CESAREAN SECTIONS AT SUTTER MATERNITY HOSPITAL 1938 TO 1950

1952 ◽  
Vol 5 (1) ◽  
pp. 84-86
Author(s):  
HANS F. SCHLUTER
Keyword(s):  
Maternity Hospital ◽  
Cesarean Sections

The analysis of abdominal delivery cases at labor activity anomalies

2017 ◽  
pp. 103-106
Author(s):  
Yu.P. Vdovichenko ◽  
◽  
N.P. Goncharuk ◽  
E.Yu. Gurzhenko ◽  
◽  
...  
Keyword(s):  
Objective Assessment ◽  
Maternity Hospital ◽  
Professional Activity ◽  
Cesarean Sections ◽  
Birth Canal ◽  
Professional Management ◽  
Natural Birth ◽  
Abdominal Route ◽  
History Of ◽  
Abdominal Delivery

The objective: analysis of the frequency of cesarean sections, their structure according to the indications from the mother; study of the dynamics of the frequency of cesarean sections in case of abnormalities of labor activity (ALA) as indications for operative delivery on the basis of Kyiv City Maternity Hospital No. 1 for 2001-2011. Patients and methods. During the study, the frequency of cesarean sections in general, the frequency of urgent cesarean sections, the structure of cesarean sections according to the indications from the mother's side, the frequency of cesarean sections in ALA were studied and analyzed, and the dynamics of the cesarean section rate in ARP as well as one of the main indications with Mother's side. The history of the delivery of labor was used, which culminated in the abdominal route. Results. An increase in the level of cesarean sections was noted. The number of urgent cesarean sections is gradually decreasing. There has been a significant reduction in the incidence of cesarean sections in anomalies of labor, which are not amenable to drug treatment. Conclusion. The professional management of births, adequate justified use of medicines, the use of modern medical means in practice, an objective assessment of the obstetrical situation, cardiotocoagraphic support, timely and adequate use of epidural analgesia positively influenced the increase in the number of deliveries through the natural birth canal, which is a priority in the professional activity of the obstetrician-gynecologist. Key words: caesarian section, anomalies of labor activity.

scholarly journals Puerperal infection from the perspective of humanized delivery care at a public maternity hospital

2007 ◽  
Vol 15 (4) ◽  
pp. 536-542 ◽  
Author(s):  
Elisângela Euripedes Resende Guimarães ◽  
Tânia Couto Machado Chianca ◽  
Adriana Cristina de Oliveira
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Cesarean Delivery ◽  
Maternity Hospital ◽  
Delivery Care ◽  
Cesarean Sections ◽  
Normal Delivery ◽  
Puerperal Infection ◽  
Concurrent Study ◽  
Effective Conditions

This is an epidemiological, prospective and non-concurrent study of the cohort type about puerperal infection from the perspective of humanized delivery care, based on information from 5,178 records of patients who went through the experience of humanized delivery. The study aimed at describing the women who underwent humanized delivery, determining the incidence and time for manifestation of puerperal infections and investigating the association between the infection and the risk factors. An accumulated puerperal infection rate of 2.92% was found. The risk factors associated to puerperal infection in Cesarean delivery were the duration of labor and the number of digital examinations. No variable behaved as a risk factor for infection in normal delivery. Cesarean delivery was an important risk factor for puerperal infection. The results reinforce the need to develop alternative forms of delivery care that provides effective conditions for normal delivery, in order to reduce the number of Cesarean sections.

scholarly journals Gynecological outcomes of uterine niche after cesarean section: A descriptive study

2021 ◽  
Vol 2 ◽  
pp. 5
Author(s):  
E. A. Abdelfattah ◽  
T. M. Abd-El Dayem ◽  
H. M. Galal ◽  
S. S. Taylon
Keyword(s):  
Cesarean Section ◽  
Lower Abdominal Pain ◽  
Abnormal Uterine Bleeding ◽  
Maternity Hospital ◽  
University Hospital ◽  
Cesarean Sections ◽  
Gynecological Examination ◽  
The Social ◽  
Space Data ◽  
Previous Cesarean

