scholarly journals Vaginal delivery at term with previous one cesarean section: is it safe?

2018 ◽  
Vol 7 (8) ◽  
pp. 3147
Author(s):  
Surendra N. Bera ◽  
Partha P. Sharma
Keyword(s):  
Cesarean Section ◽  
Fetal Distress ◽  
Pregnancy Induced Hypertension ◽  
Early Neonatal Death ◽  
Previous Cesarean Section ◽  
Active Stage ◽  
Trial Of Labor ◽  
Emergency Cesarean ◽  
Induced Hypertension ◽  
Previous Cesarean

Background: Post cesarean pregnancies are high risk pregnancy and main concern is uterine scar rupture with increasing maternal and perinatal risks, for vaginal birth after cesarean delivery (VBAC). Objective of this study is to know neonatal and maternal outcome at term who attempt vaginal delivery with previous one cesarean section presenting in active stage of labor.Methods: A total of 277 pregnant women with single live fetus at term, cephalic presentation with previous one cesarean section, underwent a trial of labor and outcome of successful and failed vaginal birth were noted.Results: Trial of labor was successful in 52.3% and failed in 47.7% (p=0.269). VBAC was successful where the previous cesarean section indications were fetal distress (79% versus 21%, p=0.000), pregnancy induced hypertension (77.3% versus 22.7%, p=0.000) and fetal growth restriction (81.8% versus 18.2%, p=0.000), when compared with failed trial of labor who required emergency cesarean section in pre-labor rupture of the membranes (8.3% versus 91.7%, p=0.000) and dystocia (3.3% versus 96.7%, p=0.000). VBAC was successful at gestational age of 37 0/7-38 6/7 weeks (p=0.000). In the failed VBAC women who required emergency cesarean section there was significant early neonatal death (p=0.025). Scar dehiscence and hospital stay with or without complications were more in the failed VBAC group.Conclusions: Early neonatal death and duration of hospital stay were significantly more in the failed VBAC, who were posted for emergency cesarean delivery. Scar dehiscence occurred in the failed VBAC group. Women presenting at 37 0/7 to 38 6/7 weeks of gestation with cephalic presentation in active stage of labor who had previous cesarean section done for fetal distress, pregnancy induced hypertension and fetal growth restriction with inter pregnancy interval of > 24 months can be planned and counselled for VBAC trial of labor.

scholarly journals Anaesthesia for Cesarean Section in a Tertiary Care Center

1970 ◽  
Vol 7 (2) ◽  
pp. 112-115
Author(s):  
CK Shrestha
Keyword(s):  
Cesarean Section ◽  
General Anaesthesia ◽  
Care Center ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Anaesthetic Technique ◽  
Previous Cesarean Section ◽  
Cephalopelvic Disproportion ◽  
Emergency Cesarean ◽  
Previous Cesarean

Background: Cesarean section is in rising trend both in developed and developing countries. The role of appropriate choice of safest anaesthetic technique for individual patients depends upon number of factors. The study aims to find the pattern of anaesthesia used in tertiary care setting. Methods: A retrospective study using secondary data from the hospital was analyzed among total of 2044 cases from April 2005 to April 2006. Demographic profile and use of different types of anaesthetic technique were studied. Descriptive analysis was used to calculate the frequency and percentage and their relations. Results: Most patients fell on the age groups, 848 (41.48%) in 21-25 followed by 602 (25.08%) in 26-30 and 321 (15.65%) in 14-20. Out of the total 2044 cases, 1983 (97.01%).were emergency cesarean and 61 (2.98%) were elective cesarean. The top three indications for cesarean section were previous cesarean section, fetal distress and cephalopelvic disproportion. Previous cesarean section was found to be in 520 (25.4%), and Fetal distress in 434 (21.5%), and cephalopelvic disproportion in 207 (10.6%). The choice of anaesthesia among this group showed spinal 1632 (79.84%) being the preferred choice followed by general anaesthesia 402 (19.66%) and local epidural anaesthesia 10 (0.48%). Conclusions: Majority of the cesarean section are emergency. The preferred choice of anaesthesia is spinal. Previous cesarean section is the commonest indication followed by fetal distress and cephalopelvic disproportion. Key words: cesarean section; general anaesthesia; previous cesarean section; spinal anesthesia DOI: 10.3126/jnhrc.v7i2.3018 Journal of Nepal Health Research Council Vol.7(2) Apr 2009 112-115

scholarly journals Analysis of Cesarean Sections using Robson’s Ten Group Classification System

