scholarly journals CESAREAN DELIVERY

2016 ◽  
Vol 23 (09) ◽  
pp. 026-1032
Author(s):  
Meshwari Beesham ◽  
Neeta Sham ◽  
Pushpa Chetandas
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Cesarean Delivery ◽  
Abdominal Distension ◽  
Objective Evaluation ◽  
University Hospital ◽  
Elective Cesarean Section ◽  
Bowel Sound ◽  
Early Feeding ◽  
Feeding Group

In obstetrics, the rate of caesarean section has consistently expanded globally.Generally, after caesarean section the solid food has been stopped to women for 1st 24 hoursso that it could avoid gastro intestinal complications. Mostly in all the cesarean section caseswas operated by regional anesthesia where in little intestinal manipulation and short operativetime. The aim of this study is to know that the gastrointestinal effect on early feeding versusdelayed feeding after uncomplicated cesarean section and the better practice as well asadvocated in future. Objective: Evaluation of the gastro intestinal effects with early feedingis better than delayed feeding after cesarean delivery. Study Design: Randomized controlledclinical trial. Setting: Obstetrics & Gynaecological Department, Liaquat University Hospital,and Hyderabad. Period: January 2012 to January 2013. Methodology: A total number of352 women uncomplicated emergency or elective cesarean section under spinal anesthesiawas included in this study. Consenting women were randomly assigned into two groups suchas early feeding group and delayed feeding group. Any complaint about anorexia, nausea,vomiting, abdominal discomfort and abdominal distention on physical examination was noted.Results: Rate of ileus, anorexia was significantly low in early feeding groups as compare todelayed feeding group while rate of vomiting and abdominal distension were not significantbetween groups. Average time of first bowel sound and time of passage of flatus and passageof stool were significant between groups. Conclusion: In conclusion, early feeding fastens therecovery and lowers complication rate.

scholarly journals Anaesthetic Management of a Morbidly Obese Parturient for Elective Caesarean Section

2016 ◽  
Vol 10 (2) ◽  
pp. 64-66
Author(s):  
R Pradhan ◽  
S Shrestha ◽  
T Gurung ◽  
AB Shrestha ◽  
KR Sharma
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Epidural Anaesthesia ◽  
Gestational Hypertension ◽  
Elective Caesarean Section ◽  
Anaesthetic Management ◽  
Elective Cesarean Section ◽  
Morbidly Obese ◽  
Elective Cesarean ◽  
Spinal Epidural

Anaesthesia for an obese parturient poses a challenge to anaesthesiologists. Here we report a case of 27 years obese primigravidae at 40 weeks of gestation with gestational hypertension who underwent elective cesarean section under combined spinal epidural anaesthesia. Her intraoperative and postoperative periods were uneventful. 

Comparison of Melatonin Levels in the Colostrum between Vaginal Delivery and Cesarean Delivery

2017 ◽  
Vol 35 (05) ◽  
pp. 481-485 ◽  
Author(s):  
Ziya Kalem ◽  
Tuncay Yuce ◽  
Batuhan Bakırarar ◽  
Feride Söylemez ◽  
Müberra Namlı Kalem
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Mode Of Delivery ◽  
Elective Cesarean Section ◽  
Enzyme Linked Immunosorbent Assay ◽  
Cross Sectional ◽  
Emergency Cesarean ◽  
Study Results ◽  
Elective Cesarean

Objective This study aims to compare melatonin levels in colostrum between vaginal and cesarean delivery. Study Design This cross-sectional study was conducted with 139 mothers who gave live births between February 2016 and December 2016. The mothers were divided into three groups according to the mode of delivery: 60 mothers (43.2%) in the vaginal delivery group, 47 mothers (33.8%) in the elective cesarean delivery, and 32 mothers (23.0%) in the emergency cesarean delivery group. Colostrum of the mothers was taken between 01:00 and 03:00 a.m. within 48 to 72 hours following the delivery, and the melatonin levels were measured using the enzyme-linked immunosorbent assay (ELISA) and compared between the groups. Results The melatonin levels in the colostrum were the highest in the vaginal delivery group, lower in the elective cesarean section group, and the lowest in the emergency cesarean group (265.7 ± 74.3, 204.9 ± 55.6, and 167.1 ± 48.1, respectively; p < 0.001). The melatonin levels in the colostrum did not differ according to the demographic characteristics of the mothers, gestational age, birth weight, newborn sex, the Appearance, Pulse, Grimace, Activity, and Respiration (APGAR) scores, and for the requirement for neonatal intensive care. Conclusion Our study results showed that melatonin levels in the colostrum of the mothers who delivered vaginally were higher than those who delivered by cesarean section. Considering the known benefits of melatonin for the newborns, we believe that vaginal delivery poses an advantage.

