scholarly journals MATERNAL FACTORS ON LABOR WITH CESAREAN SECTION HISTORY

2021 ◽  
Vol 4 (4) ◽  
pp. 325
Author(s):  
Qonita Hanifah ◽  
Linda Dewanti ◽  
Ernawati Ernawati

AbstractBackground : Cesarean section without medical indications can have negativity in developing or developed countries. Cesarean section is a medical intervention in certain circumstance but must be recognized as a major surgical procedure with potential risks to the mother and baby. This research aim to analyze maternal factors in labor with a history of cesarean esction. Method : this research was a cross sectional method with collected 72 medical records in RSUD Dr. M. Soewandhie Surabaya. Result : Maternal age,  interpregnancy interval, indication of past Cesarean section, and BMI during pregnancy, did not correlate with method of delivery. Factors which correlated to method of delivery after Cesarean section  were prior vaginal delivery (p=0,044) and length of stay (p=0,000). Conclusion : There is a relationship between the factors of vaginal birth history and length of stay with delivery method. 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Seyed Abolhassan Naghibi ◽  
Maryam Khazaee-Pool ◽  
Mahmood Moosazadeh

Abstract Background The rate at which mothers experience a cesarean section in the absence of medical signs is growing worldwide. Women’s beliefs and intentions play an essential role in the request or choice of a delivery method. At present, there is no comprehensive, validated scale for assessing pregnant women’s beliefs about cesarean section in the Iranian population. This study was performed to develop and assess the validity and reliability of the intention-based cesarean section scale using the theory of reasoned action (TRA) constructs as a theoretical framework for measuring intention toward the selection of a delivery method. Methods In this cross-sectional validation study, 480 pregnant women were recruited from Sari, in northern Iran, through a multistage random sampling approach. Content validity was examined using the content validity index (CVI) and content validity ratio (CVR). Furthermore, both exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were applied to assess the construct validity of the developed scale. Reliability was measured by internal consistency and the intraclass correlation coefficient (ICC). Quality criteria for floor and ceiling effects were derived from existing guidelines and consensus within our research group. Results The results obtained from the factor analysis showed that the data were fit to the model (χ2 = 2298.389, P < 0.001). The TRA comprised 24 items assessing five domains, which described 62.46% of the common variance. The CFA showed a model with suitable fitness for the data. Cronbach’s alpha coefficient for the domains of the scale ranged from 0.609 to 0.843, and the ICC value ranged from 0.71 to 0.84, which is within the satisfactory range. The IR-TBICS scale had no floor or ceiling effect on the total score or any of the dimensions. Conclusions The belief-based cesarean section scale appears to be a reliable instrument. It is considered suitable and can be applied in other research in Iran.



Author(s):  
Tanveer Bano ◽  
Abhishek Agarwal ◽  
Sunil Kumar Garg ◽  
Harivansh Chopra ◽  
Seema Jain ◽  
...  

Background: Iron deficiency anaemia constitutes more than half of the anaemia burden among the under 5 children. In addition to socio-demographic factors, the maternal factors plays an important role in determining childhood anaemia. The objective of the study was to determine the prevalence of anaemia among 1-3 year old children and to find their association with maternal factors.Methods: The present cross sectional study was conducted in a sub centre village under Machhra CHC. Sample size was calculated as 182 by taking the prevalence of anaemia as 79% with 7.5% relative precision and 95% confidence interval. From the list of 404 children obtained from MCTS data, 200 children were selected randomly. Detailed information regarding socio demographic factors and maternal factors was obtained on a pre tested and pre designed questionnaire. Hemoglobin levels were estimated using haemo check rapid diagnostic kit. The data was collected and analyzed on epi info 3.7.2 using appropriate statistical tests.Results: Out of 200 children 77.5% of them were suffering from mild to severe anaemia. Among all the maternal factors studied maternal education, iron folic acid consumption during pregnancy, birth order of the index case and history of exclusive breast feeding were found to be significantly associated with prevalence of anaemia among the children.Conclusions: The present study revealed a high prevalence of anaemia in children and maternal factors plays an important role in determining the disease. 



Author(s):  
Djiguemde Nebnomyidboumbou Norbert Wenceslas ◽  
Lankaonde Martin ◽  
Savadogo-Komboigo B. Eveline ◽  
S. I. B. Sansan Rodrigue ◽  
Ouedraogo Wendlassida Estelle ◽  
...  

