scholarly journals EVALUATION OF FETAL REACTIVITY IN A TEST WITH ACOUSTIC STIMULATION IN WOMEN WITH A HISTORY OF CESAREAN SECTION

ScienceRise ◽  
2020 ◽  
pp. 89-94
Author(s):  
Larysa Nazarenko ◽  
Lyudmyla Huk ◽  
Nataliia Nestertsova
Keyword(s):  
Cesarean Section ◽  
Perinatal Period ◽  
Acoustic Stimulation ◽  
Perinatal Medicine ◽  
Maternity Hospitals ◽  
History Of ◽  
Neonatal Adaptation ◽  
Object Of Study ◽  
Stimulation Of ◽  
Technological Product

Object of study: pregnancy in women with a history of cesarean section, perinatal period. The problem to be solved: clarification of the perinatal significance of the factor “scarred uterus”, substantiation of the clinical significance of the test with acoustic stimulation of the fetus as a method for predicting early neonatal adaptation. Main scientific results: it was found that pregnancy in women with a history of cesarean section is characterized by an increased perinatal risk and is associated with psychoemotional stress of the mother, which affects the reactivity of fetal cerebral hemodynamics. It has been shown that the test with acoustic stimulation of fetus allows one to gain an idea of the fetus's perception of stressful influences, which should be taken into account when drawing up a delivery plan. The area of practical use of research results: obstetric departments of maternity hospitals and multidisciplinary hospitals. An innovative technological product: technology for assessing the state of the fetus in full-term pregnancy, which allows predicting complications of early neonatal adaptation based on the susceptibility of the fetus in the test with acoustic stimulation. Scope of application of an innovative technological product: obstetric clinical practice, perinatal medicine.

ISTHMOCELE: ETIOLOGY, CLINIC, DIAGNOSIS AND TREATMENT (Literature review)

2021 ◽  
pp. 52-55
Author(s):  
L. I. Kandyba ◽  
I. M. Sykal ◽  
V. M. Olkhovska ◽  
M. P. Sokol
Keyword(s):  
Stem Cells ◽  
Surgical Treatment ◽  
Cesarean Section ◽  
Postoperative Period ◽  
Bladder Dysfunction ◽  
Abnormal Uterine Bleeding ◽  
Maternity Hospitals ◽  
History Of ◽  
First Time ◽  
Postoperative Scar

Modern obstetrics is characterized with a loyal approach to surgical delivery, which has significantly affected the activity of maternity hospitals: the number of complications in childbirth from both the mother and fetus has decreased. The formed scar on the uterus is determined differently when examining the women in the postoperative period. Isthmocele is a hypogenic area in the myometrium within the site of postoperative scar in the form of a "niche", diverticulum or sac after cesarean section. It can lead to the development of diseases: abnormal uterine bleeding, dysmenorrhea, chronic pelvic pain, dyspareunia, infertility, adenomyosis, bladder dysfunction, as well as be the cause of ectopic pregnancy, uterine rupture, abnormalities in the placenta attachment of. Risk factors for isthmocele include low uterine incisions, a history of cervical removal, cervical dilatation of more than 5 cm, more than five hours of delivery, etc. For the first time the diagnosis of "isthmocele" is made at ultrasonic research, more often transvaginal one. The diagnosis is confirmed by hysteroscopy or constructive surgery. An important criterion for ismocele is the degree of deficiency, i.e. the ratio between the the biometry thickness on the scar and adjacent to the scar the myometrium area. Depending on the woman's reproductive plans, conservative or surgical treatment of isthmocele is recommended, using autologous stem cells to regenerate muscle tissue. Conservative treatment involves taking oral contraceptives. Surgical treatment includes the imposition of a two−row single−wing suture. The use of stem cells in the postoperative period allows a rise in the frequency of pregnancies in women with a scar on the uterus in the case of the isthmocele formation. Key words: isthmocele, cesarean section, myometrium, autocells.

scholarly journals The history of the formation and development of methods of radiation diagnostics in perinatology

