scholarly journals A close call: does the location of incision at cesarean delivery matter in patients with vasa previa? A case report.

F1000Research ◽  
2013 ◽  
Vol 2 ◽  
pp. 267 ◽  
Author(s):  
Werner M Neuhausser ◽  
Laxmi V Baxi
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Post Partum ◽  
Elective Cesarean Section ◽  
Second Trimester ◽  
Uterine Incision ◽  
Vasa Previa ◽  
Close Call ◽  
Elective Cesarean ◽  
Utmost Care

We present here a case of vasa previa in a multipara, diagnosed at the time of her late second trimester ultrasonogram. The patient subsequently underwent an elective cesarean section after 37 weeks gestation, giving birth to a healthy child with an uneventful post-partum, neonatal and infant course. At the time of cesarean section, the incision was gradually deepened in layers through the myometrium by utmost care allowing the amniotic sac to protrude through the uterine incision hereby avoiding laceration of the vasa previa and its branches. Fetal exsanguination and a need for blood transfusion as well as a possible adverse neonatal course were therefore avoided.

Acute Dystonia after a Single Dose of Intravenous Metoclopramide during Elective Cesarean Section: A Case Report.

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Danielle Levin
Keyword(s):  
Single Dose ◽  
Case Report ◽  
Cesarean Section ◽  
Epidural Anesthesia ◽  
Elective Cesarean Section ◽  
Single Administration ◽  
Dystonic Reaction ◽  
Elective Cesarean ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

We would like to present the first report of severe acute dystonic reaction after a single administration of metoclopramide during cesarean section under combined spinal-epidural anesthesia.  During elective cesarean section, a 30-year-old female vomited four times and was treated with 10mg intravenous metoclopramide and 8mg intravenous ondansetron.  Nausea subsided with the antiemetic treatment, but two minutes later, patient had rapid eye blinking, uncontrollable head movement, and became unresponsive.  Bolus of 50mg intravenous diphenhydramine resolved the acute dystonic symptoms within seconds.  Patient was again oriented times three, with no recollection of symptoms, and remained symptom free for the rest of admission. 

scholarly journals Incidental Discovery of Ovary Cystadenofibroma during Cesarean Section: A Case Report

2020 ◽  
Vol 3 (2) ◽  
pp. 160-163
Author(s):  
Russo BC ◽  
Bessa FL ◽  
Madeira FOP ◽  
Wulf IG ◽  
Lima IL ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Elective Cesarean Section ◽  
Cystic Neoplasm ◽  
Pelvic Cavity ◽  
Cesarean Sections ◽  
Present Case Report ◽  
Elective Cesarean ◽  
Incidental Discovery ◽  
Ciliated Epithelial Cells

Serous cystadenofibroma of the ovary is a cystic neoplasm containing fibrous component, and lining of high, cylindrical, and ciliated epithelial cells surrounded by clear serous fluid, with smooth or papillary surface and abundant vessels. Serous cystadenofibroma in the present case report was an incidental discovery observed during an abdominal and pelvic cavity review performed in a 39-week elective cesarean section applied to in a 32-year-old patient who presented uneventful pregnancy. The importance of conducting inventories of these cavities during cesarean sections to identify asymptomatic adnexal masses unseen in prenatal ultrasonography is clear.

Prenatal Diagnosis of Vasa Previa: Outpatient versus Inpatient Management

2018 ◽  
Vol 36 (04) ◽  
pp. 422-427
Author(s):  
Baha Sibai ◽  
Hadas Ilan ◽  
Sharon Katz ◽  
Irit Schushan Eisen ◽  
Eran Kassif ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Cesarean Section ◽  
Management Strategies ◽  
Elective Cesarean Section ◽  
Antenatal Steroids ◽  
Outpatient Group ◽  
Tertiary Center ◽  
Vasa Previa ◽  
Elective Cesarean ◽  
Inpatient Group

Objective The aim of this study was to compare the pregnancy outcome of two different management strategies: outpatient versus inpatient in women with prenatal diagnosis of vasa previa. Materials and Methods This is a retrospective cohort study conducted at a single tertiary center. Women with a prenatally diagnosed vasa previa between January 2007 and June 2017 were included. Obstetric and neonatal outcomes were compared between two management strategies: elective admission at 34 weeks of gestation or outpatient management unless there were signs of labor or premature contractions. Results A total of 109 women met the inclusion criteria: 75 (68.8%) women in the inpatient group and 34 (31.2%) in the outpatient group. Women in the inpatient group were more likely to receive antenatal steroids (57.3 vs. 26.4%, p = 0.002) and were less likely to have an urgent cesarean section (34.6 vs. 58.8%, respectively, p < 0.001) compared with outpatient group. There was no difference in the rate of neonatal complications (inpatient: 64.6% vs. outpatient: 52.7%, p = 0.27) or neonatal anemia requiring transfusion (2.7 vs. 5.8%, respectively, p = 0.5) between the groups. Conclusion The rate of elective cesarean section and exposure to antenatal steroids was higher in patients with vasa previa who were admitted electively at 34 weeks of gestation compared with patients who were managed as outpatient.

scholarly journals Ogilvie’s Syndrome after Cesarean Section: Case Report in Saudi Arabia and Management Approach

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Lamiaa Elsebay ◽  
Mariam Ahmed Galal
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Cesarean Section ◽  
Rare Condition ◽  
Diagnostic Methods ◽  
Elective Cesarean Section ◽  
Management Approach ◽  
Ogilvie's Syndrome ◽  
Ogilvie’S Syndrome ◽  
Elective Cesarean

