Randomised trial of intrapartum tractocile versus placebo in the management of fetal distress in women undergoing emergency Caesarean section

2012 ◽  
Author(s):  
Tom Farrell
Keyword(s):  
Caesarean Section ◽  
Randomised Trial ◽  
Fetal Distress ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean

Chikungunya–dengue co-infection during pregnancy requiring preterm Caesarean section: first case report from Bangladesh

2017 ◽  
Vol 48 (3) ◽  
pp. 234-235 ◽  
Author(s):  
Muhammad Abdur Rahim ◽  
Shahana Zaman ◽  
Nasreen Sultana ◽  
Ariful Islam ◽  
Khwaja Nazim Uddin
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Fetal Distress ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean ◽  
First Case

We report the first case of chikungunya-dengue co-infection during pregnancy requiring emergency Caesarean section (CS) because of fetal distress in a Bangladeshi primigravida. Though previously unreported, this situation may become increasingly common.

scholarly journals Elective versus emergency caesarean section: differences in maternal outcome

2019 ◽  
Vol 8 (8) ◽  
pp. 3207
Author(s):  
Anshu Sharma ◽  
Rajiv Acharya ◽  
Yashika Pehal ◽  
Bhawna Sharma
Keyword(s):  
Caesarean Section ◽  
Elective Caesarean Section ◽  
Fetal Distress ◽  
Emergency Caesarean Section ◽  
Maternal Outcome ◽  
Common Indication ◽  
Emergency Caesarean ◽  
Group A ◽  
The Difference ◽  
Group B

Background: Caesarean section is a life-saving surgical procedure when certain complications arise during pregnancy or labour. The use of CS worldwide has increased worldwide unprecedented levels although the gap between higher- and lower-resource settings remains. The present study evaluates the difference in maternal outcome in elective versus emergency caesarean sections in our institute.Methods: The study included first 65 cases of emergency caesarean section (group A) and during the study period, first 65 elective caesarean section (group B) if they fulfilled the inclusion criteria. Various intra operative and postoperative events were recorded which included intra operative complications, postpartum haemorrhage and transfusion indices.Results: The most common indication of caesarean section in group A was fetal distress (27.7%). In group B most caesarean sections were classified under 5 followed by class 6, the most common indication being previous caesarean section (27.6%). It was observed that pre-operative mean haemoglobin in group A was 10.6 g/dl and in group B was 11.2g/dl. A drop of 1.36 g/dl in group A and 1.10 g/dl in group B was observed in the post-op period. Cross match / transfusion ratio 1.5 in group A and  2 in group B, transfusion probability ratio was 60 % in group A and  66.7%  in group B and transfusion index was 1 in group A and  group B. There was significantly higher contraception acceptance in group B compared to group A.Conclusions: Elective caesarean section has more favourable maternal outcome as compared to emergency caesarean section as the former is done under controlled and planned circumstances.  However, there should be stringent audit to scrutinise indication of caesarean section, outcome of caesarean and blood transfusion practices.

scholarly journals Extreme Maternal Metabolic Acidosis Leading to Fetal Distress and Emergency Caesarean Section

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Nicolas Cecere ◽  
Corinne Hubinont ◽  
Arnauld Kabulu Kadingi ◽  
Marie-Françoise Vincent ◽  
Peter Van den Bergh ◽  
...  
Keyword(s):  
Metabolic Acidosis ◽  
Muscular Dystrophy ◽  
Caesarean Section ◽  
Previous History ◽  
Congenital Muscular Dystrophy ◽  
Fetal Distress ◽  
Serum Glucose ◽  
Emergency Caesarean Section ◽  
Compensatory Mechanism ◽  
Emergency Caesarean

A 31-year-old pregnant woman ( weeks) was admitted with extreme tachypnea. She had a previous history of congenital muscular dystrophy (Ullrich’s disease) and isolated glucosuria. The patient had reduced food intake during the last 24 hours prior to admission and vomited twice. Serum glucose level was normal (112 mg/dL), while urinalysis revealed glucosuria 4+ and ketonuria 4+. ABG revealed pH 7.06, PCO29 mm Hg, and bicarbonate 2 mmol/L. Anion gap was 28 mmol/L. Tachypnea was a compensatory mechanism for a severe nonlactic metabolic acidosis. The diagnosis of starvation ketoacidosis was established. The patient received supplemental dextrose 10% intravenously and sodium bicarbonate. As fetal heart monitoring was pathological, an emergency caesarean section was performed. Umbilical cord venous pH was 7.01, with PCO234 mm Hg and bicarbonate 8 mmol/L. Starvation ketoacidosis is a rare metabolic disorder that may occur mainly in the third trimester of pregnancy. Muscular dystrophy and renal glucosuria were precipitating factors.

scholarly journals An audit of the decision to delivery interval in emergency caesarean section and its effect on neonatal outcome