2021 ◽  
Vol 8 (3) ◽  
pp. 29-36
Author(s):  
R. E. Shtentsel ◽  
E. S. Semenova ◽  
I. A. Mashchenko ◽  
G. E. Trufanov ◽  
T. M. Pervunina ◽  
...  
Keyword(s):  
Medical Science ◽  
Perinatal Period ◽  
Developed Countries ◽  
Diagnostic Methods ◽  
Perinatal Medicine ◽  
Advantages And Disadvantages ◽  
Current State ◽  
Interdisciplinary Approaches ◽  
Independent Direction ◽  
History Of

The article is devoted to the historical aspects of the emergence and development of methods of radiology diagnostics in perinatology — a science that studies the perinatal period and is at the junction of two disciplines: obstetrics and pediatrics. The official recognition of perinatal medicine as an independent direction took place in economically developed countries in 1976 (8 years after the first Congress on Perinatology), when the European Scientific Society of Perinatology was created. One of the most important tasks of perinatology is to assess the condition of the fetus and extrafetal structures, which include the placenta, umbilical cord, fetal membranes. As part of the development of perinatology, new areas of medical science have arisen and continue to actively develop, including radiology diagnostics in perinatology. Currently, during pregnancy, from radiology diagnostic methods, ultrasound and magnetic resonance imaging are safe and informative. The emergence and development of classical X-ray diagnostics is considered separately in the article. Attention is drawn to the current state of the methods of radiology diagnostics when used in perinatology, the order of appointment, indications and contraindications, advantages and disadvantages. The study of the history of the development of radiology imaging in perinatology makes it possible to trace the dynamics of the development of this industry, to analyze the stages of the formation of instrumental research methods during pregnancy. Thanks to the constant development of technology, a large amount of accumulated experience in radiology imaging during pregnancy, the creation of international communities for diagnostics in perinatology and the formation of interdisciplinary approaches for the management of pregnancy, it has become possible to quickly, safely and non-invasively receive information about the condition of a pregnant woman and a fetus.

scholarly journals Correlation between Placenta Accreta and History of Cesarean Section among Iraqi Pregnant Women: Retrospective study

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Nour Ali Abdulla ◽  
Hawraa Hussein Ghafel
Keyword(s):  
Retrospective Study ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Placenta Accreta ◽  
Demographic Characteristics ◽  
P Value ◽  
Strong Positive Correlation ◽  
Patient Records ◽  
Maternity Hospitals ◽  
History Of

Objectives: To Identify demographic characteristics of pregnant women with placenta accreta and to find out the correlation between placenta accreta and history of C/S. Methods: A retrospective study  was conducted at Maternity wards in Baghdad City's. The study sample consists of (410) pregnant women diagnosed with placenta accreta who undergo a cesarean section. Retrospective study for last three years ago ( January /2018 to December/ 2020). The data collected from patient records in the Statistical Department of the maternity hospitals. Result: The findings of the study shows that a highly significant relationship between placenta accreta and history of cesarean section among pregnant women as indicated by a strong positive correlation at p-value= 0.001. Conclusion: There is a correlation between placenta accreta and history of cesarean section among Iraqi pregnant women.

scholarly journals Evaluation of factors that predict the success rate of trial of labor after the cesarean section

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yang Mi ◽  
Pengfei Qu ◽  
Na Guo ◽  
Ruimiao Bai ◽  
Jiayi Gao ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Cesarean Section ◽  
Receiver Operating Characteristic Curve ◽  
Success Rate ◽  
Operating Characteristic ◽  
Characteristic Curve ◽  
Predictive Ability ◽  
Training Set ◽  
History Of ◽  
Operating Characteristic Curve