Background. Acute colonic pseudoobstruction or Ogilvie’s syndrome is a rare entity that is characterized by acute dilatation of the colon without any mechanical obstruction. It is usually associated with medical disease or surgery and rarely occurs spontaneously. If not diagnosed early, Ogilvie’s syndrome may cause bowel ischemia and perforation. Case. A G7P4+2, 40-year-old woman, who is a known case of gestational diabetes mellitus during her current pregnancy, four previous cesarean sections, two early pregnancy losses at six-week gestation, and hypothyroidism, underwent uncomplicated elective cesarean section, after which she complained of abdominal distention. Conclusion. Ogilvie’s syndrome is a rare condition yet of interest to obstetricians, midwifery staff, and general surgeons because its early diagnosis and prompt treatment are the keystones to avoid any subsequent fatal complications. This case report reviews the clinical characteristics, diagnostic methods, and management of Ogilvie’s syndrome. Moreover, we suggest a management approach to help in early diagnosis and prompt management to improve the outcome of this potentially serious condition.

Maternal and Fetal Catecholamines and Uterine Incision-to-Delivery Interval During Elective Cesarean Section

1991 ◽  
Vol 10 (4) ◽  
pp. 215
Author(s):  
A. M. Bader ◽  
S. Datta ◽  
G. R. Arthur ◽  
E. Benvenuti ◽  
M. Courtney ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Elective Cesarean Section ◽  
Uterine Incision ◽  
Elective Cesarean

Determination of prolactin, growth hormone, β-endorphin, and cortisol in both maternal plasma and amniotic fluid during human gestation

1989 ◽  
Vol 121 (2) ◽  
pp. 297-303 ◽  
Author(s):  
Toshiro Kubota ◽  
Hiroo Tsuzuki ◽  
Motoi Saito
Keyword(s):  
Cesarean Section ◽  
Amniotic Fluid ◽  
Maternal Blood ◽  
Maternal Plasma ◽  
Full Term ◽  
Elective Cesarean Section ◽  
Second Trimester ◽  
Elective Cesarean ◽  
Cortisol Levels ◽  
Plasma Prl

Abstract. This study focuses on PRL, GH, β-endorphin and cortisol in maternal blood and amniotic fluid during human pregnancy. Maternal blood and amniotic fluid samples were obtained from 18 normal pregnant women in the second trimester, 12 full-term gravidas having spontaneous delivery, and 10 full-term gravidas having elective cesarean section. Two gravidas bearing anencephalic fetuses in the third trimester were also studied. In the second trimester women, levels of PRL (3215.9 ± 458.9 μg/l), GH (19.1 ± 1.7 μg/l) and β-endorphin (11.1 ± 0.9 pmol/l) were significantly higher in the amniotic fluid than in maternal plasma. In addition, PRL was significantly correlated with β-endorphin (r = 0.670) and with GH (r = 0.547) in the amniotic fluid. However, amniotic fluid cortisol levels (0.27 ± 0.18 nmol/l) were significantly lower than plasma cortisol levels. The amniotic fluid of the women with anencephalic fetuses had normal levels of PRL, GH and β-endorphin. In full-term gravidas, plasma PRL levels were significantly lower in women with vaginal delivery than in those with elective cesarean section, and there was a significant negative correlation between plasma PRL and β-endorphin, and between plasma PRL and cortisol levels. Plasma GH levels in women with vaginal delivery showed no signficant difference from those in women with cesarean section. Examination of amniotic fluid yielded no significant differences in the levels of PRL, β-endorphin and GH between these two groups. The authors conclude that the hormone releasing system in amniotic fluid seems to be independent of that in maternal plasma during pregnancy, and that the stress of labour has a significant effect on plasma PRL, β-endorphin and cortisol levels in maternal plasma but not on those in amniotic fluid.

scholarly journals A Novel Method to Decrease Shoulder Tip Pain during Cesarean Section

2020 ◽  
pp. 57-61
Author(s):  
Magdy A. Mohamed ◽  
Eman I. Darweesh ◽  
Wael A. Mahmoud
Keyword(s):  
Cesarean Section ◽  
Shoulder Pain ◽  
Primary Outcome ◽  
Elective Cesarean Section ◽  
Control Group ◽  
Placebo Control ◽  
P Value ◽  
Uterine Incision ◽  
Elective Cesarean ◽  
Novel Method

Objective: To investigate the efficacy of the placement of two towels around uterus before delivery of fetes upon the incidence of intraoperative shoulder tip pain (STP) during cesarean section. Methods: Two hundred and sixty parturient were scheduled to undergo elective cesarean section under spinal anesthesia were randomized to do packing around the uterus before uterine incision or placebo (control group). The primary outcome was the incidence of intraoperative shoulder pain. Secondary outcomes were operative time, amount of intraoperative blood loss, incidence of hypotension, and the Need of post-opertive morphine. Results: Shoulder tip pain was recorded only in 7 cases (5.4%) in towel placement group compared to 25 cases (19.2%) in placebo group (P value, 0.001). The need of post-operative morphine was statistically significant lower in Towel placement group (33.8%) compared to (47.7%) in control group (P value, 0.023). Conclusion: Packing around the uterus just before uterine incision decreases the incidence and severity of intraoperative shoulder pain in patients undergoing cesarean section.

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