scholarly journals Rising trends and indication of Caesarean section in Indonesia

2020 ◽  
Vol 4 (1-2) ◽  
pp. 1
Author(s):  
Ali Sungkar ◽  
Ray Wagiu Basrowi
Keyword(s):  
Caesarean Section ◽  
Caesarean Delivery ◽  
Economic Status ◽  
Tertiary Care ◽  
Short Term ◽  
Policy Makers ◽  
National Surveys ◽  
Increasing Trend ◽  
Elective Procedure

The rate of Caesarean delivery is rising dramatically worldwide, and also nationally. The number of Caesarean births exceeds the WHO recommended rate. This study aims to provide an overview of current increasing trend of Caesarean section, including elective procedure, and its risk. A review was conducted using online database, surveillance reports, and national surveys to identify studies with topics of prevalence, trend, indications, and risks of Caesarean delivery. Overall, there is an increase of Caesarean section in global, Asia, and Indonesia setting. We found an increase of 8% from 2013 to 2018 based on population survey, and increase of elective Caesarean surgery, particularly in tertiary care. We listed the possible health risks in short term, long term among mothers and child. Advanced maternal age, higher socio-economic status, higher educational level, residing in urban area, and ownership of health insurance were found to be factors associated with maternal choice on Caesarean delivery. The information presented is important to raise awareness among policy makers aimed to develop a national strategy in reducing the rate of Caesarean delivery.

scholarly journals Indications and rate of caesarean delivery at tertiary care hospital: a retrospective study

2017 ◽  
Vol 6 (10) ◽  
pp. 4367
Author(s):  
Reena Sharma ◽  
Poojan Dogra
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Caesarean Delivery ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Number Of Patients ◽  
Increasing Trend

Background: Worldwide there has been an increase in the rate of caesarean delivery due to multiple factors. Objective of the study was to assess the prevalence and different indications of caesarean section in this institute.Methods: The aim of the study is to analyse the rates and indications of lower segment caesarean section (LSCS) in our institution. We conducted a retrospective study over a period of six months; 1st September 2016 to 1st March 2017 at SLBSGMC Mandi at Nerchowk. Total number of patients who delivered in our hospital during the defined study period was recorded and a statistical analysis of various parameters was done.Results: The total number of women delivered over the study period was 2075, out of which caesarean sections (CS) were 473. The overall CS rate calculated was 22.8%. Previous LSCS was the leading indication to the CS rate.Conclusions: Routine obstetric audits should be done to analyse the various indications of emergency and elective caesarean sections so that protocols and guidelines can be implemented to curtail the increasing trend of caesarean delivery.

scholarly journals Trends of caesarean section: an analytical overview of indications

2019 ◽  
Vol 9 (1) ◽  
pp. 288
Author(s):  
Shruti A. Gavhane ◽  
Shilpa N. Chaudhari
Keyword(s):  
Caesarean Section ◽  
Caesarean Delivery ◽  
Graphical Representation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
High Rate ◽  
Care Hospital ◽  
Chi Square ◽  
Chi Square Test ◽  
Evidenced Based

Background: Caesarean section is one of the commonly performed surgical procedures in obstetrics. An increasing trend has been observed in both primary and repeat caesarean sections. The reasons for its increase are multifaceted. So, this study was carried out to compare the rates of caesarean delivery and to analyse various indications contributing to it.Methods: This retrospective study was conducted over a period of three year from 1st January 2016 to 31st December 2018 at the department of obstetrics and gynaecology, tertiary care hospital Pune, Maharashtra, India. All caesarean delivery (primary and repeat) taken place during the study period. The rate and indications of caesarean section was calculated over the study period to find out the trends in caesarean delivery. The data so collected was presented with graphical representation. Statistical analysis was performed with SPSS software and t-test was used for continuous data and pearson chi square test for discrete data.Results: There were a total of 12373 deliveries during the study period out of which, 3701 had delivered via Caesarean Section. So, the rate of caesarean section in the study was found to be 29.91%.Conclusions: Being a tertiary care hospital, a high rate of caesarean deliveries was observed, Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit caesarean section rates.

