarean section in the second stage of the labour. |
| format | Article |
| id | doaj-art-f827af0c64e44c50b49edafce85e61a8 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-f827af0c64e44c50b49edafce85e61a82025-02-03T05:59:32ZengWileyObstetrics and Gynecology International1687-95891687-95972011-01-01201110.1155/2011/986506986506Comparison of Nulliparas Undergoing Cesarean Section in First and Second Stages of Labour: A Prospective Study in a Tertiary Teaching HospitalAyhan Sucak0Şevki Çelen1Eren Akbaba2Sunullah Soysal3Ozlem Moraloglu4Nuri Danışman5Department of Perinatology, Zekai Tahir Burak Maternity and Research Hospital, Ankara, TurkeyDepartment of Perinatology, Zekai Tahir Burak Maternity and Research Hospital, Ankara, TurkeyDepartment of Perinatology, Zekai Tahir Burak Maternity and Research Hospital, Ankara, TurkeyDepartment of Perinatology, Zekai Tahir Burak Maternity and Research Hospital, Ankara, TurkeyDepartment of Perinatology, Zekai Tahir Burak Maternity and Research Hospital, Ankara, TurkeyDepartment of Perinatology, Zekai Tahir Burak Maternity and Research Hospital, Ankara, TurkeyObjective. We performed a prospective observational audit study to compare neonatal and maternal outcomes of the primary cesarean sections performed in first stage versus second stage of labour. Methods. One thousand three hundred and eighty-nine nullipara women who had undergone cesarean section in a tertiary teaching hospital between February 1, 2009 and January 31, 2010 were included in the study. Primary maternal outcomes of interest were uterine atonia, transfusion requirement, urinary system injury, requirement for hysterectomy, and duration of hospital stay. Results. A total of 1389 women underwent cesarean section at this 12 month time period. Of these 1389 cesarean sections, 1271 were in the first stage of the labour and 171 were in the second stage of the labour. Urinary injuries, transfusion requirement, and uterine atonia hysterectomy were significantly more frequent in women who underwent cesarean section in the second stage of the labour compared to women undergoing cesarean section in the first stage of the labour. Conclusion. Cesarean section in the second stage of the labour is associated with increased maternal and neonatal morbidities. Special attention is required to the patients undergoing cesarean section in the second stage of the labour.http://dx.doi.org/10.1155/2011/986506 |
| spellingShingle | Ayhan Sucak Şevki Çelen Eren Akbaba Sunullah Soysal Ozlem Moraloglu Nuri Danışman Comparison of Nulliparas Undergoing Cesarean Section in First and Second Stages of Labour: A Prospective Study in a Tertiary Teaching Hospital Obstetrics and Gynecology International |
| title | Comparison of Nulliparas Undergoing Cesarean Section in First and Second Stages of Labour: A Prospective Study in a Tertiary Teaching Hospital |
| title_full | Comparison of Nulliparas Undergoing Cesarean Section in First and Second Stages of Labour: A Prospective Study in a Tertiary Teaching Hospital |
| title_fullStr | Comparison of Nulliparas Undergoing Cesarean Section in First and Second Stages of Labour: A Prospective Study in a Tertiary Teaching Hospital |
| title_full_unstemmed | Comparison of Nulliparas Undergoing Cesarean Section in First and Second Stages of Labour: A Prospective Study in a Tertiary Teaching Hospital |
| title_short | Comparison of Nulliparas Undergoing Cesarean Section in First and Second Stages of Labour: A Prospective Study in a Tertiary Teaching Hospital |
| title_sort | comparison of nulliparas undergoing cesarean section in first and second stages of labour a prospective study in a tertiary teaching hospital |
| url | http://dx.doi.org/10.1155/2011/986506 |
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