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Rashida Parveen ◽  
Mehnaz Khakwani ◽  
Anum Naz ◽  
Rabia Bhatti
Keyword(s):  
Cesarean Section ◽  
Classification System ◽  
Fetal Distress ◽  
Group Classification ◽  
Care Hospital ◽  
Cesarean Sections ◽  
Previous Cesarean Section ◽  
Group 10 ◽  
Group 5 ◽  
Previous Cesarean

Objective: To analyze trends of CSs and evaluating them according to Robson’s Ten Groups Classification System (TGCS) at a leading government tertiary care hospital of South Punjab, Pakistan. Methods: This cross-sectional study was conducted at Department of Obstetrics and Gynaecology, Nishtar Medical University Hospital, Multan Pakistan, from October 2019 to March 2020.The study population included a total of 167 women who underwent CS in the hospital during the specified study period. For each case, we collected data regarding maternal characteristics and pregnancy-related information. The dependent variable was Robson classification group. Results: Overall, mean age was 26.53+5.1 years. Majority of the women, 116 (69.5%) belonged to urban areas of residence, 74 (44.3%) gestational aged between 37-42 years while 108 (64.7%) had history of cesarean section. Most of the patients, 85 (50.9%) turned out to be from TGCS Group-10. Group-5 and Group-1 were the 2nd and 3rd most common group, accounted for 24 (14.4%) and 19 (11.4%) cases respectively. Previous cesarean section (20.4%) and fetal distress (19.8%) were found to be most common indications leading to cesarean section. Conclusion: As per Robson’s Ten-Group Classification, Group-10 and Group-5 were found to be the most contributing among deliveries done. Previous cesarean section and fetal distress were the most common indications of cesarean section. doi: https://doi.org/10.12669/pjms.37.2.3823 How to cite this:Parveen R, Khakwani M, Naz A, Bhatti R. Analysis of Cesarean Sections using Robson’s Ten Group Classification System. Pak J Med Sci. 2021;37(2):---------. doi: https://doi.org/10.12669/pjms.37.2.3823 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Broad Ligament Pregnancy: Lessons Learnt

2014 ◽  
Vol 6 (3) ◽  
pp. 178-179
Author(s):  
Rukshana LNU ◽  
Preet Agarwal ◽  
Usha Viswanath ◽  
MS Natarajan
Keyword(s):  
South Asian ◽  
Transvaginal Ultrasound ◽  
Broad Ligament ◽  
Termination Of Pregnancy ◽  
Abdominal Pregnancy ◽  
Pregnancy Induced Hypertension ◽  
Previous Cesarean Section ◽  
Lessons Learnt ◽  
Induced Hypertension ◽  
Previous Cesarean

ABSTRACT Abdominal pregnancy is a rare obstetric condition seen by the obstetricians. Its diagnosis is usually difficult and management is a matter of debate. A 39-year-old multigravida with 20 weeks gestation complicated by pregnancy-induced hypertension, diabetes mellitus and anemia with previous cesarean section was admitted. She was not aware of her pregnancy earlier and she desired termination of pregnancy. But, termination of pregnancy failed inspite of using all possible methods of inducing labor. Diagnosis of abdominal pregnancy was made on by transvaginal ultrasound and proceeded with laparotomy. Left broad ligament pregnancy was found and the sac with fetus extracted. However, due to uncontrollable bleeding from broad ligament during placenta separation and hysterectomy was proceeded in this lady. We present our experience with the diagnosis and management of this rare case. How to cite this article Agarwal P, Viswanath U, Rukshana, Natarajan MS. Broad Ligament Pregnancy: Lessons Learnt. J South Asian Feder Obst Gynae 2014;6(3):178-179.

scholarly journals Prevalence of Cesarean Section and Its Indications in A Tertiary Care Hospital

