scholarly journals Novel use of balloon tamponade saves a patient with uterine inversion in severe shock

2017 ◽  
Vol 6 (12) ◽  
pp. 5638
Author(s):  
Sumitra Yadav ◽  
Anjali Malhotra
Keyword(s):  
High Risk ◽  
Vaginal Delivery ◽  
Madhya Pradesh ◽  
Spontaneous Vaginal Delivery ◽  
Male Baby ◽  
Balloon Tamponade ◽  
Uterine Inversion ◽  
Controlled Cord Traction ◽  
Severe Shock ◽  
Do So

A patient with G1P0 status 38 weeks pregnancy with pain with no high risk delivered at PHC, Hatod, Madhya Pradesh (India). She delivered a male baby by spontaneous vaginal delivery of 3.1 kg. All of sudden after 2nd stage of labour, her 3rd stage of labour was eventful. Placenta did not come out spontaneously so controlled cord traction was given by the ANM over the PHC. She was given intramuscular oxytocin 5 IU. She did the traction with proper care but inspite of that while doing so placenta got separated but there was complete uterine inversion. ANM herself tried to reposit the uterus but could not do so. So ANM immediately referred her from PHC to MYH, Indore, Madhya Pradesh (India). 

scholarly journals Acute complete uterine inversion after controlled cord traction of placenta following vaginal delivery: a case report

2016 ◽  
Vol 4 (7) ◽  
pp. 699-702 ◽  
Author(s):  
Shi Sum Poon ◽  
Chung Shen Chean ◽  
Philip Barclay ◽  
Adel Soltan
Keyword(s):  
Case Report ◽  
Vaginal Delivery ◽  
Uterine Inversion ◽  
Controlled Cord Traction

Prevalence of vaginal delivery after cesarean in a high-risk maternity / Prevalência de parto vaginal após cesárea em uma maternidade de alto risco

2021 ◽  
Vol 13 ◽  
pp. 1506-1511
Author(s):  
Keli Regiane Tomeleri da Fonseca Pinto ◽  
Juliana Sousa de Almeida ◽  
Emily Marques Alves ◽  
Thelma Malagutti Sodré ◽  
Catia Campaner Ferrari Bernardy
Keyword(s):  
High Risk ◽  
Vaginal Delivery

Objetivo: estimar a prevalência de parto vaginal após cesárea em uma maternidade de alto risco e identificar as complicações maternas e neonatais. Método: trata-se de um estudo transversal, quantitativo e retrospectivo, realizado com 44 mulheres que tiveram parto normal com cesárea prévia, por meio da análise dos prontuários realizou-se a análise descritiva com frequências absolutas e simples. Resultados: a prevalência de parto vaginal após cesárea foi de 13%. Ocorreu complicação em 13,6% das mulheres, porém não houve rotura uterina e em 4,5% dos neonatos. Conclusões: os desfechos favoráveis comprovam a segurança deste procedimento para a mãe e para neonato e servem de estímulo para que os profissionais incentivem as gestantes com cesárea anterior a considerarem a via vaginal como uma possibilidade segura para o próximo parto.  

Kissing of Ovaries: Laparoscopic View of Uterine Inversion After Vaginal Delivery With Postpartum Hemorrhage

2015 ◽  
Vol 22 (5) ◽  
pp. 707-708
Author(s):  
Yi-Chen Chuang ◽  
Hsin-Fen Lu ◽  
Fu-Shiang Peng ◽  
Hsu-Dong Sun ◽  
Wha Hua Stella Ting
Keyword(s):  
Vaginal Delivery ◽  
Postpartum Hemorrhage ◽  
Uterine Inversion

Ribavirin. Red Book Committee Recommendations Questioned

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 672-673
Author(s):  
Ellen R. Wald ◽  
Barry Dashefsky
Keyword(s):  
High Risk ◽  
Lower Respiratory Tract ◽  
Respiratory Tract Disease ◽  
American Academy Of Pediatrics ◽  
Lower Respiratory Tract Disease ◽  
Rsv Infection ◽  
Syncytial Virus ◽  
Tract Disease ◽  
New Guidelines ◽  
Do So

The new guidelines provided by the Committee on Infectious Diseases of the American Academy of Pediatrics on the Use of Ribavirin in the Treatment of Respiratory Syncytial Virus Infection (RSV) are perplexing and prompt concern: "Ribavirin treatment is recommended for the following patients hospitalized with RSV lower respiratory tract disease: a. infants at high risk for severe or complicated RSV infection, including those with complicated congenital heart disease (including pulmonary hypertension); those with bronchopulmonary dysplasia, . . ."1,pp502-503 The accompanying qualifier that "the recommendations in this statement do not indicate an exclusive course of treatment or procedure to be followed"1,p501 is important but insufficient to dampen the effect of the Committee's decision to change its former stance of merely urging consideration of the use of ribavirin for patients at high risk for complications2 to an unequivocal recommendation to do so.

Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia

2019 ◽  
Vol 74 (3) ◽  
pp. 131-133
Author(s):  
Alison G. Cahill ◽  
Sindhu K. Srinivas ◽  
Alan T. N. Tita ◽  
Aaron B. Caughey ◽  
Holly E. Richter ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Spontaneous Vaginal Delivery ◽  
Neuraxial Analgesia ◽  
Nulliparous Women

Association between mode of delivery and postpartum depression: A systematic review and network meta-analysis

2020 ◽  
pp. 000486742095428
Author(s):  
Lei Sun ◽  
Su Wang ◽  
Xi-Qian Li
Keyword(s):  
Postpartum Depression ◽  
Confidence Interval ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Odds Ratio ◽  
Meta Analysis ◽  
Mode Of Delivery ◽  
Spontaneous Vaginal Delivery ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean

Background: Postpartum depression is one of the most common postpartum diseases, which has an important impact on the interaction between mother, infant, partner and family, as well as the long-term emotional and cognitive development of infants. However, there are still great disagreements on whether the delivery mode will affect the risk of postpartum depression. The purpose of this study is to explore whether the mode of delivery will affect the risk of postpartum depression through the comprehensive network meta-analysis of elective cesarean section, emergency cesarean section, instrumental vaginal delivery and spontaneous vaginal delivery. Methods: We searched in three electronic databases: PubMed, EMBASE and Cochrane Library. Results: This paper included 43 studies with a total sample size of 1,827,456 participants. Direct meta-analysis showed that the odds ratio of postpartum depression risk was 1.33 (95% confidence interval = [1.21, 1.46]) between cesarean section and vaginal delivery. The odds ratios of high Edinburgh Postpartum Depression Scale score between cesarean section and vaginal delivery in the three postpartum periods (within 2 weeks, within half a year and over half a year) were basically the same. There was no difference between cesarean section and vaginal delivery in the risk of severe postpartum depression at the Edinburgh Postpartum Depression Scale cut-off point ⩾13 (odds ratio = 1.07; 95% confidence interval = [0.99, 1.16]). Network meta-analysis showed that the risk of postpartum depression in the pairwise comparisons emergency cesarean section vs spontaneous vaginal delivery and elective cesarean section vs spontaneous vaginal delivery was odds ratio = 1.53 (95% confidence interval = [1.22, 1.91]) and 1.47 (95% confidence interval = [1.16, 1.86]). Conclusion: The mode of delivery has a significant effect on the occurrence of mild postpartum depression. Women who give birth by cesarean section, especially who give birth by emergency cesarean section, are at a higher risk of mild postpartum depression. We should carefully monitor the progress of postpartum mental disorders in women who delivered by cesarean section and make it possible for women to have a quick access to mental healthcare.

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