Comparison of Perinatal Outcome for All Modes of Second Stage Delivery in Obstetrics Theatres

Objective: To compare the perinatal outcome for all modes of second stage delivery in obstetrics theatre of Pak Emirates Military Hospital Study Design: Comparative Cross-sectional Study. Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, Pakistan from Jun 2021 to Jan 2022. Methodology: Neonates born at second stage of delivery in obstetric theatre via any assisted mode were recruited for this study. Neonatal outcome parameters were observed in babies delivered via instrumental delivery (forceps or vacuum) and delivery via caesarian section. These parameters (shoulder dystocia, neonatal intensive care unit admission, neonatal injury and 5-min APGAR<7) were compared in all the groups to look for any statistically significant difference. Results: A total of 150 neonates fulfilling criteria set for the study were included in the final analysis. Mean age of the women included in the study was 33.343±6.431 years. 42(28%) were managed via forceps, 23(15.3%) were managed via vacuum and 85(56.7%) via emergency caesarian section. Statistical analysis revealed that shoulder dystocia and neonatal injury were found statistically significantly less in neonates born to women who were managed via forceps delivery (p-value<0.05). Conclusion: Caesarian was the commonest mode of delivery used in women who were managed for prolonged second stage of labor. Considerable number of babies born to these mothers had various complications. Use of forceps delivery method emerged as a relatively safer method in our study participants.