Introduction: Second Stage of labor begins with complete dilatation of cervix and ends with fetal delivery. Prolonged second stage of labour is diagnosed if the duration exceeds 2 hrs in nullipara and 1 hr in multipara, when no regional anaesthesia is used. Cesarean section at full dilatation, with or without attempt at operative vaginal delivery, is a more challenging surgical procedure than a first stage cesarean section and carries a higher rate of maternal morbidity. Material & Method: This Prospective Study was conducted in the Department of Obstetrics and Gynaecology, BNMCC, GNDH, Government Medical College, Amritsar from March, 2020 to March, 2021. Inclusion Criteria: All women at term and preterm with singleton pregnancies willing to participate. Exclusion Criteria: Patients refusing / not willing to participate in the study, Multi fetal gestation, History of Previous caesarean section, Abnormal Placentation e.g. Vasa previa and complete placenta previa, Active genital herpes infection, Cervical Cancer, Prior Myomectomy. Duration of labor & Indication for LSCS was noted. Maternal and fetal complications were observed. Results: In our study 150 women, who underwent cesarean section during second stage of labour, were selected according to exclusion and inclusion criteria. Most of women (66%) were referred patients and rest were booked patients who ended up in cesarean section. It was observed that labour dystocia was most common indication seen in our patients followed by fetal distress. Majority of them were referred patients, and from rural background who did not have proper antenatal checkup. Conclusion: This implies good antenatal checkup and recognition of complications can reduce the risk of prolonged second stage of labour. Difficult access to the healthcare facility, delay in referring the patient to the tertiary care centre increases the rate of cesarean section in second stage of labour. Timely decision for cesarean section and neonatal facilities can reduce the number of fetal complications.

Introduction: Second Stage of labor begins with complete dilatation of cervix and ends with fetal delivery. Prolonged second stage of labour is diagnosed if the duration exceeds 2 hrs in nullipara and 1 hr in multipara, when no regional anaesthesia is used. Cesarean section at full dilatation, with or without attempt at operative vaginal delivery, is a more challenging surgical procedure than a first stage cesarean section and carries a higher rate of maternal morbidity. Material & Method: This Prospective Study was conducted in the Department of Obstetrics and Gynaecology, BNMCC, GNDH, Government Medical College, Amritsar from March, 2020 to March, 2021. Inclusion Criteria: All women at term and preterm with singleton pregnancies willing to participate. Exclusion Criteria: Patients refusing / not willing to participate in the study, Multi fetal gestation, History of Previous caesarean section, Abnormal Placentation e.g. Vasa previa and complete placenta previa, Active genital herpes infection, Cervical Cancer, Prior Myomectomy. Duration of labor & Indication for LSCS was noted. Maternal and fetal complications were observed. Results: In our study 150 women, who underwent cesarean section during second stage of labour, were selected according to exclusion and inclusion criteria. Most of women (66%) were referred patients and rest were booked patients who ended up in cesarean section. It was observed that labour dystocia was most common indication seen in our patients followed by fetal distress. Majority of them were referred patients, and from rural background who did not have proper antenatal checkup. Conclusion: This implies good antenatal checkup and recognition of complications can reduce the risk of prolonged second stage of labour. Difficult access to the healthcare facility, delay in referring the patient to the tertiary care centre increases the rate of cesarean section in second stage of labour. Timely decision for cesarean section and neonatal facilities can reduce the number of fetal complications.