scholarly journals Uterine Prolapse in Pregnancy: Two Cases Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Chunyan Zeng ◽  
Feng Yang ◽  
Chunhua Wu ◽  
Junlin Zhu ◽  
Xiaoming Guan ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Conservative Treatment ◽  
Literature Review ◽  
Vaginal Delivery ◽  
Clinical Characteristics ◽  
Uterine Prolapse ◽  
The Other ◽  
Gestational Period ◽  
In Pregnancy

Uterine prolapse complicating pregnancy is rare. Two cases are presented here: one patient had uterine prolapse at both her second and third pregnancy, and the other developed only once prolapse during pregnancy. This report will analyze etiology, clinical characteristics, complication, and treatment of uterine prolapse in pregnancy. Routine gynecologic examination should be carried out during pregnancy. If uterine prolapse occurred, conservative treatment could be used to prolong the gestational period as far as possible. Vaginal delivery is possible, but caesarean section seems a better alternative when prolapsed uterus cannot resolve during childbirth.

scholarly journals Prediction of Foetal Well-being with Non-stress Test

2016 ◽  
Vol 33 (2) ◽  
pp. 65-69
Author(s):  
Jahanara Rahman ◽  
Hosne Ara Begum
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Gestational Age ◽  
Apgar Score ◽  
Stress Test ◽  
The Other ◽  
P Value ◽  
Mild Depression ◽  
Other Hand ◽  
Significant Difference

Introduction: Non-stress test (NST) is the most common antenatal test performed to assess the foetus at risk of intrauterine hypoxia. On the other hand non-reactivity detected by NST increases the interferences of pregnancy by Caesarean section.Methodology: A cross sectional descriptive study was carried out in the department of Obstetrics and Gynaecology at Dhaka National Medical College between July2007 and June 2008.Objectives: The objectives of the study were (1) To observe the mode of delivery in cases of non-reactive non stress test (NST) and (2) To evaluate perinatal outcome of non-reactive NST.Results: A total 137 high risk pregnant women were included in the study. Age of the women ranges from 16 to 32 years. The mean age of the women was 23.74 ± 3.71 year. Among them 44.53% were primaegravida and 55.47% were multigravida. Gestational age was between 35 and 42 weeks and mean gestational age was 38.34±1.42 weeks. Regarding foetal reactivity 61.3% (n=84) were reactive and 38.7 % (n=53) were non-reactive. Among the babies of non reactive NST 98.11% and 1.89% were delivered by caesarean section and vaginal delivery respectively. Whereas, 48.81% and 51.19% babies of reactive NST were delivered by caesarean section and vaginal delivery respectively. The percentage of caesarean section was much higher in non-reactive NST cases in comparison to that of reactive NST which was statistically highly significant (p value 0.0000). One minute after birth APGAR scoring revealed that 56.6% and 43.4% newborn of non-reactive NST had no depression( APGAR score 7-10) and mild depression ( APGAR score 4-6) respectively. On the other hand 65.47% and 34.5% newborn of reactive NST had no depression and mild depression respectively at one minute after birth. Therefore, small difference was noticed in the neonatal status between the reactive and non-reactive NST which had no statistical significance (p value 0.507). Evaluation of the neonates with APGAR scoring done 5 minutes after birth revealed mild depression (APGAR score 4-6) in 24.53% and 20.24% of non-reactive and reactive NST cases respectively and no depression (APGAR score 7- 10) was found in 75.47% and 70.76% in reactive and nonreactive NST respectively. So, 5 minutes after birth the neonatal status among reactive and non-reactive NST made no significant difference (p value 0.9266).Conclusion: Neonatal evaluation revealed that all foetuses were not compromised as detected by NST. Relying on NST the rate of Caesarean section has been increased. Reassessment of the foetal conditions was needed with the help of other techniques. Therefore NST alone is insufficiently predictive of neonatal outcome.J Bangladesh Coll Phys Surg 2015; 33(2): 65-69

scholarly journals Perinatal determinants of D-dimer levels in a cross-sectional study of low risk pregnant women

2016 ◽  
Vol 9 (2) ◽  
pp. 78-82
Author(s):  
NM Murphy ◽  
AS Khashan ◽  
DI Broadhurst ◽  
O Gilligan ◽  
K O’Donoghue ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Elective Caesarean Section ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
D Dimer ◽  
In Pregnancy