Background: Objective was to study the indications and the prognosis of cesarean section in the obstetrics and gynecology department of CHR Koudougou from August 1st to October 16th 2018.Methods: This was a cross-sectional study for descriptive purposes with prospective collection of data over the month and monitoring of parturients up to the 42nd day post caesarean section. The study covered the period from August 1 to October 16, 2018. Gestures received in the work room and those hospitalized for a scheduled cesarean were involved in this study.Results: This study involved 316 deliveries. The caesarean section rate was 34.8% (n=110). The average age was 26.75 years with extremes of 12 and 42 years. Term pregnancies represented 90.9%. History of cesarean section was observed in 47, 3%. The main groups contributing to the caesarean section rate represent: Groups 5 (9.5%), Group 1 (9.2%), Group 3 (5.1%), the scar uterus (17.3%) and suffering fetal (14.6%). The reported complications were 15.5% including 3.6% parietal suppuration and 0.8% stillbirth.Conclusions: The caesarean section occupies an important place in the maternity service of the RHC of Koudougou. Robson's group 5 was the largest contributor to the overall cesarean rate in our study. Measures should be taken in this group so that the uterine scar does not become an absolute indication for cesarean.



1969 ◽  
Vol 5 (1) ◽  
pp. 644-647
Author(s):  
SARA GUL ◽  
ATIF HUSSAIN ◽  
KASHIF UR REHMAN KHALIL ◽  
IMRANULLAH ◽  
MUHAMMAD ISHTIAQ ◽  
...  

BACKGROUND: Hypertension is one of the common non communicable disease and is reported to beprevalent in 20% to 50% of the adult population, hypertension is one of the major contributor ofmortality and morbidity in developing and developed countries. The cross-sectional descriptive studywas formulated to find the prevalence and to assess different etiological factors of hypertension.MATERIAL & METHODS: This cross-sectional study among 400 adults of age 25-75 years wasconducted in months of June to December 2014 in Phase 5, Hayatabad Peshawar. A detailed structuredproforma having important questions was used to collect important data regarding various variables.RESULTS: Our study results showed that 22.75% of the study people were hypertensive i.e. 10.25% ofmales and 12.5% of females; and the prevalence of hypertension showed positive association withadvancing age. Out of all respondents; 60.25% were males while 39.75% were females; 28.5% weresmokers; 5.25% consume predominantly meat; 32.5% were obese & overweight; 36.75% checked theirB.P regularly; and 19.75% had positive history of hypertension in family.CONCLUSION: We conclude that hypertension prevalence was high among our study population andwas associated with various modifiable and non modifiable risk factors thus population based preventivestrategies are needed to control and prevent hypertension.KEY WORDS: Hypertension, Age, Diet, Smokers, Hayatabad, Peshawar.



Author(s):  
Mahmoud S. Zakherah ◽  
Tarek A. Farghaly ◽  
Elham S. Ahmed ◽  
Ahmed M. Abbas

Background: The current study aims to evaluate the prevalence of CS on demand in Women's health hospital, Assiut University and Abnob Central Hospital in Assiut Governorate, Egypt.Methods: A cross sectional study conducted in Assiut Women Health Hospital and Abnob central hospital from January 2017 to December 2017. The total number of cesarean section done was 180 cases and the number of CS on demand was 64 (35.6%). The demographic data were collected by one of the study investigators. Women were asked about the causes of requesting CS before surgery.Results: The study group was 64 women with age ranging from 18-40 years old, 40 primipara and 24 multipara. Of those 24 women, 21 of them previously delivered vaginally and only 3 women delivered by emergency CS. Twenty- six women had a history of previous abortion. Fear of pain was the main cause for CS on demand in the whole study participants (57.8%). In primipara, the main cause for requesting CS is fear of pain in 62.5% of participants followed by fear on the baby in 45 % of women. On the other hand, in multipara, the main cause for CS on demand was bad history of previous experience (60%) followed by fear of pain in 50% of cases. There was statistical significant difference between both groups in only two causes; fear of pelvic floor injuries (50% in multipara vs. 20% in primipara, p=0.02) and bad history of previous experience (60% in multipara vs. 0% in primipara, p=0.001). Other causes were not statistically different.Conclusions: The incidence of cesarean sections performed on request without medical indications is rising. The reasons for this are not only for perceived medical benefit, but also due to social, cultural, and psychological factors.



Author(s):  
Joyita Bhowmik ◽  
Amit Kyal ◽  
Indrani Das ◽  
Vidhika Berwal ◽  
Pijush Kanti Das ◽  
...  

