Promotion of vaginal birth in Bangladesh

2020 ◽  
Vol 11 (1) ◽  
pp. 3-6
Author(s):  
SF Siddiqua
Keyword(s):  
Vaginal Birth ◽  
Medical College

Abstract not available Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 3-6

scholarly journals Visual estimation of blood loss versus quantification of blood loss after vaginal birth using an innovative drape: a prospective study

2020 ◽  
Vol 10 (1) ◽  
pp. 268
Author(s):  
Nalini Mishra ◽  
Suman Dhruw ◽  
Ishan Mishra ◽  
Abha Daharwal
Keyword(s):  
Blood Loss ◽  
Correlation Coefficient ◽  
Point Of Care ◽  
Low Cost ◽  
Vaginal Birth ◽  
Strong Positive Correlation ◽  
Visual Estimation ◽  
Medical College ◽  
Before And After ◽  
A Prospective Study

Background: This study was done to compare the accuracy of visual estimation of blood loss (EBL) and quantitative assessment of blood loss (QBL, sum of volumetric and gravimetric assessment) against a reference standard i.e. calculated QBL (C-QBL) and also with each other after vaginal birth.Methods: Prospective observational cohort study conducted at Pt. JNM medical College Raipur, Chhattisgarh, India and involved 101 low risk women after vaginal birth. Women were allocated alternately to EBL or QBL group (volumetric component of measured blood loss was done with an innovative low cost drape prepared with a plastic apron at the point of care. Gravimetric component was measured by weight difference of the mops and pads before and after use). C-QBL was calculated for each case with a standard formula. Main outcome measure was comparing the correlation coefficient of EBL and QBL each with C-QBL.Results: The mean blood loss in 51 women of EBL group and 50 women of QBL group was 275.29 ml and 380 ml respectively. Pearson’s correlation coefficient (r) of EBL with C-QBL was 0.4984 (weak correlation) compared to that of QBL with C-QBL (r=0.9093, strong positive correlation). The error of underestimation by EBL compared to QBL was 28% (mean=104.71 ml p<0.0001). The relative risk (RR) of underestimating blood loss of >500 ml by EBL method was 5 (95% CI .605-41.3).Conclusions: Visual EBL should be replaced with QBL for measurement of postpartum blood loss. Using innovative under-buttock low cost drape greatly helps in routine QBL.

scholarly journals Pregnancy Outcome in Women with One Previous Caesarean Delivery - A Prospective Longitudinal Study in a Peripheral Medical College of West Bengal

2021 ◽  
Vol 8 (21) ◽  
pp. 1608-1613
Author(s):  
Saheli Chandra ◽  
Anjan Dasgupta ◽  
Pradip Kumar Saha ◽  
Kamal Kumar Dash ◽  
Abirbhab Pal ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Caesarean Delivery ◽  
West Bengal ◽  
Vaginal Birth ◽  
Safe Procedure ◽  
Prospective Longitudinal Study ◽  
Medical College ◽  
Prospective Longitudinal ◽  
Vaginal Birth After Caesarean

BACKGROUND Pregnancy with one prior Caesarean section (CS) constitutes a high-risk group with associated medical and legal implications. The dictum ‘once a Caesarean always a Caesarean’ has now judiciously been replaced with ‘once a Caesarean, trial of labour after selection’ because low transverse uterine incision has much lesser chance of scar rupture. Though vaginal birth after Caesarean (VBAC) or trial of scar (TOS) brings a significant change in modern obstetric practice in terms of lower maternal and perinatal morbidities, apprehension of accidental scar rupture during trial of labour with its undesirable consequences still prevents a good number of obstetricians adopting this process. The purpose of the study was to determine the outcome of pregnancy in relation to mode of delivery, i.e., either elective repeat Caesarean section (ERCS) or vaginal birth after Caesarean (VBAC) with maternal and perinatal complications in each mode. METHODS A hospital based prospective, longitudinal, and observational study of 300 pregnant women with previous one Caesarean delivery attended labour emergency or out-patient department (OPD) at Midnapore Medical College of West Bengal, was carried out, approved by the institutional ethical committee. Gestational age < 37 weeks and > 42 weeks and h\o previous uterine surgery like myomectomy, hysterotomy, classical CS were excluded from the study. Data collected was analysed using statistical package for the social sciences (SPSS) software version 20. Descriptive statistics were used to analyse the continuous and categorical data and expressed in the form of mean and percentage whereas proportions were analysed using chi-square test. A P - value ≤ 0.05 was considered statistically significant. RESULTS Out of 300 pregnancies, 140 subjects were given trial of labour (TOL). Of which 89 subjects (63.6 %) had successful VBAC and 51 subjects (36.4 %) had repeat Caesarean sections. Among 211 subjects of repeat Caesarean section, 53 subjects (25.12 %) had indicated for scar tenderness and 73 subjects (34.59 %) had elective repeat Caesarean section (ERCS) due to protracted or arrested cervical dilatation. Those having previous vaginal delivery (VD), had more incidences of VBAC in present pregnancy than those who had no previous VD (P ≤ 0.005); Maternal morbidity (33.65 % ERCS versus 10.11 % VD group, P ≤ 0.05) and neonatal morbidity (12.3 % ERCS versus 2.46% VD group, P ≤ 0.05) was significantly higher in ERCS group. CONCLUSIONS Trial of labour (TOL) should be given in well-equipped hospital. In carefully selected cases, it is a safe procedure and often rewarding, thus incidence of repeat CS can be reduced. Those who had a history of vaginal delivery, VBAC often successful. KEYWORDS VBAC, Trial of Scar, Elective Repeat Caesarean Section, Trial of Labour