Background To examine perinatal determinants of the antenatal levels of D-dimers. Methods Cross-sectional study of 760 low risk pregnant women recruited into five gestational groups. Variables examined in antenatal groups included maternal age, body mass index, parity, smoking, family history venous thromboembolism (VTE) and previous use of the oral contraceptive pill (OCP). Onset of labour and mode of delivery were also examined in the post-natal group. Results D-dimer levels in group 4 (38–40 + 6) were significantly lower in the women with a history of taking the OCP when compared to those that had not taken it in the past ( P = 0.027). In the day 2 post-natal group, the median level of D-dimer was significantly higher in primparous when compared to multiparous women ( P = 0.015). The median D-dimer levels were significantly lower in the elective Caesarean section group in comparison to spontaneous onset ( P = 0.003) and induction of labour ( P = 0.016). When the mode of delivery was examined, the median D-dimer levels were significantly lower in those that had an elective Caesarean section when compared to normal vaginal delivery ( P = 0.008) and instrumental vaginal delivery ( P = 0.007). Women post elective Caesarean section had a significantly lower D-dimer than those after emergency Caesarean section ( P = 0.008). Discussion There are some significant differences in D-dimer levels when certain perinatal determinants are examined. This work is potentially beneficial to the future diagnosis of VTE in pregnancy as it supports previously published recommended D-dimer levels for the diagnosis of VTE in pregnancy.

scholarly journals Risk Factor Characteristics Of Patients With Uterine Prolapse In Gynecology Outpatient Clinic In Dr. Soetomo Hospital, Surabaya

2021 ◽  
Vol 4 (2) ◽  
pp. 77
Author(s):  
Vemaniarti Lian Pravitasari ◽  
Eighty Mardiyan Kurniawati ◽  
Pirlina Umiastuti
Keyword(s):  
Risk Factor ◽  
Conservative Treatment ◽  
Vaginal Delivery ◽  
Outpatient Clinic ◽  
Uterine Prolapse ◽  
Stage Iv ◽  
Academic Hospital ◽  
Vaginal Deliveries ◽  
Multiparous Women

Introduction: Uterine prolapse can occurs due to the failure of the ligamentous and fascial supports of the uterus. It causes inconvenience to the patients because of genital tract dysfunction and decrease quality of life. The risk factor are multifactorial. Advancing age, increasing parity, vaginal delivery, and menopause is associated with the uterine risk factors. The aim of this study is to describe the stage, treatment, age, parity, vaginal delivery, and menopause status of women with uterine prolapse in Dr. Soetomo General Academic Hospital, Surabaya. Methods: This research is a descriptive study. The sample is included all women with complaints of uterine prolapse diagnosed and treated at Dr. Soetomo General Academic Hospital, Surabaya from January – December 2017. Statistical was analysed descriptively.Results: From total 82 patients of uterine prolapse in Gynecology Outpatient Clinic Dr. Soetomo General Academic Hospital, Surabaya in 2017, most of the uterine prolapse patients were older than 65 years old (45.1%) and multiparous (62.2%). More than half of the patients (61%) have had more than three vaginal deliveries and have gone through menopause (91.5%). Stage IV prolapse, 33 cases (40.2%) has the highest percentage. Mostly, 47 cases (57.3%) received conservative treatment. Conclusion: Uterine prolapse is most likely to be found in women with older age, came from those in the age group of >65 years old. The incidence of uterine prolapse might increase in multiparous women, have more than three vaginal deliveries, and have gone through menopause. Most of them is on stage IV and received conservative treatment. It is important for women to be educated about uterine prolapse risk factor as an uterine prolapse prevention.

scholarly journals Vaginal delivery by Duhrssen’s incision in a case of uterine prolapse

2021 ◽  
Vol 10 (2) ◽  
pp. 752
Author(s):  
Ankita Chakraborty ◽  
Bandana Shyam Gohain
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Uterine Prolapse ◽  
Rare Condition ◽  
Active Labour ◽  
Multiparous Women ◽  
History Of ◽  
Home Deliveries ◽  
Careful Assessment

Uterine prolapse during pregnancy is a rare condition in which careful assessment and management are needed to prevent complications. Here we report a case of 23-year-old gravida 3 multiparous women with a history of 2 vaginal home deliveries; she presented with uterine prolapse in active labour. She was delivered vaginally by Duhrssen’s incision successfully. This case is reported to show that Duhrssen’s incision can reduce the need for caesarean section in such cases.

