scholarly journals Outcome of induced labour in pregnancies at 41 weeks gestation and over in Saudi Arabia

2021 ◽  
Vol 9 (3) ◽  
pp. 316-323
Author(s):  
A. A. Sobande ◽  
H. M. Al Bar
Keyword(s):  
Clinical Trial ◽  
Saudi Arabia ◽  
Cohort Study ◽  
Caesarean Section ◽  
Antenatal Care ◽  
Pregnancy Outcomes ◽  
Caesarean Section Rate ◽  
Military Hospital ◽  
Perinatal Morbidity ◽  
Perinatal Complications

A retrospective, descriptive cohort study was conducted at King Faisal Military Hospital, Saudi Arabia, to compare pregnancy outcomes in patients induced with prostagl and in E2 from 41 weeks gestation. A total of 450 women whose antenatal care and delivery were conducted at the hospital during 1995-99 were studied. The main outcome measures used were caesarean section rate and perinatal morbidity and mortality. In otherwise normal pregnancies, the caesarean section rate was not significantly increased when induction of labour was carried out at 41 weeks gestation compared with >/=42 weeks. Although more perinatal complications occurred when induction was carried out at 42 weeks, the results were not statistically significant. A large prospective clinical trial is indicated

scholarly journals Gestational weight gain and adverse pregnancy outcomes: a prospective cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038187
Author(s):  
Yuelin Wu ◽  
Sheng Wan ◽  
Shengyi Gu ◽  
Zhengqian Mou ◽  
Lingling Dong ◽  
...  
Keyword(s):  
Cohort Study ◽  
Weight Gain ◽  
Caesarean Section ◽  
Gestational Age ◽  
Pregnancy Outcomes ◽  
Late Pregnancy ◽  
Adverse Pregnancy Outcomes ◽  
Gestational Weight ◽  
Maternal And Neonatal Outcomes ◽  
Adverse Pregnancy

ObjectiveTo assess the associations of gestational weight gain (GWG) in early and late pregnancy with subsequent risks of adverse pregnancy outcomes in Chinese women.DesignProspective cohort study.SettingShanghai, China.ParticipantsWe studied 2630 nulliparous singleton pregnant women with complete data on weight gain in early (≤17 weeks of gestation) and late (>17 weeks) pregnancy in the Shanghai Birth Cohort.MethodsGWG was standardised into z-scores by gestational age and categorised as low (z-score <−1), normal (−1 to +1) and high (>1). The adjusted relative risks (aRRs) and 95%CIs were estimated through log-binomial regression models. Interaction effects between GWG and some other adjustment factors were tested, further stratified analyses were performed separately where interaction terms were significant.Outcome measuresAdverse maternal and neonatal outcomes.ResultsIndependent from GWG in late pregnancy, higher GWG in early pregnancy was associated with higher risks of gestational diabetes mellitus (aRR: 1.66; 95% CI: 1.11 to 2.48), caesarean section (aRR: 1.21; 95% CI: 1.05 to 1.39) and prolonged hospitalisation (aRR: 1.56; 95% CI: 1.03 to 2.38). Higher GWG in late pregnancy was independently associated with higher risks of caesarean section (aRR: 1.24; 95% CI: 1.09 to 1.41), large for gestational age (aRR: 2.01; 95% CI: 1.50 to 2.7) and macrosomia (aRR: 1.90; 95% CI: 1.30 to 2.78). In addition, the risk of gestational hypertension increased significantly with increased total GWG (aRR: 1.78; 95% CI: 1.14 to 2.76). The effects of GWG in late pregnancy on maternal and neonatal outcomes were significantly different between the women bearing a female and the women bearing male fetus.ConclusionThe GWG associations with adverse pregnancy outcomes differ at early and late pregnancy, and there may be effect modification by fetal sex in the association of GWG in late pregnancy with some pregnancy outcomes.

scholarly journals An analytical study of intraoperative, immediate post-operative and perinatal complications in previous two caesarean section

