FETAL MORTALITY AND MORBIDITY IN CESAREAN SECTION

1949 ◽  
Vol 4 (3) ◽  
pp. 391
Author(s):  
S. PEDVIS ◽  
J. K. L. IRWIN ◽  
N. W. PHILPOTT
Keyword(s):  
Cesarean Section ◽  
Fetal Mortality ◽  
Mortality And Morbidity

scholarly journals Anesthesia Management in Caesarean Section with Preeclampsia and Partial HELLP Syndrome

2021 ◽  
Vol 1 (1) ◽  
pp. 8-14
Author(s):  
Tiara Wima ◽  
Agustina Br. Haloho
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Cesarean Section ◽  
Hellp Syndrome ◽  
Surgical Stress ◽  
Fetal Mortality ◽  
Case Presentation ◽  
Mortality And Morbidity ◽  
Anesthesia Management ◽  
Emergency Cesarean

Introduction. Pre-eclampsia is a significant cause of maternal and fetal mortality and morbidity. Pre-eclampsia is characterized by hypertension (blood pressure ≥ 140/90 mmHg), oedema and amount of protein in urine 300 mg in the 24-hour, which appears after 20 weeks of gestation. Pre-eclampsia can cause complications, one of which is HELLP syndrome. This case report discusses the use of anaesthesia in a patient who underwent a cesarean section with indications for pre-eclampsia and partial HELLP syndrome. Case Presentation. A woman, 41 years old, G4P3A0 34 weeks pregnant with pre-eclampsia + syndrome HELLP will undergo emergency cesarean section with ASA IIE physical statusLabouror pain management was carried out using regional spinal anaesthesia technique, using bupivacaine 0.5% hyperbaric agent 12.5 mg. The operation lasted for 1 hour 30 minutes, with 300 ml bleeding, hemodynamically stable. Conclusion. Difficult intubation in emergency cases can be avoided by choosing of neuraxial anaesthesia technique is recommended. It will lead to better uteroplacental perfusion, good analgesia/anaesthesia quality, reducing surgical stress, reducing drugs that enter the uteroplacental circulation, and maternal psychological to be able to see the baby at birth.

scholarly journals Anesthesia Management in Caesarean Section with Preeclampsia and Partial HELLP Syndrome

2020 ◽  
Vol 1 (1) ◽  
pp. 8-14
Author(s):  
Tiara Wima ◽  
Agustina Br. Haloho
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Hellp Syndrome ◽  
Surgical Stress ◽  
Fetal Mortality ◽  
Mortality And Morbidity ◽  
Anesthesia Management ◽  
Emergency Cesarean

ABSTRACT Introduction. Pre-eclampsia is a significant cause of maternal and fetal mortality and morbidity. Pre-eclampsia is characterized by hypertension (blood pressure ≥ 140/90 mmHg), oedema and amount of protein in urine 300 mg in the 24-hour, which appears after 20 weeks of gestation. Pre-eclampsia can cause complications, one of which is HELLP syndrome. This case report discusses the use of anaesthesia in a patient who underwent a cesarean section with indications for pre-eclampsia and partial HELLP syndrome.Case Presentation. A woman, 41 years old, G4P3A0 34 weeks pregnant with pre-eclampsia + syndrome HELLP will undergo emergency cesarean section with ASA IIE physical statusLabouror pain management was carried out using regional spinal anaesthesia technique, using bupivacaine 0.5% hyperbaric agent 12.5 mg. The operation lasted for 1 hour 30 minutes, with 300 ml bleeding, hemodynamically stable.Conclusion. Difficult intubation in emergency cases can be avoided by choosing of neuraxial anaesthesia technique is recommended. It will lead to better uteroplacental perfusion, good analgesia/anaesthesia quality, reducing surgical stress, reducing drugs that enter the uteroplacental circulation, and maternal psychological to be able to see the baby at birth.

scholarly journals Assessment the role of tranexamic acid in prevention of postpartum hemorrhage

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Nevein Gerges Fahmy ◽  
Fahmy Saad Latif Eskandar ◽  
Walid Albasuony Mohammed Ahmed Khalil ◽  
Mohammed Ibrahim Ibrahim Sobhy ◽  
Amin Mohammed Al Ansary Amin
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Tranexamic Acid ◽  
Postpartum Hemorrhage ◽  
Postoperative Bleeding ◽  
Control Group ◽  
Study Group ◽  
Mortality And Morbidity ◽  
Lower Segment Cesarean Section ◽  
Prophylactic Use