scholarly journals Ogilvie Syndrome Following Caesarean Section: A Case Report

2021 ◽  
Vol 28 (2) ◽  
pp. E202126
Author(s):  
Sanae Sninate ◽  
Habib Bellamlih ◽  
Soukaina Allioui ◽  
Leila Jroundi ◽  
Fatima Zahrae Laamrani
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Young Patients ◽  
Abdominal Distension ◽  
Intravenous Contrast ◽  
History Of ◽  
Ogilvie Syndrome ◽  
Fluid Levels ◽  
Tomography Scan

Background. Ogilvie syndrome is a rare postpartum complication. It is characterized by an acute colonic pseudo-obstruction which occurs in the absence of a mechanical cause. Early detection of the diagnosis is essential to avoid cecal perforation. Case report. We report a case of Ogilvie syndrome following caesarean section in a 39-year-old woman (gravida 2, para 2) with a history of secondary infertility 10 years ago due to tubal stenosis and subserous fibroma, which led to the indication for cesarean section in second pregnancy at 39 weeks of gestation. Three days after cesarean section, the patient presented with significant abdominal distension and tenderness, vomiting, weakness, and nausea; an abdominal X-ray showed cecal distension. Abdominal computed tomography scan with intravenous contrast revealed distension of the ascending and transverse colon with air-fluid levels but without transitional mechanical obstruction. The patient was successfully treated. Conclusions. Ogilvie syndrome is a rare but serious complication that should be considered in fit young patients who present with pain, severe abdominal distension and failure to pass flatus after caesarean section.

scholarly journals Pain Intensity among Women with Post-Caesarean Section: A Descriptive Study

2019 ◽  
Author(s):  
Dewi Marfuah ◽  
Nunung Nurhayati ◽  
Astri Mutiar ◽  
Mimin Sumiati ◽  
Rani Mardiani
Keyword(s):  
Postoperative Pain ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Pain Intensity ◽  
Cesarean Delivery ◽  
Univariate Analysis ◽  
Descriptive Study ◽  
Pain Level ◽  
Operative Trauma ◽  
Mild Pain

Background: The frequency of Caesarean section increased from 5% to 15% across the world. According to statistics, it is highest in the U.S. or around 24%, and then in Canada about 20%, in Denmark about 13%, 10% in England, and it is lowest in Japan 7%. Post-cesarean section women experience pain due to operative trauma. Individual variability of postoperative pain is influenced by multiple factors, including sensitivity to pain, psychological factors, age, and genetics. Cesarean delivery patients have even more compelling reasons to achieve optimal postoperative pain relief than other surgical patients, but they also present unique challenges. Post cesarean delivery patients are at a higher risk for thromboembolic events, which may also be precipitated by immobility from inadequate pain control or excessive sedation from opioids. Objectives: This research aimed to describe pain intensity among women with post-cesarean Section. Methods: This research conducted at an obstetric ward in Hasan Sadikin Hospital, Bandung, West Java, Indonesia with 60 women with postcesarean section. Instrument used Visual Rating Scale (VAS) for pain measurement. A descriptive Study with Mean±SD for univariate analysis Result: Pain intensity among women with post-caesarian section were mild pain level with mean of pain level was 2.8. Women with mild pain level as much as 81,6%. Conclusions: As a nurse, can be considered as a nonpharmacological intervention to reduce the pain of cesarean section effectively and to decrease the number of medications and their side effects.

scholarly journals VAGINAL BIRTH AFTER CAESAREAN SECTION;

2013 ◽  
Vol 20 (05) ◽  
pp. 759-764
Author(s):  
SANA ZAHIRUDDIN ◽  
SUMERA RAUF QURESHI ◽  
UMER FAROOQ
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Breech Presentation ◽  
Vaginal Birth ◽  
University Hospital ◽  
Cross Sectional ◽  
Study Results ◽  
Previous Cesarean ◽  
Vaginal Birth After Caesarean

Background: Cesarean section is the commonest obstetrical procedure, associated with increase in maternal morbidity,the cesarean section rate is steadily on the rise in our country which can give rise to a number of complications. Objective: To determinethe factors associated with successful vaginal delivery after previous cesarean section. Study Design: Cross sectional study. Period:May 2009 to October 2009. Setting: Liaquat university hospital, Hyderabad. Material and Methods: a total of 96 women which fulfilledthe selection criteria were included in the study. Results: The women included in the study had a mean age of+SD(range),29.94+4.41successful vaginal birth was observed in 57(59.5%) women and 39(40.6%) had an emergency repeat cesareandelivery. The factors favoring successful vaginal delivery were history of previous vaginal delivery and previous cesarean due to fetaldistress or breech presentation, and patients having cesarean due to non progress of labor and no prior vaginal delivery were less likely tohave a successful vaginal birth after having previous cesarean delivery. Conclusions: vaginal birth after caesarean section can berecommended in patients having prior vaginal delivery and previous caesarean due to fetal distress and breech presentation.

scholarly journals A RARE CASE OF SMALL BOWEL OBSTRUCTION POST CAESAREAN SECTION

2020 ◽  
pp. 66-67
Author(s):  
Surya Subhashi Tadala ◽  
Valsa Diana. G
Keyword(s):  
Small Bowel ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Small Bowel Obstruction ◽  
Cesarean Delivery ◽  
Bowel Obstruction ◽  
Rare Complication ◽  
Rectus Sheath ◽  
Population Based ◽  
Cesarean Deliveries

