scholarly journals Precision Surgery in Obstetrics and Gynecology: Cesarean Section

2020 ◽  
Vol 06 (S 02) ◽  
pp. S71-S71
Author(s):  
Yuji Hiramatsu
Keyword(s):  
Cesarean Section ◽  
Obstetrics And Gynecology

New possibilities of the use of surgical lasers in obstetrics

1997 ◽  
Vol 78 (6) ◽  
pp. 434-438
Author(s):  
I. F. Fatkullin
Keyword(s):  
Surgical Treatment ◽  
High Risk ◽  
Postoperative Complications ◽  
Cesarean Section ◽  
Laser Welding ◽  
Comparison Group ◽  
Obstetrics And Gynecology ◽  
Septic Complications ◽  
Basic Group ◽  
Section Operation

The laser welding suture of peritoneum in pregnants and in women in labor with high risk of pyo-septic complications is used in cesarean section operation. In the basic group the postoperative complications are three times as little than in the comparison group. The promise of the use of the biological laser @welding@ in obstetrics and gynecology to improve technology and results of surgical treatment especially in delivery of women with high risk of pyo-septic complications is noted.

scholarly journals Comparative analysis of neonatal sequelae after classic M. Stark and modified cesarean section

2019 ◽  
Vol 23 (3) ◽  
pp. 414-419
Author(s):  
I.Z. Gladchuk ◽  
A.G. Volyanskaya ◽  
Y.V. Herman ◽  
D.O. Grigurko
Keyword(s):  
Comparative Analysis ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Program Analysis ◽  
Confidence Level ◽  
Neonatal Period ◽  
T Test ◽  
Obstetrics And Gynecology ◽  
Clinical Group ◽  
Early Neonatal Period

Over the last twenty years, a sharp perinatal birth rate has registered high perinatal morbidity and mortality in the country. Despite the fact that the number of cesarean sections is constantly increasing, the perinatal mortality rate in the country remains positive and in 2017 was 7.9%%. The purpose of the study was a comparative analysis of the features of the course of the early neonatal period and the frequency of neonatal complications in classical cesarean section according to M. Stark and according to a modified method for improving perinatal outcomes. The selection of patients for the comparative study was performed by type of surgery (classic M. Stark technique or modified technique), which was conducted at the clinical basis of the Department of Obstetrics and Gynecology №1 ONMedU for the period from 2015 to 2018 according to a randomized principle in the obstetric department of the Kherson Regional Clinical Hospital (clinical base of the Department of Obstetrics and Gynecology No. 1 ONMedU). The formation of clinical groups was carried out according to retrospective data from 205 birth histories, the delivery of which was carried out by caesarean section. Statistical processing of the results was carried out using application R of the Microsoft Exel 2003 program. Analysis of quantitative indicators was analyzed using the arithmetic mean value (M) and the error in determining the average value (± m). Qualitative indicators were measured in absolute and relative (percentage) values. The significance of differences in the parametric characteristics in the appropriate groups was evaluated using Student's t test (t - test) and analysis of variance (ANOVA). In the calculations, the differences were considered statistically significant at p <0.05 (95% confidence level (CI) and at p <0.01 (99% confidence level). By using modified access to the abdominal cavity, which involved grasping the peritoneum with the index finger and stretching all layers of the anterior wall in a blunt fashion by two surgeons at the same time, it was almost twice possible to reduce the time to fetal extraction in the main study group (p˂0.001). The condition of newborns on the Apgar scale at 1 and 5 minutes of life in the first clinical group of the study was better (p=0.005). Due to the modified features of fetal extraction, it was possible to reduce the incidence of HID CNS in newborns (p=0.022), to 6 times reduce the need for treatment at the III level (p=0.004). The indicator of early neonatal mortality in the newborns of the first clinical group was zero, whereas in the comparison group 2 cases were recorded. However, the difference is not significant (p=0.223). Thus, the modified Caesarean section improves the overall condition of the newborns according to the Apgar scale at 1 and 5 minutes of life, is accompanied by a decrease in the frequency of some complications in the early neonatal period, creates a certain additional reserve for the improvement of perinatal complications and requires further comprehensive studies.

scholarly journals Midwife’s implementation of maternal and neonatal care after cesarean section at obstetric department, national hospital of obstetrics and gynecology in 2018

