title: Maternal and perinatal morbidity after Caesarean delivery at full cervical dilatation.
abstract: BACKGROUND
  This study aimed to assess maternal and perinatal outcomes following second stage Caesarean sections.
  
  
  METHODS
  A retrospective study was conducted in a Singapore-based tertiary referral centre from January 1, 2009 to December 31, 2009. The medical records of all the women who underwent emergency Caesarean sections in the second stage of labour were reviewed.
  
  
  RESULTS
  Out of 2,501 emergency Caesarean sections performed, 116 were Caesarean sections in the second stage of labour. Women with non-vertex, twins and preterm deliveries were excluded, and 110 (4.4%, 110/2,501) Caesarean sections were recruited. The majority of the Caesarean sections were determined and performed by registrars or consultants. With regard to maternal outcome, 2.7% (3/110) of patients had primary postpartum haemorrhage and 4.5% (5/110) of patients had vertical or lateral lower uterine segment tears. As for neonatal outcome, although the Apgar scores of newborns were low at birth for 8.2% (9/110) of patients, the Apgar score was > 4 at 5 minutes for all patients.
  
  
  CONCLUSIONS
  Overall, there was no statistically significant adverse maternal or perinatal outcome.
authors.affiliation: Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899. radhahk@gmail.com
authors.forename: Pandian
authors.initials: P
authors.lastname: Radha
authors.forename: Shephali
authors.initials: S
authors.lastname: Tagore
authors.forename: Muhammad Fairuz  Abdul
authors.initials: MF
authors.lastname: Rahman
authors.forename: John
authors.initials: J
authors.lastname: Tee
mesh_terms: D000328:Adult; D001034:Apgar Score; D002585:Cesarean Section / Q000009:adverse effects / Q000401:mortality*; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007747:Labor Stage, First; D007743:Labor, Obstetric; D006473:Postpartum Hemorrhage / Q000209:etiology; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D012189:Retrospective Studies; D012846:Singapore / Q000453:epidemiology; D014597:Uterine Rupture / Q000209:etiology