Clinical diagnosis and therapy of uterine scar defects after caesarean section in non-pregnant women

2014 ◽  
Vol 291 (6) ◽  
pp. 1417-1423 ◽  
Author(s):  
Neele Schepker ◽  
Guillermo-José Garcia-Rocha ◽  
Frauke von Versen-Höynck ◽  
Peter Hillemanns ◽  
Cordula Schippert
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Clinical Diagnosis ◽  
Diagnosis And Therapy ◽  
Uterine Scar

scholarly journals Features of women’s vaginal delivery with uterine scar at present stage

2018 ◽  
Vol 67 (1) ◽  
pp. 26-37
Author(s):  
Viktor A. Mudrov ◽  
Marina N. Mochalova ◽  
Andrey A. Mudrov
Keyword(s):  
Systematic Review ◽  
Caesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Optimal Algorithm ◽  
Important Task ◽  
Scientific Development ◽  
Present Stage ◽  
Uterine Scar

Introduction. Presently, the delivery of pregnant women with scar on the uterus vaginally is a strategically important task, which provides a reduction in the frequency of caesarean section and related complications. An important role in the structure of contra-indications for the vaginal delivery is devoted to determining the viability of the uterine scar. The aim of the study was to investigate the characteristics of delivery of pregnant women with uterine scar vaginally at the present stage of scientific development. Materials: literary data of foreign and domestic authors in the period from 1979 to 2017. Methods: a systematic review and synthesis of the literature data. Conclusion. It is necessary to determine the optimal algorithm for delivery of pregnant women with a uterine scar, which allows to optimize tactics of conducting such patients.

scholarly journals Modified mattress sutures vs running sutures in uterine closure: which is better?

2019 ◽  
Vol 8 (12) ◽  
pp. 4818
Author(s):  
Swar S. Shah ◽  
Jayneel V. Shah ◽  
Shivani A. Valia ◽  
Uday J. Patel
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Single Layer ◽  
Care Hospital ◽  
Interventional Study ◽  
Mattress Suture ◽  
Uterine Scar

Background: Conventional closure of uterus has been known to bear risk of scar dehiscence and scar rupture in subsequent pregnancies and thus, a study was conducted to compare the outcome of uterine closure with modified mattress manner and running manner and to establish a better method of uterine closure during caesarean section. Objective was to compare the conventional single layer running sutures and single layer modified mattress sutures for closure of uterus in caesarean section and find out which method is superior.Methods: This prospective interventional study was carried out in Dhiraj Hospital, a tertiary care hospital in Vadodara. 60 pregnant women in the study criteria were equally divided randomly into 2 groups. Uterine closure was done in single layered sutures, one by running sutures and other group by modified mattress sutures.Results: Uterine scar thickness on 8th day and 6 months post-operatively was significantly more in single layered suturing by modified mattress suture compared to running suture (p <0.05).Conclusions: Uterine closure by single layered modified mattress suture is better in comparison to conventional single layer running suture.

Cesarean scar defect: terminological aspects

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 70-75
Author(s):  
Sergey A. Martynov ◽  
Leyla V. Adamyan
Keyword(s):  
Caesarean Section ◽  
Postpartum Period ◽  
Russian Literature ◽  
Cesarean Scar ◽  
The Status ◽  
Uterine Scar

The review aim was to summarize information and to provide terminological analysis of the foreign and Russian literature on assessing the status of the uterine scar after a caesarean section, as well as to identify terms that are most appropriate to use out and during pregnancy, in childbirth and in the postpartum period.

scholarly journals The presence of lupus nephritis additionally increases the risk of preeclampsia among pregnant women with systemic lupus erythematosus

Lupus ◽  
2021 ◽  
pp. 096120332110047
Author(s):  
Katarina Bremme ◽  
Sonja Honkanen ◽  
Iva Gunnarsson ◽  
Roza Chaireti
Keyword(s):  
Caesarean Section ◽  
Lupus Nephritis ◽  
Pregnant Women ◽  
Lupus Erythematosus ◽  
Premature Birth ◽  
Renal Involvement ◽  
Significant Risk ◽  
Obstetric Outcomes ◽  
Increased Risk ◽  
Renal Lupus

