Indications and Adverse Outcomes of Emergency Lower Segment Cesarean Section at 1St and 2Nd Stages of Labor at Al-Elwiya Maternity Teaching Hospital

Background: globally that about 6.2 million unnecessary cesarean sections were done yearly. Oldest surgical operation and it is considered as one of the most commonly performed surgical operations. Objective: To assess the indications and adverse outcomes of emergency lower segment caesarean section at 1^st and 2^nd stages emergency Caesarean at Al-Elwiya maternity teaching hospital. Patients and method: A prospective cross sectional study conducted for 1 year duration in Al-Elwyia Teaching hospital in the period from the first of Jan. 2018 to the end of Dec. 2018, when 1229 of the women were enrolled. Results: A total of 1229 cesarean sections operations were done in the period of the study, 836 (68%) were 1st stage emergency Caesarean and 393(32%) were in 2^nd stage. The most common indications of the caesarean section were the malposition (64.5%). Meconium aspiration Syndrome is the most common perinatal outcome (n=34). Conclusion: The 2nd stage emergency Caesarean shows more maternal and neonatal complications in comparison with 1st stage.