scholarly journals A case of fracture of humerus in newborn delivered by elective caesarean section

2015 ◽  
Vol 1 (2) ◽  
pp. 134
Author(s):  
Devindra Kaur ◽  
Harminder Singh
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Caesarean Section ◽  
Elective Caesarean Section ◽  
Vaginal Deliveries ◽  
Vertex Presentation ◽  
Fracture Humerus

<p class="abstract"><span lang="EN-US">Birth fractures are common during vaginal deliveries and with breech presentations. This case report of fracture humerus during elective LSCS done for previous LSCS with vertex presentation and with no predisposing risk factors.</span></p>

scholarly journals Maternal and neonatal risk factors for neonatal respiratory distress syndrome in term neonates in Cyprus: a prospective case–control study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Paraskevi Stylianou-Riga ◽  
Theodora Boutsikou ◽  
Panayiotis Kouis ◽  
Paraskevi Kinni ◽  
Marina Krokou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pulmonary Hypertension ◽  
Caesarean Section ◽  
Distress Syndrome ◽  
Elective Caesarean Section ◽  
Case Control ◽  
Male Gender ◽  
Term Neonates ◽  
Systemic Hypotension ◽  
Neonatal Respiratory Distress

Abstract Background Neonatal respiratory distress syndrome (NRDS) is strongly associated with premature birth, but it can also affect term neonates. Unlike the extent of research in preterm neonates, risk factors associated with incidence and severity of NRDS in term neonates are not well studied. In this study, we examined the association of maternal and neonatal risk factors with the incidence and severity of NRDS in term neonates admitted to Neonatal Intensive Care Unit (NICU) in Cyprus. Methods In a prospective, case-control design we recruited term neonates with NRDS and non-NRDS admitted to the NICU of Archbishop Makarios III hospital, the only neonatal tertiary centre in Cyprus, between April 2017–October 2018. Clinical data were obtained from patients’ files. We used univariate and multivariate logistic and linear regression models to analyse binary and continuous outcomes respectively. Results During the 18-month study period, 134 term neonates admitted to NICU were recruited, 55 (41%) with NRDS diagnosis and 79 with non-NRDS as controls. In multivariate adjusted analysis, male gender (OR: 4.35, 95% CI: 1.03–18.39, p = 0.045) and elective caesarean section (OR: 11.92, 95% CI: 1.80–78.95, p = 0.01) were identified as independent predictors of NRDS. Among neonates with NRDS, early-onset infection tended to be associated with increased administration of surfactant (β:0.75, 95% CI: − 0.02-1.52, p = 0.055). Incidence of pulmonary hypertension or systemic hypotension were associated with longer duration of parenteral nutrition (pulmonary hypertension: 11Vs 5 days, p < 0.001, systemic hypotension: 7 Vs 4 days, p = 0.01) and higher rate of blood transfusion (pulmonary hypertension: 100% Vs 67%, p = 0.045, systemic hypotension: 85% Vs 55%, p = 0.013). Conclusions This study highlights the role of elective caesarean section and male gender as independent risk factors for NRDS in term neonates. Certain therapeutic interventions are associated with complications during the course of disease. These findings can inform the development of evidence-based recommendations for improved perinatal care.

scholarly journals Uterine torsion of 90 degrees: case report

2020 ◽  
Vol 9 (4) ◽  
pp. 1743
Author(s):  
S. Tanouti ◽  
M. Chakri ◽  
H. Taheri ◽  
H. Saadi ◽  
A. Mimouni
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Emergency Caesarean Section ◽  
Third Trimester ◽  
Singleton Pregnancy ◽  
The Third ◽  
Emergency Caesarean ◽  
Uterine Torsion ◽  
Vaginal Deliveries ◽  
Obstetrical Unit

Uterine torsion is defined as a rotation of uterus more than 45 degrees along its long axis. However, a pathologic rotation of the uterus beyond 45 degrees-torsion of the entire uterus-is rarely seen in obstetrical practice, authors report a case of torsion of the uterus by 90 degrees. The patient, a 30-year-old gravida 3 para 2 at 37 weeks’ gestation with a singleton pregnancy, her prior obstetrical history included two uncomplicated term vaginal deliveries, and the current pregnancy had been uncomplicated until the date of presentation was admitted to the obstetrical unit  with  labour at 37 weeks 5 days ,on obstetric examination the patient was in labour with transversal presentation of the fetus so an emergency caesarean section (CS) was carried out for. At the time of CS, the diagnosis of uterine torsion of 90 degrees was made. After the delivery of the baby, uterus returned to anatomical position and the torsion corrected spontaneously. The patient recovered and was discharged home with her baby on the third postoperative day. Uterine torsion is an infrequently reported and potentially dangerous complication of pregnancy that occurs mainly in the third trimester.

scholarly journals 288.Labour-associated changes in human fetal membranes and placental adrenomedullin mRNA expression

2004 ◽  
Vol 16 (9) ◽  
pp. 288
Author(s):  
A. K. Alghafra ◽  
N. M. Gude ◽  
R. G. King ◽  
S. P. Brennecke
Keyword(s):  
Caesarean Section ◽  
Mrna Expression ◽  
Elective Caesarean Section ◽  
Fetal Lung ◽  
Fetal Membranes ◽  
Mrna Levels ◽  
Vaginal Deliveries ◽  
Third Stage ◽  
Term Labour ◽  
Singleton Pregnancies