Abstract Background Postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality and morbidity worldwide. It is believed that hemostatic imbalance secondary to release of tissue plasminogen activator (tPA) and subsequent hyperfibrinolysis plays a major role in PPH pathogenesis. Antifibrinolytic drugs such as tranexamic acid (TXA) are widely used in hemorrhagic conditions associated with hyperfibrinolysis. TXA reduced maternal death due to PPH and its use as a part of PPH treatment is recommended, and in recent years, a number of trials have investigated the efficacy of prophylactic use of TXA in reducing the incidence and the severity of PPH. The study is aiming to assess the efficacy of tranexamic acid in reducing blood loss throughout and after the lower segment cesarean section and reducing the risk of postpartum hemorrhage. Results The amount of blood loss was significantly lower in the study group than the control group (416.12±89.95 and 688.68±134.77 respectively). Also the 24-h postoperative hemoglobin was significantly higher in the study group (11.66±0.79 mg/dl) compared to the control group (10.53±1.07mg/dl), and the 24-h postoperative hematocrit value was significantly higher in the study group (34.99±2.40) compared to control (31.62±3.22). Conclusion Prophylactic administration of tranexamic acid reduces intraoperative and postoperative bleeding in cesarean section and the incidence of postpartum hemorrhage.

scholarly journals Perinatal Findings in Pregnancy Induced Hypertension: A Study in a Tertiary Teaching Hospital in Dhaka City

2017 ◽  
Vol 2 (1) ◽  
pp. 10-13
Author(s):  
Zobaida Sultana Susan ◽  
Surayea Bulbul ◽  
Jannat Ara Ferdows ◽  
Abu Nayeem
Keyword(s):  
Cross Sectional Study ◽  
Fetal Mortality ◽  
Pregnancy Induced Hypertension ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Tertiary Teaching ◽  
Induced Hypertension ◽  
Questionnaire Result ◽  
In Pregnancy

Background: Hypertensive disorders are common complication occurring during pregnancy which are responsible for maternal and fetal mortality and morbidity. Objective: The purpose of the present study was to determine the perinatal outcome in pregnancy induced hypertension. Methodology: This study was designed as cross-sectional study and was conducted from April 2013 to September 2013 for a period of six (06) moths. Patients admitted in the Department of Obstetrics and Gynaecology at Shaheed SuhrawardyMedical College Hospital, Dhaka. Data were collected by interview, physical examintions (blood pressure, pulse rate, oedema, heart and lungs auscultation) and lab investigations using a structural questionnaire. Result: Majority of the women belonged to age group 21-25 year. Maximum were (56%) primigravida. The mean gestational age was 34.6 weeks with the range from 28 to 40 weeks. Hyperurecaemia was frequent among patients with pregnancy induced hypertension. Intrauterine growth retardation (IUGR) was secondary to pregnancy induced hypertension which was associated with significantly increased perinatalmortality. Conclusion: In this study, prematurity is frequent in pregnancy induced hypertension and convulsion in nonresponsive patients is associated with significantly increased perinatal mortality.Journal of National Institute of Neurosciences Bangladesh, January 2016;2(1): 10-13

scholarly journals Dramatic Rise in Cesarean Birth in Iran: A Coalition of Private Medical Practices and Women’s Choices

2020 ◽  
Vol 8 (3) ◽  
pp. 245-258
Author(s):  
Zohreh Behjati Ardakani ◽  
Mehrdad Navabakhsh ◽  
Fahimeh Ranjbar ◽  
Soraya Tremayne ◽  
Mohammad Mehdi Akhondi ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Health Care Professionals ◽  
Cultural Awareness ◽  
Insurance Companies ◽  
Fetal Mortality ◽  
Contributing Factors ◽  
Cesarean Birth ◽  
Dramatic Rise ◽  
Care Models

Objectives: Cesarean delivery without medical indication has regularly increased among Iranian women in the last three decades, and Iran has one of the highest rates of cesarean in the world. The present study aimed at reviewing the studies regarding the increase of cesarean in Iran and discussing the root causes for such an increase. Methods: This literature review focused on the existing quantitative and qualitative studies conducted from January 1990 to January 2019 regarding the reasons for an increase in the cesarean section in Iran. The combination of keywords including "cesarean section", "C-section", "cesarean delivery", and "Iran" was searched in several databases such as MEDLINE/PubMed, Embase, ISI Web of Science and Scopus, along with national databases (e.g., SID, MagIran, Iran Medex, and IranDoc). Results: A dramatic rise in cesarean birth stems from a number of factors including the role of health care professionals, insurance companies, socio-cultural factors, and the health policies, all of which have their roots in the medicalization of birth. Conclusions: In general, reducing the cesarean on maternal request necessitates the de-medicalization of birth, cultural awareness through the mass media, informing women of the long-term complications of cesarean, and physical and mental preparation of the mother. In addition, other contributing factors include encouraging inter-professional teamwork and collaboration between midwives and obstetrician-gynecologists, transforming the current curriculum of the midwifery and residency education, applying the midwifery-led care models, and decreasing the fear of litigation in midwifery and obstetrics-gynecology. Otherwise, maternal and fetal mortality will rise in the near future due to increased complications in subsequent pregnancies.

