scholarly journals Extraperitoneal cesarean section: a retrospective analysis

2020 ◽  
Vol 9 (3) ◽  
pp. 1089
Author(s):  
Partha Pratim Sharma ◽  
Sneha Gond ◽  
M. D. Kamaluddin Ansari ◽  
Narra Madhuri ◽  
Surendra N. Bera
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Retrospective Analysis ◽  
Maternal Morbidity ◽  
West Bengal ◽  
Early Discharge ◽  
Cephalopelvic Disproportion ◽  
Medical College ◽  
Uterine Incision ◽  
Post Operative Period

Background: Morbidity of caesarean section still persist in terms of pain, infection and adhesion. This study will focus on different morbidities associated with ECS.Methods: A retrospective analysis of 29 ECS were included from June to September 2018, done at Midnapore Medical college, West Bengal, India.Results: Contracted pelvis (12/29, 41.37%) and cephalopelvic disproportion (10/29,34.48%) were common indications for ECS. Mean gestational age was 39.65±1.31 weeks and birth weight were 3.01±0.40 kg. Time taken for ECS was 33.06±10.85 minutes. Extension of uterine incision and mild distension of abdomen occurred in 3.44% each. Post-operative period was uneventful and all discharged after 72 hours of operation.Conclusions: ECS can be performed safely by experienced hands with less feto-maternal morbidity and early discharge of mother and baby.

scholarly journals Obstetrical Outcome of Grand Multipara

2017 ◽  
Vol 34 (4) ◽  
pp. 184-187
Author(s):  
Jamila Khatun
Keyword(s):  
High Risk ◽  
Caesarean Section ◽  
Prospective Study ◽  
Perinatal Mortality ◽  
Maternal Morbidity ◽  
Medical College ◽  
Obstetrical Outcome

Intruduction: Pregnancy in grand multipara has been considered as high risk because there are higher chance of complication during pregnancy, labour and puerperium.Objective: To evaluate various maternal and fetal complication associated with a grand multipara during pregnancy, delivery and puerperium.Methods: This prospective study was carried out from 1st January 2008 to 31st December 2008 in Obstetrics & Gynecology Department of Sylhet MAG Osmani Medical College & Hospital, Sylhet. 300 grand multipara pregnant patients were selected those who got admitted in Department of Obstetrics & Gynecology, SOMCH during that period.Result: It was found that incidence of grand multipara was 6.60%. Majority of the patient were between 31–35 years old (43%). 66% patients never had anternal checkup, Caesarean section was high about 47%. Complications during labour were also high. It was about 51.67%. Maternal morbidity was about 16%. Perinatal mortality was about 11%.Conclusion: This study showed that grand multipara is a major risk for obstetrical outcome and needs strick supervision and good antenatal, intranatal and postnatal care.J Bangladesh Coll Phys Surg 2016; 34(4): 184-187

Comparison of incidences and indications of multi primary caesarean with primi caesarean mothers in a tertiary care teaching hospital

2017 ◽  
Vol 6 (10) ◽  
pp. 4263
Author(s):  
M. Sujatha Alagesan ◽  
M. Meena
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Teaching Hospital ◽  
Tamil Nadu ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Foetal Distress ◽  
College Hospital ◽  
Medical College ◽  
Clinical Profiles

Background: The incidences and indications of caesarean sections between the primary caesarean multies and caesarean primies were comparable in respect of their demographical and clinical variables of mothers and their foetal outcomes. Aim and objective of the study was to analyze the incidences and indications of primary caesarean multies and caesarean primies. To compare the incidences and indications of mothers between the primary caesarean multies and caesarean primies. To compare the demographic and clinical profiles of the mothers and babies.Methods: During January to June 2016 total of 3583 deliveries were conducted in Tiruneleli Medical College Hospital, Tamil Nadu, India. Among them 89 and 1168 were primary caesarean multies and caesarean primies respectively. They had been compared according to the objectives.Results: The caesarean incidences were 62.5% among the primies and 4.8% among the multies as Primary. The primary caesarean incidences among the multies were statistically significantly lesser in the 15-24 ages than the primi (P<0.05). 25-29 age bracket the incidences were not differed significantly (P>0.05). After 30 years of age, the incidences were statistically significantly increased among the multies (P<0.05). The birth weight of babies did not show any statistically significant indications between the two groups (P>0.05). The indications of Foetal distress, Severe Oligo hydration and others did not show any statistically significantly difference between the groups (P>0.05). Mal presentation and Ante Partum hemorrhage were significantly more among the multies than primies (p<0.05) and Failed indication and CPD were the significantly lesser indication than the primies (P<0.05).Conclusions: Without reducing the caesarean section rate in primi we cannot bring down the overall caesarean rate of delivery.