Introduction Pregnant women with systematic lupus erythematosus (SLE) have an increased risk of obstetric complications, such as preeclampsia and premature births. Previous studies have suggested that renal involvement could further increase the risk for adverse obstetric outcomes. Aims: The aim of this study was to compare the obstetric outcomes in a Swedish cohort of patients with SLE with and without lupus nephritis (LN). Patients and methods The study was conducted as a retrospective observational study on 103 women with SLE, who gave birth at the Karolinska University Hospital between the years 2000-2017. Thirty-five women had previous or active LN and 68 women had non-renal lupus. Data was collected from digital medical records. The outcomes that were analysed included infants born small for gestational age (SGA), premature birth, preeclampsia, SLE- or nephritis flare and caesarean section. Results Women with LN, both with previous and with renal flare during pregnancy suffered from pre-eclampsia more often compared to women with non-renal lupus (25.7% vs 2.9%, p = 0.001) and this complication was associated with premature birth (p = 0.021) and caesarean section (p = 0.035). Conclusions Lupus nephritis is a significant risk factor for adverse obstetric outcomes in women with SLE, including preeclampsia. Those patients could benefit from more frequent antenatal controls and more vigorous follow-up.

Heat Transfer in Living Systems: Current Opportunities

1998 ◽  
Vol 120 (4) ◽  
pp. 810-829 ◽  
Author(s):  
K. R. Diller ◽  
T. P. Ryan
Keyword(s):  
Heat Transfer ◽  
Clinical Diagnosis ◽  
Basic Research ◽  
Bioheat Transfer ◽  
Living Systems ◽  
Diagnosis And Therapy

This paper presents an overview of the field of bioheat transfer. Topics covered include factors that distinguish heat transfer in living systems from inanimate systems, application areas in basic research and in clinical diagnosis and therapy, and our projection of where the field is headed and what are likely to be the most fertile opportunities for contributions by members of the heat transfer community.

Diagnosis and surgical correction of isthmocele after caesarean section

2021 ◽  
Vol 20 (3) ◽  
pp. 56-62
Author(s):  
N.S. Mikhaelyan ◽  
◽  
D.V. Bryunin ◽  
I.D. Khokhlova ◽  
T.A. Dzhibladze ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Surgical Correction ◽  
Postoperative Rehabilitation ◽  
Double Row ◽  
Anatomical Structures ◽  
Group 3 ◽  
Group 2 ◽  
Uterine Scar ◽  
Group 1

Objective. To compare the efficacy of different methods of surgical correction of isthmocele after caesarean section. Patients and methods. The study included 56 patients aged 29–41 years, who were divided into three groups: group 1 (n = 16) – patients who underwent surgical laparoscopy with suturing the uterine wound with single-row separate muscularmuscular sutures; group 2 (n = 23) – patients after repair of the uterus with a double-row continuous seromuscular and muscular-muscular suture performed by laparoscopy; group 3 (n = 17) consisted of patients who underwent laparotomy and suturing the uterine wound with a double-row continuous suture. Results. We developed a three-stage plastic and reconstructive surgical laparotomic and laparoscopic program in case of the uterine scar incompetence, which improved the quality of life in all patients. Pregnancy occurred 9–14 months after plastic and reconstructive surgery on the uterus and resulted in timely surgical delivery in 4 (25%) patients in group 1, in 7 (30.4%) patients in group 2 and in 3 (17.6%) patients in group 3. Two (12.5%) patients in group 1 and three (13.04%) patients in group 2 were observed during pregnancy with a period of 10–28 weeks. Conclusion. The use of laparoscopy ensured better visualization of anatomical structures (vessels, nerves, ureters, bladder), which led to a decrease in intraoperative blood loss, in the risk of damage to adjacent organs and in the development of adhesions, and to accelerated postoperative rehabilitation of patients. Key words: double-row suture, istmocele, laparoscopy, metroplasty

