Impact Of Patwardhan 'S Technique On Maternal And Fetal Outcome In Second Stage Cesarean Section

ABSTRACT

Background: Caesarean section at full dilatation with deeply engaged head in the pelvis can be associated with increased maternal and perinatal morbidity .The objective of present study is to compare the maternal and perinatal morbidity between the Patwardhan′s technique and the routine “push” and “pull” method for extraction of the fetus in second stage caesarean. Method: It is retrospective study including 100 cases of caesarean section performed for obstructed labor in between January 2017 to June 2018 in Obstetrics/Gynae Department,Mahatma Gandhi Memorial Medical College Hospital, Jamshedpur, Jharkhand. All the cases were divided into two groups group A-where baby delivered by the Patwardhan′s technique and group B- where baby delivered by “push” and “pull” method. Maternal morbidity in terms of uterine extensions, PPH, need for blood transfusions as well as neonatal morbidity was compared between two techniques. Result: Review of 100 patients shows that there was significant low rates of maternal morbidity in terms of uterine incision extensions, and other related complications with Patwardhan′s technique. However there was no difference in neonatal outcome in both the groups. Conclusion: The Patwardhan′s technique is superior and quite safe method for delivery of baby in second stage cesarean sections and has minimal complications if anticipated and done skillfully