scholarly journals A retrospective analytical study of caesarean section in intrauterine foetal death cases in a rural medical college

2018 ◽  
Vol 7 (7) ◽  
pp. 2583
Author(s):  
Kajal Patra ◽  
Shibram Chattopadhyay ◽  
Poulami Samanta ◽  
Chandrakanta Mondal
Keyword(s):  
Caesarean Section ◽  
Maternal Morbidity ◽  
Fetal Death ◽  
Intrauterine Fetal Death ◽  
Important Indicator ◽  
Medical College ◽  
Time Period ◽  
The Given ◽  
Death Cases

Background: Intrauterine fetal death(IUFD) is an unhappy reality, a lamentable incidence for both the family and the caregiver. It is an important indicator of both maternal and perinatal health in a population. The study of fetal death is crucial in promoting actions for maternal and child health. Aim of this study was to determine the incidence, indications and maternal morbidity and maternal mortality associated with caesarean section in patients with IUFD and to establish the place of caesarean section in present day scenario.Methods: The study was a retrospective analysis of all caesarean section carried out in a case of IUFD in last 5 years (2013-2017). The indications, incidence, maternal morbidity, mortality was studied well in this time period in a rural medical college of West Bengal.Results: Total 108425 deliveries occurred in the hospital in last 5 years, out of which 31800 were caesarean section. 56 cases were done in case of diagnosed IUFD. There was 2489 number of IUFDs in the given period. The incidence of IUFD was 22.96 per 1000 deliveries. Induction was done in 2489 cases; 56 cases underwent caesarean section (2.25%) and rest was delivered vaginally.Conclusions: Early diagnosis, early referral and proper antenatal checkup can reduce the chances of IUFD and number of caesarean deliveries in IUFD. The role of cesarean deliveries in previous caesarean deliveries having IUFDs has been emphasized.

scholarly journals Changing trends of indication of caesarean section

2020 ◽  
Vol 9 (7) ◽  
pp. 2721
Author(s):  
Neelam Goyal ◽  
Harshita Pandey
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Vicious Cycle ◽  
Repeat Surgery ◽  
Cephalopelvic Disproportion ◽  
Common Indication ◽  
Medical College ◽  
Changing Trends ◽  
High Incidence

Background: Percentage of previous C-section undergoing repeat section is close to 90%-92%, morbidity associated with repeat surgery is bringing an altogether new set of challenges for the upcoming future obstetricians. Object of this study is to highlight high incidence of repeat section required and also growing new indications of C-section due to advanced availability of investigative tools.Methods: Retrospective study of 500 patients who underwent C-section and their indications from April 2019 to July 2019 in Govt Doon Medical college, Dehra Dun.Results: Out of total 500 C-sections carried from April 2019 to July 2019, patients with previous section were found to undergo a repeat C-section in 95% of the cases. Another common indication being oligohydramnios followed by cephalopelvic disproportion and failed induction.Conclusions: After assessing the results it is hereby concluded that the commonest indication of C-section in present time is having a previous C-section, which alarms us to take careful judicious decision in performing primi C-sections in order to prevent patients into entering a vicious cycle of repeat surgeries.

scholarly journals Premature Rupture of Membrane - A Clinical Study In Comilla Medical College Hospital

2016 ◽  
Vol 28 (2) ◽  
pp. 82-87
Author(s):  
Shahela Nazneen ◽  
Farhana Begum ◽  
Shakila Nargis
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Pregnant Women ◽  
Caesarean Section Rate ◽  
Age Distribution ◽  
Medical College Hospital ◽  
Sociodemographic Characteristics ◽  
Premature Rupture ◽  
College Hospital ◽  
Medical College