Abstract Background For most women who have had a previous cesarean section, vaginal birth after cesarean section (VBAC) is a reasonable and safe choice, but which will increase the risk of adverse outcomes such as uterine rupture. In order to reduce the risk, we evaluated the factors that may affect VBAC and and established a model for predicting the success rate of trial of the labor after cesarean section (TOLAC). Methods All patients who gave birth at Northwest Women’s and Children’s Hospital from January 2016 to December 2018, had a history of cesarean section and voluntarily chose the TOLAC were recruited. Among them, 80% of the population was randomly assigned to the training set, while the remaining 20% were assigned to the external validation set. In the training set, univariate and multivariate logistic regression models were used to identify indicators related to successful TOLAC. A nomogram was constructed based on the results of multiple logistic regression analysis, and the selected variables included in the nomogram were used to predict the probability of successfully obtaining TOLAC. The area under the receiver operating characteristic curve was used to judge the predictive ability of the model. Results A total of 778 pregnant women were included in this study. Among them, 595 (76.48%) successfully underwent TOLAC, whereas 183 (23.52%) failed and switched to cesarean section. In multi-factor logistic regression, parity = 1, pre-pregnancy BMI < 24 kg/m2, cervical score ≥ 5, a history of previous vaginal delivery and neonatal birthweight < 3300 g were associated with the success of TOLAC. The area under the receiver operating characteristic curve in the prediction and validation models was 0.815 (95% CI: 0.762–0.854) and 0.730 (95% CI: 0.652–0.808), respectively, indicating that the nomogram prediction model had medium discriminative power. Conclusion The TOLAC was useful to reducing the cesarean section rate. Being primiparous, not overweight or obese, having a cervical score ≥ 5, a history of previous vaginal delivery or neonatal birthweight < 3300 g were protective indicators. In this study, the validated model had an approving predictive ability.

Analisis Penerapan Terapi Murottal Pada Ibu Post Seksio Sesaria Atas Indikasi Riwayat Penyakit Jantung (Supraventricular Tachycardia) : Laporan Kasus

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Rini Rahmayanti
Keyword(s):  
Postoperative Pain ◽  
Cesarean Section ◽  
Complementary Therapies ◽  
Health Workers ◽  
Cesarean Section Delivery ◽  
Common Complaint ◽  
Surgical Pain ◽  
The World ◽  
West Sumatra ◽  
History Of

In the world according to WHO 2014 there are (16%) SEKSIO SESARIA deliveries that exceed the recommended limits. Whereas in Indonesia according to the 2013 Riskesdas the method of cesarean section surgery was 9.8% of the total 49,603 births throughout 2010-2013. Based on the 2013 Riskesdas data in West Sumatra the rate of West Sumatra cesarean section delivery (14%) where the figure is almost close to the maximum WHO standard. One common complaint felt by post seksio sesaria mothers is surgical pain. The purpose of this study was to determine the analysis of the application of murottal therapy in post-secsio caesarea women on the indication of a history of heart disease to reduce postoperative pain in the obstetric room of RSUP Dr. M. Djamil Padang. Nursing implementation in accordance with the objectives and interventions that have been formulated. The implementation is carried out for 5 days, from 3-7 June 2018. Ny. A listens to the explanation, and demonstrates the explanation given, especially murottal Al-Qur'an therapy to reduce postoperative pain. From the results of observations and interviews that the author did, Ny.A understood what had been explained and demonstrated. It is hoped that this research will be useful for health workers to be able to apply murottal therapy as one of the complementary therapies in treating post-cesarean patients.

CLINICAL AND SUBCLINICAL CHARACTERICTIS AND PREGNANCY OUTCOME OF FETAL MACROSOMIA AT OBSTETRIC DEPARTMENT AT HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

2020 ◽  
pp. 78-84
Author(s):  
Giang Truong Thi Linh ◽  
Quang Mai Van
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Vaginal Birth ◽  
Fetal Macrosomia ◽  
Major Influence ◽  
Maternal Complications ◽  
Perineal Tear ◽  
History Of