2018 ◽  
Vol 2 (5) ◽  
Author(s):  
Tran Thi Tu Anh ◽  
Vu Thi Hoang Lan ◽  
Do Manh Hung
Keyword(s):  
Cesarean Section ◽  
Postnatal Care ◽  
Cross Sectional Study ◽  
Neonatal Care ◽  
Obstetrics And Gynecology ◽  
National Hospital ◽  
Cross Sectional ◽  
Good Communication ◽  
Whole Process ◽  
Good Communication Skill

Aim: Description of Midwife’s implementation of maternal and neonatal care after cesarean section atObstetric Department, National Hospital of Obstetrics and Gynecology in 2018.Methodology: A ramdomized, cross sectional study was conducted on 50 midwifes giving care for motherand child care after cesarean section.Result: 86% of midwife implements and follows the whole procedure of postnatal care after caesareansection; 32% of midwife follows the preparation process with good communication skill; 88% of them followthe whole process of maternal and neonatal care; only 22% of them follow the whole procedure of guidanceand consultation of maternal care.Conclusion: Postnatal care after caesarean section is implemented well in management, examination,maternal and neonatal care; however, it has not been well implemented in preparation, communication andconsultation.

scholarly journals Multi-Indicator Intelligent Monitoring of Clinical Observations to Reduce Cesarean Section

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Shasha Xie ◽  
Wei Dong ◽  
Yeting Liu ◽  
Haixiao Gao ◽  
Dan Zhang
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Treatment Strategies ◽  
Conventional Group ◽  
Obstetrics And Gynecology ◽  
Intelligent Monitoring ◽  
Multi Index ◽  
Index Group ◽  
Clinical Observations ◽  
Research Objects

In order to analyze multi-index monitoring and the effect of reducing cesarean section, this paper selects March 2018 and March 2019 in two obstetrics and gynecology hospitals, referred to as hospital A and hospital B. As research objects, 313 pregnant women were divided into multi-index group and conventional group, while analyzing various indicators of each group of cesarean collection. The results show that the total CNAXE rate was 48.10% and 39.29%, respectively, for 2018 and 2019, respectively, and the cesarean section of the conventional group was 65.75% and 63.64%. By contrasting data of multi-index group and conventional group, hospital B differences were significant ( P  < 0.05), and hospital A difference was extremely significant ( P  < 0.01). In Cesarean section, obstetric sectors can help maternal treatment strategies by monitoring a series of related indicators for maternal to reduce Cesarean section and improve prognosis.

scholarly journals Pattern of Prolactin Secretion after Normal Vaginal Delivery and in Cesarean Delivery

2014 ◽  
Vol 5 (1) ◽  
pp. 15-17
Author(s):  
Asokan Keloth Manapatt ◽  
Latha Anoop ◽  
Deepna Tharammal ◽  
Aiswarya Sathyapal ◽  
Yasmeen Muneer
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Prolactin Secretion ◽  
Assay Method ◽  
Normal Vaginal Delivery ◽  
Obstetrics And Gynecology ◽  
Medical College ◽  
The Impact ◽  
Biological Actions

ABSTRACT Prolactin (PRL) is hormone of multiple biological actions and is best known for its role in milk production. This hospital-based study was undertaken to review the impact of PRL hormone in vaginal delivery and cesarean delivery. Our study is meant to create awareness in the society to promote breast feeding and the importance of promoting normal vaginal delivery whenever possible. In this study, we investigated the serum PRL values using enzyme-linked immunoflow assay method in 101 women who underwent normal (56) and cesarean delivery (45) in obstetrics and gynecology department of Kannur Medical College, Anjarakandy. Serum PRL at 24 and 48 hours blood sample was estimated among the two groups, mean PRL in vaginal delivery 24 hours 359.46 ± 119.70 ng/ml, 48 hours 386.67 ± 135.66 ng/ ml and in cesarean delivery 24 hours 245.49 ± 115.49 ng/ml, 48 hours 282.92 ± 69.59 ng/ml. The values of serum PRL are found to be significantly higher in the vaginal delivery group (p < 0.001) as compared with the cesarean section group. Through this study, we concluded that the mothers who delivered by cesarean section had decreased PRL levels than the women who delivered vaginally which may have a significant role in establishment of breastfeeding. How to cite this article Manapatt AK, Anoop L, Tharammal D, Sathyapal A, Muneer Y. Pattern of Prolactin Secretion after Normal Vaginal Delivery and in Cesarean Delivery. Int J Infertility Fetal Med 2014;5(1):15-17.

