scholarly journals VP45.14: The interest of sliding sign in prediction of intraperitoneal adhesions in parturients with history of Caesarean delivery

2021 ◽  
Vol 58 (S1) ◽  
pp. 289-289
Author(s):  
C. Mrazguia ◽  
M. Souissi ◽  
A. Hammami ◽  
E. Fenina ◽  
S. Azzerz
Keyword(s):  
Caesarean Delivery ◽  
Intraperitoneal Adhesions ◽  
History Of

STUDY OF OBSTETRIC OUTCOMES IN ELECTIVE AND EMERGENCY CAESAREAN SECTION IN PATIENTS WITH PRIOR LOWER SEGMENT CAESAREAN SECTION

2021 ◽  
pp. 57-60
Author(s):  
Dipak S. Kolate ◽  
Meenal M. Patvekar ◽  
Shriraj Katakdhond ◽  
Yogesh Thawal ◽  
Kale DhanaLaxmi ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Perinatal Outcome ◽  
Maternal Morbidity ◽  
Caesarean Delivery ◽  
Emergency Caesarean Section ◽  
Obstetric Outcomes ◽  
Fetal Outcomes ◽  
Emergency Caesarean ◽  
Management Protocol ◽  
History Of

Background:Acomprehensive study of maternal morbidity and mortality with perinatal outcome in patients with prior LSCS undergoing elective or emergency caesarean section was carried out. With the sky rocketing caesarean section rates worldwide an increasing number of women face the issue of mode of delivery in their current pregnancy. There are conicting reports regarding the safety of a trial for vaginal birth after caesarean delivery (VBAC) in terms of uterine rupture, maternal and perinatal morbidity. The purpose of this study was to evaluate the obstetric and fetal outcomes of patients presenting at term with a history of previous one or more LSCS. Methods:Asix months prospective, observational study was conducted where all patients who had a term pregnancy with a history of previous one or more LSCS were included after obtaining their consent for participation. The obstetric and fetal outcomes of these patients with elective or emergency LSCS in the present pregnancy were noted and tabulated. Adescriptive analysis of these outcomes was carried out. Results: 100 Patients at term, with a history of previous one or more LSCS were studied. 38 patients underwent an elective repeat caesarean delivery and 62 in emergency.Scar dehiscence was seen in 35.5 % of the patients who were presented in emergency with uterine contractions or lower abdominal pain and those were not candidate for a trial for VBAC.All of the complications were signicantly higher in emergency group in terms of both maternal (83.9 % Vs 31.6%) and perinatal outcome (6.5% Vs 0 %). Conclusion:With an increase in the proportion of patients with a history of previous LSCS, it is essential for health care institutions to have proper antenatal counseling regarding plan of delivery and vigilance while operating patients with prior history of LSCS , especially in emergency situation. There should be a well dened management protocol in an effort to decrease the number of complications and bring down the overall maternal morbidity & mortality .

scholarly journals A retrospective study to determine correlation of physical activity with natural labor

2021 ◽  
Vol 10 (4) ◽  
pp. 1359
Author(s):  
Padmavathi Narahari ◽  
Anilasre Atluri
Keyword(s):  
Physical Activity ◽  
Retrospective Study ◽  
Birth Weight ◽  
Pregnant Women ◽  
Caesarean Delivery ◽  
Sampling Method ◽  
Selective Sampling ◽  
Natural Birth ◽  
History Of ◽  
Primiparous Women

Background: Most pregnant women wish to have natural birth. Worldwide rate of caesarean is increasing due to various reasons. In this study we evaluate the correlation of physical activity with occurrence of normal delivery.Methods: This is a retrospective study on 200 women based on questionnaire regarding history of physical activity in primiparous women who had natural delivery or caesarean delivery. Sampling was done by purposive selective sampling method. All the women included in the study had delivered either by caesarean or natural birth with birth weight of the babies between 2.5-3.5 kg. Analysis was done by descriptive and inferential statistics.Results: Among 100 women with natural labor 83 had at least one or two kind of physical activity, whereas among 100 women with caesarean, only 12 had some kind of physical activity.Conclusions: Based on our findings inclusion of physical activity during antenatal period increased the rate of natural birth.

scholarly journals Alternative Labor Policy in Multigravida Pregnant Women History Sectio Caesarea at Graha Juanda Hospital, Bekasi

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Riyen Sari Manullang ◽  
Hedi Hardiana
Keyword(s):  
Pregnant Women ◽  
Qualitative Method ◽  
Caesarean Delivery ◽  
Labor Policy ◽  
Data Sources ◽  
Sectio Caesarea ◽  
Labor Policies ◽  
Interview Guide ◽  
History Of ◽  
Level I

