scholarly journals Subsequent vaginal delivery in a case reverted by Dobbins operation for acute uterine inversion: A case report

1970 ◽  
Vol 2 (2) ◽  
pp. 78-80
Author(s):  
Ashma Rana ◽  
Geeta Gurung ◽  
Jitendra Pariyar ◽  
Sunil Pokharel ◽  
Shilu Adhikari
Keyword(s):  
Rare Event ◽  
Second Stage Of Labor ◽  
Breech Delivery ◽  
Manual Removal ◽  
Second Stage ◽  
Vaginal Breech Delivery ◽  
Uterine Inversion ◽  
Subsequent Birth ◽  
History Of ◽  
Set Up

A woman with a history of laparotomy and corrective abdominal surgery for acute puerperal uterine inversion reverted by division of the inversion ring anteriorly "Dobbins's operation" subsequently was successful to undergo assisted vaginal breech delivery arriving at second stage of labor warranting, manual removal of placenta which was complied with the management of PPH. This case is reported because of the rarity of uterine inversion itself in the first place. Next because of the conception taking place spontaneously after morbid puerperal period and then the pregnancy advancing to term: all the management beginning from correction of uterine inversion to retained placenta being handled in the same facility a rare event too in our set up. Key words: Uterine inversion and subsequent birth, manual removal of the placenta.      doi:10.3126/njog.v2i2.1462 N. J. Obstet. Gynaecol 2007 Nov-Dec; 2 (2): 78 - 80

scholarly journals Hydrallantois Associated with Fetal Anasarca in a Non-Descript Doe

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
V. Sachan ◽  
V. Singh ◽  
C. L. Yadava ◽  
R. K. Gupta ◽  
A. Saxena
Keyword(s):  
Present Report ◽  
Small Ruminants ◽  
Successful Management ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
History Of ◽  
Sudden Enlargement ◽  
Excessive Accumulation

The incidence of dystocia in goats has been reported about 7% (Abdul-Rahman et al., 2000) to 8.23 % (Mehta et al., 2002). Fetal causes of dystocia are more common than maternal causes in goat (Abdul-Rahman et al., 2000) and sheep (Taha et al., 2005). Among dropsical conditions, the hydrallantois is more common compared to hydramnios (Hafez, 1993) and is frequently reported in bovines (having twins), rarely in mares (Milton et al., 1989) and less frequently in small ruminants. Hydrallantois is excessive accumulation of fluid in the allantoic sac in uterus, usually occurs within 5 to 20 days in advance pregnancy. Goats suffering from hydrallantois are usually presented in their second stage of labor with a history of sudden enlargement of the abdomen after mid gestation (Purohit, 2006). The present report documents a case of hydrallantois associated with fetal anasarca and its successful management in a non-descript doe.

scholarly journals Social Customs and Practices Associated with Pregnancy and Child Bearing in Low Socio-Economic Communities

2020 ◽  
pp. 18-24
Author(s):  
Sudha Shukla ◽  
Bhartendu Shukla
Keyword(s):  
Psychological Care ◽  
Safe Delivery ◽  
Second Stage Of Labor ◽  
Birth Canal ◽  
Second Stage ◽  
Child Bearing ◽  
History Of ◽  
Post Natal Care ◽  
Fear And Anxiety ◽  
Physical Care

Child birth is a very significant event in a married woman’s life. She is filled with fear and anxiety mixed with a feeling of joy and expectation of the coming child. Apart from physical care psychological care and assurance are equally important. Present study deals with the women of poor workers of the factories who have to undergo deliveries either at home or ill equipped hospitals causing much suffering and even mortality. Detailed history of such 250 women was taken in a questionnaire proforma prepared for the study. A history of age, caste, education, para, occupation, husband’s income and knowledge about pre and post-natal care was recorded. Thus 21 tables were made of each case and analyzed in detail. It is a practice to marry girls at an early age as they feel it ensures their safety. Husband’s income was quite low and 50% of them were uneducated. 30.8% could only read and only 8.8% were graduate. Illiteracy was a major problem in safe delivery of the child. Old traditional customs were followed some which were not hygienic. Only 19% were employed. Rest were only house wives. Ground delivery was preferred in 74% cases, squatting position in 71.2% and 56% preferred sand in place of mattress. All these are not preferred methods currently. In the second stage of labor birth canal was lubricated in only 8.8% cases. In 76% cases massage of abdomen was done to hasten the delivery. The cord was cut mainly by knife after delivery. Placentas were mainly buried after delivery (74.8%). 56% of women remained lying in for about a week after delivery. 78% mothers took their first bath 3 to 6 days after delivery.

scholarly journals Sirenomelia: A Case Report

2018 ◽  
Vol 56 (214) ◽  
pp. 974-976
Author(s):  
Pramod Kattel
Keyword(s):  
Lower Limb ◽  
Umbilical Artery ◽  
Health Workers ◽  
District Hospital ◽  
Multiple Congenital Anomalies ◽  
Single Umbilical Artery ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Set Up ◽  
Live Baby

Sirenomelia is primarily a congenital anomaly where a normally paired lower limb is replaced by a single midline limb and is characterized by single umbilical artery. Such cases though considered rare do occur at our set-up and to make health workers aware regarding the condition, so that they can be managed well when encountered, lays the importance of reporting such case. A referred case of Sirenomelia from Dhading district hospital was presented to Emergency department of Paropakar Maternity and Women’s Hospital on 6th March 2016 of 18 year “Young Primigravida at 34 week and 5 days of gestation in second stage of labor” following ultrasonography diagnosis for better management. After confirming the diagnosis, preterm vaginal delivery was performed with a live baby of 1250 gm consisting of multiple congenital anomalies and poor Apgar score. Such cases do occur at our set-up so that if anomaly scanning is done routinely, 

