scholarly journals The Revelation of Caput Succedaneum after Instrumental Assisted Deliveries: Exclusively diagnosed on Ultrasonography: Mini Article of Case Series

2021 ◽  
Vol 6 (11) ◽  
pp. 795-799
Author(s):  
Rabiya Siraj ◽  
Rana Rehan ◽  
Bushra Shamim ◽  
Bisma Rizwan ◽  
Imtiaz Ali ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Tertiary Care ◽  
Case Series ◽  
Vacuum Extraction ◽  
Assisted Vaginal Delivery ◽  
Tertiary Care Hospitals

Vacuum extraction delivery is one of the commonest and routinely available forms of assisted vaginal delivery in tertiary care hospitals. The association of caput succedaneum and mode of deliveries is sparsely discussed in any of the renowned platform. Here we are presenting case series of infants who presented to us with scalp swelling in our ultrasound suite and we diagnosed them as caput succedaneum exclusively on sonography with no need of CT or MRI scanning.

Obstetric anal sphincter injury and anal incontinence

2021 ◽  
Vol 86 (2) ◽  
pp. 118-122
Author(s):  
Jan Dvořák ◽  
◽  
Jaromír Mašata ◽  
Kamil Švabík ◽  
Alois Martan
Keyword(s):  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Vacuum Extraction ◽  
Sphincter Injury ◽  
Assisted Vaginal Delivery ◽  
Anal Sphincter Injury ◽  
Current State ◽  
Complex Approach ◽  
Risk Patients

Overview Objective: The aim of our study is to clarify the problems of OASI (obstetric anal sphincter injuries) and anal incontinence and prevention of this injury. Methods: Review of articles in peer reviewed journals with the usage of Google Scholar function and PubMed. Conclusion: OASI is a severe injury which is more commonly associated with assisted vaginal delivery. This injury cannot be fully prevented, but its incidence can be averted by the usage of selective mediolateral episiotomy, or by other precautionary moves in high risk patients. The treatment of anal incontinence after OASI requires a complex approach and thorough examination. At first delivery, OASI is not a stern indication for caesarean section in accordance with current state of knowledge. Keywords: OASI – sphincter injury – anal incontinence – assisted vaginal delivery – vacuum-extraction – forceps

scholarly journals Post-vaccination SARS-CoV-2 infection among healthcare workers in tertiary care hospitals in Saudi Arabia: A case series

2021 ◽  
Author(s):  
Majid M. Alshamrani ◽  
Fayssal M Farahat ◽  
Aiman El-Saed ◽  
Mohammed Alzunitan ◽  
Asim Alsaedi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Case Series ◽  
Post Vaccination ◽  
Tertiary Care Hospitals

The Association between the Number of Vacuum Pop-offs and Adverse Neonatal Outcomes

2021 ◽  
Author(s):  
Allie Sakowicz ◽  
Salwa J. Zahalka ◽  
Emily S. Miller
Keyword(s):  
Vaginal Delivery ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Neonatal Outcomes ◽  
Assisted Vaginal Delivery ◽  
Central Nervous System Depression ◽  
Increased Risk ◽  
Adverse Neonatal Outcomes ◽  
Multivariable Analyses ◽  
Independent Association

Objective Obstetrical vacuum manufacturers have long recommended a maximum of two to three pop-offs be allowed before abandoning the procedure. However, there is a paucity of evidence on the safety of vacuum-assisted vaginal delivery in relation to the number of pop-offs to support this recommendation. Our objective was to examine whether the number of pop-offs in a vacuum-assisted vaginal delivery was associated with adverse neonatal outcomes. Study Design This is a retrospective cohort study of women who underwent a trial of a vacuum-assisted vaginal delivery at a single tertiary care institution between October 2005 and June 2014. Maternal and fetal factors associated with the number of pop-offs were examined in bivariable analyses. Multivariable analyses were performed to determine the independent association of the number of pop-offs with adverse neonatal outcomes. Results Of the 1,730 women who met inclusion criteria, 1,293 (74.7%) had no pop-offs, 240 (13.9%) had one pop-off, 128 (7.4%) had two pop-offs, and 69 (4.0%) had three or more pop-offs. Neonatal scalp/facial lacerations, intracranial hemorrhage, seizures, central nervous system depression, and neonatal intensive care unit admission were all associated with the number of pop-offs in bivariable analyses. In multivariable analyses, compared to no pop-offs, having any vacuum pop-offs was associated with an increased odds of adverse neonatal outcomes. However, there was not a consistent dose–response relationship. Conclusion While having vacuum pop-offs in a vacuum-assisted vaginal delivery was associated with an increased risk of adverse neonatal outcomes, there did not appear to be a dose-dependent association with the number of pop-offs. Key Points

scholarly journals RELATIONSHIP OF MEASLES CASES IN MEASLES VACCINATED CHILDREN DURING OUTBREAK OF MEASLES IN BAHAWALPUR.

