scholarly journals Factors Associated with Intrapartum Cesarean Section in Women Submitted to Labor Induction

2019 ◽  
Vol 41 (06) ◽  
pp. 363-370
Author(s):  
Glaucia Regina Pfützenreuter ◽  
Juliana Coutinho Cavalieri ◽  
Ana Paula de Oliveira Fragoso ◽  
Karine Souza Da Corregio ◽  
Paulo Fontoura Freitas ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Gestational Age ◽  
Previous History ◽  
Labor Induction ◽  
Santa Catarina ◽  
Induced Labor ◽  
Factors Associated ◽  
History Of

Objective To evaluate the results of induced labor and to determine the main factors associated with intrapartum cesarean section after patients being submitted to this procedure at the Hospital Universitário of the Universidade Federal de Santa Catarina (HU/UFSC, in the Portuguese acronym), Florianópolis, state of Santa Catarina, Brazil. Methods A retrospective cross-sectional study that included all the pregnancies that resulted in single-fetus births, whose gestational-age was > 22 weeks and that had been submitted to labor induction at the HU/UFSC in the period from 2013 to 2016. Results During the proposed period, 1,491 pregnant women were submitted to the labor induction protocol. In 1,264 cases (84.8%), induction resulted in labor, with 830 (65.7%) progressing to vaginal delivery. Gestational age ≥ 41 + 0 weeks was the most common indication for induced labor (55.2%), and vaginal administration of misoprostol was the most commonly used method (72.0%). Among these pregnant women, the cesarean section rate was of 34.3%. Considering the cases of induction failure, the cesarean section rate rose to 44.3%. The factors associated with cesarean section were: previous history of cesarean delivery (PR [prevalence ratio] = 1.48; 95%CI [confidence interval]: 1.51–1.88), fetuses with intrauterine growth restriction (IUGR) (PR = 1.82; 95%CI: 1.32–2.19), Bishop score ≤ 6 (PR = 1.33; 95%CI: 1.01–1.82), and induction time either < 12 hours (PR = 1.44; 95%CI: 1.17–1.66) or > 36 hours (PR = 1.51; 95%CI 1.22–1.92) between the beginning of the induction and the birth. Conclusion Labor induction was successful in most patients. In the cases in which the final outcome was a cesarean section, the most strongly associated factors were: previous history of cesarean delivery, presence of fetuses with IUGR, and either excessively short or excessively long periods of induction.

scholarly journals Assessment of trend and etiological factors for cesarean delivery among women residing in Ahmedabad, Gujarat, India

2017 ◽  
Vol 5 (5) ◽  
pp. 2081
Author(s):  
Kapil J. Govani ◽  
Priyanka D. Jogia
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Contraceptive Method ◽  
Previous History ◽  
Barrier Method ◽  
Cross Sectional ◽  
Oral Contraceptive Pills ◽  
Etiological Factors ◽  
First Choice ◽  
History Of

Background: Cesarean section (CS or C-section) is a surgical intervention and it is the 2nd commonest surgery performed on women in India after tubectomy operation. So, the study was conducted with objectives to assess the socio-demographic profile of recently delivered women and to assess the trend and etiological factors of cesarean delivery among women.Methods: A cross sectional study was conducted among recently delivered women of Ahmedabad city, Gujarat, India during April to September 2015. Pretested performa was used for study after informed consent. Total 200 women were selected for study.Results: Majority (56%) of women were belongs to 25 to 30 year. age group. Few (5%) of women were found illiterate. 31% women were delivered through cesarean section. Majority (63.5%) of women were delivered at Government hospitals. Most common reason (23%) for cesarean delivery was previous history of LSCS. Most preferred (33%) first choice of contraceptive method was barrier method.Conclusions: Commonest reasons for cesarean deliveries were previous history of LSCS, Oligohydramnios and prolonged labor. Most preferred first choice of contraceptive method was barrier method followed by Oral Contraceptive pills.

scholarly journals DESCRIPTION OF PRE AND POST HEMOGLOBIN CONDITIONS OF CAESAREAN SECTION

2021 ◽  
Vol 1 (2) ◽  
pp. 102-106
Author(s):  
Eko Puji Rahayu
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Secondary Data ◽  
Cesarean Birth ◽  
Increased Risk ◽  
Mother And Child ◽  
History Of ◽  
Experienced Operator ◽  
Child Hospital

