scholarly journals Thromboembolism following cesarean section: a retrospective study

Hematology ◽  
2017 ◽  
Vol 23 (6) ◽  
pp. 351-356
Author(s):  
Joyce Lai ◽  
Isvarya Venu ◽  
Ann Kinga Malinowski ◽  
Shital Gandhi ◽  
Anne McLeod ◽  
...  
Author(s):  
Poornima M.

Background: Previous Cesarean section (CS) is one of the important causes of CS in subsequent pregnancies. Moreover, repeated cesarean sections increase maternal as well as perinatal morbidity and mortality. We conducted this study to find out outcome of pregnancies in women who had a history of previous CS.Methods: This was a retrospective study of patients of previous caesarean section for either maternal or fetal indications. The duration of study was 3 years. Total 215 patients were included in this study on the basis of a predefined inclusion and exclusion criteria. The indications, maternal and neonatal outcome were studied from medical records of the patients. Statistical analysis was done using SSPE 22.0 software.Results: Out of 215 studied cases majority of the patients belonged to age group of 21-30 years (75.35%) and were 2nd gravida (61.86%). 164 (76.28%) patients attended ANC OPD at least for 3 times during pregnancy. 73 (33.95%) patients had Hb of less than 10 gms while blood transfusion was required to be given in 11 (5.12%) patients. cesarean section was required in 172 (80%) patients out of which 166 (77.21%) patients had undergone emergency LSCS while in 6 (2.79%) patients elective LSCS was done. Scar tenderness was the most common indication for repeat cesarean section. There was no maternal mortality in any patients while there was 1 still birth and 1 neonatal death.Conclusions: Previous cesarean section is one of the important causes of CS in subsequent pregnancies hence decision of doing CS, especially primigravida, must be taken in accordance with strict guidelines and the practice of “cesarean section on demand” should be discouraged.


2018 ◽  
Vol 12 (2) ◽  
pp. 48-51
Author(s):  
Monica Gurung ◽  
Gehanath Baral

Aims: To find out the prevalence of adnexal mass during Cesarean Section, its management and histological profile.Methods: This is a retrospective study conducted for 4 years from 2013 to 2017 at Paropakar Maternity and Women’s Hospital, Kathmandu, Nepal. There were 18993 Cesarean Sections out of 72263 total births screened for adnexal masses from operation theatre register and record section.Results: The incidence of adnexal mass during cesarean section was 0.31% (58 out of 18993). Among them 15.52 % diagnosed antenatally and 84.48 % were incidentally diagnosed during cesarean section. Among 58 cases, 6 (10%) were bilateral amounting to 64 adnexal masses among which 35 (54.69%) masses had cystectomy, 20 (31.25%) masses had oophorectomy, 6 (9.37%) had aspiration/ drilling done and 3(4.69 %) masses were left without intervention. Among those cases only 48 histopathological reports were available. All the masses were benign and the most common was benign mature cystic teratoma (34; 69.38 %) and the least common was fibroma (1; 2.04%).Conclusions:  Adnexal masses during cesarean section should undergo surgical removal.


2016 ◽  
Vol 43 (1) ◽  
pp. 20
Author(s):  
Guslihan D Tjipta ◽  
Riza I Nasution ◽  
Dachrul Aldy ◽  
Zakaria Siregar

Background The birth rate in Indonesia is still high and abnormallabor constitutes 15% of all deliveries which needs cesarean sec-tion as a solution for complicated cases.Objectives To find the general physical condition of babies bornafter cesarean section as well as the characteristics of motherswho underwent cesarean section.Methods A retrospective study on newborn babies delivered bycesarean section conducted in Subdivision of Neonatology, Medi-cal School, University of North Sumatera-Pirngadi Hospital Medan,in period of 2 years (1991-1992).Results There were 8762 babies born during the study period,1484 babies (16.93%) delivered by cesarean section due to pla-centa previa (26.2%), prolonged labor (15.8%), cephalopelvic dis-proportion (10.3%), neglected labor (9.9%), eclampsia/preeclamp-sia (8.1%), fetal distress (7.5%), previous section (6.6%), breechpresentation (5.7%), solutio placenta (4.0%), and others (5.9%). Itwas shown that mothers undergoing caesarean section was mainly20-30 years old (66.4%), multigravida (47.8%), term gestationalage (79.4%), and minimal antenatal care (61.3%). There were 1224(82.5%) babies with birth weight >2500 grams and 894 (60.2%)suffered from asphyxia.Conclusions The evidence of asphyxia by cesarean section andlow birth weight group was significantly different from those nor-mally delivered (p<0.001). The mortality rate was 11.5% due tostill birth 29.2%, RDS 18.3%, sepsis 15.5%, pneumonia 12.3%,and gastroenteritis 11.5%


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