Objective: To find out the sociodemographic characteristics, complications of pregnant woman with premature rupture of membrane (PROM) and asses the outcome of it.Materials and Methods: This prospective study was carried out at the department of Obstetrics & gynaecology of Comilla Medical College Hospital (CoMCH) from January 2009 to December 2009. All pregnant women admitted with PROM during this period were taken as study population. After taking proper history they were categorized as term or preterm PROM on the basis of duration of gestation estimated from 1st day of last menstrual period (LMP), previous antenatal records, clinical examination & also previous ultrasonography (USG) reports. Out of sociodemographic characteristics age distribution and gravidity were noted. Diagnosis was done on the basis of examination and investigations. All the women with PROM were then followed up, management was given according to protocol and caesarean section was performed according to indication. Birth weight and Apgar score of newborns were noted after delivery.Results: There were 198 cases of PROM recorded among 3142 admitted obstetrical patients over one year period. The hospital incidence of PROM was found to be 6.3%. Among them, 57.6% patients were admitted at term and 42.4% patients came before 37 completed weeks of gestation. Most of the pregnant women were between 20-24 years of age (54%), 41% were primigravida (59%) were multigravida. About 48.5% women presented with different complications associated with PROM. Among which 15.7% patients had oligohydramnios, 8.5% patients presented with chorioamnionitis suggested by culture report of high vaginal swab. Urine for culture and sensitivity was also done. About five (5.2%) developed premature labour before 37th week of gestation. About 10% women developed obstetric complications (failed trial) associated with medical diseases. Seventy seven patients were delivered by caesarean section, 16.2% vaginally, 4.04% patients responded to conservative management and 2.5% patients were referred to tertiary centre for extreme prematurity with associated complicating factors. Most of the babies (38.4%) were born with birth weight between 2.1- 2.5kg and 10.3% babies were less than 1.5kg.Conclusion: Term PROM was more in comparison to PPROM and most of them were multigravida. Caesarean section rate was high. Most common complication of was subclinical urogenital infection (53%) next oligohydramnios (25%) & (13.5%) women presented with chorioamnionitis.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(2) : 82-87

scholarly journals Pregnancy Outcome in Women with One Previous Caesarean Delivery - A Prospective Longitudinal Study in a Peripheral Medical College of West Bengal

2021 ◽  
Vol 8 (21) ◽  
pp. 1608-1613
Author(s):  
Saheli Chandra ◽  
Anjan Dasgupta ◽  
Pradip Kumar Saha ◽  
Kamal Kumar Dash ◽  
Abirbhab Pal ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Caesarean Delivery ◽  
West Bengal ◽  
Vaginal Birth ◽  
Safe Procedure ◽  
Prospective Longitudinal Study ◽  
Medical College ◽  
Prospective Longitudinal ◽  
Vaginal Birth After Caesarean

BACKGROUND Pregnancy with one prior Caesarean section (CS) constitutes a high-risk group with associated medical and legal implications. The dictum ‘once a Caesarean always a Caesarean’ has now judiciously been replaced with ‘once a Caesarean, trial of labour after selection’ because low transverse uterine incision has much lesser chance of scar rupture. Though vaginal birth after Caesarean (VBAC) or trial of scar (TOS) brings a significant change in modern obstetric practice in terms of lower maternal and perinatal morbidities, apprehension of accidental scar rupture during trial of labour with its undesirable consequences still prevents a good number of obstetricians adopting this process. The purpose of the study was to determine the outcome of pregnancy in relation to mode of delivery, i.e., either elective repeat Caesarean section (ERCS) or vaginal birth after Caesarean (VBAC) with maternal and perinatal complications in each mode. METHODS A hospital based prospective, longitudinal, and observational study of 300 pregnant women with previous one Caesarean delivery attended labour emergency or out-patient department (OPD) at Midnapore Medical College of West Bengal, was carried out, approved by the institutional ethical committee. Gestational age < 37 weeks and > 42 weeks and h\o previous uterine surgery like myomectomy, hysterotomy, classical CS were excluded from the study. Data collected was analysed using statistical package for the social sciences (SPSS) software version 20. Descriptive statistics were used to analyse the continuous and categorical data and expressed in the form of mean and percentage whereas proportions were analysed using chi-square test. A P - value ≤ 0.05 was considered statistically significant. RESULTS Out of 300 pregnancies, 140 subjects were given trial of labour (TOL). Of which 89 subjects (63.6 %) had successful VBAC and 51 subjects (36.4 %) had repeat Caesarean sections. Among 211 subjects of repeat Caesarean section, 53 subjects (25.12 %) had indicated for scar tenderness and 73 subjects (34.59 %) had elective repeat Caesarean section (ERCS) due to protracted or arrested cervical dilatation. Those having previous vaginal delivery (VD), had more incidences of VBAC in present pregnancy than those who had no previous VD (P ≤ 0.005); Maternal morbidity (33.65 % ERCS versus 10.11 % VD group, P ≤ 0.05) and neonatal morbidity (12.3 % ERCS versus 2.46% VD group, P ≤ 0.05) was significantly higher in ERCS group. CONCLUSIONS Trial of labour (TOL) should be given in well-equipped hospital. In carefully selected cases, it is a safe procedure and often rewarding, thus incidence of repeat CS can be reduced. Those who had a history of vaginal delivery, VBAC often successful. KEYWORDS VBAC, Trial of Scar, Elective Repeat Caesarean Section, Trial of Labour

scholarly journals A study on correlation between laterality of placenta on mid trimester ultrasonography and perinatal outcome