CLINICAL AND SUBCLINICAL CHARACTERICTIS AND PREGNANCY OUTCOME OF FETAL MACROSOMIA AT OBSTETRIC DEPARTMENT AT HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

2020 ◽  
pp. 78-84
Author(s):  
Giang Truong Thi Linh ◽  
Quang Mai Van
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Vaginal Birth ◽  
Fetal Macrosomia ◽  
Major Influence ◽  
Maternal Complications ◽  
Perineal Tear ◽  
History Of

Background: Fetal macrosomia has a major influence on maternal, neonatal and pregnancy outcomes.Objective: To describe the clinical and subclinical features and the management of fetal macrosomia on pregnancy outcomes. Subjects and methods: Study subjects including pregnant women and babies born ≥ 3500 g with nulliparous and over 4000 grams with primiparous or multiparous at Departement of Obstetrics and Gynecology in Hue University of Medicine and Pharmacy Hospital. The time of choosing subjects to enter the research group is that after birth, the weight is above 3500/4000 grams, then follow up the pregnancy result and retrospect the clinical and subclinical characteristics. Results: From May 2019 to April 2020, there were 223 pregnant women with the birth weight ≥ 3500 g in this study. The mean neonatal weight for macrosomia was 3869.96 ± 315.72 (g). The birth weight ≥ 4000 g, the rate of cesarean section was 91.5%, vaginal birth was 8.5%. The birth weight 3500 - under 4000 g, the rate of cesarean section was 76%, vaginal birth was 24%. 1.1% maternal complications was perineal tear. Conclusion:Factors related to fetal macrosomia: Maternal age, gender of fetus, parity, a history of fetal macrosomia, maternal height, pregnancy weight gain. Caesarean section is the majority. Key words: Fetal macrosomia, gestational diabetes mellitus, normal labor, caesarean section.

ASSESSMENT OF PERINATAL RISK IN PREGNANT WOMEN WITH A UTERINE SCAR

2019 ◽  
pp. 43-48
Author(s):  
V.A. Borovkov ◽  
T.M. Cherkasova ◽  
O.Yu. Pachkovskaya ◽  
G.A. Safarova ◽  
N.L. Gurevich
Keyword(s):  
Pregnant Women ◽  
Perinatal Risk ◽  
Uterine Scar

scholarly journals On demand caesarean section: What’s women’s attitude?

1970 ◽  
Vol 2 (2) ◽  
pp. 12-15
Author(s):  
Nira S Shrestha ◽  
Sumita Pradhan
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Caesarean Delivery ◽  
Mode Of Delivery ◽  
University Teaching ◽  
Normal Vaginal Delivery ◽  
On Demand ◽  
Assisted Delivery ◽  
The Right

Objectives: To evaluate the knowledge and attitude of Nepalese women towards mode of delivery and caesarean on demand. Study design: Hospital based cross sectional descriptive study where 200 pregnant women after 37 completed weeks of gestation were recruited randomly and interviewed, and their answers were analyzed. Results: Of the 200 interviewed pregnant women, all of them knew about normal vaginal delivery and caesarean delivery, but only 30% knew about instrumentally assisted delivery and 9% had heard about painless labour. Vaginal delivery was the preferred mode in 93% and 7% preferred caesarean delivery. Only 35% of the interviewed women believed that women should have the right to demand a caesarean section Conclusion: Knowledge assessment of two hundred women regarding the mode of delivery clearly indicates the need for strengthening counseling aspect of antenatal care and awareness program regarding mode of delivery. In Nepal on demand caesarean section is not provided in the University Teaching Hospital. However one third of women still felt that women should have the right to choose caesarean section on demand. Key words: Attitude, mode of delivery, Caesarean on demand. doi:10.3126/njog.v2i2.1448 N. J. Obstet. Gynaecol 2007 Nov-Dec; 2 (2): 12 - 15

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