2018 ◽  
Vol 7 (10) ◽  
pp. 4239
Author(s):  
Prachi Singh ◽  
Ritika Agarwal ◽  
Shweta Yadav
Keyword(s):  
Caesarean Section ◽  
Analytical Study ◽  
Placenta Previa ◽  
Morbidity And Mortality ◽  
Perinatal Morbidity ◽  
Perinatal Complications ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Adherent Placenta ◽  
Maternal Morbidity And Mortality

Background: Lower segment caesarean section is one of the commonest operations performed now a day.It has been seen that in cases with previous caesarean section there is increased maternal morbidity and mortality due to placenta previa, adherent placenta and caesarean hysterectomy.The present study was conducted to know the fetomaternal outcome and intra and immediate post-operative complications in cases with previous two lower segment caesarean section.Methods: The present study was conducted in TMMC Moradabad between January 2017-January 2018.Total 68 cases were previous two lower segment caesarean section were included in the study. Neonatal outcome and intraoperative and immediate postoperative complications were seen in these cases.Results: In the present study majority of the cases were in 30-34 years age group (39.7%), the maximum number of caesarean sections were done between gestational age of 37-39.6 weeks (47.1%). Intraoperatively adhesions between uterus, anterior abdominal wall and bladder was seen in less than half of the cases i.e. in 42.6% cases. Out of 68 cases with previous two lower segment caesarean operated 13 cases had placenta previa and 4 cases had adherent placenta.Conclusions: The present study shows that the maternal and perinatal morbidity and mortality is increased with increasing number of caesarean sections. So, there should be reduction in rate of primary caesarean section which can reduce the rate of placenta previa and adherent placenta in subsequent pregnancies.

scholarly journals Kehamilan yang Tidak Diinginkan dan Berat Badan Lahir Bayi

2013 ◽  
Vol 7 (8) ◽  
pp. 354
Author(s):  
Devinita Ayu Nurcahyani ◽  
Indang Trihandini
Keyword(s):  
Cohort Study ◽  
Antenatal Care ◽  
Unintended Pregnancy ◽  
Pregnancy Outcomes ◽  
Retrospective Cohort ◽  
Child Survival ◽  
Multivariable Analysis ◽  
Age Group ◽  
Cohort Study Design ◽  
Analytical Research

Berat badan lahir dianggap faktor penentu yang paling penting dari kesehatan dan kelangsungan hidup anak. Penelitian ini bertujuan untuk mempelajari besar risiko kehamilan tidak diinginkan terhadap berat bayi berdasarkan persepsi ibu di Indonesia tahun 2010 beserta faktor-faktor perancunya. Penelitian ini merupakan penelitian analitik dengan menggunakan data sekunder dari Riset Kesehatan Dasar tahun 2010. Namun, studi ini memiliki variabel dari hasil kehamilan sehingga memungkinkan menggunakan desain penelitian kohort retrospektif. Berdasarkan hasil analisis multivariat ditemukan bahwa ibu yang mengalami kehamilan tidak diinginkan berisiko melahirkan bayi dengan berat badan lahir rendah (BBLR) yang didasarkan pada persepsi ibu sekitar 1,27 kali lebih besar daripada ibu yang mengalami kehamilan diinginkan setelah dikontrol oleh usia ibu, usia kehamilan, frekuensi periksa kehamilan di pelayanan antenatal dan jumlah pil zat besi. Pada model probabilitas, risiko ibu dalam melahirkan BBLR pada kelompok kehamilan tidak diinginkan (4,42%), kelompok kehamilan diinginkan (3,52%) dengan kondisi usia ibu yang tidak berisiko (20 - 34 tahun), usia kehamilan cukup bulan, frekuensi pelayanan antenatal adekuat minimal 4 kali dan pil zat besi minimal 90 hari.Birth weight is considered to be one of the most important determinants of health and child survival. Therefore, this study aimed to study to explore the risk of unintended pregnancy on infant weight based on the perception of the mother in Indonesia in 2010 along with the risk of the counfonders. This study is analytical research and used data from Indonesia Basic Health Survey. This study had a variable pregnancy outcomes, therefore a retrospective cohort study design was performed in this study. Based on the multivariable analysis was found the risk ratio gave low birth weight on mothers who experiences unintended pregnancy 1,27 times compared mothers who have experienced desired pregnancy after adjustment by age of mother, age of pregnancy, antenatal care and the amount of iron tablets. The probability derived giving birth to LBW babies in mothers during her intended pregnancy is 4.42% compared 3.52% among mothers with desired pregnancy with certain conditions, such as age group (20 - 34 years), adequate of pregnancy age, four times antenatal care frequency, and adequate of the amount of zinc tablets minimum in 90 days.

