scholarly journals Caesarean Section in Infected Cases: A SERIES OF FORTY-FIVE CAESAREAN SECTIONS IN INFECTED OR POTENTIALLY INFECTED CASES, WITH NO MATERNAL MORTALITY

BMJ ◽  
1936 ◽  
Vol 1 (3920) ◽  
pp. 358-360
Author(s):  
M. M. Basden
Keyword(s):  
Caesarean Section ◽  
Maternal Mortality

scholarly journals Evaluation of maternal and perinatal morbidity and mortality in eclampsia by early termination of pregnancy

2020 ◽  
Vol 8 (10) ◽  
pp. 3629
Author(s):  
Suresh C. Mondal ◽  
Sandip Lahiri
Keyword(s):  
Caesarean Section ◽  
Maternal Mortality ◽  
Termination Of Pregnancy ◽  
Early Termination ◽  
Early Presentation ◽  
Neonatal Deaths ◽  
Still Births ◽  
Significant Difference ◽  
Group A ◽  
Group B

 Background: Eclampsia is one of the leading causes of maternal mortality in India.Methods: A prospective observational study was done on 200 pregnant women admitted with antepartum eclampsia in Malda Medical College from 1 April 2017 to 30 October 2019. Group A included patients who delivered through vaginal route within 10 to 12 hrs of eclampsia by stabilisation of patients while Group B included subjects who underwent early caesarean section for uncontrolled convulsions or poor Bishop score. Maternal and perinatal outcomes were compared between the groups. Data was recorded in a pretested performa and was analyzed using appropriate statistical methods with SPSS.Results: Caesarean section (group B) was done in 130 cases (65%) while vaginal delivery (group A) was done in 65 cases (37.5%). Group A had higher maternal mortality (10.7%) in comparison to group B (4.6%) which was statistically not significant (p=0.1075). There were 32 neonatal deaths (24.6%) and 11 still births (8.46%) in group A while there were 12 neonatal deaths (18.46%) and 3 still births (4.61%) in group B. There was a statistically significant difference (p<0.0001) between the groups with respect to total perinatal deaths.Conclusions: Antenatal and intranatal eclampsia should be managed by early termination of pregnancy preferably with Caesarean section. Early presentation and timely decision to terminate pregnancy will improve the maternal and perinatal outcome.

scholarly journals Association between maternal mortality and caesarean section in Ethiopia: a national cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ayele Geleto ◽  
Catherine Chojenta ◽  
Tefera Taddele ◽  
Deborah Loxton
Keyword(s):  
Caesarean Section ◽  
Maternal Mortality ◽  
Addis Ababa ◽  
Caesarean Section Rate ◽  
National Level ◽  
Maternal Mortality Ratio ◽  
P Value ◽  
Inverse Association ◽  
Cross Sectional ◽  
Significant Inverse Association

Abstract Background Several studies concluded that there is a reduction of maternal deaths with improved access to caesarean section, while other studies showed the existence of a direct association between the two variables. In Ethiopia, literature about the association between maternal mortality and caesarean section is scarce. This study was aimed to assess the association between maternal mortality ratios and caesarean section rates in hospitals in Ethiopia. Methods Analysis was done of a national maternal health dataset of 293 hospitals that accessed from the Ethiopian Public Health Institute. Hospital specific characteristics, maternal mortality ratios and caesarean section rates were described. Pearson’s correlation coefficient was used to determine the direction of association between maternal mortality ratios and caesarean section rate, taking regions into consideration. Presence of a linear association between these variables was declared statistically significant at p-value < 0.05. Results The overall maternal mortality ratio in Ethiopian hospitals was 149 (95% CI: 136–162) per 100,000 livebirths. There was significant regional variation in maternal mortality ratios, ranging from 74 (95% CI: 51–104) per 100,000 livebirths in Tigray region to 548 (95% CI: 251-1,037) in Afar region. The average annual caesarean section rate in hospitals was 20.3% (95% CI: 20.2–20.5). The highest caesarean section rate of 38.5% (95% CI: 38.1–38.9) was observed in Addis Ababa, while the lowest rate of 5.7% (95% CI: 5.2–6.2) occurred in Somali region. At national level, a statistically non-significant inverse association was observed between maternal mortality ratios and caesarean section rates. Similarly, unlike in other regions, there were inverse associations between maternal mortality ratios and caesarean section rates in Addis Ababa, Afar Oromia and Somali, although associations were not statistically significant. Conclusions At national level, a statistically non-significant inverse association was observed between maternal mortality ratios and caesarean section rates in hospitals, although there were regional variations. Additional studies with a stronger design should be conducted to assess the association between population-based maternal mortality ratios and caesarean section rates.

scholarly journals Impact of increase of caesarean section on postpartum hemorrhage in a tertiary care center of India over 6 years

