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 Outcomes of Root Canal Treatment: 2 Years Experience in Community Based Medical College, Bangladesh Hospital

2013 ◽  
Vol 2 (1) ◽  
pp. 29-33
Author(s):  
Mahbuba Hossen ◽  
Mazharul Alam Siddique ◽  
Nahid Binte Ansary
Keyword(s):  
Medical Journal ◽  
Retrospective Study ◽  
Success Rate ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Community Based ◽  
Female Ratio ◽  
Common Indication ◽  
Medical College ◽  
Male Female Ratio

This retrospective study was done in the Department of Dentistry, CBMC’B hospital from January’2009 to December’2010. 223 patients who underwent RCT were purposively selected. Male-female ratio was 1:1.4, mean age of patients were 28.4 years. Most common indication of RCT was gross caries 69.95%, common complications were fractured crown 11(57.89%), tenderness 5(26.32%), discharging sinus 2(10.53%). Over all success rate of RCT was 91.48%. DOI: http://dx.doi.org/10.3329/cbmj.v2i1.14178 Community Based Medical Journal Vol.2(1) 2013 29-33

Retrospective study of lightning fatalities in Raigarh, Chhattisgarh

2021 ◽  
Vol 6 (3) ◽  
pp. 86-90
Author(s):  
Rajesh Ban Goswami ◽  
A. Dutta
Keyword(s):  
Retrospective Study ◽  
Monsoon Season ◽  
Injury Pattern ◽  
The Body ◽  
Age Group ◽  
Cross Sectional ◽  
Loud Sound ◽  
Medical College ◽  
Methodical Approach ◽  
High Incidence

is a massive electrostatic discharge caused by the circulation of warm moisture-filled air through unbalanced electric field in the atmosphere, accompanied by the loud sound of thunder.: The present study was conducted to ascertain the pattern of lightning cases along with distribution of cases based on age, sex, season, location, activity of the victim and injury pattern in the corpse.: The present cross sectional retrospective study was carried out in the department of Forensic Medicine at Govt. Medical College, Raigarh, CG. All autopsy cases of lightning deaths from 2018 to 2019 (two years) were considered for the study.: Most of the deceased were in the age group of 31-40 years. All incidents happened in open field. High incidence of lightning deaths occurred during monsoon season and peak incidence in evening hours. In most cases arborescent mark was found as pathognomonic finding.: Lightning incidents are always accidental in nature. They are fatal and need prompt resuscitative measures. Lightning injuries have bizarre presentation in the body, therefore the autopsy surgeon needs meticulous and detailed methodical approach during autopsy.

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 Changing trends of cesarean section using Robson’s Ten-group classification in tertiary centre: a retrospective study

2019 ◽  
Vol 8 (5) ◽  
pp. 2095
Author(s):  
Anamika Singh ◽  
Sadiqunnisa .
Keyword(s):  
Retrospective Study ◽  
Cesarean Section ◽  
Tertiary Care ◽  
Group Classification ◽  
College Hospital ◽  
Medical College ◽  
Tertiary Centre ◽  
Changing Trends ◽  
Group 5 ◽  
College Setting

Background: The aim of this study was to investigate and compare the CS rates at a tertiary care medical college setting centre which has a high referral rate of complicated pregnancies and make analysis based on the 10-group classification.Methods: This is a retrospective study carried out department obstetrics and gynecology of a tertiary care medical college hospital in Mangalore and includes all deliveries over a period of five years from Jan 14 to Dec 2018 and it was compared with the c-section from January 2007 to December 2011.Results: The overall CS (cesarean section) during the period 2014-18 was 31.85 which were significantly greater then 2007-11 period (20.59%). The main contributing groups to the overall CS rate were the previous CS (Group 5) and Primigravida groups, (Groups 1 and 2) 80%.Conclusions: It is important that efforts to reduce the overall CS rate should focus on reducing the primary CS rate. The application of Robson’s Ten-group classification (TGCS) in centre has helped to identify the main groups of subjects who had the overall maximum CSR.