scholarly journals Trial of Vaginal Birth After Caesarean (VBAC): Sharing Experience From a Tertiary Care Center of Eastern Nepal

2018 ◽  
Vol 7 (1) ◽  
pp. 18-25
Author(s):  
Sita Pokhrel Ghimire ◽  
Ashima Ghimire ◽  
Aruna Pokharel ◽  
Sabina Lamichhane ◽  
Mahanand Kumar
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Tertiary Care ◽  
College Teaching ◽  
Vaginal Birth ◽  
Attractive Alternative ◽  
Medical College ◽  
Trial Of Labor ◽  
Previous Cesarean ◽  
Vaginal Birth After Caesarean

Background: Rising rates of cesarean section is a matter of great concern and trial of labor in previous cesarean section women is an attractive alternative. Vaginal Birth After Caesarean (VBAC) may be one of the strategy developed to control the rising rate of cesarean deliveries in our country. Analyzing outcome of previous caesarean pregnancies will provide an insight for reducing the caesarean rates and formulating protocols and policies for trial of labor. The purpose of this study is to evaluate the pregnancy outcome in previous caesarean section women with VBAC trial with the hope of avoiding unnecessary repeat caesarean section rates. Methodology: It is a cross-sectional observational institute based study carried out in Nobel Medical College Teaching Hospital from 15th March 2017 to 14th March 2018 after the approval from Institutional Review Committee (IRC). This consists of patient with past history of cesarean section, who delivered in NMCTH during the study period and meeting the Royal College of Obstetrics and Gynecology (RCOG) inclusion criteria for VBAC. Feto-maternal outcomes were analysed. Results: There were 1225 previous cesarean cases, among them, we did VBAC trial in 135(11%) patients, 99 (73.33%) had successful vaginal delivery whereas 36(26.66%) could not do the same after labor trial. Feto-maternal outcome was better in VBAC patients than cesarean group.No maternal and neonatal mortality occurred. Conclusion: In the country like ours where rate of caesarean section is increasing alarmingly we have to try VBAC in appropriate group of patients. National policy and guidelines are necessary after large multicenter prospective studies. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 18-25

FETO MATERNAL OUTCOME OF VAGINAL BIRTH AFTER CAESAREAN SECTION

2021 ◽  
pp. 32-34
Author(s):  
Bijoy Kumar Dutta ◽  
Karuna Kanta Das ◽  
Bhanita Talukder
Keyword(s):  
Caesarean Section ◽  
Success Rate ◽  
Caesarean Section Rate ◽  
Previous History ◽  
Maternal Outcome ◽  
Vaginal Birth ◽  
Alternative Measure ◽  
Medical College ◽  
Study Results ◽  
Vaginal Birth After Caesarean

Backgrounds: A heightened awareness must be present amongs the obstetrician while taking the decision to perform the rst caesarean section, as it decides the future obstetrics career of the women. Because of the rise in caesarean section rate in recent decades, the question of how to manage the subsequent deliveries become important. Vaginal birth after caesarean section has long been proposed as an alternative measure to reduce repeat caesarean section rate. Our present study to evaluate the fetomaternal outcome of vaginal birth after caesarean section. Methods: A prospective observational study was conducted to evalauate the feto maternal outcome of VBAC in Guwahati medical college ,Gauhati, Assam . Total 100 women with previous history of once previous caesarean section was taken for the study. Results: In the present study 75% cases had successful VBAC and 25% underwent a repeat emergency LSCS for failed trial of vaginal delivery. Cervical dilation of more than 3 cm at time of admission was a signicant factor in favour of a successful VBAC. Birth weight more than 3 kg was associated with a lower success rate of VBAC. The incidence of scar rupture was 0% in present study. There was no maternal mortality in this study. Conclusion: With respect to maternal and fetal safety and success rate and adverse effects of VBAC ,the results of this study was promising and compatible with the global data. It shows that a trial of VBAC can be offered to pregnant women without contraindications with high success rate

scholarly journals Prediction of Perineal Tear During Childbirth by the Assessment of Striae Gravidarum Score

