scholarly journals Apgar score or birthweight in Chihuahua dogs born by elective Caesarean section: which is the best predictor of the survival at 24 h after birth?

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Jasmine Fusi ◽  
Massimo Faustini ◽  
Barbara Bolis ◽  
Maria Cristina Veronesi
Keyword(s):  
Caesarean Section ◽  
Apgar Score ◽  
Elective Caesarean Section

scholarly journals Pregnancy Outcome of Single Previous cesarean Section

1970 ◽  
Vol 7 (1) ◽  
pp. 25-28 ◽  
Author(s):  
M Jha
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Apgar Score ◽  
Postpartum Hemorrhage ◽  
Elective Caesarean Section ◽  
Previous Caesarean Section ◽  
Cephalopelvic Disproportion ◽  
Main Indication ◽  
Assisted Delivery ◽  
Vacuum Delivery

Background: The main aim of this study is to determine the maternal and fetal outcome of pregnancy among women with one previous caesarean section at term in relation to vaginal delivery, post partum complication, neonatal complication like low Apgar score, fetal weight and admission in special baby unit. Methods: This is a prospective and descriptive study done in a sample size of 100. Inclusion criteria were term pregnancy, single live fetus with cephalic presentation with one previous caesarean section. During study period total number of obstetric admissions was 3546 and 115 cases were admitted with previous one caesarean section. Result: Out of 100 cases, 31 cases had vaginal delivery and 69 cases had caesarean section. Among 31 vaginal deliveries, 24 cases had spontaneous vaginal delivery and 7 had assisted delivery with vacuum, main indication of vacuum delivery was to cut short the second stage of labor that was in 5(71.43%) cases. Among 69 caesarean section cases, 51 had emergency caesarean section and 18 had elective caesarean section and cephalopelvic disproportion was the main indication in both the groups. Most common complication was scar dehiscence and postpartum hemorrhage. There were two still births in each group and one minute APGAR score was slightly better in caesarean section. Conclusions: Patients with previous caesarean section are at high risk of repeat emergency or elective caesarean section. About one in three patients with previous caesarean section delivered vaginally. In the present study postpartum hemorrhage was the commonest complication, which was found in caesarean section, and only  one puerperal pyrexia was seen in case of vaginal delivery. Key words: Cephalopelvic disproportion, Premature rupture of membrane, Septicemia, Vacuum delivery   DOI: 10.3126/jnhrc.v7i1.2275 Journal of Nepal Health Research Council Vol. 7, No. 1, 2009 April 25-28

scholarly journals Conjoined Twins

2018 ◽  
Vol 56 (211) ◽  
pp. 708-710
Author(s):  
Pramod Kattel
Keyword(s):  
Caesarean Section ◽  
Apgar Score ◽  
Elective Caesarean Section ◽  
Mode Of Delivery ◽  
Conjoined Twins ◽  
Outpatient Department ◽  
Oxygen Supplementation ◽  
Neonatal Deaths ◽  
Early Neonatal Deaths

Reported here is a case of conjoined twins presented to ante-natal outpatient department of Paropakar Maternity and Women’s Hospital on 21st August 2015 on a 20 year “Primigravida at 27 weeks and 6 days of gestation not in labor” referred from a polyclinic following ultrasonography diagnosis for better management. After confirming the diagnosis and counseling the patients regarding mode of delivery and possible outcomes, elective caesarean section was performed and delivered male conjoined twins of Parapagus dicephalus type with poor Apgar score. No resuscitation attempted except oxygen supplementation as per wish of parents and early neonatal deaths occurred at one hour of life.  

scholarly journals Breech presentation at term: Caesarean section or vaginal delivery?

2011 ◽  
Vol 139 (3-4) ◽  
pp. 155-160
Author(s):  
Janko Djuric ◽  
Slobodan Arsenijevic ◽  
Dragic Bankovic ◽  
Zoran Protrka ◽  
Marija Sorak ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Body Mass ◽  
Head Circumference ◽  
Apgar Score ◽  
Elective Caesarean Section ◽  
Breech Presentation ◽  
Level Of Education ◽  
Minute Apgar Score

