Study of intraoperative complications in lower segment caesarean section at tertiary care hospital

2020 ◽  
Vol 19 (1) ◽  
pp. 06-09
Author(s):  
Shekhar Amale ◽  
Keyword(s):  
Caesarean Section ◽  
Tertiary Care Hospital ◽  
Intraoperative Complications ◽  
Tertiary Care ◽  
Care Hospital ◽  
Lower Segment ◽  
Lower Segment Caesarean Section

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 Analysis of labor induction in a tertiary care hospital

2020 ◽  
Vol 9 (11) ◽  
pp. 4627
Author(s):  
Meenakshi Tanwar ◽  
Anjali Choudhary ◽  
Shweta Mishra
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Fetal Outcome ◽  
Health Sciences ◽  
Care Hospital ◽  
Obstetric Outcome ◽  
Lower Segment ◽  
Normal Delivery ◽  
Lower Segment Caesarean Section ◽  
Labour Room

Background: Induction of labour (IOL) is a very common labour room procedure. Although labor is a natural physiological process, deliberate intervention in the form of induction may be required in many instances. It is needed in almost 20% of pregnant women for a variety of indications. The objective is to evaluate indications, different methods, and feto-maternal outcome of induced labour in tertiary care hospital.Methods: This was a retrospective study of IOL conducted in the department of obstetrics and gynecology, Shri Guru Ram Rai institute of medical and health sciences, Dehradun, Uttarakhand. Women who underwent IOL beyond 28 weeks gestation with single cephalic presentation with no contraindication for vaginal birth were included in the study. Statistical analysis was done with Microsoft excel.Results: A total of 1532 women delivered in the hospital during the study period. Among them, 498 women were induced (32.5%). Most common method of induction was misoprostol (40.36%) followed by prostaglandin E2 gel (26.90%).  Out of 498 inductions, 377 women delivered vaginally making success of induction around 75.70%. Among them, 335 women had normal delivery (67.26%) and 42 women required instrumental delivery (8.4%) and 121 women underwent lower segment caesarean section (LSCS) (24.29%).Conclusions: Elective inductions of labor in properly selected indications at optimized timings aid in achieving a favorable maternal and fetal outcome. Methods of inductions, timing and intrapartum monitoring plays an important role in influencing obstetric outcome.

scholarly journals Evaluation of postoperative outcome of different techniques of lower segment caesarean section

2019 ◽  
Vol 8 (3) ◽  
pp. 951
Author(s):  
Lata Rajoria ◽  
Manisha Kala ◽  
Nupur Hooja ◽  
Smriti Bhargava ◽  
Brijesh Dadhich
Keyword(s):  
Caesarean Section ◽  
Hospital Stay ◽  
Tertiary Care ◽  
Postoperative Outcome ◽  
Cost Effective ◽  
Care Hospital ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
One Year ◽  
Obstetric Surgery

Background: Caesarean section is the most commonly performed obstetric surgery. A change in the operative technique affects the postoperative outcome. The study was undertaken to study the postoperative outcome of the patient who underwent caesarean section by Pfannensteil Kerr and Misgav Ladach method of lower segment caesarean section.Methods: It was a hospital based interventional study done in a tertiary care hospital over one year. Postoperative condition of the women was assessed after caesarean section in women with Pfannensteil Kerr and Misgav Ladach method and compared.Results: Most cases in the Misgav Ladach method had breast fed early, had quicker return of bowel activity and earlier ambulation in comparison to the Pfannensteil Kerr method. This difference was statistically significant. Women with the Pfannensteil Kerr method had more postoperative pain, nausea and vomiting. The duration of hospital stay was less in Misgav  technique.Conclusions: Since Misgav Ladach method was a better technique than Pfannensteil Kerr, adopting it routinely would result in considerable reduction in maternal morbidity, decreased hospital stay, better patient satisfaction level and more cost effective.

scholarly journals Effectiveness and use of prophylactic antibiotics in elective and emergency caesarean section at tertiary care hospital

2020 ◽  
Vol 9 (5) ◽  
pp. 2053
Author(s):  
K. Rama Lingam ◽  
Hari Babu Ramineni ◽  
Shaik Gulshan Firdous ◽  
P. Yamuna ◽  
B. Madhuri ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Antimicrobial Prophylaxis ◽  
Tertiary Care ◽  
Prophylactic Antibiotic ◽  
Febrile Illness ◽  
Prophylactic Antibiotics ◽  
Care Hospital ◽  
Lower Segment ◽  
Lower Segment Caesarean Section

Background: Post-operative infections in obstetrics and gynecological settings have been higher compared to other specialties. Women undergoing caesarean section have 5 to 20-fold greater risk for infection compared with vaginal delivery. Many studies reported antimicrobial prophylaxis prevent post-operative infections. Hence this study concentrates the evaluation of the prescribing antimicrobial use and to assess the frequency of post-operative morbidity related to infection in subjects undergoing caesarean section. The aim of the study was to analysis the effectiveness, prophylactic antibiotics (amoxicillin versus ceftriaxone) and to evaluate the post-operative (caesarean) infections in patients undergoing lower segment caesarean section (elective and emergency).Methods: This is a prospective observational study which assessed the effectiveness and use of prophylactic antibiotics in patients undergoing cesarean section at department of obstetrics and gynecology. The study was conducted over a period of one year.Results: The corresponding mean age of all the study population in amoxicillin group (n=113) was 56.5±28.5 and in ceftriaxone group (n=97) was 48.5±26.5 respectively. The participant who underwent previous cesarean section in amoxicillin group is 65.48% similarly in ceftriaxone group is 47.42%. The patients with fetal distress in ceftriaxone group are 14.77% and in amoxicillin group is 8.92%. Failed induction in amoxicillin group is 9.82% and in ceftriaxone group is 6.81%. The number of days in hospital stay in amoxicillin group is 42.42% and in ceftriaxone group is 45.94%. The post-operative complications in amoxicillin group reported, with Febrile Illness are 40% and wound Infection is 60%.Conclusions: Administration of pre-operative antibiotics significantly reduce post-operative infections. Use of ceftriaxone as a prophylactic antibiotic in patients undergoing lower segment caesarean section (elective and emergency) is more effective than Amoxicillin in preventing post-operative infections.

scholarly journals Conservative management in a case of retained adherent placenta in a primigravida patient

2017 ◽  
Vol 6 (7) ◽  
pp. 3188
Author(s):  
Annal Abhay Vaidya ◽  
Shruti Panchbudhe ◽  
Meena Satia
Keyword(s):  
Caesarean Section ◽  
Conservative Management ◽  
Private Hospital ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Lower Segment Caesarean Section ◽  
Adherent Placenta ◽  
Beta Hcg

Morbidly adherent placenta is a serious and a catastrophic pregnancy complication. In this condition, the placenta penetrates deeply inside the uterine walls and is not separated after delivery of the baby. Reporting herewith a case of a primigravida who had undergone Emergency lower segment Caesarean section at a private hospital for severe pregnancy induced hypertension with IUGR and then was referred to Tertiary Care hospital with placenta left in-situ due to non-separation of the placenta at the time of caesarean section. Conservative management was given using Methotrexate which is an anti-metabolite alternatively with Leucovorin (Folinic acid) and followed up with serial ultrasonography with Doppler for placental size and volume and beta-HCG levels which showed a decreasing trend respectively.

Sign in / Sign up

Export Citation Format

Share Document