Effect of sitting position on equal-dose spinal anaesthetic for caesarean section and post-partum tubal ligation

This prospective study was carried out on a total number of 58 eclamptic subjects during the period of July 2010 to June 2012 where 38 were undergone caesarean section (LUCS - Lower Uterine Caesarean Section) and 20 received conservative management. Mean (±SD) Age of the subjects who undergone Caesarean Section and conservative management (NVD) were 23.67±8.63 and 23.45±9.31 years respectively. Significant mean age difference was also present between these two groups. In 38 subjects of LUCS 34 subjects were recovered and rest 4 cases were died. Possible causes of death were due to heart failure and post partum pulmonary embolism. Among these 20 subjects who were treated conservatively 14 were recovered and 6 subjects were died. Causes of death in these groups were pulmonary embolism, Septic pneumonia, and HELLP syndrome. Significant difference was found between these two treatment options. It was observed that socio-demographic, economic status and BMI had significant effects on management outcome.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 583-586

Download Full-text

Hubungan Pemberian Anestesi Regional Dengan Kelancaran ASI Pada Ibu Post Partum Sectio Caesarea Di Rumah Sakit Muhammadiyah Gresik

MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan ◽

10.26714/magnamed.7.2.2020.42-48 ◽

2020 ◽

Vol 7 (2) ◽

pp. 42

Author(s):

Vina Rahmatika ◽

Musa Ghufron ◽

Nenny Triastuti ◽

Syaiful Rochman

Keyword(s):

Breast Milk ◽

Caesarean Section ◽

Post Partum ◽

Secondary Data ◽

Sampling Technique ◽

Primary Data ◽

Sectio Caesarea ◽

P Value ◽

Cross Sectional ◽

Anesthetic Drugs

Background: The birth rate by caesarean section method is getting higher. Risk data for 2013 shows the method of birth with the operation method of 9.8 percent of the total 49,603 births during 2010 to 2013. Being in practice the mother must be given anesthetic before the surgery begins. This anesthesia will later affect the pain that will occur after SC. Purpose: The purpose of this study was to determine the correlation between regional anesthetic drugs and the smoothness of breast milk in women born in sectio caesarea at Muhammadiyah Gresik Hospital. Method: Method with Cross Sectional approach. The population in this study mothers who gave birth in a caesarean section at Muhammadiyah Hospital Gresik in December 2019 to January 2020. The sampling technique in this study is probability / random simple sampling. The sample in this study was a portion of mothers who gave birth in a caesarean section at Muhammadiyah Gresik Hospital. The instrument used was primary data collection in the form of questionnaires and secondary data in the form of patient medical records. Result: The data obtained in this study were processed using spearman correlation statistics. From the statistical test the Correlation coefficient value was 0.807, and obtained P-Value equal to 0,000 this value is less than 0.05. Conclusion: The conclusion of this study is that there is a correlation between the administration of a regional anesthetics and the smoothness of breast milk in mothers of post partum caesarea at Muhammadiyah Gresik Hospital.

Download Full-text

Maternal outcomes following second stage caesarean section in a tertiary hospital in Malaysia: A 6-year retrospective review

Polish Annals of Medicine ◽

10.29089/2020.20.00163 ◽

2021 ◽

Author(s):

Nurul Nafizah Mohd Rashid ◽

Nik Mohamed Zaki Nik Mahmood ◽

Mohd Pazudin Ismail ◽

Adibah Ibrahim ◽

W Fadhlina W Adnan ◽

...

Keyword(s):

Risk Factors ◽

Caesarean Section ◽

Post Partum ◽

Neonatal Morbidity ◽

Tertiary Hospital ◽

Outcome Data ◽

High Rate ◽

Maternal Outcomes ◽

Total Blood ◽

Second Stage

Introduction: The trend for second stage caesarean section (SSCS) has been rising, and it carries a high rate of maternal and neonatal morbidity. Aim: To determine the prevalence of caesarean section (CS) performed during the second stage of labour and identify maternal outcomes and associated risk factors in these women. Material and methods: This retrospective study was performed in the Hospital University Sains Malaysia (HUSM). Medical records of 207 women with singleton cephalic pregnancies at term who underwent a SSCS between January 1, 2010 and December 31, 2015 were reviewed, and demographic and outcome data were collected. Results and discussion: During the study period, 8,197 (19.3%) out of 42,546 babies were delivered by CS, including 257 (4.1%) SSCSs. Nearly half (49.3%) the women were nulliparous, 182 (87.9%) experienced spontaneous labour and 123 (59.4%) received oxytocin augmentation. Furthermore, 26 (12.6%) of women had post-partum haemorrhage (≥1000 mL), of whom 22 (10.6%) required blood transfusion. Only 1 (0.5%) woman was admitted to the intensive care unit postoperatively, but 163 (78.7%) had an overall hospital stay length of 3 days. Furthermore, 38 (18.4%) and 33 (15.9%) of women experienced extended uterine tear and uterine atony, respectively. Parity (P < 0.001), attempted instrumentation (P < 0.001) and baby’s weight (P < 0.004) were statistically significantly associated with total blood loss. Parity (P < 0.012) and attempted instrumentation (P < 0.001) were risk factors for extended uterine tear. Conclusions: The overall outcomes from SSCS were better compared with studies performed in other centres. Current practices must be maintained or improved to provide the best patient caree.