scholarly journals Comparison of Vitamin D3 Serum and Method of Deliveries among Pregnant Women Who did and did not Performe Regular Outdoor Aerobic Activities

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Setyorini Irianti ◽  
Teuku Kyan Nuryasin ◽  
Zulvayanti Zulvayanti ◽  
Budi Handono ◽  
Herman Susanto
Keyword(s):  
Cesarean Section ◽  
Aerobic Exercise ◽  
Vitamin D3 ◽  
Patient Characteristics ◽  
T Test ◽  
Obstetrics And Gynecology ◽  
Vacuum Extraction ◽  
Aerobic Activity ◽  
Paired T Test ◽  
Spontaneous Delivery

The maternal mortality rate in Indonesia is still very high. One of the main factors is postpartum hemorrhage and an increase in the cesarean section rate (CSR). The American College of Obstetrics and Gynecology has recommended aerobic exercise. We assumed that outdoor aerobic exercise could be useful for the advancement of labor and the reduction of CSR. This study aimed to assess whether regular exercise can have a good impact on reducing labor and CSR, which is likely to be affected by an increase in vitamin D3 levels. It was an experimental study involving 40 patients at Al Islam Awibitung Hospital and Ibrahim Adjie Healthcare Center in Bandung in February–April 2018, who met the inclusion criteria and divided into two groups, who performed regular outdoor aerobic activity and those who did not. Patient characteristics, work progress, and vitamin D3 levels recorded. The data collected was then tested and compared between pre-and post-treatment, a paired t test was done. There was a relationship between the increase in-vitamin D3 and the ease of childbirth in the treatment group (p<0.05). The comparison of vitamin D3 levels among the two groups was −18.8% vs −26.8% respectively (p<0.05). Method of delivery were spontaneous delivery 80% vs 25%, vacuum extraction 15% vs 55%, and cesarean section 5% vs 20%, respectively (p<0.05). In conclusion that regular outdoor aerobic exercise in a pregnant woman could increase vitamin D3 levels, ease labor, and reduce CSR. PERBANDINGAN KADAR VITAMIN D3 SERUM DAN METODE PERSALINAN ANTARA IBU HAMIL YANG MENJALANKAN DAN TIDAK MENJALANKAN AKTIVITAS AEROBIK DI RUANG TERBUKA SECARA RUTINSaat ini angka kematian maternal di Indonesia masih sangat tinggi. Salah satu faktor penyebab utama adalah perdarahan pasca salin dan meningkatnya insidensi seksio sesarea. Aktivitas aerobik telah direkomendasikan oleh American College of Obstetrics and Gynecology (ACOG). Kami mempunyai hipotesis bahwa aktivitas aerobik rutin di udara terbuka dapat memengaruhi kadar vitamin D3 serum ibu yang dapat meningkatkan kelancaran persalinan dan menurunkan risiko seksio sesarea. Penelitian ini bertujuan membuktikan hipotesis di atas. Metode penelitian adalah studi eksperimental terhadap 40 ibu hamil di RS Al Islam Awibitung dan Puskesmas Ibrahim Adjie Bandung pada bulan Februari–April 2018 yang memenuhi kriteria inklusi, serta dibagi dalam 2 grup, yaitu grup perlakuan yang melaksanakan aktivitas aerobik di udara terbuka secara rutin dan grup kontrol yang tidak melaksanakan aktivitas aerobik. Dilakukan pencatatan karakteristik pasien, kemajuan persalinan, metode persalinan, dan kadar vitamin D3 sebelum dan setelah perlakuan, serta dilakukan analisis statistik dengan paired t test. Terdapat hubungan bermakna antara perubahan kadar vitamin D3 dan metode persalinan (p<0,05). Perbandingan perubahan kadar vitamin D3 antara kedua kelompok adalah −18,8% vs −26,8% (p<0.05). Metode persalinan adalah persalinan spontan 80% vs 25%, ekstraksi vakum 15% vs 55%, dan seksio sesarea 5% vs 20% (p<0,05). Simpulan, aktivitas aerobik rutin di udara terbuka pada ibu hamil berdampak terhadap kadar vitamin D3 serum ibu dan dapat memperlancar proses persalinan serta menurunkan risiko seksio sesarea.