scholarly journals Non-descent vaginal hysterectomy in previous cesarean section: a retrospective study

2020 ◽  
Vol 9 (8) ◽  
pp. 3239
Author(s):  
K. J. Jacob ◽  
Divya M. B.
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Vaginal Hysterectomy ◽  
Bladder Injury ◽  
Previous Caesarean Section ◽  
Medical College ◽  
Common Complaint ◽  
Parity Number ◽  
History Of ◽  
Previous Cesarean

Background: Non-descent vaginal hysterectomy (NDVH) is removal of uterus through vagina in non-prolapsed uterus. As there is an increase in caesarean section, hysterectomy in women with previous caesarean section is also increasing. The objective of this study is to assess the feasibility and safety of non-descent vaginal hysterectomy in patients with previous caesarean section.Methods: This is a retrospective study conducted in the department of obstetrics and gynecology, Government Medical College, Thrissur from January 2017 to December 2018. Non-descent vaginal hysterectomy in 24women with previous caesarean section was studied. Details regarding age, parity, number of caesarean sections, indication of surgery, intraoperative and postoperative complications were evaluated.Results: All 24 women underwent non-descent vaginal hysterectomy successfully. 10 women (41.7%) were between 46-49 years. Commonest indication of hysterectomy was fibroid uterus (41.7%) and most common complaint was heavy menstrual bleeding (79%). There was bladder injury in one woman with history of previous 2 caesarean section. 3 women developed UTI in postoperative period.Conclusions: Vaginal hysterectomy is associated with lower complications and more rapid recovery. A successful NDVH in previous caesarean section depends on the expertise and experience of the surgeon. NDVH in previous caesarean is safe in expert hands.

scholarly journals Changing Trends in the Rates and Leading Indications of Cesarean Sections in a Tertiary Care Hospital

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Nazia Liaqat ◽  
Sonia Rafiq ◽  
Wajeeha Syed ◽  
Nazish Hayat
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Major Surgery ◽  
Care Hospital ◽  
Cesarean Sections ◽  
Changing Trends ◽  
The Times

Background: Caesarean section is a time honoured approach that evolved to save maternal lives in the times of difficult deliveries. The rise in the rates of caesarean section is a matter of concern as being a major surgery, it is associated with risks that can extend for years and affect the health and future pregnancies of women.Objective: This study is carried out to analyses changing trends in the rates and indications of caesarean sections in the last six years in a Tertiary Care Hospital of Peshawar.Materials and Methods: This retrospective study is carried out by collecting record of all deliveries including indications of caesarean sections of the years 2014,2016 and 2018 of the unit. Results: The caesarean rate was 174/1000 total births for year 2014.It was 143 and 176 per 1000 total births for the year 2016 and 2018. The commonest indication for primary caesarean section was fetal malpresentations with rates as 31.5,30.2 and 29.9 per 1000 total births for 2014,2016 and 2018 respectively. Fetal distress was observed as the second commonest indication. Previous 2 or more caesareans was the commonest indication for repeat caesarean sections in all three years , with rise in rates from 21.4 to 28.70 per 1000 total births from 2014 to 2018.Conclusion: The rates of caesarean sections of the last five years on average are close to the WHO rates. Fetal Malpresentations, Distress and Previous two or more caesarean section are the leading indications of caesarean sections.

scholarly journals Retrospective study of maternal and neonatal outcome in second stage lower segment caesarean section in a tertiary hospital

2020 ◽  
Vol 9 (12) ◽  
pp. 4924
Author(s):  
M. P. A. Sailakshmi ◽  
Vidhyadhare G. S.
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Caesarean Section Rate ◽  
Neonatal Morbidity ◽  
Tertiary Hospital ◽  
Clinical Exposure ◽  
Medical College ◽  
Lower Segment Caesarean Section ◽  
Second Stage ◽  
Safe Performance

