303: Labour induction versus elective cesarean section in nulliparous women with unfavourable cervix at term: maternal and perinatal consequences

2013 ◽  
Vol 208 (1) ◽  
pp. S137
Author(s):  
B. Anthony Armson ◽  
K. Joseph ◽  
Elizabeth Asztalos ◽  
Colleen O'Connell ◽  
Jon Barrett
Keyword(s):  
Cesarean Section ◽  
Labour Induction ◽  
Elective Cesarean Section ◽  
Nulliparous Women ◽  
Unfavourable Cervix ◽  
Elective Cesarean

Volume sonography of the pelvic floor in nulliparous women and after elective cesarean section

2001 ◽  
Vol 80 (7) ◽  
pp. 611-615 ◽  
Author(s):  
Nadin Ochsenbein ◽  
Juozas Kurmanavicius ◽  
Renate Huch ◽  
Albert Huch ◽  
Josef Wisser
Keyword(s):  
Cesarean Section ◽  
Pelvic Floor ◽  
Elective Cesarean Section ◽  
Nulliparous Women ◽  
Elective Cesarean

scholarly journals Pelvic floor biometry in asymptomatic primiparous women compared with nulliparous women: a single-center study in Southern China

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052092039
Author(s):  
Yong-jiang Mao ◽  
Zhi-juan Zheng ◽  
Jie-hua Xu ◽  
Jing Xu ◽  
Xin-ling Zhang
Keyword(s):  
Cesarean Section ◽  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Southern China ◽  
Valsalva Maneuver ◽  
Elective Cesarean Section ◽  
Nulliparous Women ◽  
Elective Cesarean ◽  
Primiparous Women ◽  
Ultrasound Parameters

Objective This study aimed to investigate pelvic floor biometry of asymptomatic primiparous women compared with nulliparous women by using four-dimensional transperineal ultrasound (4D TPUS). Methods From July 2015 to February 2017, 722 women were enrolled and divided into the nulliparous group (n = 292), the vaginal delivery group (n = 272), and the elective cesarean section group (n = 158). The ultrasound parameters of 4D TPUS were compared among the groups. Results The vaginal delivery group had a significantly greater bladder neck descent (η2 = 0.04), retrovesical angles on Valsalva maneuver (η2 = 0.01), urethral rotation (η2 = 0.01), levator hiatus area on Valsalva maneuver (η2 = 0.02), urethral inclination angle (η2 = 0.02), and funneling of the proximal urethra (η2 = 0.11) than the other two groups. Comparison of the two modes of delivery (vaginal delivery and cesarean section) also showed significant differences in the above-mentioned ultrasound parameters. Conclusion There are significant differences in pelvic floor biometry between asymptomatic primiparous women and nulliparous women, as well as between women with vaginal delivery and those with elective cesarean section.

Five years’ experience in an anesthesiology antenatal clinic for high-risk patients

2018 ◽  
Vol 46 (3) ◽  
pp. 287-291 ◽  
Author(s):  
Daniel Shatalin ◽  
Yaacov Gozal ◽  
Sorina Grisaru-Granovsky ◽  
Alexander Ioscovich
Keyword(s):  
High Risk ◽  
Cesarean Section ◽  
Mode Of Delivery ◽  
Antenatal Clinic ◽  
Management Plan ◽  
Elective Cesarean Section ◽  
Nulliparous Women ◽  
Mother And Child ◽  
Elective Cesarean ◽  
Hospital Births

Abstract Introduction: The aim, of this study is to describe our approach and outcomes in an outpatient anesthesia/analgesia antepartum clinic among ambulatory high-risk obstetric patients. Methods: This was a retrospective evaluation of the activity of the anesthesiology antenatal clinic from its inception in 2010 until 2016 (a 5-year period). The clinic works in collaboration with the Department of Obstetrics and Gynecology. The catchment area of the study University Affiliated Hospital attends a multiethnic population characterized by high parity. Results: There were 241 referrals over the 5 years, each of whom was discharged with a consult and a delivery management plan and 228 (95%) of which were performed as planned. Mean gestational age at consultation was 34.4 weeks (range: 20–37). There were no preconceptional consultation. No limitations regarding mode of anesthesia/analgesia was considered for 47% of the referrals. Nulliparous women accounted for 50% of the referrals and 17% were in their second pregnancy. The greatest number of referrals (30%) was for musculoskeletal conditions. No maternal death encountered. The mode of delivery was vaginal in 139 (65%) women; elective cesarean section in 44 (21%) women; and emergent cesarean section in 30 (14%) women. The neonatal outcomes were unremarkable; 210 (87%) in hospital births, 97.1% had an a 5′ Apgar score of 9. Conclusion: Our findings reveal the need for high-risk obstetric patients consult with a dedicated obstetric anesthesiologist to devise a management plan for labor and delivery that is tailored to their comorbidity and obstetric status, to ensure an optimum outcome for mother and child.