Background: Fetal macrosomia has a major influence on maternal, neonatal and pregnancy outcomes.Objective: To describe the clinical and subclinical features and the management of fetal macrosomia on pregnancy outcomes. Subjects and methods: Study subjects including pregnant women and babies born ≥ 3500 g with nulliparous and over 4000 grams with primiparous or multiparous at Departement of Obstetrics and Gynecology in Hue University of Medicine and Pharmacy Hospital. The time of choosing subjects to enter the research group is that after birth, the weight is above 3500/4000 grams, then follow up the pregnancy result and retrospect the clinical and subclinical characteristics. Results: From May 2019 to April 2020, there were 223 pregnant women with the birth weight ≥ 3500 g in this study. The mean neonatal weight for macrosomia was 3869.96 ± 315.72 (g). The birth weight ≥ 4000 g, the rate of cesarean section was 91.5%, vaginal birth was 8.5%. The birth weight 3500 - under 4000 g, the rate of cesarean section was 76%, vaginal birth was 24%. 1.1% maternal complications was perineal tear. Conclusion:Factors related to fetal macrosomia: Maternal age, gender of fetus, parity, a history of fetal macrosomia, maternal height, pregnancy weight gain. Caesarean section is the majority. Key words: Fetal macrosomia, gestational diabetes mellitus, normal labor, caesarean section.

Features hormonal status in pregnant women with benign cervical pathology in anamnesis

2017 ◽  
pp. 71-73
Author(s):  
N.Yu. Bysaha ◽  
Keyword(s):  
Statistical Analysis ◽  
Pregnant Women ◽  
Placental Lactogen ◽  
Control Group ◽  
Hormonal Status ◽  
Hormonal Changes ◽  
Fetoplacental Complex ◽  
History Of ◽  
Objective Study ◽  
Stimulation Of

The objective: study of hormonal status in pregnant women with benign cervical pathology (CP) in anamnesis. Patients and methods. Clinical and statistical analysis of the hormonal status of 100 women with a history of benign CP pathology has been performed. According to the revealed symptoms of CP during colposcopic examination, women were divided into two groups: 100 pregnant women, in whom colposcopic and cytologically signs of CP pathology were not detected, were included in the control group; and 100 women who had a pathology of CP, entered the main group. Results. The study examined hormonal relationships in the system mother–placenta–fetus, namely the level of hormones such as estriol, progesterone, human chorionic gonadotropin, placental lactogen. Hormonal changes in pregnant women and contribute to reducing the immunoreactivity unwanted stimulation of existing benign hyperplastic background processes in the cervix. Conclusion. Determining functional state placenta is an important factor in the timely diagnosis of disorders in the functioning of the system mother–placenta–fetus. Key words: hormonal status, placenta, uterine cervix, fetoplacental complex.

scholarly journals Pregnancy complicated by previous cesarean section: a retrospective study

2018 ◽  
Vol 7 (11) ◽  
pp. 4470
Author(s):  
Poornima M.
Keyword(s):  
Retrospective Study ◽  
Cesarean Section ◽  
Medical Records ◽  
Neonatal Outcome ◽  
Perinatal Morbidity ◽  
Cesarean Sections ◽  
Previous Cesarean Section ◽  
Exclusion Criteria ◽  
History Of ◽  
Previous Cesarean

Background: Previous Cesarean section (CS) is one of the important causes of CS in subsequent pregnancies. Moreover, repeated cesarean sections increase maternal as well as perinatal morbidity and mortality. We conducted this study to find out outcome of pregnancies in women who had a history of previous CS.Methods: This was a retrospective study of patients of previous caesarean section for either maternal or fetal indications. The duration of study was 3 years. Total 215 patients were included in this study on the basis of a predefined inclusion and exclusion criteria. The indications, maternal and neonatal outcome were studied from medical records of the patients. Statistical analysis was done using SSPE 22.0 software.Results: Out of 215 studied cases majority of the patients belonged to age group of 21-30 years (75.35%) and were 2nd gravida (61.86%). 164 (76.28%) patients attended ANC OPD at least for 3 times during pregnancy. 73 (33.95%) patients had Hb of less than 10 gms while blood transfusion was required to be given in 11 (5.12%) patients. cesarean section was required in 172 (80%) patients out of which 166 (77.21%) patients had undergone emergency LSCS while in 6 (2.79%) patients elective LSCS was done. Scar tenderness was the most common indication for repeat cesarean section. There was no maternal mortality in any patients while there was 1 still birth and 1 neonatal death.Conclusions: Previous cesarean section is one of the important causes of CS in subsequent pregnancies hence decision of doing CS, especially primigravida, must be taken in accordance with strict guidelines and the practice of “cesarean section on demand” should be discouraged.

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