Maternal and Perinatal Outcome in Severe Pre-eclampsia and Eclampsia

2009 ◽  
Vol 1 (3) ◽  
pp. 25-28 ◽  
Author(s):  
Anshu LNU ◽  
Deepika LNU
Keyword(s):  
Pulmonary Embolism ◽  
Antenatal Care ◽  
Pulmonary Edema ◽  
Perinatal Outcome ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Morbidity And Mortality ◽  
Perinatal Morbidity ◽  
Perinatal Complications ◽  
Function Tests

ABSTRACT Background Pre-eclampsia is a leading cause of maternal and perinatal morbidity and mortality worldwide. Present study was planned to find the maternal and perinatal outcome in patients of severe pre-eclampsia and eclampsia. Methodology It is a prospective study, carried out on 100 pregnant women admitted with severe pre-eclampsia and eclampsia at a tertiary care referral unit. Detailed history and examination was carried out. Investigations like complete hemogram, liver function tests, renal function tests, coagulation profile, fundus and 24 hours urine for protein were done. Obstetric management was done as per existing protocol in the department, magnesium sulphate was the drug of choice for controlling convulsions, and blood pressure was controlled either by oral nefidipene or methyl dopa. Maternal and perinatal complications were noted down. Results The majority of the patients was unbooked (82%), belonged to lower socioeconomic status (84%) and had rural background (84%). Headache was the most common antecedent symptom (44%) followed by epigastric pain (20%), oliguria (9%), blurring of vision (8%) and ascitis (5%). There was high incidence of maternal complications like PPH (31%), abruption placentae (11%), renal dysfunction (8%), pulmonary edema (8%), pulmonary embolism (4%), HELLP syndrome (2%) and DIC (2%). Maternal mortality was 8% and the causes were pulmonary embolism in four women, DIC in two, HELLP and pulmonary edema in one each. Perinatal complications were also high 71.43% were low birth weight, 66% had preterm delivery, 52.4% babies had birth asphyxia and 28.57% were still born. Maternal and perinatal outcome was much poorer in eclampsia as compared to severe pre-eclampsia. Conclusion There is a very high maternal and perinatal morbidity and mortality and 82% patients had no antenatal care. Good antenatal care could have been prevented severe pre-eclampsia and eclampsia to some extent. Thus it is suggested that developing countries have to go a long way to create awareness about importance of antenatal check ups and take measures for implementation.

scholarly journals Coronavirus and birth in Italy: results of a national population-based cohort study

2020 ◽  
Author(s):  
Alice Maraschini ◽  
Edoardo Corsi ◽  
Michele Antonio Salvatore ◽  
Serena Donati ◽  
Keyword(s):  
Cohort Study ◽  
Caesarean Section ◽  
General Population ◽  
Hospital Care ◽  
Caesarean Section Rate ◽  
National Level ◽  
Population Based ◽  
Decision Makers ◽  
Lombardy Region ◽  
National Population

AbstractIntroductionThe study was implemented to provide guidance to decision-makers and clinicians by describing hospital care offered to women who gave birth with confirmed COVID-19 infection.Materials and methodsNational population-based prospective cohort study involving all women with confirmed COVID-19 who gave birth between February 25 and April 22, 2020 in any Italian hospital.ResultsThe incidence rate of confirmed SARS-CoV-2 infection in women who gave birth was 2.1 per 1000 maternities at a national level and 6.9/1000 in the Lombardy Region. Overall one third of the women developed a pneumonia and 49.7% assumed at least one drug. Caesarean section rate was 32.9%, no mothers nor newborns died. Six percent of the infants tested positive for SARS – CoV-2 at birth.ConclusionsClinical features and outcomes of COVID-19 in women who gave birth are similar to those described for the general population, most women developing mild to moderate illness.

scholarly journals The effect of anaesthesia and antenatal care on feto-maternal outcome after caesarean section in a developing country

