Effect of type of anaesthesia in lower segment caesarean section on apgar score of new born babies: A comparative study

2019 ◽  
Vol 10 (1) ◽  
pp. 32-35
Author(s):  
Neerupam Gupta ◽  
◽  
Naine Bhadrala ◽  
Harman Multani ◽  
◽  
...  
Keyword(s):  
Caesarean Section ◽  
Comparative Study ◽  
Apgar Score ◽  
Lower Segment ◽  
New Born ◽  
Lower Segment Caesarean Section ◽  
Type Of Anaesthesia

scholarly journals Efficacy of Tranexamic Acid in Reducing Blood Loss during and After Caesarean Section: A Case control Study

2020 ◽  
Vol 18 (1) ◽  
pp. 22-25
Author(s):  
Kavita Sinha ◽  
Subhash Pandey ◽  
Dipendra Khadka
Keyword(s):  
Caesarean Section ◽  
Blood Loss ◽  
Tranexamic Acid ◽  
Apgar Score ◽  
Postpartum Haemorrhage ◽  
Group Versus ◽  
Control Group ◽  
Study Group ◽  
Lower Segment ◽  
Lower Segment Caesarean Section

Introduction: The incidence of caesarean section is increasing day by day. One of the most common complications is primary or secondary postpartum haemorrhage. Tranexamic acid has been shown to be very useful in reducing blood loss and incidence of blood transfusion in varieties of surgery. Aims: To study the efficacy of tranexamic acid in reducing blood loss during and after the lower segment caesarean section. Methods: Arandomized, case controlled, prospective study was conducted on 100 women undergoing lower segment caesarean section carried out in the Department of Obstetrics and Gynaecology, Nepalgunj Medical College, Kohalpur from Sept 2019 to Feb 2020.Fifty of them were given tranexamic acid immediately before lower segment caesarean section and were compared with 50 others to whom tranexamic acid was not given. Blood loss was collected and measured during two different time interval. The first period was considered from placental delivery to end of lower segment caesarean section and second from the end of lower segment caesarean section to 2 hours postpartum period. Vital signs at time of delivery, at 1 hour and 2 hour postpartum and APGAR score at 1 min and 5 min were studied in both the groups. Results: Tranexamic acid significantly reduced the quantity of blood loss from the placental delivery to 2 hours post-partum: 360.9 ml in the study group, versus 443 ml in the control group (p=0.0008).It also significantly reduced the quantity of blood loss from the end of  lower segment caesarean section to 2 hours postpartum:71.5 ml in the study group versus 112.6 ml in the control group (p=0.0002).There was 18% less incidence of postpartum haemorrhage , who received tranexamic acid(p=0.02).There were no significant adverse drug reaction and difference in APGAR score in both the groups. No complications or side effects were reported in either group. Conclusion: Tranexamic acid is safe and effective in reducing blood loss among women undergoing lower segment caesarean section.

scholarly journals Viable baby from a couvelaire uterus

2015 ◽  
Vol 1 (2) ◽  
pp. 49-51
Author(s):  
Laxmi R.C. Karki ◽  
Chitra Ranjan Das
Keyword(s):  
Caesarean Section ◽  
Apgar Score ◽  
Preterm Labor ◽  
Health Sciences ◽  
Lower Segment ◽  
Cephalopelvic Disproportion ◽  
Lower Segment Caesarean Section ◽  
Female Baby

A 20-year-old primi gravida of 32 weeks pregnancy by date was admitted in the labor room with diagnosis of preterm labor with preeclampsia. Ultrasonography revealed 36 weeks pregnancy with normal liquor volume and fundal placenta. Lower segment caesarean section was done for cephalopelvic disproportion with preeclampsia. A female baby was delivered weighing 2.4 kg, with Apgar score of 6/10, 8/10. The placenta was delivered by control cord traction. On the fundus 25% of placenta was already separated and 500 ml of old retro placental clots were found. It was abruption placentae (concealed type), the uterus was bluish/purplish color, which was diffuse on fundal area and effusions of blood were also seen beneath the tubal serosa. After delivery of the baby uterus was well contracted 20 weeks size, bilateral ovaries were normal.Journal of Patan Academy of Health Sciences. 2014 Dec;1(2):49-51

scholarly journals Study to evaluate association of umbilical coiling index and perinatal outcome

2017 ◽  
Vol 6 (2) ◽  
pp. 408 ◽  
Author(s):  
Deepika Chholak ◽  
Pratiksha Gupta ◽  
Santosh Khajotia
Keyword(s):  
Caesarean Section ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
P Value ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Umbilical Coiling Index ◽  
Meconium Staining ◽  
Umbilical Cords

Background: To correlate the perinatal outcome by noting the umbilical coiling index.Methods: The umbilical cords of the babies born to 500 women, who delivered either vaginally or by lower segment caesarean section, were examined and umbilical coiling index was calculated.Results: There was significant correlation (p value 0.003) between. Hypercoiling (UCI >90th percentile) is associated with IUGR. Hypocoiling (UCI <10th percentile) is associated with: - Meconium staining liquor, high LSCS rates, low Apgar score <7 at 1 min and at 5 min respectively and NICU admissions of babies.Conclusions: Hypercoiling (UCI >90th percentile) is associated with IUGR Hypocoiling (UCI <10th percentile) is associated with meconium staining liquor, high LSCS rates, low Apgar score <7 at 1 min and at 5 min respectively and NICU admissions of babies.

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