scholarly journals Effect of anaesthetic technique on neonatal morbidity in emergency caesarean section for foetal distress

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0207388 ◽  
Author(s):  
Ipek Saadet Edipoglu ◽  
Fatma Celik ◽  
Elif Cirakoglu Marangoz ◽  
Gulin Haroglu Orcan
Keyword(s):  
Caesarean Section ◽  
Neonatal Morbidity ◽  
Emergency Caesarean Section ◽  
Anaesthetic Technique ◽  
Foetal Distress ◽  
Emergency Caesarean

scholarly journals Anaesthetic management for combined emergency caesarean section and craniotomy tumour removal

2017 ◽  
Vol 04 (01) ◽  
pp. 053-056
Author(s):  
Dewi Bisri ◽  
Caroline Wullur ◽  
Tatang Bisri
Keyword(s):  
Caesarean Section ◽  
Brain Tumour ◽  
Clinical Symptoms ◽  
Anaesthetic Management ◽  
Emergency Caesarean Section ◽  
Intracranial Tumour ◽  
Foetal Distress ◽  
Computed Tomographic ◽  
Emergency Caesarean ◽  
Tumour Removal

AbstractPresentation of primary intracranial tumour during pregnancy is extremely rare. Symptoms of brain tumour include nausea, vomiting, headache and seizures which mimic symptoms of pregnancy-related hyperemesis or eclampsia. In very few cases, craniotomy tumour removal is performed earlier or even simultaneously with foetal delivery. A 40-year-old woman at 32 weeks of gestation in foetal distress presented to the emergency room with decreased level of consciousness Glasgow Coma Scale 6 (E2M2V2). Computed tomographic scan revealed a mass lesion over the left temporoparietal region with midline shift and intratumoural bleeding. In view of high risk of herniation and foetal distress, she underwent emergency caesarean section followed by craniotomy tumour removal. In parturient with brain tumour, combined surgery of tumour removal and caesarean section is decided based on clinical symptoms, type of tumour and foetal viability. Successful anaesthetic management requires a comprehensive knowledge of physiology and pharmacology, individually tailored to control intracranial pressure while ensuring the safety of mother and foetus.

scholarly journals Association and Determinants of Decision-Delivery Interval of Emergency Caesarean Sections and Perinatal Outcome in a Tertiary Institution

2021 ◽  
Author(s):  
Peace Chinyere Igwe ◽  
John Okafor Egede ◽  
Emeka Onwe Ogah ◽  
Chidebe Christian Anikwe ◽  
Matthew Igwe Nwali ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
Emergency Caesarean Section ◽  
P Value ◽  
Foetal Distress ◽  
Emergency Caesarean ◽  
Foetal Outcome ◽  
The Mean ◽  
Minute Apgar Score

Introduction: A Decision to Delivery Interval (DDI) of 30 minutes for emergency caesarean section has been widely recommended but there is little evidence to support it. This target may not be practicable in a busy maternity unity and therefore, the anticipated beneficial effect on neonatal outcome requires re-evaluation. Aim: To determine the association between decision-delivery interval and perinatal outcome of emergency caesarean section at Alex Ekwueme Federal University Teaching Hospital, Abakaliki (AEFUTHA) over a period of four years. Materials and Methods: This was a retrospective observational study of the cases in emergency caesarean sections performed at the Department of Obstetrics and Gynaecology, AEFUTHA from 1st January 2012 to 1st January 2016. Hospital records of the women with singleton pregnancy at term who delivered through emergency caesarean sections were retrieved. Data extracted include socio-demographic and obstetric characteristics, duration between decision for caesarean section and intervention, indications for the caesarean section, reasons for delay in DDI, association between booking status and DDI and association of DDI and foetal outcome, APGAR score at 1st and 5th minutes and admission to NICU. Data were analysed with IBM statistics version 20. The p-value <0.05 were regarded as statistically significant. Results: A total of 638 emergency caesarean sections involving singleton pregnancies at term, 522 (81.8%) of which had complete records and were analysed. The mean age of participants was 27.8±5.1 years, 89.3% were para 1-4 and 55.0% were unbooked. Only 6 (1.1%) of the emergency caesarean sections were performed within the recommended 30 minutes of DDI. The mean DDI was 189±124 minutes with range of 25 minutes to 1220 minutes. Two cases performed within 25 minutes were cases of foetal distress and cord prolapse while only a case of reduced foetal movement was delayed to 1220 minutes. The most common indications for emergency caesarean section were cephalopelvic disproportion 129 (24.7%) and foetal distress 65 (12.5%). The major cause of delay was delay in cross-matching of blood for surgery 136 (26.1%) while delay in giving informed consent contributed 67 (12.8%). There was no correlation between DDI of 75 minutes or above and the 1st minute APGAR score (AOR=2.48, CI=0.86-7.16, p-value=0.09), 5th minute APGAR score (AOR=3.08, CI=1.55-6.11, p-value=0.09), foetal outcome (AOR=0.82, CI=017-3.79, p-value=0.08) and admission to Newborn Intensive Care Unit (NICU) (AOR=2.08, CI=0.77-5.56, p-value=0.14). Conclusion: This study showed that there was no correlation between DDI>75 minutes and poor perinatal outcome. Efforts should be made to strengthen the health system and improve the quality of care in order to keep DDI within this time limit for improved perinatal health outcome and indices.