2020 ◽  
Vol 8 (10) ◽  
pp. 3475
Author(s):  
Fidelis A. Onyekwulu ◽  
Friday G. Okonna ◽  
Tochukwu C. Okeke ◽  
Israel O. Okwor
Keyword(s):  
Caesarean Section ◽  
Antenatal Care ◽  
Developing Country ◽  
Neonatal Outcome ◽  
Caesarean Section Rate ◽  
Maternal Outcome ◽  
Anaesthetic Technique ◽  
Operating Table ◽  
Nigeria Teaching Hospital ◽  
The University

Background: The feto-maternal outcome after delivery is precarious in developing country. The anaesthetic technique and antenatal care as it affect this outcome is assessed.Methods: This is a 5-year retrospective study carried out at the University of Nigeria Teaching Hospital Enugu. Obstetric theatre records of patients who had caesarean section between January 1st 2011 and December 31st 2015 were reviewed. Data extracted from the records using a proformer included socio-dermographic characteristics, indications for surgery, maternal and neonatal outcome, and anaesthetic technique. The data were analyzed using SPSS Version 17 [SPSS Inc., Chicago, IL, USA].Results: A total of 1574 patients had caesarean section within the study period and 1158 (73.6%) of the patients were booked, while 416 (26.4%) were unbooked. The total number of deliveries during this period was 6235 giving a caesarean section rate of 39.6%. More deaths on the operating table were recorded in the unbooked patients as compared to booked parturient (x2=20.013, p<0.001). More babies of the unbooked patients died perioperatively (17.3%) when compared to booked paturient (3.4%) p<0.001.Conclusions: The commonest anaesthesia administered was subarachnoid block. Maternal and neonatal mortality was significantly higher in paturient who did not attend antenatal care compared to those who attended.

scholarly journals Pathways to a rising caesarean section rate: a population-based cohort study

BMJ Open ◽  
2012 ◽  
Vol 2 (5) ◽  
pp. e001725 ◽  
Author(s):  
Christine L Roberts ◽  
Charles S Algert ◽  
Jane B Ford ◽  
Angela L Todd ◽  
Jonathan M Morris
Keyword(s):  
Cohort Study ◽  
Caesarean Section ◽  
Caesarean Section Rate ◽  
Population Based

scholarly journals Associations of Body Mass Index (Maternal BMI) and Gestational Diabetes Mellitus with Neonatal and Maternal Pregnancy Outcomes in a Multicentre European Database (Diabetes and Pregnancy Vitamin D and Lifestyle Intervention for Gestational Diabetes Mellitus Prevention)

ISRN Obesity ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Akke Vellinga ◽  
A. Zawiejska ◽  
J. Harreiter ◽  
B. Buckley ◽  
G. Di Cianni ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Caesarean Section ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnancy Outcomes ◽  
Perinatal Complications ◽  
Obesity And Diabetes ◽  
Independent Risk Factors ◽  
The Impact

Objective. Assess the impact of Gestational Diabetes Mellitus (GDM) and obesity on neonatal and maternal pregnancy outcomes. Methods. Cross-sectional data (3343 pregnancies) from seven European centres were included in a multilevel analysis of the association between GDM/obesity and caesarean section, macrosomia and neonatal morbidities. Results. Comparison of databases identified reporting differences between countries due to the inclusion of true population based samples or pregnancies from specialised tertiary centres, resulting in higher prevalences of GDM for some countries. The analysis showed that obesity and GDM were independent risk factors of perinatal complications. Only BMI had a dose-dependent effect on the risk of macrosomia and caesarean section. Both obesity (BMI > 30 kg/m2) and GDM were independent risk factors of neonatal morbidities. Conclusions. Obesity and GDM were independent risk factors of perinatal complications. The effect of the worldwide obesity and diabetes epidemic is extending to the next generation.

scholarly journals Caesarean Section During Second Stage of Labor in a Tertiary Centre

