Evidence map›Paper›PMID 42104270›Full record

ArticleBMC pregnancy and childbirth2026

Second stage versus first stage intrapartum cesarean delivery and adverse maternal and perinatal outcomes in Southern Ethiopia.

Ephrem Kedir, Temesgen Teklu Alemayehu, Mihiretu Tesfamriam Goshu

Abstract readComparative Study
In one paragraph

Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Ephrem KedirDepartment of Obstetrics and Gynecology, School of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Temesgen Teklu AlemayehuDepartment of Obstetrics and Gynecology, School of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Mihiretu Tesfamriam GoshuDepartment of Obstetrics and Gynecology, Besheno Primary Hospital, Halaba, Ethiopia. michotesfu1@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCesarean section performed during the second stage of labor is technically challenging and associated with higher maternal and neonatal morbidity. This study aimed to assess adverse maternal and perinatal outcomes for women who have a cesarean section performed during the first and second stages of labor at Hawassa University Comprehensive Specialized Hospital.

methodsAn institution-based comparative cross-sectional study was conducted from May to November 2024 among 278 term women who underwent intrapartum cesarean delivery. Among these, 193(69.4%) had first-stage cesarean delivery, and 85(30.6%) had second-stage cesarean section. Data were collected using structured questionnaires and medical record review. Multivariable logistic regression analysis was performed to identify factors associated with adverse maternal and perinatal outcomes.

resultsDuring the study period, there were 1434 deliveries, of which 716 were cesarean sections, yielding a cesarean delivery rate of 49.9%. The overall rate of adverse maternal and perinatal outcomes was 24.5% and 29.1%, respectively. Compared with the first-stage cesarean section, second-stage cesarean delivery is associated with increased odds of adverse maternal outcomes (AOR = 4.20, 95% CI: 1.95-9.05) and adverse perinatal outcomes (AOR = 3.05, 95% CI: 1.65-5.65).

conclusionCesarean section performed during the second stage of labor was significantly associated with adverse maternal and perinatal outcomes. During the second stage of cesarean delivery, the obstetric team's preparedness for potential intraoperative complications and immediate neonatal resuscitation should be strengthened.

Indexed as

Cesarean SectionLabor Stage, FirstLabor Stage, SecondPregnancy OutcomeAdultCross-Sectional StudiesEthiopiaFemaleHumansInfant, NewbornLogistic ModelsPregnancyYoung AdultCesarean sectionFirst stage laborMaternal adverse outcomePerinatal adverse outcomeSecond stage labor

Identifiers

PMID42104270
PMCPMC13326302

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