Factors related to the increasing cesarean section rates for cephalopelvic disproportion

1986 ◽  
Vol 154 (5) ◽  
pp. 1095-1098 ◽  
Author(s):  
Eliot L. Silbar
Keyword(s):  
Cesarean Section ◽  
Cephalopelvic Disproportion

scholarly journals Prelabour Rupture of Membranes: Mode of Delivery and Outcome

2015 ◽  
Vol 3 (2) ◽  
pp. 237-240 ◽  
Author(s):  
Vlora Ademi Ibishi ◽  
Rozalinda Dusan Isjanovska
Keyword(s):  
Cesarean Section ◽  
Mode Of Delivery ◽  
Neonatal Morbidity ◽  
Fetal Distress ◽  
Maternal Complications ◽  
Cephalopelvic Disproportion ◽  
Cesarean Section Delivery ◽  
Clinical Center ◽  
Failed Induction ◽  
The University

BACKGROUND: Pre-labour Rupture of Membranes (PROM) is an important cause of maternal and fetal morbidity and increased rate of cesarean section delivery. AIM: The aim of this study is to investigate the clinical characteristics, PROM-delivery interval, mode of delivery, and early maternal neonatal outcome among pregnant patients presenting with pre-labour rupture of membranes.MATERIAL AND METHODS: This prospective case control study is implemented at the Obstetric and Gynecology Clinic of the University Clinical Center of Kosovo. The study included 100 pregnant patients presenting with prelabour rupture of membranes of which 63 were primigravida and 37 patients were multigravida.RESULTS: The incidence of cesarean section in this study is 28 % and the most common indications for cesarean delivery were fetal distress, malpresentation, cephalopelvic disproportion, and failed induction. The most common maternal complications in this study are chorioamnionitis, retained placenta and postpartum hemorrhage. Neonatal infectious morbidity was present in 16 % of cases.CONCLUSION: PROM is a significant issue for obstetricians and an important cause of maternal and neonatal morbidity and increased rate of cesarean section delivery.

scholarly journals Cesárea en el Hospital Verdi Cevallos Balda en el año 2015

2017 ◽  
Vol 1 (1) ◽  
pp. 41
Author(s):  
Juan Carlos Suárez Fernández ◽  
Andrea Patricia Chancay Mendoza ◽  
Virginia Fernández ◽  
Galo Marcelo Proaño Arias ◽  
Dadier Marrero González
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Well Being ◽  
Cephalopelvic Disproportion ◽  
Mortality And Morbidity ◽  
Palabras Clave ◽  
Integral Assessment ◽  
The City ◽  
The Universe

En los últimos años, el parto por cesárea ha aumentado en relación al parto transpelviano a nivel mundial,  lo  cual  constituye  una  problemática  de  salud,  teniendo  en  cuenta  su  asociación  con  la morbimortalidad de las pacientes y el incremento de los costes que representa. En este trabajo, se realizó un estudio observacional descriptivo en el Hospital Regional Doctor Verdi Cevallos Bal- da de la ciudad de Portoviejo, entre enero y diciembre de 2015, con el objetivo de determinar las indicaciones más frecuentes de la cesárea. El universo estuvo constituido por 3037 gestantes. La muestra fue de 1260 cesareadas que cumplieron con el criterio de inclusión como cesárea primiti- va, y de exclusión para las cesáreas iteradas y los partos transpelvianos. Los resultados mostraron que al 56,1% de las gestantes se les practicó cesárea. Dentro de los diagnósticos de la cesárea se observó predominio de la desproporción cefalopélvica con un 42,5% el compromiso de bienestar fetal con un 26,8% y la corioamnionitis un 0,1%, correspondiendo a las indicaciones maternas, fe- tales y ovulares respectivamente. Se concluyó que la indicación de cesárea, debe ser el resultado de una evaluación integral del estado maternofetal, sobre el que se decide la realización de este procedimiento quirúrgico. Palabras clave: Cesárea, cefalopélvica, bienestar fetal, corioamnionitis Abstract: In recent years, cesarean has risen in relation to the transpelvic delivery worldwide, which is a pro- blem of health, taking into account its association with mortality and morbidity of patients and the increased costs which they represent. In this work, a descriptive observational study was conducted in the Regional Hospital Doctor Verdi Cevallos Balda in the city of Portoviejo, from January to De- cember 2015 with the objective of determining the most frequent indications for cesarean section. The universe consisted of 3037 pregnant women. The sample was cesarean section 1260 that met the  inclusion  criteria  as  early  cesarean  section, and exclusion  for  iterated  transpelvic  deliveries and caesarean sections. The results showed that 56.1% of pregnant women underwent caesarean section.  Within  diagnoses  prevalence  of  caesarean  section cephalopelvic  disproportion  to  42.5% was observed, the commitment of fetal well-being for 26.8% and 0.1% for chorioamnionitis, corres- ponding to maternal, fetal indications and ovular respectively. It was concluded that the indication of cesarean section, must be the result of a integral assessment of the maternal-fetal state, on which the realization of this surgical procedure is decided. Key words: Cesarean, cephalopelvic, fetal well-being, corioamnionitis