2020 ◽  
Vol 9 (10) ◽  
pp. 4202
Author(s):  
Anuradha G. ◽  
Nirupama V. ◽  
Shirley George
Keyword(s):  
Caesarean Section ◽  
Neonatal Outcome ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Primary Objective ◽  
Emergency Caesarean Section ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College ◽  
Emergency Caesarean

Background: Emergency caesarean section (CS) is divided into four categories based on the degree of urgency by RCOG and NICE guidelines. It is recommended that the decision to delivery interval (DDI) in emergency CS should be within 30 minutes in category 1 and within 75 minutes in category 2. Our Primary objective was to study the incidence and indications of emergency CS and audit the DDI in emergency CS at tertiary care hospital. Our secondary objective was to study the effect of DDI on neonatal outcome.Methods: Descriptive study was carried out among 409 women who underwent emergency CS from August 2018 to December 2018 at St. John's medical college hospital, Bangalore. Relevant data was collected by chart review. Emergency CS were categorised according to RCOG guidelines based on the degree of urgency and further classified based on DDI as <30 minutes, 30-75 minutes and >75 minutes.Results: We had 409 cases of emergency CS. Category 1 had 113 (27.63%) cases, category 2 had 126 (30.81%) cases and category 3 had 170 (41.56%) cases. DDI of <30 minutes was achieved in 19.5% in category 1, DDI of <75 minutes was achieved in 93.65% in category 2. Fetal distress was the leading cause of emergency CS in category 1 and 2. There was a high incidence of low APGAR in babies delivered in <30 minutes and lower APGAR was significantly associated with <30 minutes of DDI (p<0.0001).Conclusions: Fetal distress was the leading cause of emergency CS. DDI interval of <30 minutes was not always associated with good neonatal outcome; Category of CS has a significant effect on neonatal outcome.

scholarly journals Anaesthetic Management of Parturient with Acute Atrial Fibrillation for Emergency Caesarean Section

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Madhu Gupta ◽  
Shalini Subramanian ◽  
Preeti Adlakha
Keyword(s):  
Atrial Fibrillation ◽  
Caesarean Section ◽  
Mitral Stenosis ◽  
Fetal Distress ◽  
Anaesthetic Management ◽  
Acute Onset ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean ◽  
Parturient Woman ◽  
Cardiac Symptoms

A 31-year-antenatal lady with critical mitral stenosis presented for emergency caesarean section with fetal distress. She had acute onset atrial fibrillation. She was given a combined spinal epidural (CSE) anaesthesia and her arrhythmia was successfully managed after delivery of the baby with intravenous calcium channel blocker. Mitral stenosis is the most common valvular heart disease complicating pregnancy in developing countries. The physiological changes during pregnancy may exacerbate their cardiac symptoms. They may present with complications like congestive cardiac failure, atrial fibrillation, or pulmonary thromboembolism during the antenatal, intrapartum, or postpartum period. Here we discuss the management of parturient woman with high maternal and fetal risk presenting for emergency caesarean. The merits of regional anaesthesia and the importance of invasive monitoring are also discussed.

scholarly journals Neonatal and Maternal Postpartum Bacteroides Bacteremia

1999 ◽  
Vol 10 (5) ◽  
pp. 358-361 ◽  
Author(s):  
Nahid Zaker ◽  
Joy Lertzman ◽  
Joanne Embree
Keyword(s):  
Caesarean Section ◽  
Neonatal Infection ◽  
Fetal Distress ◽  
Emergency Caesarean Section ◽  
Blood Cultures ◽  
Unique Case ◽  
Emergency Caesarean ◽  
Laboratory Procedures ◽  
Neonatal Blood ◽  
Postpartum Mothers

OBJECTIVE: A unique case ofBacteroides fragilisbacteremia in a mother and her infant prompted a review of these infections in neonates and postpartum mothers during a five-year period at two institutions in Winnipeg, Manitoba. The purpose was to determine the frequency of these infections and ascertain commonly associated factors.METHODS: Infants and postpartum mothers diagnosed with bacteroides bacteremia were identified from laboratory records in both hospitals, and their medical charts were retrospectively reviewed.RESULTS: Bacteroides species were isolated in 10 maternal and four neonatal blood cultures. This represented 8.1% of the positive maternal and 1.2% of the positive neonatal blood cultures obtained during the review. The incidence of maternal infection was 2.56/10,000 deliveries, while that of neonatal infection was 1.03/10,000 live births. Postpartum fever and emergency caesarean section were often noted with maternal postpartum bacteroides bacteremia, while fetal distress, low Apgar scores and respiratory distress were frequent in neonatal bacteremia.CONCLUSION: Postpartum bacteroides bacteremia should be suspected among women with postpartum fever after emergency caesarean section. However, the occurrence of postpartum fever following emergency caesarian section is not necessarily associated with neonatal bacteroides bacteremia. Neonatal bacteroides bacteremia may not be readily suspected on clinical grounds, so clinicians should ensure that the laboratory procedures routinely used to evaluate neonatal bacteremia at their institutions reliably detect these organisms.

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