Caesarean sections are associated with sonographic determined fetal size from the second trimester onwards

AbstractHuman birth represents a critical and life-threatening event in the life of mother and child and is therefore of special importance for anthropological as well as public health research.Study aims: to analyze the association patterns between fetal biometry and delivery modes from the first trimester onwards.In this electronic medical record-based study, a dataset of 3408 singleton term birth taking place at the Viennese Danube hospital in Austria. was analyzed. Fetal biometry was reconstructed by the results of three ultrasound examinations carried out at the 11th/12th, 20th/21th and 32th/33thweek of gestation. In detail, crown-rump length, biparietal diameter, fronto-occipital diameter, head circumference, abdominal trans-verse diameter, abdominal sagittal diameter, abdominal circumference, and femur length were determined. Birth weight, birth length and head circumference were measured immediately after birth. Four delivery modes were compared: spontaneous vaginal birth, instrumental vaginal birth, planned cesarean section and emergency cesarean section.The total cesarean section rate was 10.2%. Fetal biometry and newborn size differed significantly between the four delivery modes. From the second trimester onward, head circumferences were significantly larger (p=0.005) among fetuses delivered by instrumental delivery or emergency cesarean section than among fetuses delivered by spontaneous vaginal birth. The fetal abdominal dimensions during the third trimester were significantly largest (p=0.001) among fetuses delivered by emergency cesarean section. In comparison to spontaneous vaginal delivery the risk to require instrumental delivery increased significantly with increasing fetal head dimensions at the second (p=0.019) and third trimester(p=0.032) independent of maternal somatic factors. The risk of emergency CS increased significantly with increasing head dimensions (p=0.030) as well as abdominal dimensions (p=0.001) at the third trimester and newborn size (p=0.002), also independently of maternal somatic factors.In general, larger fetuses are on an increased risk of experiencing instrumental delivery or emergency caesarean section. This association between fetal size and delivery mode is detectable from the second trimester onwards.

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Case with a Nonreassuring Fetal Status Induced by Massive Hematemesis due to Mallory-Weiss Tear That Required Emergency Cesarean Section at 38 Weeks’ Gestation

Case Reports in Obstetrics and Gynecology ◽

10.1155/2015/762463 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5

Author(s):

Takashi Suzuki ◽

Maiko Wagata ◽

Hiroko Konno ◽

Takahiro Ito ◽

Yuichi Torii ◽

...

Keyword(s):

Blood Transfusion ◽

Cesarean Section ◽

Rare Case ◽

Hemoglobin Level ◽

Endoscopic Hemostasis ◽

Third Trimester ◽

Emergency Cesarean Section ◽

The Third ◽

Emergency Cesarean ◽

Massive Hematemesis

We describe a rare case of Mallory-Weiss tear with massive hematemesis at 38 weeks’ gestation. A 35-year-old woman presented with epigastralgia followed by massive hematemesis. An emergency endoscopy indicated active pulsatile bleeding at the esophagocardial junction. Although an emergency endoscopic hemostasis was successful, late decelerations without acceleration on cardiotocogram were observed. Therefore, the patient underwent emergency cesarean section, along with blood transfusion, following the endoscopic hemostasis. The hemoglobin level just before the operation was 5.1 g/dL. We suspected that massive hematemesis induced maternal acute anemia and hypovolemia, which resulted in a nonreassuring fetal status. Hence, urgent endoscopic hemostasis, adequate blood transfusion, and emergency cesarean section were needed. Mallory-Weiss tear during the third trimester may have a possibility of massive hematemesis and urgent blood transfusion, emergency endoscopic hemostasis, and emergency cesarean section may be needed.

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Tako-Tsubo cardiomyopathy after cardiopulmonary resuscitation during emergency Cesarean section in a 28 year old patient in the 31st week of pregnancy

Geburtshilfe und Frauenheilkunde ◽

10.1055/s-0036-1593213 ◽

2016 ◽

Vol 76 (10) ◽

Author(s):

K Kraft ◽

H Mooz ◽

A Puhl ◽

M Graf ◽

H Renz ◽

...

Keyword(s):

Cardiopulmonary Resuscitation ◽

Cesarean Section ◽

Emergency Cesarean Section ◽

Emergency Cesarean ◽

Tako Tsubo Cardiomyopathy

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A Case of Emergency Cesarean Section on Client with Pseudopregnancy

10.32592/zamen.2020.1.1.100 ◽

2020 ◽

pp. 1-6

Keyword(s):

Heart Rate ◽

Cesarean Section ◽

Fetal Heart Rate ◽

Medical Service ◽

Fetal Heart ◽

Placenta Previa ◽

Urban Hospital ◽

Emergency Cesarean Section ◽

Emergency Cesarean ◽

Rural Health Center

Pseudopregnancy detection is significant while as the false pregnancy may show all symptoms. It is important to differentiate it. This is a case report of a pseudopregnancy which led to an emergency cesarean section. A 28-year-old woman who claimed to 7-month pregnancy was brought to the rural health center by husband families complaining of vaginal bleeding. The woman refers to an urban hospital by Emergency Medical Service with the diagnosis of placenta previa. In the hospital, she underwent an emergency cesarean section due to a severe deceleration of fetal heart rate, prior to assessing by sonography. No fetus or signs of uterine or abdominal pregnancy were found. Wrong auscultation of the mother's heart rate instead of fetal heart rate seems to be the main error. It is required to pay more attention to the methods of differentiation of fetal heart rate from the mother's heart rate. This report enlightens false pregnancy and early differentiation.

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