Palatal Burn Due to Bottle Warming in a Microwave Oven

PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 382-384
Author(s):  
ROBERTA A. HIBBARD ◽  
RONALD BLEVINS
Keyword(s):  
Case Report ◽  
Weight Gain ◽  
Birth Weight ◽  
Cesarean Section ◽  
Foreign Bodies ◽  
Microwave Oven ◽  
Cephalopelvic Disproportion ◽  
Infant Girl ◽  
Poor Weight Gain

Infections, tumors, nutshells, and foreign bodies may all be seen clinically as unusual lesions of the palate in children.1,2 We describe the case of an infant girl who had a palatal lesion, eventually determined to be secondary to a scald burn. We emphasize this case because the eventual diagnosis was not considered until almost 2 months after the patient was first seen, at which time additional history was elicited. CASE REPORT C.P. was a 4-month-old girl referred to our hospital for evaluation and treatment of poor weight gain with a palatal lesion. She was delivered by cesarean section for cephalopelvic disproportion after an uncomplicated fullterm pregnancy; her birth weight was 3,820 g (90th percentile).

Spontaneous Resolution of Atraumatic Intrauterine Ping-Pong Fractures in Newborns Delivered by Cesarean Section

2011 ◽  
Vol 26 (11) ◽  
pp. 1449-1451 ◽  
Author(s):  
Luca Basaldella ◽  
Elisabetta Marton ◽  
Kimon Bekelis ◽  
Pierluigi Longatti
Keyword(s):  
Cesarean Section ◽  
Rare Condition ◽  
Spontaneous Resolution ◽  
Neurological Deficits ◽  
Cephalopelvic Disproportion ◽  
Spontaneous Vaginal Delivery ◽  
Ping Pong ◽  
History Of ◽  
External Trauma

Two cases of spontaneous intrauterine ping-pong fractures are reported in newborns delivered by cesarean section. Skull fractures occurred with no evidence of extrinsic trauma or cephalopelvic disproportion. Subsequent clinical follow-up at 6 and 12 months revealed normal skull reshaping and growth, with no associated neurological deficits. Spontaneous intrauterine ping-pong fractures in newborns delivered by cesarean section is a distinctly rare condition. These 2 cases demonstrate that, even without complicated spontaneous vaginal delivery or history of external trauma, congenital ping-pong fracture of the skull can occur. The existence of this clinical condition and its spontaneous resolution is important knowledge that can assist in the prepartum and postpartum management of children with this pathology.

scholarly journals Anaesthesia for Cesarean Section in a Tertiary Care Center

1970 ◽  
Vol 7 (2) ◽  
pp. 112-115
Author(s):  
CK Shrestha
Keyword(s):  
Cesarean Section ◽  
General Anaesthesia ◽  
Care Center ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Anaesthetic Technique ◽  
Previous Cesarean Section ◽  
Cephalopelvic Disproportion ◽  
Emergency Cesarean ◽  
Previous Cesarean

Background: Cesarean section is in rising trend both in developed and developing countries. The role of appropriate choice of safest anaesthetic technique for individual patients depends upon number of factors. The study aims to find the pattern of anaesthesia used in tertiary care setting. Methods: A retrospective study using secondary data from the hospital was analyzed among total of 2044 cases from April 2005 to April 2006. Demographic profile and use of different types of anaesthetic technique were studied. Descriptive analysis was used to calculate the frequency and percentage and their relations. Results: Most patients fell on the age groups, 848 (41.48%) in 21-25 followed by 602 (25.08%) in 26-30 and 321 (15.65%) in 14-20. Out of the total 2044 cases, 1983 (97.01%).were emergency cesarean and 61 (2.98%) were elective cesarean. The top three indications for cesarean section were previous cesarean section, fetal distress and cephalopelvic disproportion. Previous cesarean section was found to be in 520 (25.4%), and Fetal distress in 434 (21.5%), and cephalopelvic disproportion in 207 (10.6%). The choice of anaesthesia among this group showed spinal 1632 (79.84%) being the preferred choice followed by general anaesthesia 402 (19.66%) and local epidural anaesthesia 10 (0.48%). Conclusions: Majority of the cesarean section are emergency. The preferred choice of anaesthesia is spinal. Previous cesarean section is the commonest indication followed by fetal distress and cephalopelvic disproportion. Key words: cesarean section; general anaesthesia; previous cesarean section; spinal anesthesia DOI: 10.3126/jnhrc.v7i2.3018 Journal of Nepal Health Research Council Vol.7(2) Apr 2009 112-115