Download Full-text

Endometriosis encountered in a primigravida and a primipara at caesarean section: Report of two cases

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v3i2.10836 ◽

2014 ◽

Vol 3 (2) ◽

pp. 59-61

Author(s):

Neeva Ojha ◽

Akinchan Kafle ◽

Poonam Koirala ◽

Isha Shrestha ◽

Savana Sharma ◽

...

Keyword(s):

Caesarean Section ◽

Post Partum ◽

Obstetrics And Gynaecology ◽

Depo Provera ◽

Post Partum Period ◽

Section Report

Two cases of posterior uterine surface endometriosis were found at caesarean section in primigarvida and primipara consecutively. These cases are reported to convey the importance of Depo-Provera (depot medroxy progesterone), a three monthly injectable progesterone during the immediate post partum period to avoid the complication that may arise from the surrounding endometriotic deposits during the puerperium and afterwards. DOI: http://dx.doi.org/10.3126/njog.v3i2.10836 Nepal Journal of Obstetrics and Gynaecology Vol.3(2) 2008; 59-61

Download Full-text

SUBLINGUAL MISOPROSTOL FOR PREVENTION OF POSTPARTUM HAEMORRHAGE – A RANDOMISED CONTROL TRIAL

10.36106/7030894 ◽

2021 ◽

pp. 56-57

Author(s):

Anupama Anupama

Keyword(s):

Caesarean Section ◽

Blood Loss ◽

Outcome Measures ◽

Post Partum ◽

Randomised Control Trial ◽

Study Group ◽

Sublingual Misoprostol ◽

Group A ◽

Post Partum Haemorrhage ◽

Group B

Aim – The aim of the study was to study the effect of sublingual misoprostol for prevention of PPH. Materials and Methods – This was a prospective, randomized, double blind, placebo controlled study. Inclusion criteria were women aged 20-40 years with 38-40 weeks of gestation who underwent elective caesarean section. Exclusion criteria were women have risk factors for post-partum haemorrhage, active thromboembolic disease and intrinsic risk for thrombosis. Participants were randomly assigned to misoprostol group or group A (n=50) and placebo group or group B(n=50). Group A received 400µg of sublingual misoprostol after delivery of the baby, group B received placebo tablet at the same time. Primary outcome measures were blood loss from delivery of the placenta to the end of the caesarean section to 2 hours postpartum, haemoglobin estimation was done in all patients pre operatively and 24 hours post operatively and the change in concentration was noted. Secondary outcome measures were need for additional uterotonics, use of additional surgical interventions to control post-partum haemorrhage. Result – Blood loss from both placental delivery to the end of caesarean section and from end of caesarean section to 2 hours postpartum were signicantly lower in the study group. (p<0.0001). Change ifn haemoglobin concentration in study group was also signicantly less than in the control group. (p<0.0001). Total amount of Oxytocin required was signicantly less in the study group (p=0.01). The number of women requiring other oxytocics (inj. Methyl ergometrine, inj. Carboprost) was signicantly less in study group (p=0.0078). Conclusion – Sublingual misoprostol has been found to be effective in preventing PPH.

Download Full-text

Towel curettage for a new definition of postpartum period after cesarean section

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182857 ◽

2018 ◽

Vol 7 (7) ◽

pp. 2537

Author(s):

Suzan Elsharkawy

Keyword(s):

Iron Deficiency ◽

Caesarean Section ◽

Blood Loss ◽

Iron Deficiency Anemia ◽

Postpartum Period ◽

Post Partum ◽

Controlled Trial ◽

Maternity Hospital ◽

Deficiency Anemia ◽

Group B

Background: The objective of the present study was to compare effect of towel curettage as a new technique, to no curettage in caesarean section on postpartum period duration and hemoglobin level.Methods: Prospective, randomized controlled trial included 403 eligible participants that were attending Elshatby maternity hospital in the duration of this study (2016) and scheduled for primary caesarean section. The patients were randomized into two groups A and B. Group A had towel curettage after manual separation of the placenta, where the decidua and the placental bed were thoroughly curetted by a surgical towel. Group B had manual separation of placenta only.Results: Towel curettage actually shortens the puerperal bleeding days by almost a week and the volume of blood loss by around half a gram/dl, a situation that could be of great concern in the developing countries where iron deficiency anemia can be considered endemic.Conclusions: Suzan towel curettage is a new, simple, cheap methods that deceases duration of puerperium and the amount of useless blood loss post-partum, which may save a good percentage of women from suffering the negative influences of iron deficiency anemia.

Download Full-text