scholarly journals Caesarean Section Rate and Frequencies of Indications Using Robson–Ten Classifications

2021 ◽  
Vol 8 (4) ◽  
pp. 43-47
Author(s):  
Sadia Ali ◽  
Shazia Khattak ◽  
Rabeea Sadaf ◽  
Shamshad Begum ◽  
Nasreen Kishwar
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Tertiary Care Hospital ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Cesarean Section Rate ◽  
Obstetrics And Gynecology ◽  
Care Hospital ◽  
Hospital Records

OBJECTIVES: To determine the caesarean section rate (CSR) and frequency of different indications of caesarean section (CS) in a tertiary care hospital. METHODOLOGY: A retrospective study done in the Department of Obstetrics and Gynecology Hayatabad Medical Complex Hospital Peshawar, a tertiary care hospital, from a period of 1st January 2019 till 31st December 2019. The required data was collected from the patient’s hospital records (clinical charts) with the consent of the hospital ethical committee. RESULTS: The total number of deliveries over the study period was 5611. Out of these 1258 patients were delivered through caesarean section (CS), giving a CSR of 22%. The main contributing groups in our study were Robson Groups R5 (multiparous with prior CS, singleton, cephalic and >37 weeks), R1 (nulliparous, cephalic, singleton >37 weeks in spontaneous labor or CS) and R6 (all nulliparous breeches) with percentages of 21.1%, 17.5% and 12.9% respectively. CONCLUSION: Our study showed Robson Groups 5, 2 and 6 as the major contributors, focusing on these groups could have an impact on decreasing the cesarean section rate in future. Limiting the primary cesarean section rate can affect the overall cesarean section rate (CSR).

scholarly journals Frequency of caesarean section in diabetic vs. non diabetic females undergoing induction of labour at term

2021 ◽  
Vol 25 (1) ◽  
pp. 97-101
Author(s):  
Fozia Umber Quraishi ◽  
Saima Jabeen ◽  
Anum Yousaf ◽  
Rukhsana Gulzar
Keyword(s):  
Caesarean Section ◽  
Gestational Diabetes ◽  
Cesarean Section ◽  
Sample Size ◽  
Case Series ◽  
Sampling Technique ◽  
Induction Of Labour ◽  
Intrauterine Fetal Death ◽  
Obstetrics And Gynecology ◽  
Normal Delivery

Introduction: Gestational diabetes mellitus (GDM) is a common complication of pregnancy characterized by glucose intolerance recognized during pregnancy. Gestational diabetes is associated with adverse maternal and fetal outcome. Majority of patients with diabetes had induction of labour at term (≥37weeks) to prevent maternal and fetal morbidity especially shoulder dystocia, macrosomia and intrauterine fetal death at term Objectives: To find frequency of gestational diabetes (GDM) in patients undergoing induction of labour. To compare the frequency of caesarean section in diabetic (GDM) and non-diabetic females undergoing induction of labour Methodology: Study Type; It was a descriptive case series conducted at the department of Obstetrics and Gynecology, Shalamar Hospital Lahore. Duration of study was six months after approval from IRB. Sample size; Sample size of 214 cases undergoing induction of labour at term during study period; calculated with 95%confidence level and 3.4% margin of error and taking expected percentage of GDM is 6.9%. Sampling Technique; purposive sampling Methodology: 214 females who will fulfill the inclusion criteria were enrolled in the study from labour room of Department of Obstetrics and Gynecology, Shalamar Hospital Lahore. Induction of labour done with tab prostin 3mg single dose and patients having gestational diabetes were identified and frequency of caesarean section in Diabetic and non-diabetic calculated. Results: In current study, mean age of the patients was 27.8±4.4 years. Mean gestational age was 37.1±3.8 weeks and mean BMI was 28.6±4.1 kg/m2. Primigravida were 88 (41.1%) and multigravidas were 126 (58.9%). Gestational diabetes was found to be in 36 patients (16.8%). Caesarean section was performed in 77 patients (36%). Comparison of frequency of cesarean section in diabetic (GDM) and non-diabetic females undergoing induction of labour revealed majority of the caesarean sections performed in GDM patients (p=0.007). Conclusion In conclusion, our study found a higher incidence of cesarean section than normal delivery in pregnant women with gestational diabetes. Major factors for operational delivery in GDM population included: advanced maternal age and high BMI value.

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