Background: Cesarean delivery without any indication of an increase should the procedure be safer but there is still an increased risk for pregnant women who have a cesarean birth, which is bleeding. Research Objective: To find out the description of hemoglobin levels pre and post cesarean delivery at the Mother and Child Hospital Dian Pertiwi Karanganyar Regency.Research Methods: This research is secondary data research taken from medical record installations at Dian Pertiwi Mother and Child Hospital in Karanganyar Regency.Results: Of 82 samples of pregnant women who gave birth by cesarean at the Mother and Child Hospital Dian Pertiwi Karanganyar 44 (60%) with normal hemoglobin levels above 12 gr / dl pre-cesarean section and 38 (40%) with hemoglobin levels 11 gr / dl post cesarean section.Conclusion: Samples of pregnant women who gave birth by cesarean and there was no history of anemia before cesarean section, after cesarean section decreased hemoglobin levels 2.1 gr / dl. The decrease in hemoglobin level is also supported by the management carried out by a very experienced operator, according to the procedure that makes a decrease in hemoglobin levels is not much.

scholarly journals Risk Factors Associated with Gestational Diabetes among Pregnant Women in Owerri Municipal Council, Southeastern Nigeria

2013 ◽  
Vol 5 (1) ◽  
pp. 39-46 ◽  
Author(s):  
JC Nwaokoro ◽  
CO Emerole ◽  
SNO Ibe ◽  
AN Amadi ◽  
INS Dozie
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Gestational Diabetes ◽  
Pregnant Women ◽  
Significant Relationship ◽  
Previous History ◽  
Southeastern Nigeria ◽  
Family History Of Diabetes ◽  
Factors Associated ◽  
History Of

Background Gestational diabetes is emerging as a serious public health problem in Nigeria where the largest number of people with diabetes in Africa occurs. Current studies in Nigeria give an overall prevalence of gestational diabetes as 13.4% among pregnant women with unidentified risk factors. Aims and Objectives This study aimed at investigating the risk factors associated with gestational diabetes. Materials and Methods A cross-section analytical study design was adopted for this research and comprising a total of 100 pregnant women receiving ante-natal health care service at the Federal Medical Center, Owerri. A structured questionnaire including a set of detailed pre-determined questions was administered on the subjects. Data collected were analyzed statistically, using chi-square and T test. Results The results obtained suggest that there is a significant relationship (p<0.05) between previous macrosomic baby, parity, previous history of caesarean section, family history of diabetes and occurrence of gestational diabetes, respectively. However, there is no significant relationship (p>0.05) between history of miscarriages and stillbirth, socioeconomic status and occurrence of gestational diabetes. A family history of diabetes is independently and significantly associated with the development of gestational diabetes itself even after adjusting for other risk factors. Conclusion This study will be a working tool to guide obstetricians and midwives in counseling and advising women of their risk of developing GDM. DOI: http://dx.doi.org/10.3126/ajms.v5i1.8302 Asian Journal of Medical Science Vol.5(1) 2014 pp.39-46  

scholarly journals Burden of Pelvic Girdle Pain During Pregnancy Among Women Attending Ante-Natal Clinic, Ethiopia: A Cross-Sectional Study

2020 ◽  
Author(s):  
Moges Gashaw Getnet ◽  
Solomon Gedlu ◽  
Balamurugan Janakiraman
Keyword(s):  
Pregnant Women ◽  
Maternal Morbidity ◽  
Previous History ◽  
Cross Sectional Study ◽  
Pelvic Girdle ◽  
Pelvic Girdle Pain ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
History Of