Background: The Caesarean section epidemic is a reason for immediate concern and deserves serious international attention. The purpose of this study was to evaluate adverse maternal and fetal complications associated with pregnancies with history of previous caesarean section.Methods: A cross-sectional, observational study carried out over a period of 1 year from 1st June 2016 to 31st July 2017 in Medical College Kolkata. 200 antenatal patients with previous history of 1 or more caesarean sections were included. In all cases thorough history, complete physical and obstetrical examination, routine and case specific investigations were carried out and patients were followed till delivery and for 7 days thereafter. All adverse maternal and fetal complications were noted.Results: Out of 200 women, 30 candidates were tried for VBAC, of them 20 (66.66%) had successful outcome. Most common antenatal complication was APH (5.5%) due to placenta praevia followed by scar dehiscence. There were 12 cases (6.66%) of PPH and 6 cases (3.33%) of scar dehiscence in the study group. 3 cases required urgent hysterectomy due to placenta accreta. 42 out of 196 babies required management in SNCU immediately or later after birth.Conclusions: Women with a prior cesarean are at increased risk for repeat cesarean section. Vigilance with respect to indication at primary cesarean delivery, proper counselling for trial of labor and proper antepartum and intrapartum monitoring of patients are key to reducing the cesarean section rates and maternal complications.



Author(s):  
Ika Avrilina Haryono ◽  
Adriana Palimbo ◽  
Difa Okti Al Kautsar

ABSTRAKLatar Belakang : Kanker payudara merupakan salah satu penyebab kematian utama pada wanita di dunia. Sejauh ini, kanker payudara paling sering diderita oleh wanita dengan perkiraan 43,3% juta kasus kanker baru yang didiagnosis pada tahun 2012. Angka kejadian kanker payudara bervariasi secara global dimana terjadi peningkatan insiden di negara berkembang tetapi cenderung menurun dinegara maju, dengan kasus pada negara berkembang (883.000 kasus) negara maju (794.000 kasus). Tujuan: Menganalisis faktor resiko yang berhubungan dengan kejadian kanker payudara meliputi faktor umur, umur pertama menstruasi, menopause, umur pertama kali menikah, riwayat penggunaan kontrasepsi hormonal, riwayat pemberian ASI, da riwayat kanker payudara pada keluarga.Metode: Penelitian ini adalah penelitian kuantitatif menggunakan metode survey analitik dengan rancangan cross sectional. Populasi dalam penelitian ini berjumlah 760 orang dengan sampel 88 orang. Teknik pengumpulan data primer, teknik analisa data yang digunakan adalah uji chi square dan uji regresi berganda.Hasil: Hasil Uji Chi Square menunjukan bahwa terdapat hubungan signifikan antara umur (p=0.000) dan penggunaan kontrasepsi hormonal (p=0.002) dengan hasil uji regresi berganda (p-value0.05) menunjukan bahwa tidak ada pengaruh faktor risiko terhadap kejadian kanker payudara.Simpulan: Ada hubungan antara umur dan riwayat penggunaan kontrasepsi hormonal dengan kejadian kanker payudara. Tidak ada pengaruh faktor resiko terhadap kejadian kanker payudara. Kata Kunci: kanker payudara, riwayat penggunaan kontrasepsi hormonal, umur Risk Factors Related to Breast Cancer IncidenceIn the Edelweis Room of Ulin Hospital Banjarmasin AbstractBackground: Breast cancer is one of the leading causes of death in women in the world. So far, breast cancer most often affects women with an estimated 43.3% of new cancer cases diagnosed in 2012. The incidence of breast cancer varies globally where there is an increase in incidents in developing countries but tends to decrease in developed countries, with cases in the country developing (883,000 cases) developed countries (794,000 cases).Objective: Analyzing risk factors associated with breast cancer events include age, age at first menstruation, menopause, age at first marriage, history of use of hormonal contraception, history of breastfeeding, and history of breast cancer in the family.Method: This study is a quantitative study using analytical survey method with cross sectional design. The population in this study amounted to 760 people with a sample of 88 people. Primary data collection techniques, data analysis techniques used are chi square test and multiple regression test.Results: Chi Square test results showed that there was a significant relationship between age (p = 0,000) and hormonal contraceptive use (p = 0.002) with the results of multiple regression tests (p-value 0.05) indicating that there was no effect of risk factors on breast cancer incidence.Conclusion: There is a relationship between age and history of hormonal contraceptive use with the incidence of breast cancer. There is no effect of risk factors on the incidence of breast cancer. Keywords: breast cancer, history of hormonal contraceptive use, age