Introduction. Term breech presentation occurs in 3-4% of all deliveries. Most obstetricians are completely sure how to end delivery when the foetus is in breech presentation, by caesarean section as the only option. Objective. The main goal of the paper was to present the method of delivery for term breech presentation analyzed at the Hospital of Gynaecology and Obstetrics and Clinical Centre in Kragujevac, and parameters that influenced the decision on the method of choice to perform delivery with the foetus in breech position. Methods. During a three-year prospective study, the course and outcome of all term breech deliveries were under follow-up. The study involved only deliveries in breech presentation, with a trial of labour ending by vaginal delivery, while elective caesarean section due to breech presentation of the foetus was not included in the study. The following parameters were compared: body mass, newborn?s first minute Apgar score and head circumference, gestational maturity, gestational age, delivery duration, maternal level of education and maternal parity. Results. Of total 6,470 deliveries, 653 (10.10%) were finalized by caesarean section. Of these, there were 202 (3.12%) term breech presentations, of which 72 (35.64%) women had caesarean and 130 (64.36%) vaginal delivery. A difference was detected in newborn?s body mass and head circumference, delivery duration, maternal level of education and parity between pregnancies terminated surgically in comparison to vaginal delivery, while pregnancy duration, maternal age, first minute Apgar score, and most significantly, perinatal morbidity did not show any difference regardless of the method of delivery for term breech presentation. Conclusion. With respect of all known parameters, vaginal delivery in breech presentation is also accepted.

scholarly journals Ceftriaxone versus ampicillin/cloxacillin as antibiotic prophylaxis in elective caesarean section

2004 ◽  
Vol 10 (3) ◽  
pp. 277-282
Author(s):  
E. T. S. Ahmed ◽  
O. A. Mirghani ◽  
A. S. Gerais ◽  
I. Adam
Keyword(s):  
Clinical Trial ◽  
Single Dose ◽  
Caesarean Section ◽  
Antibiotic Prophylaxis ◽  
Apgar Score ◽  
Statistical Difference ◽  
Elective Caesarean Section ◽  
Controlled Clinical Trial ◽  
Induction Of Anaesthesia ◽  
Febrile Morbidity

Wecarried out a prospective, r and omized, controlled clinical trial to evaluate the clinical efficacy of ceftriaxone and ampicillin/cloxacillin prophylaxis in decreasing the frequency of post-caesarean section infection-related morbidity. Two hundred patients randomly received either ceftriaxone [single dose] or ampicillin/cloxacillin [3 doses] intravenously at induction of anaesthesia. There was no statistical difference in incidence of endometritis [P = 0.34], wound infection [P = 0.44], or other febrile morbidity [P = 0.5]. Eleven babies had a low Apgar score [< 8] in the ceftriaxone group and 13 in the ampicillin/cloxacillin group [P = 0.82]. There were 2 perinatal deaths in each group. One dose of ceftriaxone was as effective as ampicillin/ cloxacillin in preventing post-caesarean section complications and is easier to administer

scholarly journals Comparison of maternal and neonatal outcome in elective lower segment cesarean section done at 38 and 39 weeks

2017 ◽  
Vol 6 (4) ◽  
pp. 1604
Author(s):  
Gisi Sebastian ◽  
Seetesh Ghose ◽  
P. Soundararajan
Keyword(s):  
Caesarean Section ◽  
Blood Transfusion ◽  
Respiratory Distress ◽  
Gestational Age ◽  
Apgar Score ◽  
Elective Caesarean Section ◽  
Lower Uterine Segment ◽  
Lower Segment Cesarean Section ◽  
Significant Difference ◽  
Nicu Admission

Background: Time to perform elective LSCS is a relevant issue related to mother and foetus. LSCS can be done from 37 weeks onwards because foetal lungs mature by then. But foetuses born at 37 weeks of gestation have more risk of developing respiratory problems, transient tachypnoea of new born, hypothermia, hypoglycaemia and NICU admission.The purpose of this study is to find out appropriate gestational age at which elective LSCS can be performed without adverse maternal and neonatal outcome.Methods: This is an observational comparative study done on 209 antenatal women who underwent elective caesarean section from December 2014 to January 2016.Patients were divided into two groups after taking consent. Maternal parameters like formation of lower uterine segment need for blood transfusion. Neonatal parameters like Apgar score, respiratory distress syndrome and NICU admission with indication and duration were analyzed by chi-square test. Gestational Age and Pre-Op Hb and Post-Op Hb were analyzed by independent ‘t’test.Results: In this study 55% of the pregnant women belong to 38 weeks,45% belongs to 39 weeks. The formation of lower uterine segment was statistically significant and the need for blood transfusion was slightly increased at 39 weeks. But there was no significant difference in Apgar score, Respiratory distress, NICU admission comparing both study groups.Conclusions: Elective caesarean section can be done safely at 38 weeks without affecting maternal and perinatal outcome.

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