scholarly journals Maternal Referral at Kalabahi General Hospital : A Descriptive Study

2020 ◽  
pp. 10-13
Author(s):  
Fuad Saddam ◽  
Putu A. A. Purbawa
Keyword(s):  
Cesarean Section ◽  
Pregnancy Induced Hypertension ◽  
Cesarean Sections ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
Cephalopelvic Disproportion ◽  
Antepartum Haemorrhage ◽  
Vaginal Deliveries ◽  
Induced Hypertension ◽  
Induction Failure

Abstract Objective: To find out the profile of cesarean section in dr. Zainoel Abidin Hospital since the BPJS era.Methods: This study was a descriptive-observational with retrospective design. The data were obtained in March-April 2017. We collected 3656 data from medical record period January 1st, 2014 - December 31st, 2016.Results: The finding showed there were 1,669 vaginal deliveries (45.65%) and 1,987 cesarean sections (54.35%). The most frequent causes to cesarean sections were induction failure (49.77%), cephalopelvic disproportion (14.33%), pregnancy-induced hypertension (11.21%), malpresentation (8.91), and antepartum haemorrhage (4.33%).Conclusions: The incidence of cesarean sections in dr. Zainoel Abidin Hospital since the BPJS era was 54.35%, increased by 13.29% than the year of 2011-2013 (41.06%) with the most frequent cause is induction failure (49.77%).Keywords: antepartum haemorrhage, BPJS, cesarean section, induction failure, pregnancy-induced hypertension, tertiary referral hospital. Abstrak Tujuan: Mengetahui profil persalinan seksio sesarea di RSUD dr. Zainoel Abidin Banda Aceh pada era BPJS.Metode: Penelitian deskriptif-observasional dengan desain studi retrospektif. Pengambilan data dimulai dari bulan Maret-April 2017. Sebanyak 3656 data dikumpulkan dari rekam medik periode 1 Januari 2014 - 31 Desember 2016.Hasil: Terdapat 1.669 kasus persalinan pervaginam (45,65%) dan 1.987 kasus seksio sesarea (54,35%). Indikasi terbanyak yang menyertai seksio sesarea adalah gagal induksi (49,77%), cephalopelvic disproportion (14,33%), hipertensi dalam kehamilan (11,21%), malpresentasi (8,91%), dan perdarahan antepartum (4,33%).Kesimpulan: Angka seksio sesarea di RSUD dr. Zainoel Abidin meningkat 13,29% sejak berlakunya BPJS (1 Januari 2014-31 Desember 2016) mencapai 54,35% dibandingkan tahun 2011-2013 (41,07%) dengan indikasi terbanyak gagal induksi (49,77%).Kata kunci: BPJS, gagal Induksi, hipertensi dalam kehamilan, perdarahan antepartum, RS rujukan tersier, seksio sesarea.

Sunkissed Urine

PEDIATRICS ◽  
1981 ◽  
Vol 67 (3) ◽  
pp. 443-443
Author(s):  
Byron D. Roseman
Keyword(s):  
Cesarean Section ◽  
Cephalopelvic Disproportion ◽  
Breast Fed ◽  
Experienced Difficulty ◽  
Stretching Exercises

A 3-month-old infant had episodes of brightly pink-colored urine. She was delivered by cesarean section because of cephalopelvic disproportion. There were no perinatal difficulties until age 2 months when moderate torticollis became evident. By 3 months of age this had improved with stretching exercises. The mother indicated then that her exclusively breast-fed infant had been having transitory episodes, at least monthly, of decidedly pink urine. The mother had an insight when she experienced difficulty in removing an orange-pink stain from a plastic glass from which she had drunk Sunkist orange soda.

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