Comparison of general and epidural anesthesia in elective cesarean section for placenta previa totalis: maternal hemodynamics, blood loss and neonatal outcome

2003 ◽  
Vol 12 (1) ◽  
pp. 12-16 ◽  
Author(s):  
J-Y. Hong ◽  
Y-S. Jee ◽  
H-J. Yoon ◽  
S.M. Kim
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Epidural Anesthesia ◽  
Neonatal Outcome ◽  
Placenta Previa ◽  
Elective Cesarean Section ◽  
Elective Cesarean

Spinal Anesthesia for Parturients with Multiple Gestation Undergoing Elective Cesarean Section - Hemodynamics, Blood Loss, and Neonatal Outcome

2002 ◽  
Vol 96 (Sup 2) ◽  
pp. A1037
Author(s):  
Dirk Meininger ◽  
Heidemarie Hingott ◽  
Brian A. Hall ◽  
Nanette LʼAllemand ◽  
Dorothee H. Bremerich
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Neonatal Outcome ◽  
Elective Cesarean Section ◽  
Multiple Gestation ◽  
Elective Cesarean

scholarly journals BLOOD LOSS DURING EMERGENCY CAESAREAN SECTION OF PLACENTA PREVIA IS MORE AS COMPARED TO ELECTIVE CAESAREAN SECTION

2021 ◽  
Vol 31 (03) ◽  
pp. 146-150
Author(s):  
Sardar Muhammad Alfareed Zafar Zafar ◽  
Mehvish Ilyas ◽  
Saima Saeed Usmani ◽  
Maryam Javaid ◽  
Rizwana Tariq
Keyword(s):  
Caesarean Section ◽  
Blood Transfusion ◽  
Blood Loss ◽  
Cesarean Section ◽  
Placenta Previa ◽  
Emergency Caesarean Section ◽  
Elective Cesarean Section ◽  
Emergency Caesarean ◽  
Elective Cesarean ◽  
The Mean

Background: Placenta Previa is one of the major obstetric complication. It is a serious condition that may lead to severe morbidity and mortality. The risk of cesarean and blood loss, particularly, in emergency cesarean section. Objective: To compare the mean blood loss and need for blood or blood products with emergency versus elective cesarean section in females with placenta previa. Study design: Cohort study. Settings: Department of Obstetrics & Gynaecology. Duration: 3 months (April to June 2020). Method: Sample size of 70 patients were enrolled in the study through Non Probability, Consecutive Sampling. Patients of age 20-40 years, presented >24 weeks of pregnancy, with diagnosis of placenta previa were included. Then females were booked and were followed-up in OPD till delivery. Emergency cesarean section was done if active labor and bleeding started while elective cesarean was done on given date for delivery. Intraoperative blood loss and need for blood or blood components transfusion was noted. Data was recorded on proforma and analyzed by using SPSS version 22. Results: The mean age of females in emergency group was 30.80 ± 4.36 years and mean age of females in elective group was 31.06 ± 3.76 years. The mean gestational age of females at delivery in emergency group was 35.74 ± 2.89 weeks and in elective group was37.54 ± 0.70 weeks. The average blood loss during emergency caesarean section was 1471.43 ± 891.65 ml while during elective cesarean section, average blood loss was 1042.86 ± 402.41 ml (p<0.05). In emergency caesarean group, 7 (20%) did not require blood transfusion while 28 (80%) required blood transfusion. In elective caesarean group, 21 (60%) did not require blood transfusion while 14 (40%) required blood transfusion (p<0.05). Conclusion: Though this study, we found significantly higher blood loss and need for blood transfusion in emergency caesarean section as compared to elective caesarean sections for placenta previa.

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. 

Maternal Hypotension During Elective Cesarean Section and Short-term Neonatal Outcome

2010 ◽  
Vol 30 (3) ◽  
pp. 163-164
Author(s):  
A. Maayan-Metzger ◽  
I. Schushan-Eisen ◽  
L. Todris ◽  
A. Etchin ◽  
J. Kuint
Keyword(s):  
Cesarean Section ◽  
Neonatal Outcome ◽  
Elective Cesarean Section ◽  
Short Term ◽  
Elective Cesarean

scholarly journals Impact of Prophylactic Betamethasone Indication on the Neonatal Outcome in 38-Week Pregnancies Prior to Elective Cesarean Section

2020 ◽  
Vol 10 (10) ◽  
pp. 1396-1401
Author(s):  
Enrique Valdés Rubio ◽  
Pamela Socías ◽  
Javiera Urquieta ◽  
Enrique Valdés M ◽  
Alvaro Sepúlveda-Martínez
Keyword(s):  
Cesarean Section ◽  
Neonatal Outcome ◽  
Elective Cesarean Section ◽  
Elective Cesarean

scholarly journals Tranexamic acid in prevention of postpartum hemorrhage in elective cesarean section

2019 ◽  
Vol 8 (2) ◽  
pp. 372
Author(s):  
Pravin Shah ◽  
Ajay Agrawal ◽  
Shailaja Chhetri ◽  
Pappu Rijal ◽  
Nisha K. Bhatta
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Tranexamic Acid ◽  
Postpartum Hemorrhage ◽  
Elective Cesarean Section ◽  
Controlled Study ◽  
Control Group ◽  
Estimated Blood Loss ◽  
Elective Cesarean ◽  
The Mean

Background: Postpartum hemorrhage is a common and occasionally life-threatening complication of labor. Cesarean section is associated with more blood loss in compared to vaginal delivery. Despite, there is a trend for increasing cesarean section rates in both developed and developing countries thereby increasing the risk of morbidity and mortality, especially among anemic women. The objective of this study was to evaluate the effect of preoperative administration of intravenous Tranexamic acid on blood loss during and after elective cesarean section.Methods: This was a prospective, randomized controlled study with 160 eligible pregnant women of 37 or more period of gestation. They were all planned for elective cesarean section and were randomized into two groups either to receive 10ml (1gm) of Tranexamic acid intravenously or 10ml of normal saline. Blood loss was measured during and for 24 hours after operation.Results: The mean estimated blood loss was significantly lower in women treated with Tranexamic acid compared with women in the placebo group (392.13 ml±10.06 vs 498.69 ml±15.87, respectively; p<0.001). The mean difference in pre-operative and post-operative hemoglobin levels was statistically significant in the Tranexamic acid group than in the control group (0.31±0.18 vs 0.79±0.23, respectively; p<0.001).Conclusions: Pre-operative use of Tranexamic acid is associated with reduced blood loss during and after elective cesarean section. In a developing country like ours where postpartum hemorrhage is a major threat to the life of the mothers, it seems to be a promising option.

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