The incidence of childbirth with actions in Indonesia increased. The results of the 2013 Riskesdas were delivered by sectio caesarean delivery by 9.8% with the highest proportion in DKI Jakarta (19.9%). This research is to find out alternative labor policies in multigravida pregnant women with a history of cesarean section. This type of research uses a qualitative method, in the implementation of this study is an interview guide during the interview, using the technique of triangulation of data sources and methods namely SWOT approach EFE, EFI, Matching Stage, Matrix SWOT and QSPM. The respondents in this study were 7 respondents from Graha Juanda Hospital Bekasi, by producing 4 alternative policies, namely the making of labor SOPs for multigravida pregnant women with history of SC making parenting keals, cooperating with Faske level I to conduct regular counseling, and adding facilities and infrastructure related to the hospital's tensile strength. The most dominant alternative to be carried out in accordance with the results of the analysis conducted, namely the making of SOPs for labor procedures for multigravida pregnant women with a history of elective and emergency SC needs to be separated and adjusted to their implementation

scholarly journals Caesarean delivery and risk of developing atopic diseases in children

2014 ◽  
Vol 54 (2) ◽  
pp. 94
Author(s):  
Anak Agung Tri Yuliantini ◽  
Mohammad Juffrie ◽  
Ketut Dewi Kumara Wati
Keyword(s):  
Family History ◽  
Caesarean Section ◽  
Caesarean Delivery ◽  
Case Control Study ◽  
Demographic Data ◽  
Multiple Logistic Regression ◽  
Atopic Diseases ◽  
Prick Test ◽  
History Of ◽  
Control Study

Background Caesarean delivery has been suggested to alterneonatal immune respon ses and increase the risk of atopicdiseases. Howevei; previous studies have reported inconsistentfindings.Objective To investigate a possible association between caesareandelivery and the development of atopic diseases in children.Methods This case-control study involved 100 children aged 3months-12 years, in Sanglah Hospital, Denpasai; Indonesia. Fiftyinfants and children with a confirmed diagnosis of atopic diseasesand 50 sex-paired controls (non-atopic infants and children)were enrolled. Demographic data was obtained, including modeof delivery and relevant history connected to atopic diseases.Skin prick test to four common aeroallergens was performed inall subjects. Possible confounding factors were considered in amultivariable logis tic regression model.Results Caesarean section was not significant as a risk factor foratopic diseases in a multivariate analysis [OR 2.4 (95%CI 0.7 to8.4; P=0.164)]. Howevei; multiple logistic regression analysisshowed that atopic diseases was significantly associated with apositive family history of atopy. Furthermore, caesarean sectionwas associated with a higher risk of atopic diseases in a subgroupanalysis for family history of atopy [OR= 4 (95%CI 1 to 16.2;P= 0.04)].Conclusion Children delivered by caesarean section and have afamily history of atopy have a 4-fo ld higher risk of atopic diseases.

scholarly journals High Prevalence of Caesarian Sections at a Referral Hospital in Bangladesh

1970 ◽  
Vol 3 (1) ◽  
pp. 21-23
Author(s):  
Abdul Latif Bhuiya
Keyword(s):  
Caesarean Delivery ◽  
Clinical History ◽  
Tertiary Hospital ◽  
Referral Hospital ◽  
Junior Doctors ◽  
Normal Delivery ◽  
High Prevalence ◽  
History Of ◽  
Keywords Pregnancy ◽  
Period Data

The rate of Caesarean delivery in Bangladesh is not known but thought to have increased markedly in recent years. This observational study addressed the prevalence of various types of deliveries conducted on 2714 subjects attending the postnatal ward of a referral hospital in Dhaka from August 1994 to March 1995. During this period data were collected retrospectively from their registries and clinical history sheets. Of these participants 1509 (55.6%) had a history of normal delivery and 1150 (42.4%) underwent Caesarean sections. Very few (1.7%) had other means of delivery and only 0.7% were reported to have forceps delivery. The Caesarian delivery for the first baby was 14.1%, which gradually decreased in subsequent deliveries. Most of the deliveries, be it normal or Caesarean, were conducted by the trainee doctors (43.6%) and Medical Officers (25.7%). Professors and Assistant Professors performed less than 1%. The normal or Caesarean deliveries were assisted mostly by trainee doctors (54.4%), interns (19.0%) and nurses (15.8%); and very few were conducted by Medical Officers (8.3%) and Assistant Registrars (2.1%). The study observes that the rate of Caesarean delivery is much higher than that observed in western countries. Most of the deliveries in this hospital, whether normal or Caesarean, were found to be conducted by the trainee or junior doctors. Ibrahim Med. Coll. J. 2009; 3(1): 21-23 Keywords: Pregnancy, normal delivery, Caesarean delivery, delivery practices, tertiary hospital.   doi: 10.3329/imcj.v3i1.2915

scholarly journals OP15.08: Increased rate of uterine retroflexion in women with history of a previous Caesarean delivery

