scholarly journals A prospective study to assess the safety and expulsion rate of copper T380A in immediate post-partum period during caesarean section

Author(s):  
Preet Bedi ◽  
Manjit Guliani ◽  
Suman Bala
1986 ◽  
Vol 113 (3_Suppl) ◽  
pp. S122-S124 ◽  
Author(s):  
Lisbeth Serup

Abstract. A prospective study of the influence of pregnancy on diabetic retinopathy was started at Rigshospitalet, Copenhagen in 1979. At present 145 women with insulin-dependent diabetes have been included. Preliminarily, it seems that women belonging to White classes B and C do not develop persistant retinopathy as a consequence of pregnancy. Women with retinopathy at the onset of pregnancy deteriorate in 50% of the cases, but post-partum regression is common. Development of proliferative changes is exceptional, and proliferations developed during pregnancy in most cases disappear spontaneously after delivery. Consequently, treatment with photocoagulation during pregnancy and in the early post-partum period should be restricted. Close ophthalmological supervision during pregnancy is essential and the ophthalmologist must be aware of the spontaneous course of diabetic retinopathy in relation to pregnancy.


1970 ◽  
Vol 20 (1) ◽  
pp. 57-62
Author(s):  
R Akther ◽  
T Hossain ◽  
M Rashid

The present study aimed at exploring the causes of re laparotomy following Caesarean section and to find out the pathway how to avoid these complications. This is a hospital based prospective study conducted in the Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh from August 2007 to August 2008. Bangladeshi pregnant women are at risk of serious complications during pregnancy and labor due to lack of antenatal, intra natal and postnatal care. DMCH is the largest referral hospital in Bangladesh and more than ten thousand patients admitted here each year with different pregnancy and child birth related complications. Among them, 54 puerpera needed re laparotomy after Caesarean section within 6 weeks of Caesarean Section. Of the 54 cases, 28 had primary PPH, 14 patients had secondary post-partum hemorrhage (PPH), 4 cases had puerperal sepsis and 3 women had wound dehiscence, and 5 cases had sub rectus hematoma. Irreversible hemorrhagic shock (12cases), cardio genic shock (1 case), not reversed from anesthesia (1 case), acute renal failure (3cases) and puerperal sepsis (1 case) were causes maternal death. It gave the overall case fatality rate was 33.33%. Obstetric patients who return to the operation theater face potential death. This study will help us to identify the risk situations where re laparotomy may be needed and due precautions and prevention may be taken as far as possible to avoid this complications following caesarean section and thereby reduce maternal mortality and morbidity. Key word: Cesarean section; laparotomy; maternal morbidity; maternal mortality; case fatality. DOI: http://dx.doi.org/10.3329/jdmc.v20i1.8583 J Dhaka Med Coll. 2011; 20(1) :57-62


2014 ◽  
Vol 3 (2) ◽  
pp. 59-61
Author(s):  
Neeva Ojha ◽  
Akinchan Kafle ◽  
Poonam Koirala ◽  
Isha Shrestha ◽  
Savana Sharma ◽  
...  

Two cases of posterior uterine surface endometriosis were found at caesarean section in primigarvida and primipara consecutively. These cases are reported to convey the importance of Depo-Provera (depot medroxy progesterone), a three monthly injectable progesterone during the immediate post partum period to avoid the complication that may arise from the surrounding endometriotic deposits during the puerperium and afterwards. DOI: http://dx.doi.org/10.3126/njog.v3i2.10836 Nepal Journal of Obstetrics and Gynaecology Vol.3(2) 2008; 59-61


Author(s):  
Etse-Oghena Campbell ◽  
Christopher G. Rylander ◽  
Lauren Thaxton ◽  
Marian Yvette Williams-Brown

Abstract The immediate post-partum period offers a convenient time to have an intrauterine device placed because of the co-location of a non-pregnant woman and her clinician; however, this practice is associated with increased expulsion rates of up to 30%, compared with a 3% expulsion rate for interval insertions. This paper presents a device and method to improve intrauterine device delivery and retention in the immediate postpartum period. This initial feasibility study illustrates that it is possible to temporarily tether a commercially available intrauterine device within the uterus of an immediately postpartum baboon. The results indicate this device and method are technically feasible, but further studies will be needed to evaluate safety and efficacy in reducing expulsion rates.


Author(s):  
Sravani Mukka ◽  
Madhavi Y.

Background: In India almost 65% of the women have an unmet need for family planning in the first postpartum year. Increasing rates of institutional deliveries creates an opportunity for providing quality post-partum family planning services. Post-partum Intrauterine contraceptive device (PPIUCD), a form of long acting reversible contraception (LARC) is one of the most affective and safest method available. The present study aims at evaluating the safety, efficacy, rate of acceptance and rate of discontinuation of Intra caesarean inserted contraceptive device Copper T-380A.Methods: This was a prospective study conducted at ESIC Medical College, Sanathnagar in women delivered by caesarean section during the period between March 2018 to February 2019. Recruitment was done based on the WHO medical eligibility criteria (MEC) for PPIUCD and also their willingness to participate in the study. Follow-up visits were scheduled at 6 weeks, 3 months and 6 months.Results: Of the 265 women fulfilling the WHO MEC, 180 (67.92%) were willing to participate in the study. Total acceptance rate was 67.7%. Majority of them belonged to the age group 21-30 years (80%) and para 2 (53.88). 93.3% of the women were literates. 12 (6.66%) cases lost to follow up and the complications were studied in the rest 168 women. During follow up -38.69% had missing strings, 12.5% menstrual disturbances, 4.76% abdominal pain and spontaneous expulsion in 4.1%. No cases of perforation and pregnancy were reported. Total continuation rate was 84%.Conclusions: PPIUCD is a safe and convenient option of contraception with low expulsion rates and high continuation rates.


1973 ◽  
Vol 24 (2) ◽  
pp. 219-229 ◽  
Author(s):  
Hugh Chaplin, Jr ◽  
Robert Cohen ◽  
Gordon Bloomberg ◽  
Harold J. Kaplan ◽  
Joy A. Moore ◽  
...  

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