Background: Caesarean section at second stage are increasing and are associated with significant maternal morbidity. The overall caesarean section rates are also increasing from last two decades.Methods: A retrospective study conducted in Department of Obstetrics and Gynaecology, Raja Rajeswari Medical College and Hospital, Bangalore from January 2018 to July 2019. Second stage LSCS were analysed in terms of indications, intraoperative and post-operative complications, neonatal morbidity.Results: In our hospital during study period there were 2639 deliveries and total number of LSCS 1146 (43.42%) and caesarean section rate was 35-45% and second stage LSCS 60 (5.23%).Conclusions: Second stage LSCS associated with more number of maternal and neonatal morbidity. Adequate clinical exposure and appropriate training are essential for safe performance in second stage LSCS. 

scholarly journals Outcome of Primigravida with high foetal head at term or onset of labour

2018 ◽  
Vol 26 (2) ◽  
pp. 122-125
Author(s):  
Mukti Rani Saha ◽  
Nahid Yasmin ◽  
Afzalunnessa Chowdhury ◽  
Shahrin Ahmed ◽  
Kamrunnahar Sweety ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Mode Of Delivery ◽  
Foetal Distress ◽  
Lower Segment ◽  
College Hospital ◽  
Abdominal Ultrasonography ◽  
Cephalopelvic Disproportion ◽  
Foetal Head ◽  
Medical College ◽  
Lower Segment Caesarean Section

Objective: To determine the causes of high foetal head and their relative frequencies in primigravidae presenting at term and to determine the proportion of these patients undergoing lower segment caesarean section or vaginal delivery. Design: A descriptive study.Place and duration of study: The study was carried out at Mugda Medical College Hospital from March 2017 to June 2017.Materials and Methods: A total of 50 primigravidae patients presenting at term and having a single pregnancy were randomly selected. On the basis of history, Physical examination and abdominal ultrasonography, patients having a high foetal head were recognized and their causes documented.Results: Out of 50 primigravidae, with high foetal head there was foetal malpresentation 17(34%), Cephalopelvic disproportion 13(26%) , Foetal distress 12(24%). Lower segment caesarian section was the management of choice in more than half of the patients with high foetal head.Conclusions: Foetal malpresentation & Cephalopelvic disproportion were the major cause of high foetal head in this study and lower segment Caesarean section was the mode of delivery in more than half of the patients with high foetal head.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 122-125

scholarly journals A study of feto maternal outcome in primary caesarean section

2021 ◽  
Vol 11 (1) ◽  
pp. 183
Author(s):  
Maitry Mandaliya ◽  
Arti Patel ◽  
Devanshi Shah
Keyword(s):  
Decision Making ◽  
Caesarean Section ◽  
Caesarean Delivery ◽  
Caesarean Section Rate ◽  
Normal Vaginal Delivery ◽  
Previous Caesarean Section ◽  
Common Indication ◽  
Medical College ◽  
Multiparous Women ◽  
A Prospective Study

Background: Primary caesarean section is defined as caesarean section to be performed in women who have not had previous caesarean delivery. The increase in the rates of primary caesarean section is not only due to increased caesarean section in nulligravida but also due to upward rise in caesarean section rates in parous women. Through this study we aimed to examine the frequency and the indications of primary caesarean section in nulliparous and multiparous women.Methods: A prospective study was carried out in the OBGY department of smt. SCL Hospital, NHL municipal medical college from April 2020 to April 2021. All multiparous women with previous normal vaginal delivery who underwent caesarean section this time were included in this study. Patients with previous caesarean section <28 weeks of gestation, patients who did not give consent were excluded from the study.Results: 92% were 20-30 years and are gravida 2 or 3 patients. 85% patients were booked patients. Most common indication of primary caesarean section in parous women was MSL+FD (31%). Difficulty in delivery of the baby was encountered in 45% of cases. Major cause of admission in NICU was MAS.Conclusions: Primary caesarean section has become a major driver of overall caesarean section rate. Decision making on primary caesarean section should be carefully scrutinized, introducing a diagnostic second opinion for all primary caesarean section. Primary caesarean section in both multigravida and primigravida becomes mandatory in many cases to prevent maternal and feta morbidity.

Sign in / Sign up

Export Citation Format

Share Document