2019 ◽  
Vol 26 (07) ◽  
pp. 1125-1130
Author(s):  
Shahzadi Asma Tahseen
Keyword(s):  
Clinical Diagnosis ◽  
Case Fatality Rate ◽  
Tertiary Care ◽  
Case Series ◽  
Case Fatality ◽  
Fatality Rate ◽  
Medical College ◽  
District Officer ◽  
Relationship Of ◽  
Tertiary Care Hospitals

Objectives: To evaluate the clinical profile and case fatality rate and their comparison in relation with vaccination status in admitted children. Study Design: Case series retrospective study. Setting: Pediatric units of the tertiary care Hospitals (Bahawal Victoria Hospital and the Civil Hospital) affiliated with Quaid-e-Azam medical College Bahawalpur situated in Southern Punjab, Pakistan). Period: 01/01/2013 to 06/9/2013. Methods and Material: A clinical diagnosis of measles (as made by consultants of said Pediatric units) and residing in Bahawalpur district for more than one month of period before admitting in the hospital was included and reviewed. The help of Statistical department of Executive District Officer Health Bahawalpur was taken for missing information as the measles is notifiable disease and all cases were notified to Executive District Officer Health. The children who were nonresident of Bahawalpur District or with incomplete data were excluded. The children were divided into three groups depending on number of measles vaccine doses given. Results: The data of 557 children admitting during the period 01/01/2013 to 06/9/2013 with a clinical diagnosis of measles and resident of Bahawalpur district was included. 52.97% were males. 26.57% were unvaccinated and 73.43% vaccinated (39.14% with one dose and 34.29% with two doses). The mean age ± SD in unvaccinated children was 24.68±27.04, with one dose vaccination 50.94 ±35.58 and with two doses vaccination was 45.05 ±23.67 months. The case fatality rate was 2.87%. The case fatality was significantly higher in males vaccinated with two doses of vaccine as compared to either ones vaccinated with one dose or unvaccinated ones but this difference was not found in females. Conclusion: This study shows that there is urgent need of proper surveillance of measles cases.

scholarly journals Olfactory and Gustatory Dysfunction as An Early Identifier of COVID-19 in Adults and Children: An International Multicenter Study

2020 ◽  
Author(s):  
Chenghao Qiu ◽  
Chong Cui ◽  
Charlotte Hautefort ◽  
Antje Haehner ◽  
Jun Zhao ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Case Series ◽  
Symptomatic Improvement ◽  
Olfactory Testing ◽  
Adults And Children ◽  
International Multicenter Study ◽  
Tertiary Care Hospitals ◽  
Chemosensory Function ◽  
International Multicenter

Abstract Objective: Evaluate the prevalence and characteristics of olfactory or gustatory dysfunction in COVID-19 patients Study Design: Multicenter Case Series Setting: 5 tertiary care hospitals (3 in China, 1 in France, 1 in Germany) Subjects and Methods: 394 PCR confirmed COVID-19 positive patients were screened, and those with olfactory or gustatory dysfunction were included. Data including demographics, COVID-19 severity, patient outcome, and the incidence and degree of olfactory and/or gustatory dysfunction were collected and analyzed. The Questionnaire of Olfactory Disorders (QOD) and Visual Analogue Scale (VAS) were used to quantify olfactory and gustatory dysfunction respectively. All subjects at one hospital (Shanghai) without subjective olfactory complaints underwent objective testing. Results: Of 394 screened subjects, 161 (41%) reported olfactory and/or gustatory dysfunction and were included. Incidence of olfactory and/or gustatory disorders in Chinese (n=239), German (n=39) and French (n=116) cohorts were 32%, 69%, and 49% 138 respectively. The median age of included subjects was 39 years old, 92/161 (57%) were male, and 10/161 (6%) were children. Of included subjects, 10% had only olfactory or gustatory symptoms, and 19% had olfactory and/or gustatory complaints prior to any other COVID-19 symptom. Of subjects with objective olfactory testing, 10/90 demonstrated abnormal chemosensory function despite reporting normal subjective olfaction. 43% (44/102) of subjects with follow-up showed symptomatic improvement in olfaction or gustation. Conclusions: Olfactory and/or gustatory disorders may represent early or isolated symptoms of SARS-CoV-2 infection. They may serve as a useful additional screening criterion, particularly for the identification of patients in the early stages of infection.

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