scholarly journals Secondary postpartum hemorrhage on day 58 of cesarean section due to uterine scar rupture

2020 ◽  
Vol 9 (11) ◽  
pp. 4762
Author(s):  
Yogita B. Gavit ◽  
Deepika Sharma
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Postpartum Hemorrhage ◽  
Normal Vaginal Delivery ◽  
Small Subset ◽  
Fatal Bleeding ◽  
Uterine Scar ◽  
Secondary Postpartum Hemorrhage

Secondary postpartum hemorrhage is rare and affect 0.23-3% of all pregnancies. It happens between 24 hours to 12 weeks of post-delivery. These postpartum hemorrhages occur more often during normal vaginal delivery only a small subset of postpartum hemorrhages occurs after cesarean section. Delayed postpartum hemorrhage is obstetrics emergencies that occurs following vaginal or cesarean delivery, in later condition may be caused by dehiscence of uterus incision after cesarean section which can lead to severe and fatal bleeding. We herein report a case of secondary postpartum hemorrhage after cesarean section.

scholarly journals Secondary Postpartum Hemorrhage Following Cesarean Section

2018 ◽  
Vol 9 (1) ◽  
pp. 23-25
Author(s):  
Surayea Bul Bul ◽  
Zobaida Sultana Susan ◽  
Raunak Jahan ◽  
Abu Nayeem ◽  
Farzana Rahman ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Postpartum Hemorrhage ◽  
Causes Of Death ◽  
Severe Anaemia ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Pregnancy And Childbirth ◽  
Child Bearing ◽  
Secondary Postpartum Hemorrhage

Background : Complications of pregnancy and childbirth have always been one of the leading causes of death and disability among women of reproductive age in developing countries .Globally, postpartum haemorrhage is the single most important cause of maternal death, accounting for about 25% of the total and claiming an estimated 1,50,000 lives annually. Among the postpartum hemorrhage, the primary postpartum hemorrhage is more prevalent, but sufferings from secondary postpartum hemorrhage have been emerging. With the rising trend of cesarean section rate, the incidence of secondary postpartum hemorrhage is also rising.Objective: The objectives of this study is to evaluate secondary postpartum hemorrhage cases following cesarean section and vaginal delivery with the aim of reducing the maternal mortality at child bearing age.Methods: This is a cross sectional observational study in the department of Obstetrics and Gynaecology, DMCH , by purposive sampling method. Total 100 cases of secondary PPH were observed during 1st January 2013 to 31 December 2013.Result: In this study, among the cases 67% were following cesarean section and 33% were following vaginal delivery, mean age of the patients were 29 year, parity ranges from 1 to 5. Regarding the outcome of secondary PPH, severe anaemia, anaemic heartfailure, renal failure and DIC were common in cesarean sections along with hazards of massive blood transfusion and jaundice. 7 patients were died in post cesarean cases and 2 died in post vaginal delivery cases. Causes of death were due to hemorrhagic shock & septicemia.Conclusion: In this is study, the rate of secondary PPH is 67% following cesarean section which is very much alarming . The outcome of secondary PPH following cesarean section is worse than vaginal delivery.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 23-25

scholarly journals Pattern of Prolactin Secretion after Normal Vaginal Delivery and in Cesarean Delivery

2014 ◽  
Vol 5 (1) ◽  
pp. 15-17
Author(s):  
Asokan Keloth Manapatt ◽  
Latha Anoop ◽  
Deepna Tharammal ◽  
Aiswarya Sathyapal ◽  
Yasmeen Muneer
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Prolactin Secretion ◽  
Assay Method ◽  
Normal Vaginal Delivery ◽  
Obstetrics And Gynecology ◽  
Medical College ◽  
The Impact ◽  
Biological Actions

ABSTRACT Prolactin (PRL) is hormone of multiple biological actions and is best known for its role in milk production. This hospital-based study was undertaken to review the impact of PRL hormone in vaginal delivery and cesarean delivery. Our study is meant to create awareness in the society to promote breast feeding and the importance of promoting normal vaginal delivery whenever possible. In this study, we investigated the serum PRL values using enzyme-linked immunoflow assay method in 101 women who underwent normal (56) and cesarean delivery (45) in obstetrics and gynecology department of Kannur Medical College, Anjarakandy. Serum PRL at 24 and 48 hours blood sample was estimated among the two groups, mean PRL in vaginal delivery 24 hours 359.46 ± 119.70 ng/ml, 48 hours 386.67 ± 135.66 ng/ ml and in cesarean delivery 24 hours 245.49 ± 115.49 ng/ml, 48 hours 282.92 ± 69.59 ng/ml. The values of serum PRL are found to be significantly higher in the vaginal delivery group (p < 0.001) as compared with the cesarean section group. Through this study, we concluded that the mothers who delivered by cesarean section had decreased PRL levels than the women who delivered vaginally which may have a significant role in establishment of breastfeeding. How to cite this article Manapatt AK, Anoop L, Tharammal D, Sathyapal A, Muneer Y. Pattern of Prolactin Secretion after Normal Vaginal Delivery and in Cesarean Delivery. Int J Infertility Fetal Med 2014;5(1):15-17.

