MATERNAL AND NEONATAL COMPLICATIONS WITH BREECH EXTRACTION DURING 2ND STAGE LOWER SEGMENT CESAREAN SECTION (LSCS); A CROSS-SECTIONAL STUDY

Abstract

Background:

Breech extraction method needs to be conducted during a second-stage Lower Segment Cesarean Section (LSCS), which causes complications since the unborn baby needs to be delivered through an obstructed birth canal while the woman experiences advanced labor.

Objective:

Research aims to investigate how often maternal and neonatal complications occur during breech extraction procedures that take place during second-stage LSCS surgeries.

Methods:

The cross-sectional study was conducted at the Department of Obstetrics & Gynecology at Liaquat University of Medical & Health Sciences, Jamshoro. The Study consists of 120 women between 18 and 40 years old who were pregnant with one baby and needed emergency second-stage LSCS surgery. Researchers evaluated maternal outcomes through measurement of postpartum hemorrhage (PPH), uterine incision extension, bladder and uterine artery damage, wound infection, febrile morbidity, blood transfusion requirement, and obstetric hysterectomy. Researchers measured neonatal outcomes through assessment of NICU admission, birth asphyxia, stillbirth, and early neonatal death.

Results:

A frequent complication in mothers was that of uterine incision extension occurring in 18.3%. The next common complication in mothers was blood transfusion at 15.8%, while postpartum hemorrhage was recorded at 11.7%. Neonatal ICU admission was the highest recorded complication in infants at 48.3%, while birth asphyxia was recorded at 16.7%. Other complications noted included neonatal death occurring in 5% of cases and stillbirths in 3.3% of the cases.

Conclusion:

Doctors who perform second-stage LSCS with breech extraction create significant health risks for both mothers and their babies, which makes it essential to schedule medical operations and use skilled surgical techniques