2017 ◽  
Vol 15 (2) ◽  
pp. 178-181 ◽  
Author(s):  
Padma Gurung ◽  
Sameer Malla ◽  
Sushma Lama ◽  
Anagha Malla ◽  
Alka Singh
Keyword(s):  
Caesarean Section ◽  
Post Partum ◽  
Caesarean Section Rate ◽  
Neonatal Morbidity ◽  
Adverse Outcomes ◽  
Perinatal Complications ◽  
Maternal Complications ◽  
Postoperative Fever ◽  
Second Stage Of Labor ◽  
Second Stage

Background: There is an alarming rise in caesarean section leading to increased adverse outcomes for both the mother and fetus when compared with vaginal delivery. Within this increasing caesarean section rate, there is a concerning increase in the rate of second stage caesarean section. This study highlight the feto-maternal outcome of caesarean section in second stage of labour.Methods: This was a retrospective cohort review of all women with a singleton, cephalic fetus at term delivered by caesarean section in the second stage of labor between April 1, 2013 and March 30, 2017 at Patan Academy of Health Sciences. The main outcome measures were second stage caesarean section, indications and its maternal and fetal morbidity.Results: During the study period, there were 40,860 deliveries. A total of 18,011 (44%) babies were born by caesarean section, 10484 emergency and 7527 elective. Out of the emergency caesarean section, 200 (1.9 %) were performed in second stage of labor. In this study, the most common indication was cephalopelvic disproportion. (92.4%) were delivered without a trial of instrumental delivery. In terms of maternal complications, atonic post partum haemorrhage uterine incision extension 18 (12.5%), postoperative fever 27(18.8%), wound infection 7 (4.8%) were observed. In perinatal complications, meconium stained amniotic fluid 49(34.2%), neonatal hyperbilirubinemia 14(9.7%) and increased nursery admission 2(15.3%) and 2(1.3%) perinatal mortality were seen.Conclusions: Cesarean sections done in second stage of labor are associated with several intra-operative maternal complications and neonatal morbidity.

scholarly journals Maternal Hepatitis B Infection Burden, Comorbidity and Pregnancy Outcome in a Low-Income Population on the Myanmar-Thailand Border: A Retrospective Cohort Study

2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Marieke Bierhoff ◽  
Chaisiri Angkurawaranon ◽  
Aung Myat Min ◽  
Mary Ellen Gilder ◽  
Nay Win Tun ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Hepatitis B ◽  
Pregnancy Outcome ◽  
Low Income ◽  
Pregnancy Outcomes ◽  
Point Of Care ◽  
Caesarean Section Rate ◽  
Perinatal Transmission ◽  
Minimal Impact ◽  
Adverse Pregnancy

Objectives. Hepatitis B virus (HBV) was believed to have minimal impact on pregnancy outcomes apart from the risk of perinatal transmission. In more recent years, there have been reports of adverse associations, most consistently preterm birth (PTB), but this is in the context of high rates of caesarean section. The aim of this study was to explore the association of HBV on pregnancy outcomes in marginalized, low-income populations on the Myanmar-Thailand border. Methods. HBsAg positive (+) point of care rapid detection tests results were confirmed by immunoassays. Women with a confirmed HBsAg status, HIV- and syphilis-negative at first antenatal care screening, singleton fetus and known pregnancy outcome (Aug-2012 to Dec-2016) were included. Logistic regression analysis was used to evaluate associations between HBV group (controls HBsAg negative, HBsAg+/HBeAg-, or HBsAg+/HBeAg+) and pregnancy outcome and comorbidity. Results. Most women were tested, 15,046/15,114 (99.6%) for HBV. The inclusion criteria were not met for 4,089/15,046 (27.2%) women due mainly to unavailability of pregnancy outcome and nonconfirmation of HBsAg+. In evaluable women 687/11,025 (6.2%) were HBsAg+, with 476/11,025 (4.3%) HBsAg+/HBeAg- and 211/11,025 (1.9%) were HBsAg+/HBeAg+. The caesarean section rate was low at 522/8,963 (5.8%). No significant associations were observed between pregnancy comorbidities or adverse pregnancy outcomes and HBV status. Conclusions. The results highlight the disease burden of HBV in women on the Myanmar-Thailand border and support original reports of a lack of significant associations with HBsAg+ irrespective of HBeAg status, for comorbidity, and pregnancy outcomes in deliveries supervised by skilled birth attendants.

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