**5. Conclusion**

Cesarean sections rates are increasing so is the increase in second stage cesarean sections. Judicious use of Oxytocin and monitoring may help to reduce the incidence of second-stage cesarean sections. Second stage cesareans sections are associated with complications like bleeding and other maternal tissue injuries. Currently, the pull method of delivering the head seems to be associated with fewer complications than the push method. Obstetricians must get trained for second stage cesarean section.