Abstract 66: Ascorbate Prevents Hypertension, Proteinuria and Concentric Hypertrophy by Balancing the Nitroso-redox System in a Model of Preeclampsia, the S-nitrosoglutathione Reductase (gsnor) Deficient Mice

2016 ◽  
Vol 119 (suppl_1) ◽  
Author(s):  
Shathiyah Kulandavelu ◽  
Raul A Dulce ◽  
Rosemeire K Takeuchi ◽  
Wayne Balkan ◽  
Joshua M Hare
Keyword(s):  
Nitrosative Stress ◽  
Fluorescent Dyes ◽  
Protein S ◽  
Redox System ◽  
Fetal Mortality ◽  
Mortality And Morbidity ◽  
Redox Imbalance ◽  
Concentric Hypertrophy ◽  
Maternal Hypertension ◽  
And Control

Introduction: Preeclampsia (PE), a leading cause of maternal and fetal mortality and morbidity, is characterized by increased levels of reactive oxygen species (ROS) and S-nitrosylated protein, and decreased levels of the antioxidant, ascorbate (Asc). Mice lacking S-nitrosoglutathione reductase (GSNOR –/– ), a denitrosylase that regulates protein S-nitrosylation, exhibit a PE-like phenotype including maternal hypertension, proteinuria, cardiac concentric hypertrophy and impaired placental vascularization. We hypothesize that the PE-like phenotype is mediated by nitroso-redox imbalance and nitrosative stress and can be rescued with ascorbate treatment. Methods: Pregnant GSNOR –/– and control (WT) mice (n=5-7) were provided drinking water ± Asc beginning at day 0.5 of gestation (E0.5). We determined blood pressure using a Millar catheter, relative wall thickness (RWT) by echocardiography, and placental vascularization by isolectin staining. Cardiomyocytes (CM) were isolated at late stage pregnancy (E17.5) and fluorescent dyes used to determine levels of ROS (2’7’-dichlorofluorescein), nitric oxide (NO, diaminofluorescin) and peroxynitrite (dihydrorhodamine 123). Results: Isolated CMs from pregnant GSNOR –/– hearts, exhibited elevated levels of ROS (2.48±0.39 vs. 1.58±0.18 ΔF/F 0 ), free NO (6.65±0.43 vs. 5.59±0.26 ΔF/F 0 ) and peroxynitrite (0.75±0.04 vs. 0.39±0.03 ΔF/F 0 ) compared to WT. These increases were prevented with Asc treatment (P<0.01), which completely rescued the PE phenotype in GSNOR –/– mothers, including hypertension (105±2 mmHg vs. 95± mmHg in Asc-treated, P<0.05), proteinuria (P<0.05) and RWT (0.56±0.04 vs. 0.45±0.03 in Asc-treated (P<0.05). Placental vascularization was also significantly improved with Asc treatment in GSNOR –/– mothers. Asc had no significant effect in WT mice. Conclusion: Our findings indicate that nitroso-redox imbalance and nitrosative stress contributes to PE in mice. Asc treatment balanced the nitroso-redox system and rescued the pathological phenotypes in GSNOR –/– mice, suggesting that it can be used therapeutically to treat or prevent preeclampsia.

