scholarly journals The incidence of chronic pain following Cesarean section and associated risk factors: A cohort of women followed up for three months

PLoS ONE ◽  
2020 ◽  
Vol 15 (9) ◽  
pp. e0238634
Author(s):  
Natália Carvalho Borges ◽  
José Miguel de Deus ◽  
Rafael Alves Guimarães ◽  
Délio Marques Conde ◽  
Maria Márcia Bachion ◽  
...  
Cell Medicine ◽  
2018 ◽  
Vol 10 ◽  
pp. 215517901878534 ◽  
Author(s):  
Daniela Munoz ◽  
María José Hidalgo ◽  
Fernanda Balut ◽  
Mónica Troncoso ◽  
Susana Lara ◽  
...  

Introduction: Arterial ischemic stroke in newborns is an important cause of neonatal morbidity and mortality. Its pathophysiology and associated risk factors are not yet clearly understood and defined. Objective: The aim of this retrospective study was to investigate possible risk factors in diagnosed cases of PAIS (perinatal arterial ischemic stroke). Materials and methods: Case–control study. Clinical data of patients with PAIS diagnosis were analyzed. Two healthy controls were selected for each PAIS case, matched for gestational age. Risk factors were explored using univariable and multivariable analysis. Outcome: 40 patients were included in the study, 24 males and 16 females; 52.5% of cases were diagnosed within the first month of birth, and 47.5% were retrospectively diagnosed. The results showed a male predominance (66.7%). The distribution of cerebral ischemic injury was predominantly medial cerebral artery (87.5%) and occurred more commonly in the left cerebral hemisphere (62.5%). Significant risk factors in the univariate analysis (P < 0.05) were primiparity, stillbirth, neonatal sepsis, asphyxia, twin pregnancy, placenta abruption, emergency cesarean section, Apgar score ≤7 after 5 min, breech presentation, and hyperbilirubinemia. In the multivariate analysis, primiparity (OR 11.74; CI 3.28–42.02), emergency cesarean section (OR 13.79; CI 3.51–54.13), birth asphyxia (OR 40.55; CI 3.08–532.94) and Apgar score ≤7 after 5 min (OR 13.75; CI 1.03–364.03) were significantly associated factors with PAIS. Only five (16.6%) patients had an abnormal thrombophilia study. Conclusion: Risk factors of primiparity, emergency cesarean section, birth asphyxia, and Apgar score ≤7 after 5 min were significantly associated with perinatal stroke. More studies with a larger number of patients and with prolonged follow up are required to establish more clearly the associated risk factors involved in this pathology.


2005 ◽  
Vol 6 (3) ◽  
pp. S32
Author(s):  
S. Genot ◽  
P. Lavand’homme ◽  
F. Roelants ◽  
H. Waterloos

Pain Medicine ◽  
2015 ◽  
Vol 16 (11) ◽  
pp. 2204-2211 ◽  
Author(s):  
Maureen C. Deeny ◽  
Elham Al Hamdan ◽  
Edgar L. Ross ◽  
Robert R. Edwards ◽  
Chuan-Chin Huang ◽  
...  

2015 ◽  
Vol 16 (4) ◽  
pp. S13
Author(s):  
R. Jamison ◽  
M. Deeney ◽  
E. Al Hamdan ◽  
E. Ross ◽  
R. Edwards

2019 ◽  
Vol 20 (4) ◽  
pp. S58
Author(s):  
M. Paschali ◽  
A. Lazaridou ◽  
K. Dorado ◽  
L. Papianou ◽  
C. McDonnell ◽  
...  

2015 ◽  
Vol 12 (2) ◽  
pp. 113-116 ◽  
Author(s):  
S Shrestha ◽  
R Shrestha ◽  
B Shrestha ◽  
A Dongol

Background Cesarean Section (CS) is one of the most commonly performed surgical procedures in obstetrical and gynecological department. Surgical site infection (SSI) after a cesarean section increases maternal morbidity prolongs hospital stay and medical costs.Objective The aim of this study was to find out the incidence and associated risk factors of surgical site infection among cesarean section cases.Method A prospective, descriptive study was conducted at Dhulikhel Hospital, department of Obstetrics and Gynaecology from July 2013 to June 2014. Total of 648 women who underwent surgical procedure for delivery during study period were included in the study. Data was collected from patient using structred pro forma and examination of wound till discharge was done. Data was compared in terms of presence of surgical site infection and study variables. Wound was evaluated for the development of SSI on third day, and fifth post-operative day, and on the day of discharge.Results Total of 648 cases were studied. The mean age was 24±4.18. Among the studied cases 92% were literate and 8% were illiterate. Antenatal clinic was attended by 97.7%. The incidence rate of surgical site infection was 82 (12.6%). SSI was found to be common in women who had rupture of membrane before surgery (p=0.020), who underwent emergency surgery (p=0.0004), and the women who had vertical skin incision (p=0.0001) and interrupted skin suturing (p=0.0001) during surgery.Conclusion Surgical site infection following caesarean section is common. Various modifiable risk factors were observed in this study. Development of SSI is related to multi-factorial rather than one factor. Development and strict implementation of protocol by all the health care professionals could be effective to minimize and prevent the infection rate after caesarean section.Kathmandu University Medical Journal Vol.12(2) 2014: 113-116


2015 ◽  
Vol 05 (14) ◽  
pp. 789-794 ◽  
Author(s):  
Charles Newlin ◽  
Thomas J. Kuehl ◽  
Anthony Pickrel ◽  
Chase R. Cawyer ◽  
Richard O. Jones

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