Objectives: Our aim was to study the prevalence of isthmocele in cases with previous cesarean section scar presented to El Shatby maternity university hospital and its association with gynecological complications. Material and Methods: After approval of the ethics committee of Alexandria faculty of medicine, a sample of 300 patients delivered by cesarean section since 6 months or more presented by one or more of the following symptoms: Abnormal uterine bleeding (AUB) dysmenorrhea, secondary infertility, and lower abdominal pain were selected from the gynecology clinic of El Shatby maternity university hospital. All patients were subjected to history taking, clinical, and gynecological examination. Post-menstrual 2D transvaginal ultrasonography was done. Where the niche or isthmocele was seen as triangular or dome- shaped echo-free space. Data were collected and entered to the computer using Statistical Package for the Social Science program for statistical analysis. Results: Niche was found in 44 cases. Most of them were symptomatic. Duration from the last (CS) was statistically significant. Symptoms were related to number of previous cesarean sections. Conclusion: The incidence of post-cesarean section niche in El Shatby Maternity hospital was 14.67%. Most common symptoms were AUB and dyspareunia.

scholarly journals Evaluation of the Adherence of Obstetricians to International Guidelines for Dispensing Misoprostol and Oxytocin in Saad Abu Ella Maternity Hospital: A Retrospective Study

2020 ◽  
Author(s):  
Mona Elbashir ◽  
Safaa Badi ◽  
Muhammad Abdulraheem ◽  
Bashir Yousef
Keyword(s):  
Postpartum Hemorrhage ◽  
Maternity Hospital ◽  
Labor Induction ◽  
Termination Of Pregnancy ◽  
Intrauterine Fetal Death ◽  
Normal Vaginal Delivery ◽  
Cesarean Sections ◽  
International Guidelines ◽  
Age Range ◽  
Incomplete Miscarriage

Background: Misoprostol and oxytocin are commonly prescribed drugs by obstetricians to induce labor and prevent postpartum hemorrhage. In Sudan, there is no national guideline for prescribing these drugs. Thus, the prescribers follow the international guidelines. Hence, our study aimed to evaluate the adherence of Sudanese obstetricians to the international guidelines for dispensing misoprostol and oxytocin. Methods: A retrospective descriptive hospital-based study was performed at Saad Abu Ella hospital through their medical files archived in 2018 using a checklist designed by the researcher. Collected data were analyzed and presented in frequency tables using the statistical package for social sciences (SPSS). Results: A total of 357 medical files were evaluated, about 50% of cases examined was in the 25–35 years age range, multigravida pregnant ladies were 62%. General indications of oxytocin and/or misoprostol were induction of labor (17%), postpartum hemorrhage prevention (PPH) after normal vaginal delivery (NVD) (30%) and cesarean sections (32%), evacuation of incomplete miscarriage (20%), and termination of pregnancy (1%). Compared to the guidelines, only 14% were given the recommended regimens for labor induction; 9.4% of women who had undergone NVD were given the recommended regimen to prevent PPH. While, 57% and 43% of the cases with incomplete miscarriage and termination of pregnancy were given the recommended regimens, respectively. Based on the correct indication, total adherence was estimated to be 17%. Conclusions: Higher percentages of cases with incomplete miscarriage and intrauterine fetal death were given the recommended regimens to manage them. While, lower percentages of the participants were given the recommended regimens for labor induction and to prevent PPH.  Key words: misoprostol, oxytocin, obstetricians, adherence, international guidelines

scholarly journals CAESAREAN SECTION: PROBLEMS AND PROSPECTS IN THE REPUBLIC OF CRIMEA

2021 ◽  
pp. 57-68
Author(s):  
O.P. Miklin ◽  
I.S. Glazkov ◽  
I.B. Glazkova ◽  
Z.S. Rumyantseva ◽  
N.A. Reznichenko ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Breech Presentation ◽  
Maternity Hospital ◽  
Critical Conditions ◽  
Cesarean Sections ◽  
Robson Classification ◽  
The Republic ◽  
Uterine Scar ◽  
Abdominal Delivery

Caesarean section (CS) is a surgical procedure performed only in critical conditions to save the life of a mother and a child. The operation should be performed only if clinically indicated. Recently, the rate of cesarean sections is growing, but the number of deaths is not decreasing. The purpose of the study is to examine the frequency of abdominal delivery in Simferopol, Simferopol Clinical Maternity Hospital No. 2, to assess the possibilities and reserves for CS reduction in the region. Methods. The authors used retrospective analysis of birth histories according to Robson classification. Results. In 2018–2019 the frequency of cesarean sections in Simferopol Clinical Maternity Hospital No. 2 increased by 3 %. It was found out that primigravida and multipara with a uterine scar in the cephalic presentation are a reserve to decrease the indicator. It may also be promising to reduce the incidence of cesarean section in pregnant women with breech presentation. Keywords: caesarean section, Robson classification, Republic of Crimea. Операция кесарева сечения является методом, проводимым только при угрожающих состояниях с целью спасения жизни матери и ребенка. Операция должна выполняться только при строгих показаниях врача. В последнее время тенденция к родоразрешению путем кесарева сечения нарастает, однако число летальных исходов не уменьшается. Цель. Определение частоты абдоминального родоразрешения в г. Симферополь на примере ГБУЗ РК «Симферопольский клинический родильный дом № 2» и оценка возможностей и резервов ее снижения в регионе. Материалы и методы. Ретроспективный анализ историй родов по классификации Робсона. Результаты. Частота кесарева сечения в ГБУЗ РК «Симферопольский клинический родильный дом № 2» в течение 2 лет возросла на 3 %. Было установлено, что резервом снижения данного показателя являются первобеременные и повторнородящие с рубцом на матке и с плодом в головном предлежании. Перспективным может быть также снижение частоты кесарева сечения у беременных с тазовым предлежанием. Ключевые слова: кесарево сечение, классификация Робсона, Республика Крым.