2019 ◽  
Vol 9 (1) ◽  
pp. 200
Author(s):  
Avik Ghosh ◽  
Mrinalkanti Ghosh
Keyword(s):  
Birth Weight ◽  
Observational Study ◽  
Pregnant Women ◽  
Perinatal Outcome ◽  
Prospective Observational Study ◽  
West Bengal ◽  
Average Birth Weight ◽  
Medical College ◽  
Antenatal Clinics ◽  
The Relationship

Background: Fetus is dependent on placenta for supply of nutrients from mother. Objective of this study was to assess the relationship between laterality of placenta by mid-trimester ultrasonography and perinatal outcome.Methods: It was a prospective observational study conducted between June 2016 to June 2017 at Burdwan Medical College, West Bengal. Participants were uncomplicated pregnant women having 18-24 weeks gestation attending antenatal clinics and admitted in ward who underwent obstetric sonography including placental localization. Women were observed till delivery. Analysis was done for site of implantation of placenta and its correlation with perinatal outcome.Results: Total of 300 women considered for the study, 195/300 (65%) had central implantation of placenta and 105/300 (35%) had lateral type of placentation. There were 4 IUFDs (1.33%); 2 (1.03) with central placenta and 2 (1.9) with lateral placenta. Among 31 (10.33%) IUGR babies 13 (6.67%) were associated with central and 18 (17.14%) with lateral placenta. Among 27 LBW babies 16 (8.21%) were related to central placenta and 11 (10.48%) were related to lateral placenta. Among 57 SNCU admissions 26 (13.33%) were related to central placenta and 31 (29.52%) were related to lateral placenta. Average birth-weight is 2.6±0.31 kg and 2.51±0.26 kg, respectively for central and lateral placenta.Conclusions: Laterally located placenta is associated with relatively poor perinatal outcome compared to central placenta with increased rates of IUGR, IUFD and LBW babies.

scholarly journals Effect of learning package on knowledge and practice regarding self care and child care among women undergoing caesarean section at bankurasammilani medical college and hospital, bankura,West Bengal

2021 ◽  
Vol 4 (2) ◽  
pp. 48-53
Author(s):  
Madhumita Sarkar
Keyword(s):  
Experimental Study ◽  
Caesarean Section ◽  
West Bengal ◽  
Knowledge Score ◽  
Medical College ◽  
Post Test ◽  
Quasi Experimental ◽  
The Mean ◽  
Knowledge And Practice ◽  
Experimental Group

A quasi experimental study on “effect of learning package on knowledge and practice regarding self-care and child care among women undergoing caesarean section at Bankura Sammilani Medical College and Hospital, Bankura, West Bengal” was conducted to find out the knowledge and practice and its association with selected factors among subjects and also the effect of learning package. Conceptual framework was developed based on Ludwig Von Bertalanffy’s system model. A quasi experimental study design was adopted. Convenience sampling technique was used to select 64 antenatal women. Structured interview schedule and structured knowledge questionnaire were used to collect data. Significant findings on statistical analysis of data were revealed that the mean post-test knowledge score (18.68) and practice score (26.06) of experimental group are higher than the mean post-test knowledge score (7.93) and mean post-test practice score (17.71) of control group with true mean difference in both the cases (“t” values 16.79, 15.18, p=0.05) which concludes that the learning package is effective to improve the knowledge and enhance the practice among the subjects. Educational level was found significant in relation to knowledge and practice scores among experimental group.

Analysis of safety of performing simultaneous myomectomy in caesarean section

2020 ◽  
pp. 58-60
Author(s):  
I. N. Medvedeva ◽  
K. A. Nozdracheva ◽  
A. D. Khizhnyak
Keyword(s):  
Caesarean Section ◽  
Blood Loss ◽  
Retrospective Analysis ◽  
Safety Assessment ◽  
Average Duration ◽  
Average Length ◽  
Uterine Myoma ◽  
Intraoperative Blood Loss ◽  
Post Operative Period ◽  
Length Of Hospitalization

The purpose of the study. Safety assessment for expansion of caesarean section to myomectomy. Materials and techniques. A retrospective analysis was conducted of the birth histories of 44 patients with uterine myoma with extension of caesarean section to myomectomy. Results. The average duration of the operation was 54.3 ± 23.7 minutes. Significant inversive complications were not registered. Average blood loss amounted to 661.4 ± 193.2 ml, that does not exceed the generally accepted blood loss limits of standard caesarean section surgery. Post-operative period was without features. The average length of hospitalization was 7.0 ± 1.5 days. Conclusion. Expansion of the operation caesarean section to myomectomy does not significantly affect intraoperative blood loss, post-operative haemoglobin and hematocrit of the blood, provided there were no reductions in these rates before operation. Hospitalization time does not increase significantly. The post-operative period primarily runs without complications.

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