Laparotomy for Abdominal Adhesion and Removal of Intrauterine Device from Anatomically Distorted Uterus due to Adhesion in a 43-Year-Old Woman with 3 Previous Cesarean Sections

Prenatal ultrasound diagnosis of velamentous insertion of the umbilical cord: clinical cases and literature review

10.21516/2413-1458-2018-17-1-33-41 ◽

2018 ◽

Author(s):

M.A. Esetov , A.M. Esetov , I.V. Ramazanova

Keyword(s):

Umbilical Cord ◽

Color Doppler ◽

Color Doppler Ultrasound ◽

Ultrasound Diagnosis ◽

Cesarean Sections ◽

Previous Cesarean Section ◽

Vasa Previa ◽

Obstetrical Management ◽

Previous Cesarean ◽

Singleton Pregnancies

Seven cases of ultrasound diagnosis of velamentous insertion (VCI) of the umbilical cord at singleton pregnancies on 21–34 weeks of gestation are presented. The ultrasound picture two of the VIC types is presented: fixed in 5 cases and free in 2 cases. In one case the VCI was in the lower third of the uterus and the wound has been diagnosed the vasa previa. In other cases, the VCI was in middle third of the uterus. In all cases delivery was at 37–39.1 weeks of gestation. In 4 cases Cesarean sections were performed. In two of the VCI cases elective Ce sarean sections were performed for the following indications: previous Cesarean section and vasa previa. VCI can reliably be detected prenatally by gray-scale and color Doppler ultrasound. For fixed VCI located in the middle-upper of the uterus, no change in standard obstetrical management seems to be required.

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Separating the Bladder from the Uterus in TLH Using the Lateral Approach in Patients with Previous Cesarean Sections

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2012.08.330 ◽

2012 ◽

Vol 19 (6) ◽

pp. S125

Author(s):

K. Ebisawa ◽

T. Nagase ◽

K. Umemura ◽

H. Kanao ◽

M. Andou

Keyword(s):

Lateral Approach ◽

Cesarean Sections ◽

Previous Cesarean

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Pregnancy complicated by previous cesarean section: a retrospective study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20184491 ◽

2018 ◽

Vol 7 (11) ◽

pp. 4470

Author(s):

Poornima M.

Keyword(s):

Retrospective Study ◽

Cesarean Section ◽

Medical Records ◽

Neonatal Outcome ◽

Perinatal Morbidity ◽

Cesarean Sections ◽

Previous Cesarean Section ◽

Exclusion Criteria ◽

History Of ◽

Previous Cesarean

Background: Previous Cesarean section (CS) is one of the important causes of CS in subsequent pregnancies. Moreover, repeated cesarean sections increase maternal as well as perinatal morbidity and mortality. We conducted this study to find out outcome of pregnancies in women who had a history of previous CS.Methods: This was a retrospective study of patients of previous caesarean section for either maternal or fetal indications. The duration of study was 3 years. Total 215 patients were included in this study on the basis of a predefined inclusion and exclusion criteria. The indications, maternal and neonatal outcome were studied from medical records of the patients. Statistical analysis was done using SSPE 22.0 software.Results: Out of 215 studied cases majority of the patients belonged to age group of 21-30 years (75.35%) and were 2nd gravida (61.86%). 164 (76.28%) patients attended ANC OPD at least for 3 times during pregnancy. 73 (33.95%) patients had Hb of less than 10 gms while blood transfusion was required to be given in 11 (5.12%) patients. cesarean section was required in 172 (80%) patients out of which 166 (77.21%) patients had undergone emergency LSCS while in 6 (2.79%) patients elective LSCS was done. Scar tenderness was the most common indication for repeat cesarean section. There was no maternal mortality in any patients while there was 1 still birth and 1 neonatal death.Conclusions: Previous cesarean section is one of the important causes of CS in subsequent pregnancies hence decision of doing CS, especially primigravida, must be taken in accordance with strict guidelines and the practice of “cesarean section on demand” should be discouraged.

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Analysis of Cesarean Sections using Robson’s Ten Group Classification System

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.2.3823 ◽

2021 ◽

Vol 37 (2) ◽

Author(s):

Rashida Parveen ◽

Mehnaz Khakwani ◽

Anum Naz ◽

Rabia Bhatti

Keyword(s):