scholarly journals Rectal prolapse in pregnancy: a case report

2017 ◽  
Vol 6 (12) ◽  
pp. 5648
Author(s):  
Isha Sunil ◽  
Manisha Kohli
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Rectal Prolapse ◽  
Vaginal Delivery ◽  
The Body ◽  
Perineal Trauma ◽  
Gestation Age ◽  
Definite Treatment ◽  
In Pregnancy

Rectal prolapse is complete or partial protrusion of rectal tissue through the anus to the exterior of the body. It generally occurs after 60 years of age and is more common in women than men. Here we present a case report of 30 years old G3P1L1A1 with 37 weeks gestation age with complaint of mass protruding per rectum and diagnosed as rectal prolapse which is uncommon during childbearing years. Its management during pregnancy is mostly conservative and definite treatment is deferred until delivery. Rectal prolapse is not a contraindication for vaginal delivery and low outlet forceps deliveries have been mentioned in literature. However, most obstetricians prefer caesarean section to prevent a difficult vaginal delivery and perineal trauma to the patient that could further aggravate rectal prolapse

scholarly journals An unusual case of postoperative ascites after cesarean section

2020 ◽  
Vol 9 (6) ◽  
pp. 2635
Author(s):  
Namrita Sandhu ◽  
Sanjay Singh
Keyword(s):  
Liver Cirrhosis ◽  
Caesarean Section ◽  
Literature Review ◽  
Cesarean Section ◽  
Pregnancy Outcome ◽  
Unusual Case ◽  
Diagnosis And Treatment ◽  
In Pregnancy

Post-operative ascites following caesarean section is rarely reported in pregnancy. Ascites has multiple etiologies including malignancies, liver cirrhosis, intraperitoneal infections and trauma. Authors report a case of post-operative ascites following caesarean section performed at around 37 weeks of gestation. The patient was normotensive. The diagnosis and treatment of ascites as well as the pregnancy outcome is presented. Literature review of ascites in pregnancy is discussed as well. This case was that of an idiopathic ascites with no definitive cause. An allergic or inflammatory peritoneal reaction may be the most likely cause for this complication.

Anogenital herpes

2019 ◽  
pp. 277-290
Keyword(s):  
Herpes Simplex Virus ◽  
Herpes Simplex ◽  
Caesarean Section ◽  
Genital Herpes ◽  
Vaginal Delivery ◽  
Sexual Transmission ◽  
Low Risk ◽  
Herpes Simplex Virus 1 ◽  
Simplex Virus ◽  
In Pregnancy

Herpes simplex virus 1 (HSV-1) seroprevalence increases with age up to 80%, while sero-prevalence of HSV-2 increases following adolescence, suggesting sexual transmission. Only 2–20% of people with HSV-2 antibodies can recall a symptomatic episode, while others are troubled with frequent and severe recurrences. A primary outbreak of genital herpes at the time of delivery is an indication for caesarean section, although with a recurrent episode of herpes, vaginal delivery is usually recommended, due to low risk of complications for the neonate. This chapter discusses epidemiology, clinical features, diagnosis and management of ano-genital herpes for primary outbreak and recurrences, as well as management in pregnancy.

High Heels sebagai Agensi bagi Tubuh Wanita

2020 ◽  
Vol 5 (2) ◽  
pp. 196
Author(s):  
Sunandar Macpal ◽  
Fathianabilla Azhar
Keyword(s):  
Body Image ◽  
Literature Review ◽  
The Body ◽  
The Other ◽  
Body Image Disturbance ◽  
Other Hand ◽  
High Heels ◽  
Experience Pain ◽  
Woman's Body

The aims of this paper is to explain the use of high heels as an agency for a woman's body. Agency context refers to pain in the body but pain is perceived as something positive. In this paper, the method used is a literature review by reviewing writings related to the use of high heels. The findings in this paper that women experience body image disturbance or anxiety because they feel themselves are not beautiful or not attractive. The use of high heels, makes women more attractive and more confident, on the other hand the use of high heels actually makes women feel pain and discomfort. However, for the achievement of beauty standards, women voluntarily allow their bodies to experience pain. However, the agency's willingness to beauty standards here is meaningless without filtering and directly accepted. Instead women keep negotiating with themselves so as to make a decision why use high heels.

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