FETOMATERNAL OUTCOMES OF SECOND STAGE CESAREAN SECTION IN A TERTIARY CARE CENTER: A PROSPECTIVE OBSERVATIONAL STUDY

This prospective observational study evaluates the fetomaternal outcomes associated with second-stage cesarean sections performed at full cervical dilatation in a tertiary care hospital. Sixty-four primigravida women with singleton, term, cephalic pregnancies were included from June 2022 to December 2023. Major maternal complications observed were uterine incision extension, significant blood loss, and bladder injury. Postoperative morbidity included febrile illness, prolonged catheterization, and wound infection. Neonatal risks comprised respiratory distress necessitating NICU admission, intubation, and mortality. The study highlights the increased technical challenges and risk associated with second-stage cesarean sections, and emphasizes the importance of timely decision-making, senior obstetrician involvement, and meticulous surgical technique to optimize outcomes. Ensuring safe delivery remains paramount in obstetric care.