Cesarean Section ◽

Classification System ◽

Fetal Distress ◽

Group Classification ◽

Care Hospital ◽

Cesarean Sections ◽

Previous Cesarean Section ◽

Group 10 ◽

Group 5 ◽

Previous Cesarean

Objective: To analyze trends of CSs and evaluating them according to Robson’s Ten Groups Classification System (TGCS) at a leading government tertiary care hospital of South Punjab, Pakistan. Methods: This cross-sectional study was conducted at Department of Obstetrics and Gynaecology, Nishtar Medical University Hospital, Multan Pakistan, from October 2019 to March 2020.The study population included a total of 167 women who underwent CS in the hospital during the specified study period. For each case, we collected data regarding maternal characteristics and pregnancy-related information. The dependent variable was Robson classification group. Results: Overall, mean age was 26.53+5.1 years. Majority of the women, 116 (69.5%) belonged to urban areas of residence, 74 (44.3%) gestational aged between 37-42 years while 108 (64.7%) had history of cesarean section. Most of the patients, 85 (50.9%) turned out to be from TGCS Group-10. Group-5 and Group-1 were the 2nd and 3rd most common group, accounted for 24 (14.4%) and 19 (11.4%) cases respectively. Previous cesarean section (20.4%) and fetal distress (19.8%) were found to be most common indications leading to cesarean section. Conclusion: As per Robson’s Ten-Group Classification, Group-10 and Group-5 were found to be the most contributing among deliveries done. Previous cesarean section and fetal distress were the most common indications of cesarean section. doi: https://doi.org/10.12669/pjms.37.2.3823 How to cite this:Parveen R, Khakwani M, Naz A, Bhatti R. Analysis of Cesarean Sections using Robson’s Ten Group Classification System. Pak J Med Sci. 2021;37(2):---------. doi: https://doi.org/10.12669/pjms.37.2.3823 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Gynecological outcomes of uterine niche after cesarean section: A descriptive study

10.25259/jrhm_31_2020 ◽

2021 ◽

Vol 2 ◽

pp. 5

Author(s):

E. A. Abdelfattah ◽

T. M. Abd-El Dayem ◽

H. M. Galal ◽

S. S. Taylon

Keyword(s):

Cesarean Section ◽

Lower Abdominal Pain ◽

Abnormal Uterine Bleeding ◽

Maternity Hospital ◽

University Hospital ◽

Cesarean Sections ◽

Gynecological Examination ◽

The Social ◽

Space Data ◽

Previous Cesarean

Objectives: Our aim was to study the prevalence of isthmocele in cases with previous cesarean section scar presented to El Shatby maternity university hospital and its association with gynecological complications. Material and Methods: After approval of the ethics committee of Alexandria faculty of medicine, a sample of 300 patients delivered by cesarean section since 6 months or more presented by one or more of the following symptoms: Abnormal uterine bleeding (AUB) dysmenorrhea, secondary infertility, and lower abdominal pain were selected from the gynecology clinic of El Shatby maternity university hospital. All patients were subjected to history taking, clinical, and gynecological examination. Post-menstrual 2D transvaginal ultrasonography was done. Where the niche or isthmocele was seen as triangular or dome- shaped echo-free space. Data were collected and entered to the computer using Statistical Package for the Social Science program for statistical analysis. Results: Niche was found in 44 cases. Most of them were symptomatic. Duration from the last (CS) was statistically significant. Symptoms were related to number of previous cesarean sections. Conclusion: The incidence of post-cesarean section niche in El Shatby Maternity hospital was 14.67%. Most common symptoms were AUB and dyspareunia.

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Intrauterine Device Insertion during Cesarean Section in Women without Prenatal Contraception Counseling: Lessons from a Country with High Cesarean Rates

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0039-1693677 ◽

2019 ◽

Vol 41 (08) ◽

pp. 485-492

Author(s):

Alberto Moreno Zaconeta ◽

Ana Carolina Oliveira ◽

Flavielly Souza Estrela ◽

Thalia Maia Vasconcelos ◽

Paulo Sergio França ◽

...

Keyword(s):

Cohort Study ◽

Cesarean Section ◽

Removal Rate ◽

Intrauterine Device ◽

Uterine Perforation ◽

Cesarean Sections ◽

Trial Of Labor ◽

The Moment ◽

Contraception Counseling

Objective The moment of admission for delivery may be inappropriate for offering an intrauterine device (IUD) to women without prenatal contraception counseling. However, in countries with high cesarean rates and deficient prenatal contraception counseling, this strategy may reduce unexpected pregnancies and repeated cesarean sections. Methods This was a prospective cohort study involving 100 women without prenatal contraception counseling. Postplacental IUD was offered after admission for delivery and placed during cesarean. The rates of IUD continuation, uterine perforation, and endometritis were assessed at 6 weeks and 6 months, and the proportion of women continuing with IUD at 6 months was assessed with respect to the number of previous cesareans. Results Ninety-seven women completed the follow-up. The rate of IUD continuation was 91% at 6 weeks and 83.5% at 6 months. The expulsion/removal rate in the first 6 weeks was not different from that between 6 weeks and 6 months (9 vs 9.1%, respectively). There were 2 cases of endometritis (2.1%), and no case of uterine perforation. Among 81 women continuing with intrauterine device after 6-months, 31% had undergone only the cesarean section in which the IUD was inserted, 44% had undergone 2 and 25% had undergone 3 or more cesarean sections. Conclusion Two thirds of the women who continued with IUD at 6 months had undergone 2 or more cesarean sections. Since offering trial of labor is unusual after 2 or more previous cesareans, we believe that offering IUD after admission for delivery may reduce the risk of repeated cesarean sections and its inherent risks.

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