2020 ◽  
Vol 10 (1) ◽  
pp. 192
Author(s):  
Shikha Madan ◽  
Neetu Sangwan ◽  
Smiti Nanda ◽  
Daya Sirohiwal ◽  
Pushpa Dahiya ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Maternal Mortality ◽  
Postpartum Hemorrhage ◽  
Health Workers ◽  
Care Center ◽  
Tertiary Care ◽  
Normal Delivery ◽  
Third Stage Of Labor ◽  
Third Stage ◽  
Common Etiology

Background: PPH (postpartum hemorrhage) is the leading cause of maternal mortality. Despite of all the medical advancement, maternal mortality rates have declined greatly in the developed world, PPH remains a leading cause of maternal mortality elsewhere. Caesarean section is an obstetric intervention where, normal delivery can pose a risk for mother or foetus. The rate of caesarean section has increased worldwide. A survey conducted by WHO found that the worldwide rate of caesarean section increased from 26.4% between 2004 to 2008, to 31.2% between 2010 to 2011.Methods: We collected data of the caesarean sections and patients who developed PPH over 6 years. We studied the association of temporal increase of caesarean section with PPH.Results: Uterine atonicity continues to be the most common etiology of PPH each year, however, there is an increase in tissue abnormality (retained placenta, placenta praevia, accreta, increta, percreta) over years as there is a significant increase in the incidence of caesarean section. Atonic uterus was the most common cause for obstetric hysterectomies and mortality due to PPH every year.Conclusions: Family planning advise is essential in developing country like ours to counsel patients to prevent multiparity, thus reducing PPH. It is also important to train all the health workers in periphery and referral centers to manage the third stage of labor and atonic uterus to save the mothers. Sagacious attitude towards the decision of caesarean section is needed to prevent maternal morbidity and mortality.

scholarly journals The risks for thromboembolism following caesarean section

2019 ◽  
Vol 8 (3) ◽  
pp. 1167
Author(s):  
Veena R. ◽  
Radhamani M. V. ◽  
Deepa S.
Keyword(s):  
Venous Thromboembolism ◽  
Caesarean Section ◽  
Maternal Mortality ◽  
Systemic Infection ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Hospital Policy ◽  
Cross Sectional ◽  
Risk Status ◽  
Number Of Patients

Background: Maternal mortality can be due to various reasons. Maternal mortality following thromboembolism is a cause for concern. Venous thromboembolism is a very serious condition following caesarean section. Thromboprophylaxis should be given to the mothers with high risk for thromboembolism, who deliver by caesarean section. The objective of this study was to do to assess the risk status for thromboembolism among women delivered by caesarean section.Methods: A hospital based cross- sectional study was conducted among four hundred mothers who delivered by caesarean section. The study was conducted for a period of eight months from January to August 2017. The risks for thromboembolism was assessed and as per the guideline and hospital policy, thromboprophylaxis was given.Results: Out of four hundred patients, medical comorbidities were present for three patients. Patients who were overweight were 122. Two had systemic infection. The number of patients with high, intermediate and low risk of venous thromboembolism were 4,65 and 331.Conclusions: The study suggests that thromboprophylaxis is to be given for all the patients with any risk for thromboembolism, after caesarean section.

scholarly journals ACUTE PANCREATITIS IN PREGNANCY

2012 ◽  
Vol 19 (05) ◽  
pp. 747-750
Author(s):  
SHAMA CHAUDHRY ◽  
RUBINA HUSSAIN
Keyword(s):  
Acute Pancreatitis ◽  
Caesarean Section ◽  
Maternal Mortality ◽  
Dermoid Cyst ◽  
Conservative Management ◽  
Epigastric Pain ◽  
Fetal Loss ◽  
Pedal Edema ◽  
Severe Epigastric Pain ◽  
In Pregnancy

Acute pancreatitis during pregnancy is rarely encountered and can have a high maternal mortality and fetal loss. We report herea case of a 35-year-old woman para 1+0 previous 1LSCS at 32 weeks of gestation. She had laparotomy at 29 weeks of gestation due to torsionof dermoid cyst in this pregnancy. Now she was presented with, severe epigastric pain, vomiting and pedal edema. Investigation revealedhyperamylasemia and leukocytosis, hypokalemia, hypocalcaemia. The patient was kept on conservative management, antibiotics, analgesics& intravenous fluids.Pancreatitis resolved & she delivered at 38 weeks by caesarean section.

scholarly journals Birth Asphyxia, Perinatal and Maternal Mortality Associated With Caesarean Section

2002 ◽  
Vol 19 (1) ◽  
Author(s):  
Fidelis O. Njokanma ◽  
Matthias T.C. Egri-Okwaji ◽  
Chikezie A. Nwokoro ◽  
Taiwo Orebamjo ◽  
Godwin C.E. Okeke
Keyword(s):  
Caesarean Section ◽  
Maternal Mortality ◽  
Birth Asphyxia
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