2019 ◽  
Vol 57 (216) ◽  
Author(s):  
Smrity Maskey ◽  
Manisha Bajracharya ◽  
Sunita Bhandari
Keyword(s):  
Cesarean Section ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Hypertensive Disorder ◽  
Care Hospital ◽  
Previous Cesarean Section ◽  
Common Indication ◽  
Vaginal Deliveries ◽  
Previous Cesarean

Introduction: Cesarean section is a surgical procedure performed to deliver fetus through abdominal route. Increasing rate of cesarean section worldwide is an alarming concern for public health and obstetricians due to increase in financial burden and risk to health of the mother in comparison to vaginal delivery. The aim of the study was to find the prevalence of cesarean section and its most common indication in a tertiary care hospital. Methods: This descriptive cross-sectional study was done in a tertiary care hospital, from July 2016 to June 2018 after taking ethical clearance from institutional review board. Convenience sampling was done to reach the sample size. Data was collected and entry was done in microsoft excel, point estimate at 95% CI was calculated along with frequency and proportion for binary data and analysis was done. Results: Out of total deliveries conducted, 862 (36.8%) were CS deliveries, 1477 (63.1%) were vaginal deliveries, and 12 (0.51%) were instrumental deliveries. Prevalence of CS is 862 (36.8%) at 95% CI (34.82%-38.78%). Mean age±S.D of delivering mother was found to be 26.1±0.25 years. Primi cesarean section was more than repeat cesarean section. Most common indication of cesarean section was fetal distress 243 (28%) followed by previous cesarean section 165 (18%), non-progress of labour 106 (12%), oligohydramnios 59 (7%), malpresentation 59 (7%), cephalo pelvic disorders 52 (6.5%), and hypertensive disorder in pregnancy 33 (4%). Conclusions: Prevalence of cesarean section in a tertiary care hospital is high compared to WHO data. The most common indication of cesarean section are fetal distress and previous cesarean section.

scholarly journals Outcomes of induction in trial of labor after cesarean delivery

2019 ◽  
Vol 8 (3) ◽  
pp. 1076
Author(s):  
Anubha Varshney ◽  
Zehra Mohsin
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Mode Of Delivery ◽  
Neonatal Morbidity ◽  
Induction Of Labor ◽  
Control Group ◽  
Study Group ◽  
Previous Cesarean Section ◽  
Trial Of Labor ◽  
Previous Cesarean

Background: The objective of this study is to evaluate the outcomes of induction of labor in women attempting trial of labor after cesarean delivery and to compare maternal and neonatal morbidity and mortality in women who were induced to those delivering spontaneously.Methods: The prospective study was carried out in the Department of Obstetrics and Gynecology in collaboration with the Neonatal Section, Department of Pediatrics at J.N. Medical College and Hospital, AMU Aligarh. The sample included 280 women with one previous cesarean section, of whom 130 women underwent induction of labor (study group) and 150 were admitted with spontaneous onset of labor. Prostaglandin gel and intracervical Foley’s were used for cervical ripening in the study group. Indication of cesarean section, mode of delivery, maternal and neonatal outcome were studied in between groups.Results: Overall rate of vaginal delivery after cesarean section was 45.3% and 56% in both study and control group respectively. The rate of cesarean section were higher in women who were induced and having unfavorable cervix. Maternal and neonatal morbidity were not significantly higher as compared in both groups, however one case of scar rupture was found in study group.Conclusions: Induction of labor in women with previous cesarean section had higher rates of cesarean section however it does not adversely affect neonatal and maternal morbidity. Overall vaginal birth is safe and effective in women with previous cesarean section by prostaglandin gel or intracervical Foley’s. Authors cautiously suggest, induction of labor should be considered in preselected patient with strict monitoring.

Trial of labor in patients with a previous cesarean section: does maternal age influence the outcome?

2004 ◽  
Vol 190 (4) ◽  
pp. 1113-1118 ◽  
Author(s):  
Emmanuel Bujold ◽  
Ahmad O Hammoud ◽  
Israel Hendler ◽  
Susan Berman ◽  
Sean C Blackwell ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Maternal Age ◽  
Previous Cesarean Section ◽  
Trial Of Labor ◽  
Previous Cesarean
Sign in / Sign up

Export Citation Format

Share Document