Baseline parameters for rotational thromboelastometry (ROTEM®) in healthy women undergoing elective caesarean delivery: a prospective observational study in Australia

Objectives: The objective of the study was to study the indications and risk factors for caesarean section (CS) and to study the caesarean rates in various patient groups as per Robson’s classification. Methods: This prospective observational study was conducted at Government Medical College Amritsar over a period of six months. All the patients admitted for delivery beyond 22 weeks were allotted to Robson groups on admission and the indications of all CS were recorded. The data collected were tabulated and analyzed statistically. Results: There were 553 deliveries in the study period, of which there were 241 CS amounting to a caesarean rate of 43.6%. Nulliparity, previous caesarean delivery and malpresentation were significant risk factors for CS but induction of labor was not associated with increased probability of caesarean delivery. Previous caesarean delivery was the most common indication of CS followed by foetal distress. Among Robson groups, group 10 had the biggest group size and biggest contribution to cesarean rates followed by group 5. Conclusion: Tertiary care government hospitals have a higher cesarean rates due to referral of high-risk pregnancies. Increasing the rates of trial of labour after caesarean is one of the interventions that may serve to decrease the caesarean rates in such institutions.

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The effect of sepsis and septic shock on the viscoelastic properties of clot quality and mass using rotational thromboelastometry: A prospective observational study

Journal of Critical Care ◽

10.1016/j.jcrc.2017.09.183 ◽

2018 ◽

Vol 44 ◽

pp. 7-11 ◽

Cited By ~ 8

Author(s):

Gareth R. Davies ◽

Matthew Lawrence ◽

Suresh Pillai ◽

Gavin M. Mills ◽

Robert Aubrey ◽

...

Keyword(s):

Septic Shock ◽

Observational Study ◽

Viscoelastic Properties ◽

Prospective Observational Study ◽

Rotational Thromboelastometry ◽

Sepsis And Septic Shock

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Effect of second child intent on delivery mode after Chinese two child policy implementation: a cross sectional and prospective observational study of nulliparous women in Chongqing

BMJ Open ◽

10.1136/bmjopen-2017-018823 ◽

2017 ◽

Vol 7 (12) ◽

pp. e018823 ◽

Cited By ~ 16

Author(s):

Jianlin Zhao ◽

Nan Shan ◽

Xiaochang Yang ◽

Qin Li ◽

Yinyin Xia ◽

...

Keyword(s):

Observational Study ◽

Caesarean Delivery ◽

Prospective Observational Study ◽

Delivery Mode ◽

Second Trimester ◽

Cross Sectional ◽

Second Child ◽

Nulliparous Women ◽

Child Policy ◽

Tertiary Teaching

ObjectivesTo assess the influence of second child intent on the delivery preferences and final delivery modes of nulliparous women, particularly caesarean delivery on maternal request (CDMR), after implementation of China’s two child policy.DesignCross sectional and prospective observational study.SettingA tertiary teaching hospital in Chongqing, China.Participants1000 low risk nulliparous women were initially involved, and were divided into two groups based on their intent on having a second child. 814 women who completed all interviews were analysed.Main outcome measuresPreferred mode of delivery in second trimester and at admission; final delivery mode, CDMR.Results814 women who completed all interviews were analysed, in whom 51.2% intended to have a second child. The preference for caesarean delivery (CD) at the second trimester between the intent and no intent group was 6.2% versus 17.9% (adjusted RR 0.35, 95% CI 0.20 to 0.63) and increased to 24.2% versus 37.3% (adjusted RR 0.65, 95% CI 0.45 to 0.94) at admission, respectively. The overall CD rates between the two groups were 41.0% versus 50.4% (adjusted RR 0.84, 95% CI 0.60 to 1.18), and the CDMR rates were 16.7% versus 29.0% (adjusted RR 0.56, 95% CI 0.37 to 0.86), respectively.ConclusionsWomen who intend to have a second child are less likely to request a CD, and high rates of CD and CDMR in nulliparous women may have decreased after implementation of China’s two child policy.

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