Neonatal complications associated with caesarean section done at first stage of labour and at full cervical dilatation

Aim: to determine the frequency of fetal complications in caesarean section and to compare neonatal complications associated with caesarean section done at first stage of labour and second stage of labour. methods: this descriptive study was carried out in the department of obstetrics & gynaecology unit-i at nishtar hospital multan from april 2013 to october 2013. two hundred and sixty two primigravida fulfilling inclusion criteria were enrolled for the study. results: apgar score <7 at 5 minutes was observed in 7 babies in first stage caesarean section and in 16 babies in second stage caesarean section. meconium aspiration was observed in one baby in first stage and in 11 babies in second stage caesarean section. babies of 27 patients were admitted in nicu in second stage caesarean section and babies of 8 patients were admitted in nicu in first stage caesarean section. there were 7 neonatal deaths in second stage caesarean section and no neonatal death was recorded in first stage caesarean section. conclusion: caesarean section in the second stage of labour is associated with increased neonatal morbidity as well as neonatal mortality.