scholarly journals Emergency Caesarean Sections: Decision to Delivery Interval and Obstetric outcomes in Nsambya Hospital, Uganda-A Cross Sectional Study

2016 ◽  
Vol 1 (4) ◽  
Author(s):  
Daniel Murokora
Keyword(s):  
Cross Sectional Study ◽  
Obstetric Outcomes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Caesarean

scholarly journals FAILED SPINAL ANESTHESIA

2016 ◽  
Vol 23 (12) ◽  
pp. 1527-1530
Author(s):  
Mobeen Ikram ◽  
Abdul Samee ◽  
Muhammad Amir ◽  
Muhammad Imdad
Keyword(s):  
Pain Management ◽  
Caesarean Section ◽  
Spinal Anesthesia ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Caesarean ◽  
Indirect Supervision ◽  
Study Setting

Objectives: To determine the frequency of failed spinal anesthesia in patientsundergoing caesarean section in a teaching hospital in Pakistan. Study Design: It was a cross– sectional study. Setting: Department of Anesthesia and Pain Management PAF HospitalSargodha. Period: January 2015 to May 2015. Methodology: A total of 293 pregnant patientsundergoing caesarean section under spinal anesthesia were included. After prehydration andessential monitoring, all patients were given spinal anesthesia with 25 G spinal needle at L3-L4 or L4-L5 level by 2nd year resident anesthesiologist under indirect supervision using 1.5 mlof hyperbaric spinal injection. Failure to achieve adequate block was managed by differentmodalities like sedation, analgesia with ketamine, repeat spinal anesthesia or to proceed withgeneral anesthesia. Results: Out of total of 293 patients, failed spinal occurred in 9 patients(3.07%). Out of these 9 patients, 02 patients (22.22%) were elective caesarean sections while07 cases (77.77%) were emergency caesarean sections. Conclusion: The chances of failedspinal anesthesia are more in emergency caesarean sections as compared to elective casesand failure rate of spinal anesthesia in PAF teaching hospital Sargodha is 3.07% which is slightlyhigher than 3%

scholarly journals Differences in perinatal outcomes in teenage mothers with their first and third pregnancies and predictors of adverse neonatal events: A cross-sectional study

2021 ◽  
Author(s):  
Shaymaa Kadhim Jasim ◽  
Hayder Al-Momen ◽  
Ali Abdul Razzak Obaid
Keyword(s):  
Teenage Pregnancy ◽  
Neonatal Intensive Care ◽  
Significant Risk ◽  
Perinatal Outcomes ◽  
Cross Sectional Study ◽  
Obstetric Outcomes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Neonatal Complications ◽  
The Third

Background: Repeated teenage pregnancy is a major burden on the healthcare system worldwide. Objective: We aimed to compare teenagers with their first and third pregnancies and to evaluate the likelihood of neonatal complications. Materials and Methods: This cross-sectional study was performed on female teenagers (aged ≤ 19 yr) with singleton pregnancies. The subjects (n = 298) were screened over 12 months. Ninety-six women were excluded, based on the exclusion criteria. The remaining subjects (n = 202) were divided into two groups: teenagers with first pregnancy (n = 96) and teenagers with third pregnancy (n = 47). The subjects were observed throughout pregnancy and delivery. The final sample size of the first and third pregnancy groups was 96 and 47, respectively. Results: There was a significant risk of preeclampsia in the first pregnancy group (p = 0.01). Low birth weight, five-min Apgar score < 7, and neonatal intensive care unit admission were the most significant neonatal outcomes in the first pregnancy group. In the third pregnancy group, significant predictors of neonatal complications included very young age in the first pregnancy (≤ 15 yr), an inter-pregnancy interval < 2 yr, current anemia, and history of obstetric and/or neonatal complications in previous pregnancies. Conclusion: Based on the results, teenagers with their first pregnancy had comparable obstetric outcomes (except for preeclampsia) as teenagers with their third pregnancy, whereas neonatal complications occurred more frequently in the first pregnancy group. Overall, we can predict high-risk neonates in the third pregnancy, based on the abovementioned parameters. Key words: Teenage pregnancy, Complications, Neonate.