scholarly journals Comparison between laparoscopic and vaginal suturing in closing the vaginal vault in Total Laparoscopic Hystrectomy

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A A Fahmy ◽  
K M Labib ◽  
M A Elnahas
Keyword(s):  
Comparative Study ◽  
Laparoscopic Hysterectomy ◽  
Maternity Hospital ◽  
Total Laparoscopic Hysterectomy ◽  
Vaginal Vault ◽  
Surgical Removal ◽  
Cesarean Sections ◽  
Benign Diseases ◽  
Randomized Control ◽  
Previous Cesarean

Abstract Background Hysterectomy is defined as surgical removal of the uterus. It is one of the most gynecological operations all over the world. Benign diseases are responsible for more than 70% of the indications for hysterectomy. e.g: fibroids, pelvic pain and menstrual disorders. Aim of the study to compare between laparoscopic route and vaginal route in vaginal vault closure in total laparoscopic hysterectomy. Patients and Methods This comparative study was carried out between March 2018 and October 2018, at Ain Shams maternity hospital and Helwan materinity hospital, a prospective randomized control comparative study of 32 ladies undergoing total laparoscopic hysterectomy after obtaining the approval of the local ethical committee and a fully-informed written consent. Results A total of 32 patients were included in the study and they were divided into 2 groups each group consisted of 16 patients, the first group of patients underwent laparoscopic suturing and the second group underwent vaginal suturing. Each group was further subdivided into vertical (8 patients) and horizontal (8 patients). Both groups were matched for age, parity, BMI, menstrual status, comorbidities, previous cesarean sections and indications for hysterectomy. Conclusion Vaginal vault closure can be performed safely and effectively both vaginally and laparoscopically.Vaginal route for vault closure was shorter and easier than laparoscopic route.Vaginal horizontal suturing was comparable to vaginal vertical. Laparoscopic vertical was easier and faster than laparoscopic horizontal.

scholarly journals SARS-CoV-2 in Pregnancy—The First Wave

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 241
Author(s):  
Andreia de Vasconcelos Gaspar ◽  
Isabel Santos Silva
Keyword(s):  
Pregnant Women ◽  
Preterm Labor ◽  
Maternity Hospital ◽  
Nasopharyngeal Swab ◽  
Cesarean Sections ◽  
Maternal Deaths ◽  
History Of ◽  
Threatened Abortion ◽  
Severity Of The Disease ◽  
Prelabor Rupture Of Membranes

Background and Objectives: COVID-19, a disease caused by SARS-CoV-2, is a public health emergency. Data on the effect of the virus on pregnancy are limited. Materials and Methods: We carried out a retrospective descriptive study, in order to evaluate the obstetric results on pregnant women in which SARS-CoV-2 was detected through RT-PCR of the nasopharyngeal swab, at admission to the maternity hospital. Results: From 16 March to 31 July 2020, 12 SARS-CoV-2 positive pregnant women have been hospitalized. Eleven were hospitalized for initiation or induction of labor, corresponding to 0.64% of deliveries in the maternity hospital. One pregnant woman was hospitalized for threatened abortion, culminating in a stillbirth at 20 weeks of gestation. Regarding the severity of the disease, nine women were asymptomatic and three had mild illness (two had associated cough and one headache). Three had relevant environmental exposure and a history of contact with infected persons. None had severe or critical illness due to SARS-CoV-2. There were no maternal deaths. The following gestational complications were observed: one stillbirth, one preterm labor, one preterm prelabor rupture of membranes, and one fetal growth restriction. Four deliveries were eutocic, two vacuum-assisted deliveries and five were cesarean sections. The indications for cesarean section were obstetric. Conclusions: SARS-CoV-2 infection was found in a minority of hospitalized pregnant women in this sample. Most are asymptomatic or have mild illness, from gestational complications to highlight stillbirth and preterm birth. There were no cases of vertical transmission by coronavirus.