scholarly journals Indications of Emergency Caesarean Section at a Tertiary Care Hospital in Dhaka City

2018 ◽  
Vol 15 (2) ◽  
pp. 36-40
Author(s):  
Rifat Sultana ◽  
Mahmuda Khatun ◽  
Dewan Shahida Banu ◽  
Mst Nurunnahar Aktar ◽  
Rumana Ashraf ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Emergency Caesarean Section ◽  
Hypertensive Disorder ◽  
Previous Caesarean Section ◽  
Foetal Distress ◽  
Common Indication ◽  
Obstructed Labour ◽  
Antepartum Haemorrhage ◽  
Emergency Caesarean ◽  
History Of

Background: Caesarean Section is now a common surgical practice during child birth.Objective: The purpose of the present study was to see the indication of emergency caesarean section.Methodology: This descriptive type of cross sectional study was conducted in the Department of Gynaecology & Obstetrics at Dhaka Medical College Hospital during the period from July 2006 to December 2006 for a period of 6 months. The pregnant women who were selected for emergency caesarean section during the mentioned period of study were included as study population. The details of the indication of the caesarean section were recorded.Result: A total number of 100 cases were recruited in this study. Among the all indications of emergency caesarean section history of previous caesarean section was the most common which was found in 25(25.0%) cases. Foetal distress was the second common indication of emergency caesarean section which was 18(18.0%) cases. Obstructed labour was also reported in 11(11.0%) cases. Antepartum haemorrhage (8.0%) was another indication of emergency caesarean section. Considering the hypertensive disorder preeclamptic toxaemia (7.0%), eclampsia (5.0%) and pregnancy induced hypertension (1.0%) were the reported as the indications of emergency caesarean section. Some other indications of emergency caesarean section were recorded which were mal-presentation (7.0%), prolonged labour (6.0%), cephalopelvic disproportion (4.0%) and failed trial labour (4.0%).Conclusion: In conclusion history of previous caesarean section is the most common indication for emergency caesarean section obstructed labour, antepartum haemorrhage as well as foetal distress, malpresentation and cephalopelvic disproportion.Journal of Science Foundation 2017;15(2):36-40

Maternal temperature in emergency caesarean section (MATES): an observational multicentre study

2021 ◽  
pp. 102963
Author(s):  
P.T. Thorburn ◽  
R. Monteiro ◽  
A. Chakladar ◽  
A. Cochrane ◽  
J. Roberts ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Multicentre Study ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean

Absence of Wharton’s jelly

2020 ◽  
Vol 13 (11) ◽  
pp. e237222
Author(s):  
Sarah J Murphy ◽  
Nikita Deegan ◽  
Bobby D O'Leary ◽  
Peter McParland
Keyword(s):  
Caesarean Section ◽  
Histological Examination ◽  
Umbilical Cord ◽  
Emergency Caesarean Section ◽  
Wharton’S Jelly ◽  
Female Infant ◽  
Fetal Bradycardia ◽  
Wharton's Jelly ◽  
Emergency Caesarean ◽  
Fetal Movements

Wharton’s jelly is a specialised tissue which surrounds the vasculature within the fetal umbilical cord. We present the case of a 42-year-old woman who gave birth to a female infant via emergency caesarean section. At the time of delivery, absence of Wharton’s jelly was noted. This finding was confirmed by histological examination. Emergency caesarean section was necessitated due to a fetal bradycardia, and of note, the patient had presented twice prior to this with reduced fetal movements.

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.

Sign in / Sign up

Export Citation Format

Share Document