Volume sonography of the pelvic floor in nulliparous women and after elective cesarean section

2001 ◽  
Vol 80 (7) ◽  
pp. 611-615 ◽  
Author(s):  
Nadin Ochsenbein ◽  
Juozas Kurmanavicius ◽  
Renate Huch ◽  
Albert Huch ◽  
Josef Wisser
Keyword(s):  
Cesarean Section ◽  
Pelvic Floor ◽  
Elective Cesarean Section ◽  
Nulliparous Women ◽  
Elective Cesarean

scholarly journals An Investigation Into the Effects of Magnesium Sulfate on the Complications of Succinylcholine Administration in Nulliparous Women Undergoing Elective Cesarean Section: A Double-Blind Clinical Trial

2019 ◽  
Vol 7 (4) ◽  
pp. 520-525
Author(s):  
Davoud Aghamohamadi ◽  
Mehdi Khanbabayi Gol
Keyword(s):  
Clinical Trial ◽  
Cesarean Section ◽  
Magnesium Sulfate ◽  
Statistical Tests ◽  
Elective Cesarean Section ◽  
Double Blind ◽  
Nulliparous Women ◽  
Double Blind Clinical Trial ◽  
Significant Difference ◽  
Elective Cesarean

Objectives: Controlling the complications of anesthetics (e.g., succinylcholine) seems necessary since they are greater for nulliparous women who undergo elective cesarean section (C-section). The present study aimed to investigate the effects of magnesium sulfate on the complications of succinylcholine administration in nulliparous women undergoing elective C-section. Materials and Methods: This double-blind clinical trial was conducted on 60 nulliparous women during 2012-2013. The women were randomly assigned to A and B groups. Before inducing the rapid anesthesia with succinylcholine, patients in the intervention group received 30 mg/kg of magnesium sulfate within 10 minutes and then the hemodynamic status and the side effects of succinylcholine were recorded in a special form. Statistical tests were performed using repeated-measures ANOVA, chi-square test, and one-way ANOVA tests and the level of significance was determined to be P<0.05. Results: There was no significant difference between the two groups in terms of demographic data (P>0.059). However, the results indicated that there was a significant difference between the 2 groups regarding the myoglobin level (P=0.010). Contrarily, the results showed that most patients in the intervention (n=23) and control (n=15) groups experienced no or mild and severe fasciculation, respectively (P<0.001). Conclusions: In general, magnesium sulfate can greatly control and reduce the complications of succinylcholine administration, including fasciculation.

Acute Dystonia after a Single Dose of Intravenous Metoclopramide during Elective Cesarean Section: A Case Report.

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Danielle Levin
Keyword(s):  
Single Dose ◽  
Case Report ◽  
Cesarean Section ◽  
Epidural Anesthesia ◽  
Elective Cesarean Section ◽  
Single Administration ◽  
Dystonic Reaction ◽  
Elective Cesarean ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

We would like to present the first report of severe acute dystonic reaction after a single administration of metoclopramide during cesarean section under combined spinal-epidural anesthesia.  During elective cesarean section, a 30-year-old female vomited four times and was treated with 10mg intravenous metoclopramide and 8mg intravenous ondansetron.  Nausea subsided with the antiemetic treatment, but two minutes later, patient had rapid eye blinking, uncontrollable head movement, and became unresponsive.  Bolus of 50mg intravenous diphenhydramine resolved the acute dystonic symptoms within seconds.  Patient was again oriented times three, with no recollection of symptoms, and remained symptom free for the rest of admission. 

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