Abstract Background: Pelvic girdle pain (PGP) is a commonly reported maternal morbidity that negatively impacts the well-being of women during pregnancy and extends long term into the post-partum period. The burden of maternal morbidity; including pregnancy-related PGP; has been overlooked in Ethiopia to date. This study aimed to determine the prevalence and identify factors associated with pelvic girdle pain during pregnancy in North West Ethiopia.Methods: A hospital-based cross-sectional study was conducted among pregnant women visiting the antenatal care clinic in Obstetrics ‘outpatient department at the University of Gondar comprehensive specialized hospital in Gondar. Data were collected by interview method using structured questionnaires, patient medical record reviews, and physical measurements. Univariate and multivariable logistic regression model analyses were used to identify factors associated with PGP. Results: A total of 424 participants with gestational ages ranging from 6 to 39 weeks participated in this study. The age of the study participants ranged from 18 to 44 years with a mean age of (27 ±4.6 years). The overall cumulative prevalence of pelvic girdle pain among pregnant women was 103 (24.3%), 95% CI (20.3, 28.8). The major associated factors with pelvic girdle pain were previous history of pelvic girdle pain (AOR 16.08; 95% CI, 8.47-30.51), previous history of back pain (AOR 1.66; 95% CI, 1.5-4.24) and having children (AOR 1.42; 95% CI, 1.29-3.76).Conclusion: One-quarter of pregnant Ethiopian women reported pelvic girdle pain. Many respondents endured pain on multiple occasions and association with the previous history of PGP might be an episode of relapse. PGP must be considered a major pregnancy-related morbidity, and progress in the intervention of PGP is vital to enhance the quality of life in this population.

scholarly journals Induction of Labor with Vaginal Dinoprostone (PGE2) in Patients with a Previous Cesarean Section: Obstetric and Neonatal Outcomes

2021 ◽  
Vol 10 (22) ◽  
pp. 5221
Author(s):  
Nuria López-Jiménez ◽  
Fiamma García-Sánchez ◽  
Rafael Hernández Pailos ◽  
Valentin Rodrigo-Álvaro ◽  
Ana Pascual-Pedreño ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Previous History ◽  
Population Group ◽  
Induction Of Labor ◽  
Neonatal Outcomes ◽  
Previous Cesarean Section ◽  
La Mancha ◽  
History Of ◽  
Previous Cesarean

Background: Vaginal dinoprostone (PGE2) is currently used as the prostaglandin of choice in many obstetric units. However, few studies have evaluated its safety, especially in women who previously had a cesarean section. Objective: To evaluate the efficacy and safety of PGE2 in pregnant women who are undergoing induction of labor (IOL), and who have had a previous cesarean section. Materials and Methods: A prospective observational study was conducted in La Mancha Centro Hospital in Alcázar de San Juan, Spain, from 1 February 2019 to 30 August 2020. Obstetric and neonatal outcomes, following IOL with PGE2, in 47 pregnant women who wanted a trial of labor after cesarean (TOLAC), and 377 pregnant women without a history of cesarean section, were analyzed. The outcomes were analyzed by bivariate and multivariate analyses using binary and multiple linear regression. Results: A total of 424 women were included in this study. The percentage of cesarean sections in the TOLAC group was 44.7% (21), compared with 31.6% (119) in the group without a history of cesarean section (adjusted odds ratio: 1.4; 95% CI: 0.68–2.86). In the multivariate analysis, no statistically significant differences were observed between both groups for obstetric and neonatal outcomes (p > 0.05). However, two uterine ruptures (4.3%) occurred in the group of patients with a history of cesarean section who underwent IOL with PGE2. Conclusions: The induction of labor with vaginal dinoprostone (PGE2), in patients with a previous history of cesarean section, was not associated with worse obstetric or neonatal outcomes compared with the group of patients without a history of cesarean section in our study sample. However, further research is needed regarding this IOL method, and it should be used with caution in this population group.

scholarly journals Predicting Value of Different Ultrasound Markers for Diagnosing Morbidly Adherent Placenta and Associated Complications

2019 ◽  
Vol 8 (2) ◽  
pp. 169-173
Author(s):  
Mojgan Barati ◽  
Mahvash Zargar ◽  
Mahin Najafian ◽  
Najmie Saadati ◽  
Maryam Rekabizadeh
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Previous History ◽  
Bladder Rupture ◽  
Predictive Values ◽  
Morbidly Adherent Placenta ◽  
Adherent Placenta ◽  
History Of ◽  
Sensitivity Specificity ◽  
Previous Cesarean