scholarly journals Attitudes of Primary Pregnant Women Toward Preference of Birth Method in Dezful, Iran: A Cross-Sectional Study

2021 ◽  
Vol 4 (1) ◽  
pp. p1
Author(s):  
Mahnaz Nosratabadi ◽  
Nasrin Sarabi ◽  
Leila Masoudiyekta ◽  
Zahra Abbaspoor ◽  
Aziz Kassani
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Cross Sectional Study ◽  
Vaginal Birth ◽  
Normal Vaginal Delivery ◽  
Sectional Study ◽  
Delivery Method ◽  
Cross Sectional

Introduction: Choosing the birth method is a major issue for pregnant women that is affected by multifaceted physiological, psychological and socio-cultural factors. Aim(s): The aim research was performed to explore factors influencing pregnant women’s attitude toward birth method. Methods: This is a cross-sectional study on 220 healthy nulliparous pregnant women with uncomplicated pregnancies without any contraindication for vaginal birth in Medical Centers of Dezful, in the south west of Iran. Data collection tool was a questionnaire for factors affecting the choice of delivery method. Differences in attitude were compared between two groups of natural vaginal delivery preference and cesarean delivery preference. Statistical analysis was performed with SPSS Version 16.0 statistic software package. Descriptive statistics were used to report percentages, mean, and standard deviation, and t-test, chi-square were applied to analyze the data. Results: During the study period, 206 primary pregnant women were examined to determine the attitudinal influencing factors the birth method preference. 131 women (64%) chose the natural delivery method and 71 women (36%) chose the cesarean delivery method. In addition, the results showed a statistically significant difference between the two groups regarding the general attitude of the participants towards natural delivery (164.43 in the normal vaginal delivery (NVD) group versus 134.50 in the cesarean section (CS) group (p < 0.001)). Conclusion: There is a direct relationship between the attitude of pregnant women towards vaginal birth and the tendency to normal vaginal delivery and cesarean section. Also, according to the results of the study of 8 components of attitudes, counseling sessions and prenatal training sessions can be identified based on counseling needs and be guided counseling sessions more purposefully.

Severe secondary postpartum hemorrhage 3 weeks after cesarean section: Alternative etiologies of uterine scar non-union

2007 ◽  
Vol 33 (3) ◽  
pp. 360-362 ◽  
Author(s):  
Fabrizio Pollio ◽  
Stefania Staibano ◽  
Marianna De Falco ◽  
Ugo Buonocore ◽  
Gaetano De Rosa ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Non Union ◽  
Uterine Scar ◽  
Secondary Postpartum Hemorrhage

scholarly journals Vernix Caseosa Peritonitis after Vaginal Delivery

2013 ◽  
Vol 6 ◽  
pp. CCRep.S12771 ◽  
Author(s):  
Shameema A. Sadath ◽  
Fathiya I. Abo Diba ◽  
Surendra Nayak ◽  
Iman Al Shamali ◽  
Michael F. Diejomaoh
Keyword(s):  
Cesarean Section ◽  
Acute Abdomen ◽  
Vaginal Delivery ◽  
Vacuum Extraction ◽  
Unusual Complication ◽  
Case Presentation ◽  
Vernix Caseosa ◽  
First Case ◽  
Surgical Emergencies ◽  
Uterine Scar

Introduction Vernix caseosa peritonitis (VCP) is a very unusual complication caused by inflammatory response to amniotic fluid spilled into the maternal peritoneal cavity. Twenty-seven cases have been reported, and all occurred after cesarean section. Case presentation We present a case of VCP following vaginal delivery; this may be the first case reported after vaginal delivery. Mrs. A, 28 years old, gravida 3, para 2, with one previous cesarean section, was admitted at 41 weeks gestation in active labor. Vacuum extraction was performed to deliver a healthy male baby, 4.410 kg, Apgar scores 7, 8. She developed fever, acute abdominal pain, and distension about 3 hours after delivery. A diagnosis of acute abdomen was made. Laparotomy was performed and it revealed neither uterine scar rupture nor other surgical emergencies, but 500 mL of turbid fluid and some cheesy material on the serosal surface of all viscera. Biopsies were taken. She had a course of antibiotics and her recovery was complete. Histology of the peritoneal fluid and tissue biopsy resulted in a diagnosis of VCP. Conclusion Clinical diagnosis of peritonitis due to vernix caseosa should be considered in patients presenting postpartum with an acute abdomen after vaginal delivery.