• Small bowel obstruction, is a rare complication following cesarean section, due to herniation of bowel through the rectus sheath. • This is a case of uncomplicated primary cesarean section. The incidence of small bowel obstruction after caesarean section is very low. • In a population-based cohort study, the risk of small bowel obstruction among women with a cesarean delivery was 16.3/10,000 person-years versus 6.4/10,000 person-years in women without caesarean delivery (odds ratio [OR] 2.54, 95% CI 2.15-3.00); and an increasing number of cesarean deliveries was associated with an increasing risk of small bowel obstruction (OR 1.61, 95% CI 1.46-1.78, per additional cesarean delivery)(1).

scholarly journals PLACENTA PREVIA;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
IFAT BALOCH ◽  
Naseem Bajari ◽  
Sabrina Talpur ◽  
Saima Naz Shaikh
Keyword(s):  
Cesarean Section ◽  
Placenta Previa ◽  
Tertiary Care ◽  
University Hospital ◽  
Elective Cesarean Section ◽  
Care Hospital ◽  
Obstetric Hemorrhage ◽  
Emergency Cesarean ◽  
Precise Diagnosis ◽  
Elective Cesarean

Objectives: To determine the maternal and fetal outcomes in patients presented with major degree of placenta previa at tertiary care Hospital. Study Design: Descriptive cases series study. Setting: Department of Gynaecology and Obstetrics of Liaquat University Hospital Hyderabad. Period: One year from March 2015 to February 2016. Subject and Methods: All patients with major degrees of placenta previa were included in study. Following delivery the examination of neonate was carried out thoroughly including congenital abnormalities, weight of baby and Apgar score. Babies and mothers were examined within postoperative wards till stitches removal and systematically examined for any postoperative complication. All the data was entered in the proforma. Results: Total 50 patients with major degrees of placenta previa were selected. Majority of the women 40% belonged to the age group of 30-35 years. Most of the women 92.0%, were symptomatic and presented with painless vaginal bleeding. Elective cesarean section was performed among 20% patients while 80% patients underwent emergency cesarean section. 70% patients delivered preterm and 30% delivered at term. 3(6%) fetals were still births and 1(2.0%) presented macerated still birth. 16% fetuses developed respiratory distress syndrome, 6% had intrauterine growth restriction and only one had congenital abnormality (spina bifida). Neonatal weight less than 2500-grams was among 90%. Perinatal mortality was 6(12.0%), and according to maternal outcome, mortality rate was low i.e. just 1 subjects passed away. Conclusion: Major degree of placenta previais a significant contributor of obstetric hemorrhage in 02nd and 03rd trimesterof pregnancy as well as it adversely correlates with feto-maternal outcomes. Instant moving the case of obstetric hemorrhage to hospitals, precise diagnosis, sufficient transfusion provision, intervention without delay can reduce the fetomaternal morbidity and mortality.

scholarly journals Assessment of compliance with a color coded protocol for non-elective cesarean section in a maternity ward in France.

2021 ◽  
Author(s):  
Oriane Vetier ◽  
Marie-Alice Yanni ◽  
Linda Lassel ◽  
Helene Isly ◽  
Alain Beuchée ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Statistical Tests ◽  
Neonatal Outcomes ◽  
University Hospital ◽  
Elective Cesarean Section ◽  
Maternity Ward ◽  
Color Code ◽  
Significant Difference ◽  
Elective Cesarean ◽  
Maternal And Neonatal Outcomes

Purpose: The aim of a color coded protocol for non-elective cesarean-sections is to improve decision-delivery interval by better organization of care in a maternity unit. We set out to assess compliance of a color coded protocol and its impact on maternal and neonatal outcomes since its implementation in our maternity ward. Materials and methods: This was a retrospective study including a sample of 200 patients per year who underwent an non-elective cesarean section delivery in Rennes University Hospital from January 1, 2015 to December 31, 2018. Patients were grouped by year and by color code (red, orange or green). The main outcome was compliance with the protocol (color code in accordance with indication for cesarean section) and compliance with the corresponding decision-delivery interval. Secondary outcomes were maternal and neonatal outcomes. The statistical tests performed were Fisher’s test for qualitative parameters and Kruskal-Wallis test for quantitative parameters. Results: Eight hundred patients were included during the study period. There was no significant difference in patient characteristics over the years. There was a significant improvement in protocol compliance: full compliance increased from 22.4% in 2015 to 76.5% in 2018 (p<0.0001). No difference was observed in the decision-delivery interval overall but compliance with the 15-minute decision-delivery interval imposed by a red coded protocol increased between 2015 and 2018 (p=0.0020). Conclusion: We observed a significant improvement in compliance with the color coded protocol between 2015 and 2018 and in the 15-minute decision-delivery deadline for the red code.

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