Objectives: This study was conducted to evaluate the importance of different sonographic findings in the detection of the morbidly adherent placenta (MAP) among pregnant women and then to assess the correlation between delivery complications and ultrasonographic findings. Materials and Methods: This analytical and prospective study was conducted on 150 pregnant women with a previous history of a cesarean section from 2015 to 2017. The sonographic findings included the location of the placenta, retroplacental aliasing, bulging toward the bladder, lacuna, and the lack of sonolucent area behind the placenta. Finally, these patients were followed until delivery and their complications were assessed as well. Results: Of 150 previous cesarean sectioned patients, 101 (67.3%) cases had not sonographic findings of MAP. No morbidity was found in those with no sonographic findings of MAP. Fifty-nine pregnant mothers had the sonographic criteria of MAP prior to delivery, of whom 39 (80%) patients had MAP during the cesarean section. In 39 patients with confirmed MAP, 27 cases underwent a hysterectomy and 12 received special procedures for uterus reservation. In addition, 8 cases had bladder rupture, 25 cases experienced ICU hospitalization, and 33 cases needed a blood transfusion. Of these 39 confirmed MAP, 31 (79.48%) and 8 patients (20.51%) had previa and an anterior placenta without previa, respectively. Finally, no mortality was reported in the current study. Conclusions: In general, the most important sonographic factors on predicting MAP were the location of placenta, the aliasing and bulging while lacuna and the lack of sonolucent area had less value. The results demonstrated 93%, 100%, 90%, 79.59%, and 100% accuracy, sensitivity, specificity, as well as positive and negative predictive values for the prediction of MAP by ultrasonography, respectively.

scholarly journals Kehamilan Pasca Tindakan Manchester Fothergill

2020 ◽  
Vol 4 (1) ◽  
pp. 120-124
Author(s):  
Yodi Ertandri ◽  
Ermawati Ermawati
Keyword(s):  
Cesarean Section ◽  
Gestational Age ◽  
Previous History ◽  
Rare Condition ◽  
The Elderly ◽  
Pelvic Organ ◽  
Cervical Elongation ◽  
History Of Childbirth ◽  
History Of ◽  
Cervical Reconstruction

Pregnancy after a manchester fothergill action is rare, occurring 1-10,000 post-action. post- manchester fothergill pregnancy can cause premature labor, spontaneous abortion, fetal death, maternal urinary complaints, and sepsis. Case of a 34-year-old female patient, G3P1A1L1 37-38 weeks of term parturient latent phase of first stage + once previous cesarean section + history of manchester fothergill. Previous history of childbirth the patient gave birth through cesarean section and term, the birth weight of children 3200 gr. The second pregnancy the patient suffered a miscarriage at 13-14 weeks gestation and found cervical elongation, then the patient was performed cervical reconstruction with the manchester fothergill procedure after the patient received his normal menstrual cycle. after 2 years later the patient came pregnant with a gestational age of 9 months with complaints of low back pain in the placenta. The conclusion of this case of pregnancy after the manchester fothergill action is a rare condition. pelvic organ prolapse and cervical elongation in pregnancy are conditions to be aware of, therefore early diagnosis is very important for smooth pregnancy. individual approach depends on gestational age, the severity of the prolapse is a matter that must be considered for the choice of delivery. prevention of complications can determine the success of a pregnancy. it must also be concluded that prolapse is not a disease of the elderly. Keywords: cervical elongation, Manchester Fothergill

scholarly journals Five-Year Retrospective Evaluation of large for gestational age (LGA) infants who Birth Weight of Over 90% Percentile

2020 ◽  
Vol 2 (1) ◽  
pp. 1-4
Author(s):  
Hüseyin Altaş ◽  
Mehmet Sait İçen ◽  
Hıdır Budak ◽  
Rezan Bugday ◽  
Mehmet Şükrü Budak ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Birth Weight ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Gestational Age ◽  
Large For Gestational Age ◽  
Normal Delivery ◽  
Gynecology And Obstetrics ◽  
The Mean