2015 ◽  
Vol 46 ◽  
pp. 99-99
Author(s):  
O. Rotenberg ◽  
W. Leung ◽  
J. Jou ◽  
E. Bircaj ◽  
L. Reimers ◽  
...  
Keyword(s):  
Caesarean Delivery ◽  
History Of

OC24.02: Increased likelihood of intrauterine device malposition in women with history of a previous Caesarean delivery

2015 ◽  
Vol 46 ◽  
pp. 51-52
Author(s):  
O. Rotenberg ◽  
J. Jou ◽  
W. Leung ◽  
E. Bircaj ◽  
L. Reimers ◽  
...  
Keyword(s):  
Caesarean Delivery ◽  
Intrauterine Device ◽  
History Of

The Effects of Previous Abdominal Operations and Intraperitoneal Adhesions on the Outcome of Peritoneal Dialysis Catheters

2010 ◽  
Vol 30 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Amir Keshvari ◽  
Mohammad Sadegh Fazeli ◽  
Alipasha Meysamie ◽  
Sepideh Seifi ◽  
Mohammad Kazem Nouri Taromloo
Keyword(s):  
Peritoneal Dialysis ◽  
Abdominal Surgery ◽  
Previous History ◽  
Laparoscopic Approach ◽  
Surgical Revision ◽  
Intraperitoneal Adhesions ◽  
Previous Abdominal Surgery ◽  
Increased Risk ◽  
History Of ◽  
Abdominal Operations

BackgroundPatients with previous history of abdominal operations are sometimes excluded from consideration for peritoneal dialysis because of concerns for increased risk of complications during the implantation procedure and inadequate dialysis due to reduced peritoneal surface area. Employing a laparoscopic approach, we compared the outcome of peritoneal dialysis catheters in 2 groups of patients with and without intra-abdominal adhesions.MethodsAll data in this report were recorded prospectively. Revision-free and overall survival of catheters, the incidence of mechanical and infectious complication, and surgical revision rates were compared between the 2 groups.ResultsIn 217 successful catheter implantations, there was a history of previous abdominal surgery in 42.9% of procedures; only 26.9% of them had intraperitoneal adhesions; 2.8% of patients without history of previous abdominal surgery had intraperitoneal adhesions. There were no significant differences between the 2 groups for 1- and 2-year revision-free and overall catheter survival, mechanical dysfunction, infectious complications, or surgical revision rates.ConclusionHistory of previous abdominal surgery should not be used to judge the eligibility of patients for peritoneal dialysis. Laparoscopic placement is the best way to ensure optimal catheter outcomes equivalent to patients without previous abdominal surgery.

scholarly journals Maternal and Fetal outcomes of Cesarean Delivery and factors associated with its unfavorable management outcomes; In Ayder Specialized Comprehensive Hospital, Mekelle, Tigray, Ethiopia, 2017.

2019 ◽  
Author(s):  
Meresa Berwo mengesha ◽  
Hadgay Hagos Adhanu ◽  
Desta Abraha weldegiwergis ◽  
Natnael Etsay Assefa ◽  
Woldu mammo werid ◽  
...  
Keyword(s):  
Neonatal Death ◽  
Caesarean Delivery ◽  
Wound Dehiscence ◽  
Maternal Outcomes ◽  
Early Neonatal Death ◽  
Fetal Outcomes ◽  
Obstructed Labor ◽  
Factors Associated ◽  
History Of ◽  
Caesarean Hysterectomy

Abstract Objectives: The aim of this study was to determine the unfavorable outcomes and to assess factors contribute for the unfavorable management outcomes after caesarean deliveries in Ayder Specialized Comprehensive Hospital, Mekelle, Tigray, Ethiopia, 2017. Results: The unfavorable maternal management outcomes were Adhesion 28(8.3%), excessive blood loss and blood transfusion 19(5.6%), caesarean hysterectomy 10(3%), relaparotomy 5(1.5%), wound infection and wound dehiscence 23(6.8%).Unfavorable fetal outcomes were were still birth 9(2.6%), early neonatal death 8(2.4%), low birth weight 58(17.2%). Women’s who did not booked for Antenatal Care and having history of previous Caesarean delivery were found to be associated with unfavorable maternal outcomes and indications of Caesarean delivery as obstructed labor was associated with unfavorable fetal outcomes. Key words: caesarean delivery, fetal outcomes, maternal outcomes.

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