scholarly journals Fetal outcome in emergency versus elective cesarean sections at Souissi Maternity Hospital, Rabat, Morocco

2016 ◽  
Vol 23 ◽  
Author(s):  
Soukayna Benzouina ◽  
Mohamed El-mahdi Boubkraoui ◽  
Mustapha Mrabet ◽  
Naima Chahid ◽  
Aicha Kharbach ◽  
...  
Keyword(s):  
Maternity Hospital ◽  
Fetal Outcome ◽  
Cesarean Sections ◽  
Elective Cesarean

Personnel-itis: a myth or a pathology? A retrospective analysis of obstetrical and perinatal outcomes for physicians and nurses

2015 ◽  
Vol 43 (1) ◽  
Author(s):  
Ziv Tsafrir ◽  
Jesica Ascher-Landsberg ◽  
Meir Ezra ◽  
Michael J. Kupferminc ◽  
Sharon Maslovitz ◽  
...  
Keyword(s):  
Assisted Reproductive Technologies ◽  
Medical Center ◽  
Perinatal Outcomes ◽  
Medical Personnel ◽  
Reproductive Technologies ◽  
Maternity Hospital ◽  
Control Group ◽  
Cesarean Sections ◽  
Index Pregnancy ◽  
Pregnancy And Delivery

AbstractTo evaluate whether medical personnel differ from the general population in obstetrical and perinatal outcomes.The participants comprised 46 physicians and 116 nurses employed at one medical center who gave birth in its maternity hospital. General medical and obstetrical data on their latest (“index”) pregnancy and delivery were extracted from real-time computerized patient files. The control group included 162 women who gave birth during the same period in the same hospital.The study group had significantly more deliveries, cesarean sections, and terminations of pregnancy prior to the index pregnancy. The medical personnel conceived significantly more often with assisted reproductive technologies (ART) (18.8% vs. 8% for controls, P<0.05), and had significantly more obstetrical complications, i.e., premature contractions, gestational diabetes mellitus, preeclamptic toxemia, and 2Medical personnel utilized ART more frequently and had more pregnancy complications as well as a lower incidence of VBAC than non-personnel. Neonatal outcomes were similar for both groups.

scholarly journals The Value of Magnesium Sulfate in the Pre-Hospital Phase of the Management of Eclampsia

2020 ◽  
pp. 1-2
Author(s):  
Yassine Smiti ◽  
◽  
Yousra Lamarti ◽  
Hniad Adnane ◽  
◽  
...  
Keyword(s):  
Mortality Rate ◽  
Magnesium Sulfate ◽  
Young Women ◽  
Maternity Hospital ◽  
Anesthetic Technique ◽  
Pregnancy Induced Hypertension ◽  
Cesarean Sections ◽  
Antenatal Consultation ◽  
Induced Hypertension ◽  
First Time

Eclampsia is a very serious complication of pregnancy, its occurrence is responsible of maternal and fetal morbidity and mortality. The aim of this study is to clarify the value of Magnesium Sulfate in the prevention of convulsive state and in the choice of anesthetic technique for cesarean section during eclampsia. We realized a prospective descriptive, analytical and comparative study over a period of 5 months, concerning a series of 49 pregnant women admitted to the anesthesia-intensive care unit of the Souissi Maternity Hospital in Rabat, with eclampsia. The diagnosis of eclampsia was made due to the occurrence of convulsive seizure (s) linked to pregnancy-induced hypertension. It was found that eclampsia mainly affected young women (age less than or equal to 25 years) with a percentage of 57.3%. The majority of patients were first-time mothers (55.1%). This condition manifests itself most often in the last trimester of pregnancy (72.9%), especially in pre-partum. The majority of patients did not receive an antenatal consultation. The treatment of choice in our study was magnesium sulfate. So, 51% of patients had not received magnesium sulfate before their admission to our hospital and 56% of them had had more than one seizure. And the 49% of patients, on the other hand, had received magnesium sulfate and only 18% of them had had the seizure again. Our obstetric attitude was based on immediate delivery with a caesarean section. 34.5% cesarean sections were performed under general anesthesia, compared with 65.5% under spinal anesthesia. The fetus morbidity was mainly represented by prematurity (30.6%) and neonatal distress (28.5%). The prognosis of eclampsia remains bleak both for the mother with a maternal mortality rate of 4%, and for the fetus with a perinatal mortality rate of 16.3%.

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