The Natural History of the Normal First Stage of Labor

2021 ◽  
pp. 97-102
Author(s):  
Karin Fox
Keyword(s):  
United States ◽  
Natural History ◽  
20Th Century ◽  
Secondary Analysis ◽  
The United States ◽  
Single Center ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
History Of ◽  
The Individual

This article provides a summary of a landmark study on labor, in a large, multicenter modern cohort of women with singleton, vertex gestations. Emanuel Friedman published his original labor curve showing the expected progression of normal labor in 1955, and that for multiparous patients in 1956.2,3 He plotted the individual labor progression of 500 nulliparous laboring women from a single center to calculate the average progression of labor. In his cohort, 70% of whom were between 20 and 30 years old, many were Caucasian, and 55% of women were delivered via forceps. Dr. Friedman classically identified the second stage of labor starting at 4cm dilatation. Since the mid-20th century, many practice patterns have changed, and today’s population of women delivering in the United States is diverse and, on average, older and heavier than in 1955; therefore, use of the traditional labor curve has been questioned. The investigators in this study performed a secondary analysis of data from a multicenter cohort of 26,838 patients with singleton gestation, spontaneous labor, and normal outcomes. Using a sophisticated statistical approach Zhang et al. produced a modern labor curve.

scholarly journals A Rare Complication of a Vaginal Breech Delivery

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
H. C. Vergers-Spooren ◽  
J. W. de Leeuw
Keyword(s):  
Anal Sphincter ◽  
Rare Complication ◽  
Breech Presentation ◽  
Anal Sphincters ◽  
Breech Delivery ◽  
Second Stage ◽  
Vaginal Breech Delivery ◽  
Second Stage Of Labour ◽  
Anal Sphincter Trauma

Rectal lesions without anal sphincter trauma in childbirth are only sporadically described in literature. We describe the case of a 29-year-old primigravida who delivered a child in frank breech presentation. During the second stage of labour a foot presented transanally through a rectal laceration with intact anal sphincters. The laceration was repaired immediately after delivery in theatre. Follow-up visits showed a properly cured laceration and no complaints of incontinence or foul discharge.

IV. Great Britain and the Bay Islands, 1821–61

1959 ◽  
Vol 2 (1) ◽  
pp. 59-77 ◽  
Author(s):  
David Waddell
Keyword(s):  
Great Britain ◽  
Rare Event ◽  
British Colony ◽  
Foreign Office ◽  
History Of ◽  
Anglo American ◽  
The Republic ◽  
Set Up ◽  
Bay Islands ◽  
Colonial Office

In 1852 a new British Colony, the Colony of the Bay Islands, was set up by Letters Patent. In 1859 Great Britain signed a Treaty, subsequently ratified in 1860 and put into effect in 1861, recognizing the Bay Islands as part of the Republic of Honduras. These facts are well known in the diplomatic history of the Central American question, and in the history of Anglo-American relations. The diplomatic historians have not, however, been able to find any convincing diplomatic explanation for the creation of the Bay Islands Colony in 1852; and, while they have fully explained the diplomatic reason for the cession of the islands in 1859, they do not seem to have considered it necessary to inquire how such a rare event in the history of the British Empire as the peaceful cession of a regularly constituted British colony to a foreign nation was brought about. This article seeks to explain the history of the Bay Islands Colony by showing that the colonization was effected by the Colonial Office without the Foreign Office being informed, and that the cession was effected by the Foreign Office without the Colonial Office being informed.

Second stage of labor in the age of epidural anesthesia

1998 ◽  
Vol 5 (1) ◽  
pp. 171A-171A
Author(s):  
E XENAKIS ◽  
J PIPER ◽  
M MCFARLAND ◽  
C SUITER ◽  
O LANGER
Keyword(s):  
Epidural Anesthesia ◽  
Second Stage Of Labor ◽  
Second Stage

Giant Solitary Gastric Peutz-Jeghers Polyp Mimicking a Malignant Gastric Tumor: the Largest Described in Literature

2014 ◽  
Vol 23 (3) ◽  
pp. 321-324 ◽  
Author(s):  
Sorinel Lunca ◽  
Vlad Porumb ◽  
Natalia Velenciuc ◽  
Dan Ferariu ◽  
Gabriel Dimofte
Keyword(s):  
Upper Gastrointestinal Bleeding ◽  
Rare Event ◽  
Gastric Tumor ◽  
Node Metastasis ◽  
Mucocutaneous Pigmentation ◽  
History Of ◽  
Peutz Jeghers Syndrome ◽  
Upper Gastrointestinal ◽  
Gastric Malignancy ◽  
Polypoid Tumor

A solitary Peutz-Jeghers polyp is defined as a unique polyp occurring without associated mucocutaneous pigmentation or a family history of Peutz-Jeghers syndrome. Gastric solitary localization is a rare event, with only eight reported cases to date. We report herein the case of a 43-year old woman who presented with upper gastrointestinal bleeding, severe anemia, weight loss and asthenia. Endoscopy revealed a giant polypoid tumor with signs of neoplastic invasion of the cardia, with pathological aspect suggesting a Peutz-Jeghers hamartomatous polyp. Computed tomography suggested a malignant gastric tumor and a total gastrectomy was performed. The pathological specimen showed a giant 150/70/50 mm polypoid tumor and immunochemistry established the final diagnostic of a Peutz-Jegers type polyp. This is the largest solitary Peutz-Jeghers gastric polyp reported until now, and the second one mimicking a gastric malignancy with lymph node metastasis.

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