2020 ◽  
Vol 1 (6) ◽  
pp. 17-27
Author(s):  
Mutiara Hikmah ◽  
Asriwati Asriwati ◽  
Aida Fitria ◽  
Lucia Lastiur

Caesarean section delivery is a method of delivery in which an incision or incision is made in the abdominal wall and uterine wall to remove the product of conception. This study aims to analyze the factors that influence the increase in the number of Sesarea sections in the H. Sahudin Kutacane Regional Hospital, Southeast Aceh, Aceh Province, Indonesia. This research method is a mixed method with a cross-sectional or explanatory sequential approach. The number of samples used for the quantitative study were 40 women giving birth by cesarean section, and for qualitative research using 4 informants consisting of 2 maternal, 1 obstetrician, and 1 clinic midwife. Data collection techniques in this study used primary, secondary, and tertiary data. The data analysis techniques used in this study were univariate, bivariate, and multivariate. The results of this study indicate that the factors of age (p = 0.221), education (p = 0.000), work (p = 0.733), parity (p = 0.000), medical indications (p = 0.140), JKN KIS (p = 0.000), knowledge (p = 0.007), and attitude (p = 0.000). Of the 5 related variables, there were no variables that directly affected the increase in cesarean section (p value => 0.05). There is a significant relationship between education, parity, national health insurance, knowledge and attitudes towards increasing cesarean section delivery in RSUD. H. Sahudin Kutacane, but of the five variables, none of the variables had an effect on the increase in the cesarean section rate in RSUD.H. Sahudin Kutacane.



Author(s):  
Kapil J. Govani ◽  
Priyanka D. Jogia

Background: Cesarean section (CS or C-section) is a surgical intervention and it is the 2nd commonest surgery performed on women in India after tubectomy operation. So, the study was conducted with objectives to assess the socio-demographic profile of recently delivered women and to assess the trend and etiological factors of cesarean delivery among women.Methods: A cross sectional study was conducted among recently delivered women of Ahmedabad city, Gujarat, India during April to September 2015. Pretested performa was used for study after informed consent. Total 200 women were selected for study.Results: Majority (56%) of women were belongs to 25 to 30 year. age group. Few (5%) of women were found illiterate. 31% women were delivered through cesarean section. Majority (63.5%) of women were delivered at Government hospitals. Most common reason (23%) for cesarean delivery was previous history of LSCS. Most preferred (33%) first choice of contraceptive method was barrier method.Conclusions: Commonest reasons for cesarean deliveries were previous history of LSCS, Oligohydramnios and prolonged labor. Most preferred first choice of contraceptive method was barrier method followed by Oral Contraceptive pills.



2019 ◽  
Author(s):  
Seyed Abolhassan Naghibi ◽  
Maryam Khazaee-Pool ◽  
Mahmood Moosazadeh

Abstract Background: The rate of mothers experiencing a cesarean section in the absence of medical signs is growing in the world. Women beliefs and intentions have an essential role in the request or choosing a delivery method. At present, there is no comprehensive, validated scale for assessing pregnant women' beliefs about cesarean section in the Iranian population. This study performed to develop and assess the validity and reliability of the belief-based cesarean section scale using the theory of reason action (TRA) constructs as a theoretical framework for measuring intention toward delivery method selection. Methods: In this cross-sectional validation study, 480 pregnant women were recruited of Sari, north of Iran, through a multi-stage random sampling approach. Content validity was examined using the content validity index (CVI) and content validity ratio (CVR). Furthermore, both exploratory factor analyses (EFA) and confirmatory factor analyses (CFA) were applied to assess the construct validity of the developed scale. Reliability was measured by internal consistency and intraclass correlation coefficient (ICC). Results: Results obtained from factor analysis showed that the data were fit to the model (χ2= 2298.389, P<0.001) and TRA consisted of 24 items assessing five domains which describing 62.46% of the common variance. The CFA showed a model with suitable fitness for the data. Cronbach’s alpha coefficient for the domains of the scale ranged from .609 to .843, and the ICC value ranged from .71 to .84, which is within satisfactory ranges. Conclusion: The belief-based cesarean section scale is a reliable instrument and now is suitable and appropriate and can be applied in other researches. Keywords: Cesarean section, Intention, Scale development, Psychometrics, Pregnant women



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