Short-term and long-term effects of caesarean section on the health of women and children

The Lancet ◽  
2018 ◽  
Vol 392 (10155) ◽  
pp. 1349-1357 ◽  
Author(s):  
Jane Sandall ◽  
Rachel M Tribe ◽  
Lisa Avery ◽  
Glen Mola ◽  
Gerard HA Visser ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Long Term Effects ◽  
Short Term ◽  
Women And Children

scholarly journals Postpartum Uterine Wound Dehiscence Leading to Secondary PPH: Unusual Sequelae

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Rinku Sengupta Dhar ◽  
Renu Misra
Keyword(s):  
Caesarean Section ◽  
Conservative Management ◽  
Caesarean Delivery ◽  
Postpartum Haemorrhage ◽  
Wound Dehiscence ◽  
Abnormal Bleeding ◽  
Uterine Dehiscence

Secondary postpartum haemorrhage due to partial or complete dehiscence of uterine wound after caesarean section is unusual. Authors present here a patient with secondary postpartum haemorrhage following uterine dehiscence after caesarean delivery. Conservative management failed to control the bleeding, and she eventually needed hysterectomy. All women who have significant PPH following caesarean should undergo evaluation for any defect in the scar. Scar dehiscence has been diagnosed and repaired after many years of caesarean section in women with persistent abnormal bleeding. Therefore, this condition may have long-term implication if missed postpartum.

scholarly journals The burden of caesarean section and its determinants from a tertiary care hospital, Thrissur, Kerala, India

2019 ◽  
Vol 9 (1) ◽  
pp. 216
Author(s):  
Merin Baby ◽  
Sruthi M. V.
Keyword(s):  
Caesarean Section ◽  
Sample Size ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Educational Status ◽  
Care Hospital ◽  
Normal Delivery ◽  
Delivery Date ◽  
Increasing Trend

Background: Caesarean section is a surgical procedure done when vaginal delivery is contraindicated. The prevalence of caesarean section in Kerala showing an increasing trend. Even though the caesarean section is an emergency lifesaving procedure, various other factors like socio-demographic determinants, economic factors and patient’s or clinician’s preferences also influence this increasing trend. The present study was undertaken to compare the various determinants of caesarean section with normal delivery from a tertiary care hospital in Thrissur district.Methods: A hospital-based case control study was done taking mothers who had undergone caesarean section as cases and mothers who had undergone normal delivery as controls during two-month period. The sample size was calculated using the formulae: (Zα + Zβ)2x2xPQ/d2, and the calculated sample size was 88. The various determinants used were socio-demographic, obstetrics and cultural determinants.Results: In this study, it was found that the most common indications for C-section were previous C-section, PPROM and foetal distress. There was a statistically significant association between obstetrics determinants like complications during pregnancy, number of USG taken, period of gestation with mode of delivery. The present study also shows that mothers with educational status up to graduate/PG have lesser incidence of caesarean section. There was a statistically significant association between delivery date close to holidays/festival days and C-section.Conclusions: It is necessary to have health awareness sessions to pregnant mothers about the complication of pregnancy, benefits of normal delivery and complications of C-sections in-order to reduce the patients’ preference for C-section.

scholarly journals Short-term versus Long-term Investments: A Study of Women Stock Investors of Punjab

2017 ◽  
Vol 4 (01) ◽  
Author(s):  
Tina Vohra
Keyword(s):  
Well Being ◽  
Study Data ◽  
Capital Gains ◽  
Primary Sources ◽  
Economic Empowerment ◽  
Short Term ◽  
Policy Makers ◽  
Significant Difference ◽  
Cross Tabulation

Short term capital gains and long term capital appreciation are important factors influencing the investment decisions of every investor. The purchase of long-term and short term investments by an investor varies across gender. The present study is an attempt to identify the term for which investments are made by women investors of Punjab and to explore if there is a significant difference in the term for which investments are made by women investors based on their demographics. For the purpose of the study, data were collected from primary sources using a pre tested, well-structured questionnaire. Descriptive statistics as well as cross-tabulation analysis have been used in order to analyse the collected data. The results of the study brought out that the majority of women invest for a short term. The term for which the investments are made also varies with the personal monthly income of the respondents. In the light of results, the study suggests that government and the policy makers should undertake various initiatives for the economic empowerment of women as their economic empowerment is a pre requisite for their long term financial well-being.