We have recently shown that total adrenomedullin (AdM) concentrations are elevated in choriodecidual and amniotic tissues, but not in placental, in response to human labour at term and pre-term (1). Therefore, the present study was designed to determine whether AdM mRNA expression was increased with labour in term and pre-term samples by using Northern Blot Analysis. Placentas were collected either at elective caesarean section (not-in-labour, NIL), after normal vaginal deliveries and at caesarean section during labour (in-labour, IL) from women with singleton pregnancies at term (>36 weeks gestation, 39.2 � 0.2) or pre-term (between 24 to 36 weeks gestation, 32 � 0.4), but with otherwise uneventful antenatal courses. There were significant labour-induced increases in AdM mRNA expressions in amnion and choriodecidua in both groups, pre-term and term (see table in PDF file). No difference was found in those who had vaginal deliveries with those who had caesarean sections after the commencement of labour at pre-term. Amongst term samples in labour all subjects were delivered vaginally uneventfully, except two cases where forceps were used in the third stage of labour. AdM mRNA levels are increased in association with both term and pre-term labour, both in amnion and choriodecidua. We postulate that increased production of AdM by fetal membranes in association with labour may be involved in fetal and/or maternal adaptations to labour. For example, AdM may compensate for local-acting vasoconstrictor substances that are increased during labour, or it may act on the fetal lung in preparation for extra-uterine life. (1) Al-Ghafra A, Gude NM, Brennecke SP, King RG (2003) Labour-associated changes in adrenomedullin content in human placenta and fetal membranes. Clin. Sci. 105, 419–423.

Risk factors for Caesarean sections in Ghana: evidence from the Ghana Maternal Health Survey

2020 ◽  
pp. 1-18
Author(s):  
Emmanuel Banchani ◽  
Eric Y. Tenkorang
Keyword(s):  
Risk Factors ◽  
Maternal Health ◽  
Caesarean Section ◽  
Health Survey ◽  
Elective Caesarean Section ◽  
Sub Saharan Africa ◽  
Maternal Complications ◽  
Obstructed Labour ◽  
Sub Saharan ◽  
Using Data

Abstract A Caesarean section can be a life-saving intervention in case of pregnancy complications or difficult labour. The prevalence of Caesarean section continues to increase, especially in sub-Saharan Africa, yet the reasons for this remain largely unexplored. This study investigated risk factors contributing to the decision to perform Caesarean sections in Ghana using data from 8645 women aged 15–49 years from the 2017 Ghana Maternal Health Survey. The data were analysed by applying complementary log-log and logit models. The majority of Ghanaian women (about 87%) reported preferring vaginal delivery to Caesarean section. Of those who had undergone a Caesarean section for their most recent birth, about 55% had an elective rather than an emergency section. Women with labour complications (prolonged/obstructed labour) were significantly more likely to have a Caesarean section (OR=4.09, 95% CI=3.10–5.41). Furthermore, women with maternal complications, particularly prolonged/obstructed labour, were less likely to have an elective Caesarean section than those who had no such complications (OR=0.25, 95% CI=0.14–0.46). Compared with poorer women, wealthy women were significantly more likely to have an elective Caesarean section (OR=1.84, 95% CI=1.08–3.14). The findings suggest that beyond maternal complications, women’s socioeconomic and demographic characteristics are important risk factors for undergoing a Caesarean section in Ghana.

scholarly journals Spontaneous Pregnancy after Bilateral Tubal Ligation: A Rare Occurance

2020 ◽  
pp. 47-50
Author(s):  
K. Tunau ◽  
S. Bello ◽  
A. Panti ◽  
S. Alabi
Keyword(s):  
Case Report ◽  
Family Planning ◽  
Caesarean Section ◽  
Elective Caesarean Section ◽  
Fertility Control ◽  
First Trimester ◽  
Tubal Ligation ◽  
Female Sterilization ◽  
Spontaneous Pregnancy ◽  
Permanent Method

Bilateral tubal ligation is a form of female sterilization. It is the most commonly used method of family planning worldwide and it is a permanent method of fertility control. However the failure rate is 0.1 – 0.8%. A case report of a booked Gravida 5, Para 3+1, Alive 3 who had two previous Caesarean Sections and a previous Uterine Rupture is presented. She had a Bilateral Tubal Ligation (BTL) performed. She however presented six years after this with a spontaneous pregnancy. She presented in the first trimester, the pregnancy was followed up and she eventually had elective caesarean section and repeat bilateral tubal ligation.

scholarly journals Management of Cervical Fibroid during the Reproductive Period

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Remon Keriakos ◽  
Mark Maher
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Uterine Artery Embolization ◽  
Elective Caesarean Section ◽  
Surgical Excision ◽  
Reproductive Period ◽  
Emergency Caesarean Section ◽  
Artery Embolization ◽  
Management Options ◽  
Vaginal Myomectomy

This is a case report of a 29-year-old lady who presented with excessive vaginal discharge and sessile cervical fibroid arising from the vaginal portion of the cervix. She was not suitable for uterine artery embolization as she has never previously been pregnant before. She was encouraged to get pregnant and to avoid surgical excision which can lead to hysterectomy. Shortly after, she became pregnant. She had many admissions during pregnancy due to bleeding from the fibroid, and in one occasion she had blood transfusions. The fibroid increased in size to become larger than the head of the baby. An emergency caesarean section was performed at 37 weeks when she attended in labour before the date of her elective caesarean section. She was managed conservatively following delivery in the hope that the fibroid becomes smaller making surgery easier. The fibroid degenerated and reduced in size. Vaginal myomectomy was carried out. The patient is now pregnant for the second time and had a cervical suture at 20 weeks gestation. In this educational case report we discuss the different management options of cervical fibroids and review the literature of other similar cases and their outcome.

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