scholarly journals Effect of Perceived Social Support on Postnatal Depression in Females with Cesarean Section and Normal Vaginal Delivery

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Muhammad Saleem Rana ◽  
Mohammad Asif ◽  
Asif Hanif ◽  
Syed Amir Gilani ◽  
Ume Habiba ◽  
...  
Keyword(s):  
Social Support ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Postnatal Depression ◽  
Perceived Social Support ◽  
Significant Risk ◽  
Depression Scale ◽  
Sampling Technique ◽  
Normal Vaginal Delivery ◽  
Significant Other

Objectives: To assess the association of perceived social support with postnatal depression among puerperal women of Faisalabad, Pakistan. Methods: It was a case-control study carried out during a period of 18 months (1-1-2019 to 30-06-2020). By using purposive sampling technique 284 postpartum women were enrolled from Allied hospital and Children hospital Faisalabad. The postnatal depression was diagnosed with Edinburg Postnatal Depression Scale (EPDS).The Multidimensional Scale of Perceived Social Support (MSPSS) was used to measure the social support that was perceived by women. Results: According to cut-off score ≥13 on EPDS 37.3% women were found depressed while 62.7% women were found non-depressed. The mean EPDS score ± SD was 10.12 ± 6.27 (min score 0; max score 27). The perceived social support from significant other, family and friends was found as significant predictor of postnatal depression. With one-point increase in global perceived social support, the postnatal depression decreased by 0.1 points on EPDS scale (p = 0.03) among women in normal vaginal delivery group, by 0.2 points in cesarean section group (p <0.001) and the postnatal depression decreased by 0.2 points in total sample (p < 0.001). Conclusion: A poor perceived social support from significant other, family and friends is a significant risk factor for postnatal depression among puerperal women.

Personality traits of volunteer females of normal vaginal delivery or cesarean section based on HEXACO’s personality model: a comparison study

2019 ◽  
Vol 301 (2) ◽  
pp. 387-392
Author(s):  
Sedigheh Hantoushzadeh ◽  
Mamak Shariat ◽  
Raheleh Moradi ◽  
Neda Nikobakhat ◽  
Fatemeh Sabzevari
Keyword(s):  
Cesarean Section ◽  
Personality Traits ◽  
Vaginal Delivery ◽  
Normal Vaginal Delivery ◽  
Comparison Study

Timing and Safety of Postpartum Enoxparin.

Blood ◽  
2006 ◽  
Vol 108 (11) ◽  
pp. 4110-4110
Author(s):  
Rachel A. Freedman ◽  
Jeffrey Zwicker ◽  
Kenneth Alan Bauer
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Postpartum Hemorrhage ◽  
Postpartum Period ◽  
Retrospective Cohort ◽  
Low Molecular Weight Heparin ◽  
Control Group ◽  
Low Molecular Weight ◽  
Cesarean Sections ◽  
Vaginal Deliveries

Abstract The appropriate time to restart anticoagulation in the postpartum period is not known. Both the American College of Obstetrics and Gynecology as well as American College of Chest Physicians (ACCP) have issued guidelines regarding the use of anticoagulants during pregnancy but neither have generated recommendations regarding the timing of the first dose of low-molecular-weight heparin (LMWH) in the postpartum period. The incidence of postpartum hemorrhage was assessed in a retrospective cohort study of 95 women treated with enoxaparin and compared with 303 consecutive deliveries where anticoagulation was not administered. The rate of severe postpartum hemorrhage did not differ significantly for women treated with peripartum enoxaparin versus a control group of women undergoing vaginal delivery (3.6% versus 1.4%, P=0.72) or cesarean section (5.1% versus 3.4%, P=0.98). There were no severe postpartum hemorrhages following the re-initiation of enoxaparin postpartum. In 75% of vaginal deliveries and 49% of cesarean sections, enoxaparin was restarted within 24 hours. Two incisional hematomas were observed in the group of women who received enoxaparin within 24 hours following cesarean section. We conclude that severe postpartum hemorrhage is an infrequent complication following the administration of enoxaparin postpartum. In support of current clinical practice, enoxaparin can be safely administered 0 to 24 hours following vaginal delivery and 12 to 36 hours following cesarean section.

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