Prognostic factors for short-term and long-term outcomes of gastric cancer surgery for elderly patients: 10 years of experience at a single tertiary care center

2018 ◽  
Vol 70 (2) ◽  
pp. 265-271 ◽  
Author(s):  
Stefano de Pascale ◽  
Daniele Belotti ◽  
Andrea Celotti ◽  
Eleonora Maddalena Minerva ◽  
Vittorio Quagliuolo ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Prognostic Factors ◽  
Elderly Patients ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Long Term Outcomes ◽  
Short Term ◽  
Gastric Cancer Surgery

scholarly journals Evaluation of the Effectiveness of the use of Pantoprazole and the Risks

2021 ◽  
pp. 35-41
Author(s):  
R. V. Anil Kumar ◽  
P. Dwarakanadha Reddy
Keyword(s):  
Andhra Pradesh ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Electrolyte Imbalance ◽  
Policy Makers ◽  
H2 Receptor Blockers ◽  
Receptor Blockers ◽  
Special Space ◽  
Significant Health

Drug use evaluation (DUE) is a systematic approach to study the utilization of marketed drugs. These studies are proved invaluable for policy makers to get inputs on the use of drugs so that they can review their strategies. In this prospective observational study, we have conducted a DUE of Acid suppressant drugs in Outpatient department (OPD) of a tertiary care teaching hospital in Kadapa, Andhra Pradesh. In the armamentarium of acid suppressants Proton pump inhibitors (PPIs) occupied a special space owing to their superiority to others like H2 receptor blockers. PPIs are in the market for the last 40 years and their safety and efficacy is impeccable till now. These are the most commonly used drugs and tend to be used for long-term to manage acidity problems. But unregulated usage of PPIs over long term could pose very significant health problems ranging from electrolyte imbalance to cognitive impairment. Our study identified some issues in prescribing PPIs suggesting there is generous use of PPIs without considering their risks. And their safety also taken for granted, it appears.

scholarly journals Trade Impacts on Embodied Carbon Emissions—Evidence from the Bilateral Trade between China and Germany

2020 ◽  
Vol 17 (14) ◽  
pp. 5076
Author(s):  
Jiajia Li ◽  
Abbas Ali Chandio ◽  
Yucong Liu
Keyword(s):  
Emerging Economies ◽  
Carbon Emissions ◽  
Bilateral Trade ◽  
Empirical Studies ◽  
Carbon Intensity ◽  
Policy Makers ◽  
Embodied Carbon ◽  
Increasing Trend ◽  
Embodied Carbon Emissions

This article attempts to investigate the impacts of bilateral trade on the environment by estimating the embodied carbon emissions between China and Germany over the period 1999–2018. The above impacts are broadly explored in the literature both under the framework of theoretical and empirical analysis. However, there exist fewer empirical studies exploring the nonlinear relationship between trade volumes and carbon emissions between a well-developed and emerging economies. By applying the multiregional input-output (MRIO) model, this article aims to reveal the impacts of trade on the environment in the case of China–Germany. Specifically, trade amounts between China and Germany rank high with a similarly increasing trend and both of them are large net exporting countries. However, China experienced much larger carbon emissions embodied in its exports to Germany. Despite potential concerns on the carbon leakage issue of China from Germany, we find that the bilateral trades fit an inverse U-shape in the embodied carbon emissions, which suggests that the trade between the two countries can finally reduce carbon intensity without obstructing economic development particularly in the long-term. This paper guides policy-makers to quantify the issue of CO2 transfer among bilateral trades in order to achieve the target of trading sustainability.

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