Objective: The aim of this study is to evaluate the obstetric and neonatal outcomes of pregnant women delivering large for gestational age (LGA) infants. Material and Methods: A total of 399 pregnant women giving birth to LGA infants in the Gynecology and Obstetrics Department of Dicle University Medical Faculty Hospital between January 2014 and December 2018 were included in this retrospective study. Demographic features, pregnancy and infant data, delivery type (vaginal delivery/cesarean delivery), and patients’ indications for cesarean section were assessed. Results: The mean age of the patients was 32.34±6.63, their gravida was 5.16±2.65 and parity was 3.55±2.36. The mean gestational week was 37.12±2.840 weeks and the mean birth weight was 3922.46±643.546 g. Of all patients, diabetes was detected in 28.5%, polyhydramnios in 11.3%, placental invasion anomaly in 4%, and preeclampsia in 9%. While 83.7% (334) of the patients underwent cesarean section, the remaining 16.3% (65) underwent normal delivery. 3.25% (13) of the patients developed complications during delivery. The rate of fetal anomaly was 11.7% (47) in existing pregnancies while the rate of fetal death was 5.01% (20). Conclusion: A cesarean delivery was performed in the majority of pregnant women with a suspected LGA infant. This group of patients exhibited a very high rate of gestational diabetes mellitus and diabetes mellitus. Existing pregnancies constitute a specifical pregnancy population that should be taken into consideration regarding probable complications and problems with the infant.

scholarly journals Validation of a predictive model for successful vaginal birth after cesarean section

2019 ◽  
pp. 13-21
Author(s):  
Javier Enrique Fonseca ◽  
Juliana Lucía Rodríguez ◽  
Durley Maya Salazar
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Predictive Models ◽  
Previous History ◽  
Area Under The Curve ◽  
Delivery Rate ◽  
Vaginal Birth After Cesarean ◽  
Predictive Capacity ◽  
History Of

Introduction: A strategy for reducing the number of cesarean sections is to allow vaginal delivery after cesarean section. Objective: To validate two predictive models, Metz and Grobman, for successful vaginal delivery after a cesarean section. Methods: Retrospective cohort study involving women with previous history of a previous segmental cesarean section, single pregnancy ≥37 weeks and cephalic presentation. The proportion of vaginal delivery in all pregnant women was determined, and it was compared with those (women) with successful delivery after cesarean section. Then, there were elaborated the models, and their predictive capacity was determined by curve-receiver-operator. Results: The proportion of successful delivery in pregnant women with a previous cesarean section and indication of vaginal delivery was 85.64%. The observed proportion of birth for each decile predicted in the Grobman model was less than 15%, except for the 91-100% decile, where it was 64.09%; the area under the curve was 0.95. For the Metz model, the actual successful delivery rate was lower than predicted in scores between 4 and 14, and within expected for a score between 15 and 23; the area under the curve was 0.94. Conclusions: The vaginal delivery rate after cesarean was lower than expected according to the predictive models of Grobman and Metz. The implementation of these models in a prospective way can lead to a higher rate of successful birth.

scholarly journals High susceptibility to varicella among urban and rural pregnant women in South India: a brief report

2021 ◽  
Vol 149 ◽  
Author(s):  
Leeberk Raja Inbaraj ◽  
Sindhulina Chandrasingh ◽  
Nalini Arun Kumar ◽  
Jothi Suchitra ◽  
Abi Manesh
Keyword(s):  
Pregnant Women ◽  
South India ◽  
Significant Proportion ◽  
Prevalence Ratio ◽  
Epidemiological Studies ◽  
Lethal Outcome ◽  
Factors Associated ◽  
Rural And Urban ◽  
History Of ◽  
Secondary Hospital

Abstract Varicella infection during pregnancy has serious and/or difficult implications and in some cases lethal outcome. Though epidemiological studies in developing countries reveal that a significant proportion of patients may remain susceptible during pregnancy, such an estimate of susceptible women is not known in India. We designed this study to study the prevalence and factors associated with susceptibility to varicella among rural and urban pregnant women in South India. We prospectively recruited 430 pregnant women and analysed their serum varicella IgG antibodies as surrogates for protection. We estimated seroprevalence, the validity of self-reported history of chickenpox and factors associated with varicella susceptibility. We found 23 (95% CI 19.1–27.3) of women were susceptible. Nearly a quarter (22.2%) of the susceptible women had a history of exposure to chickenpox anytime in the past or during the current pregnancy. Self-reported history of varicella had a positive predictive value of 82.4%. Negative history of chickenpox (adjusted prevalence ratio (PR) 1.85, 95% CI 1.15–3.0) and receiving antenatal care from a rural secondary hospital (adjusted PR 4.08, 95% CI 2.1–7.65) were significantly associated with susceptibility. We conclude that high varicella susceptibility rates during pregnancy were noted and self-reported history of varicella may not be a reliable surrogate for protection.

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