KNOWLEDGE ON BREASTFEEDING AND PRACTICES ON INITIATION OF BREASTFEEDING AMONG POST CAESAREAN MOTHERS ADMITTED IN SELECTED HOSPITALS, GOALPARA, ASSAM WITH A VIEW TO DEVELOP AN INFORMATION BOOKLET: A DESCRIPTIVE STUDY

2021 ◽  
pp. 25-27
Author(s):  
Jasmin Ara Begum ◽  
Rashmi Rekha Borah ◽  
Unmona Borgohain Saikia
Keyword(s):  
Cesarean Section ◽  
Breast Feeding ◽  
Family Income ◽  
Good Practice ◽  
Health Centre ◽  
Severe Malnutrition ◽  
Mortality And Morbidity ◽  
Information Booklet ◽  
Knowledge And Practice ◽  
Initiation Of Breastfeeding

Breast feeding has been seen as one of the unique biological and emotional inuence on the health of both mother and infant. It is an important determinant of infant health which prevents malnutrition and infections. Cesarean section is a surgery, it can certainly bring about some challenge for mothers who want to breastfeed. Whether it's planned or unexpected, the surgical delivery of a child can affect breastfeeding. Pain, anesthesia, the emotions of a Cesarean Section can affect breastfeeding. One of important factor increases the chances of a successful continuation of breastfeeding is early initiation of breastfeeding. Breastfeeding is associated with reduced infant and under-5 mortality and morbidity, protects the neonate from infection and promotes ideal nutrition with lower acute and severe malnutrition. The aim of the study was to assess the knowledge on breastfee Aim: ding and practices on initiation of breastfeeding among post caesarean mothers admitted in the selected hospitals, Goalpara, Assam with a view to develop an information booklet. Method and Materials: A descriptive design was used in this study and purposive sampling technique for obtaining adequate sample for the study. Study was undertaken on 100 post caesarean mothers in selected Hospitals of Goalpara, Assam. Study was umdertaken on 100 post caesarean mothers who fulls the inclusion criteria. Structured knowledge questionnaire and observation checklist was used to assess the knowledge and practices respectively. In this study, Nola j Pender's Modied health promotion model was used for Conceptual framework. A total of 100 post caesarean mothers Results: from Civil Hospital, Maternity & Child Health Centre Goalpara, Assam participated in this study. Out of 100 respondents it was found that majority i.e 75% of the respondents have inadequate knowledge, 25% of the respondents have moderate knowledge and none of them have adequate knowledge towards breastfeeding with the mean 6.54 and SD of 2.35. It was also found majority i.e 70% respondents had fair practice, 20% had poor practice and only 10% had good practice towards initiation of breastfeeding with mean of 4.91 and SD of 1.77. The co-relation between knowledge and practice were 0.278 which shows a fair positive correlation between knowledge and practice. There is signicant association of knowledge with no of parity and practices with age, educational level, monthly family income and number of parity on initiation of breast feeding among post caesarean mothers. Thus, this study gives the area to Conclusion: improve knowledge and practice of post caesarean mothers on initiation of breastfeeding. Educational and hands on training can be implemented.

scholarly journals Maternal morbidity in emergency lower segment cesarean section

2019 ◽  
Vol 8 (7) ◽  
pp. 2604
Author(s):  
P. Kalpana ◽  
T. Praveena
Keyword(s):  
Social Class ◽  
Tract Infection ◽  
Cesarean Section ◽  
Maternal Morbidity ◽  
Intraoperative Complications ◽  
Fetal Distress ◽  
Lower Segment ◽  
Mortality And Morbidity ◽  
Lower Segment Cesarean Section ◽  
Operative Complications

Background: With a steep fall in maternal mortality and morbidity and with much more liberalization of indications, the incidence of cesarean section rate has greatly increased over the last thirty years and almost doubled in the current decade. The objective of this study was to study incidence of maternal morbidity in emergency lower segment cesarean section.Methods: Hospital based prospective study was carried out among 200 women undergoing emergency lower segment cesarean section. Data relating to demographic characteristics, clinical characteristics, maternal and fetal indications, incidence of morbidity, and types of morbidities, Intra operative complications, and Post operative complications was noted down. Chi square and odds ratio was used for statistical analysis.Results: The incidence of LSCS was 24.21%. Incidence of emergency LSCS was 96.74%. 71% were having primary LSCS and 20.5% were booked cases. The most common maternal indication for emergency LSCS was pregnancy induced hypertension and eclampsia in 32.5% of the cases. The most common fetal indication for emergency LSCS was fetal distress in 60%. Incidence of morbidity was 35% and it was associated with booking status, parity and social class. Incidence of intraoperative complications was 23.5%. Majority (18.5%) developed febrile morbidity followed by wound sepsis in 12.5%, urinary tract infection in 8%, mastitis in 7.5%, respiratory tract infection in 7%, wound gaping in 4%, paralytic ileus in 3%, endometritis in 2.5%, postpartum hemorrhage in 1.5%, 2 cases of burst abdomen and one case of small bowel obstruction.Conclusions: Emergency LSCS was more common than elective LSCS and it was associated with booking status, parity and social class.

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