2019 ◽  
Vol 31 (2) ◽  
pp. 64-67
Author(s):  
Mahbuba Akhter Banu ◽  
SF Nargis ◽  
Mohammad Mizanoor Rahman ◽  
Md Mohim Ibn Sina ◽  
Murshida Pervin ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Vaginal Birth ◽  
Tissue Elasticity ◽  
Perineal Tear ◽  
Cross Sectional ◽  
Medical College ◽  
Lower Segment Caesarean Section ◽  
Medicine Today ◽  
Striae Gravidarum ◽  
Weight Gain During Pregnancy

Introduction: Perineal tear (PT) is the most frequently occurring injury during vaginal birth. Striae gravidarum (SG) is a reflecting marker of connective tissue elasticity. This study aimed to assess SG score and to predict the likelihood of PT during childbirth. Materials & Methods: This was a cross-sectional study done at Sir Salimullah Medical College & Mitford Hospital. Initially, all pregnant women admitted for vaginal delivery were enrolled but who subsequently needed lower segment caesarean section were excluded. Finally, 189 patients who gave vaginal birth were included. SG score was assessed using the Atwal numerical scoring system. The association was examined between PT as the outcome measure, defined by tears or lacerations and the total striae score (TSS) obtained at abdomen, hips, buttocks and breasts. Results: More than half of study patients developed PT. Majority belonged to moderate striae group. Significant correlation was found between PT and TSS. Moderate and severe striae had significantly increased prevalence of PT as compared to mild striae (43.4% vs. 11.6%). Patients who were given episiotomy in moderate and severe striae group had less PT. Weight gain during pregnancy and TSS were significantly associated with a higher incidence of PT. Conclusion: A woman’s SG score in general is a useful clinical predictor of the risk for PT during childbirth. Selective episiotomy in patients with moderate and severe striae can reduce the incidence of PT. SG score can be used as a simple and noninvasive tool by all categories of health personnel to better define women at risk for PT. Medicine Today 2019 Vol.31(2): 64-67

scholarly journals Prevalence of Repeat Cesarean Section in a Tertiary Care Hospital

2020 ◽  
Vol 58 (229) ◽  
Author(s):  
Jyotshna Sharma ◽  
Sanjeeb Tiwari ◽  
Saraswati M Padhye ◽  
Bidya Mahato
Keyword(s):  
Cesarean Section ◽  
Teaching Hospital ◽  
Vaginal Birth ◽  
Care Hospital ◽  
Previous Cesarean Section ◽  
Vaginal Birth After Cesarean ◽  
Medical College ◽  
Increased Risk ◽  
Repeat Cesarean Section ◽  
Previous Cesarean

Introduction: Cesarean section is the surgical delivery of a baby through an incision made in the mother's abdomen and uterus. Repeat cesarean section has recently increased, partly because of concern about increased risk of uterine rupture in women attempting vaginal birth after cesarean delivery. Among the women who underwent cesarean section in their first delivery, 80-96% had a second surgical delivery. Therefore, the present study aimed to describe the prevalence of repeat cesarean section among Nepali women presented at Kathmandu Medical College and Teaching Hospital who had a previous cesarean section.   Methods: This was a descriptive cross-sectional study conducted in Kathmandu Medical College and Teaching Hospital from 1st of February to 31st of May 2020. Ethical approval was taken from the Institutional Review Committee of the Kathmandu Medical College. Convenient sampling was done. All pregnant patients between gestational ages of 37-40 weeks with previous cesarean section admitted for safe confinement were included in the study.   Results: Among the 104 women, who had prior cesarean section, 99 (95.19%) had second cesarean section and 5 (4.81%) had vaginal birth after cesarean. The most common indication for the first cesarean section was fetal distress 31 (29.81%) while the indication for the second cesarean section among previously cesarean section women was cephalo pelvic disproportion 39 (39.40%).   Conclusions: The proportion of cesarean section in both first and subsequent delivery is quite high. This high rate may compromise the reproductive future of the women who underwent consecutive cesarean section with possible consequent complications.

First Ricin Readings

1998 ◽  
pp. 39-41
Author(s):  
Oleksandr N. Sagan
Keyword(s):  
Religious Studies ◽  
National Academy Of Sciences ◽  
Medical College ◽  
Religious Consciousness ◽  
Medical Academy ◽  
65Th Anniversary ◽  
Academy Of Sciences

On April 22, 1998, on the occasion of the 65th anniversary of the publication of Arsen Rychinsky's "Problems of Ukrainian Religious Consciousness" in Kremenets (Ternopil region), the First Rychinsky reading was held. The organizers of the conference were: Ukrainian Association of Religious Studies, Ternopil Medical Academy named after them. I.Gorbachevsky, Department of Religious Studies at the Institute of Philosophy named after G.S. Skovoroda, National Academy of Sciences of Ukraine, Kremenets Medical College.

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