Publication:

Audit of caesarean section for non-progress of labor

Background There is alarming increase in the number of caesarean section in the recent past years and many of the indications are due to non-progress of labor. The aim of the present study is to evaluate various parameters and associated factors responsible for non-progress of labor and to study the neonatal outcome.

Methods Retrospective analysis of 42 emergency cases leading into caesarean section for non-progress of labor was done. Factors like age, parity, gestational age, duration of prolong labor, maternal and neonatal outcome was analyzed.

Results In our study mean age of the women who underwent caesarean section for non-progress of labor was 25 years±2.26. When the duration of labor was analyzed, maximum cases i.e. 60% non-progress of labor is seen in active phase, 30% cases had prolonged latent phase of labor, arrest of descent in 10% .There were 14 babies who were shifted to NICU, out of them 10 babies had Apgar score <7. Average baby weight was 2689grams±446.60. Median range of birth weight was 2800 grams.

Conclusions Maximum cases 60% were in active phase, 10% with non-progress in second stage of labor. Out of total cases, 33% of newborns had NICU admission, out of them 16% had poor Apgar score but rate of NICU admission due to non-progress of labor remained same. Hence early decision making in caesarean section will help in preventing neonatal complication. There was no neonatal mortality observed in the study.