Lower Segment Cesarean Section in Second Stage of Labor: Comparison of Patwardhan Method with Conventional Pushing Method (A 3-year Study)

Nihar R Bhoi; Lalmohan Nayak; Mitanjali Sethy; Kumudini Pradhan; Prakash Mishra; Tusar Mahapatra; Prosun Bera

doi:10.5005/jp-journals-10006-1707

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Lower Segment Cesarean Section in Second Stage of Labor: Comparison of Patwardhan Method with Conventional Pushing Method (A 3-year Study)

Nihar R Bhoi, Lalmohan Nayak, Mitanjali Sethy, Kumudini Pradhan, Prakash Mishra, Tusar Mahapatra, Prosun Bera

Keywords : LSCS, NICU, Patwardhan technique, Second stage of labor

Citation Information : Bhoi NR, Nayak L, Sethy M, Pradhan K, Mishra P, Mahapatra T, Bera P. Lower Segment Cesarean Section in Second Stage of Labor: Comparison of Patwardhan Method with Conventional Pushing Method (A 3-year Study). J South Asian Feder Obs Gynae 2019; 11 (4):263-265.

DOI: 10.5005/jp-journals-10006-1707

License: CC BY-NC 4.0

Published Online: 01-12-2018

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Abstract

Objective: To compare the fetomaternal outcome in Patwardhan technique vs “Push” method when lower segment cesarean section (LSCS) done in second stage of labor. Materials and methods: A prospective analysis of all cesarean sections performed in advanced labor with deeply waged head in VSS Medical College and Hospital, Burla, Odisha, India, during the years from April 2012 to March 2015. The cases were divided into two groups randomly; group I (deliveries by Patwardhan technique) and group II (Push method). Results: Out of 420 number of LSCS needed operation in 2nd stage of labor, in 129 cases, babies were delivered by Patwardhan technique and in 291 cases, delivery was conducted by Push method. 11.5% of cases among push/pull group had unwanted extension of uterine incision, whereas none had extension in Patwardhan group (p < 0.0001). Thirteen percent cases in group II, whereas 4.5% in group I required blood transfusion (p < 0.0001). The mean duration of hospital stay was not significantly different in both the groups (p = 0.06). There was requirement of NICU care in 23.2% cases in group I vs 28.8% in group II. Conclusion: In cases with difficult extraction of the impacted fetal head during cesarean section in second stage, Patwardhan technique is very useful in reducing fetomaternal morbidity and is the preferred method as compared to push and pull method.

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