scholarly journals Oxytocin and emergency caesarean section in a medium-sized hospital in Pakistan: A cross-sectional study

2020 ◽  
Vol 4 (August) ◽  
Author(s):  
Mirjam Lukasse ◽  
Ingrid Hovda ◽  
Sara Thommessen ◽  
Sosan McAuley ◽  
Marian Morrison
Keyword(s):  
Caesarean Section ◽  
Cross Sectional Study ◽  
Emergency Caesarean Section ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Caesarean

scholarly journals Pelvic Ultrasound Findings in Women with Obstetric Fistula: A Cross-Sectional Study of Cases and Controls

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Jeffrey P. Wilkinson ◽  
Angela M. Bengtson ◽  
Ennet Chipungu ◽  
Rachel J. Pope ◽  
Bonus Makanani ◽  
...  
Keyword(s):  
Obstetric Fistula ◽  
Cross Sectional Study ◽  
Obstetric Outcomes ◽  
Sectional Study ◽  
Obstructed Labor ◽  
Partial Explanation ◽  
Cross Sectional ◽  
Endovaginal Ultrasound ◽  
Future Fertility ◽  
Cervical Stroma

Objective. Obstetric fistula (OF) is a morbid condition caused by prolonged obstructed labor. Women with OF experience profound injury and have high rates of infertility and poor obstetric outcomes. We examined endovaginal ultrasound parameters in women with and without OF. Design/Setting/Sample/Methods. This cross-sectional study enrolled women evaluated at the Fistula Care Centre in Lilongwe, Malawi. Eligibility criteria included age 18–45, prior pregnancy, and a uterus on ultrasound. Participants underwent endovaginal ultrasound with measurement of cervical dimensions. Comparisons were done using t-tests and Fisher's exact test. Among women with OF, linear regression was used to assess whether fistula stage was associated with cervical length. Results. We enrolled 98 cases and 12 controls. Women with OF had shorter cervical lengths (18.8 mm versus 27.3 mm, p < 0.01), as well as shorter anterior (7.0 mm versus 9.3 mm, p < 0.01) and posterior (9.5 mm versus 11.0 mm, p < 0.04) cervical stroma, compared to controls. Conclusion. Women with OF have shorter cervical lengths and anterior and posterior cervical stroma, when compared to women without OF. This may offer a partial explanation for subfertility and poor obstetric outcomes in OF patients. Additional studies to clarify the role of ultrasound in OF patients and prediction of future fertility are warranted.

scholarly journals WATER BIRTH IN A MATERNITY hospital OF THE SUPPLEMENTARY HEALTH SECTOR IN SANTA CATARINA, BRAZIL: A CROSS-SECTIONAL STUDY

2016 ◽  
Vol 25 (2) ◽  
Author(s):  
Tânia Regina Scheidt ◽  
Odaléa Maria Brüggemann
Keyword(s):  
Health Sector ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Obstetric Outcomes ◽  
Sectional Study ◽  
Santa Catarina ◽  
Chi Square ◽  
Cross Sectional ◽  
Water Births ◽  
Water Birth

ABSTRACT The aim of this cross-sectional study was to identify the prevalence of water births in a maternity hospital of Santa Catarina, Brazil, and to investigate the association between sociodemographic and obstetric variables and water birth. The sample consisted of 973 women who had normal births between June 2007 and May 2013. Data was analyzed through descriptive and bivariate statistics, and estimated prevalence and tested associations through the use of the chi-square test; the unadjusted and adjusted odds ratio were calculated. The prevalence of water births was 13.7%. Of the 153 women who had water birth, most were aged between 20 to 34 years old (122), had a companion (112), a college degree (136), were primiparous (101), had a pregnancy without complications (129) and were admitted in active labor (94). There was no association between sociodemographic characteristics and obstetric outcomes in the bivariate and multivariate analyses and in the adjusted model. Only women with private sources for payment had the opportunity to give birth in water.

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