scholarly journals Pregnancy with a Normal live Foetus and a Partial Molar Placenta - An Extremely Rare Condition

1970 ◽  
Vol 18 (1) ◽  
pp. 82-84 ◽  
Author(s):  
R Khanom ◽  
K Khatun ◽  
S Akter
Keyword(s):  
Caesarean Section ◽  
Rare Condition ◽  
Normal Karyotype ◽  
Emergency Caesarean Section ◽  
Molar Pregnancy ◽  
College Hospital ◽  
Medical College ◽  
Male Baby ◽  
Emergency Caesarean ◽  
Normal Foetus

The incidence of a normal live foetus along with a partial molar placenta is extremely rare. Although triploidy is the most frequent association, a foetus with normal karyotype can survive in cases of partial molar pregnancy. A case is reported in the Department of Obstetrics & Gynaecology, Dhaka Medical College Hospital, Dhaka that of partial molar placenta in which a live male baby was delivered at 34 weeks gestation by a 25 years old woman. At the 23rd week, ultrasonographic examination revealed a normal foetus with a huge, multicystic placenta. There were per vaginal bleeding up to the 34th gestational weeks. The patient underwent an emergency caesarean section and delivered a 1.6 kg male baby. The baby was admitted in SCABU. The foetus was normal and no complication was there. Key words: Live foetus with molar pregnancy; emergency caesarean section. DOI: 10.3329/jdmc.v18i1.6313 J Dhaka Med Coll. 2009; 18(1) : 82-84

scholarly journals Socio-demographic Factors Associated with Emergency Caesarean Section Cases admitted at Tertiary Care Hospital in Dhaka City

2018 ◽  
Vol 4 (1) ◽  
pp. 23-26
Author(s):  
Rifat Sultana ◽  
Dewan Shahida Banu ◽  
Mahmuda Khatun ◽  
Fatima Dolon ◽  
Mahmuda Nahar ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Intraoperative Complications ◽  
Tertiary Care ◽  
Demographic Factors ◽  
Emergency Caesarean Section ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College ◽  
Emergency Caesarean ◽  
Socio Demographic Factors

Background: Socio-demographic factors are related with the need of emergency obstetric care.Objectives:  The purpose of the present study was to see the socio-demographic characteristics of emergency caesarean section.Methodology: This cross-sectional of study was conducted in the Department of Obstetrics and Gynaecology at Dhaka Medical College, Dhaka from the duration July 2006 to December 2006 for a period of six (6) months. The pregnant women underwent emergency caesarean section admitted at Dhaka Medical College Hospital during the mentioned period of the study were my study population. The cases were selected from the patients who got admitted at obstetrics ward of DMCH with an indication of emergency caesarean section with stable general condition at that moment. Every 10th patient was selected for the study. Data has been collected after taking written consent from the patients as per consent form. Then a thorough history, clinical examination was done and information were collected. Intraoperative complications such as haemorrhage, cardiac arrest were noted.Result: The study was performed on 100 cases of which 35(35.0%) emergency caesarean section cases belonged to the age group of 20 to 24 years and 56.0% were from lower socio economic class. Among them 42.0% of the cases of emergency caesarean section had education SSC and above level; furthermore 12.0% were illiterate. In addition 92.0% cases were house wife.Conclusion: In conclusion young house wives from lower socio economic status are mostly underwent emergency caesarean section.Journal of Current and Advance Medical Research 2017;4(1):23-26

scholarly journals An audit of the decision to delivery interval in emergency caesarean section and its effect on neonatal outcome

2020 ◽  
Vol 9 (10) ◽  
pp. 4202
Author(s):  
Anuradha G. ◽  
Nirupama V. ◽  
Shirley George
Keyword(s):  
Caesarean Section ◽  
Neonatal Outcome ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Primary Objective ◽  
Emergency Caesarean Section ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College ◽  
Emergency Caesarean

Background: Emergency caesarean section (CS) is divided into four categories based on the degree of urgency by RCOG and NICE guidelines. It is recommended that the decision to delivery interval (DDI) in emergency CS should be within 30 minutes in category 1 and within 75 minutes in category 2. Our Primary objective was to study the incidence and indications of emergency CS and audit the DDI in emergency CS at tertiary care hospital. Our secondary objective was to study the effect of DDI on neonatal outcome.Methods: Descriptive study was carried out among 409 women who underwent emergency CS from August 2018 to December 2018 at St. John's medical college hospital, Bangalore. Relevant data was collected by chart review. Emergency CS were categorised according to RCOG guidelines based on the degree of urgency and further classified based on DDI as <30 minutes, 30-75 minutes and >75 minutes.Results: We had 409 cases of emergency CS. Category 1 had 113 (27.63%) cases, category 2 had 126 (30.81%) cases and category 3 had 170 (41.56%) cases. DDI of <30 minutes was achieved in 19.5% in category 1, DDI of <75 minutes was achieved in 93.65% in category 2. Fetal distress was the leading cause of emergency CS in category 1 and 2. There was a high incidence of low APGAR in babies delivered in <30 minutes and lower APGAR was significantly associated with <30 minutes of DDI (p<0.0001).Conclusions: Fetal distress was the leading cause of emergency CS. DDI interval of <30 minutes was not always associated with good neonatal outcome; Category of CS has a significant effect on neonatal outcome.

scholarly journals Profile of Caesarean Section at Kathmandu Medical College

2017 ◽  
Vol 15 (2) ◽  
pp. 110-113
Author(s):  
Apurwa Prasad ◽  
Garima Bhandari ◽  
Rachana Saha
Keyword(s):  
Caesarean Section ◽  
Demographic Data ◽  
Elective Caesarean Section ◽  
Emergency Caesarean Section ◽  
Medical College ◽  
Emergency Caesarean ◽  
Clinical Indications ◽  
Depth Study ◽  
Elective Procedure ◽  
Failed Induction

Background: There is a world-wide rise in caesarean section rateduring the last three decades and has been a cause of alarm and needs an in-depth study. The objective of this study was to determine the rate and clinical indications of Caesarean Section.Methods: A hospital based study was carried out from 15th June 2015 to 15th January 2016 in Department of Obstetrics and Gynecology at Kathmandu Medical College, Sinamangal, Nepal. Patients who delivered by caesarean section were included in the study. Basic demographic data and clinical indications were noted.

Results: A total of 1172 deliveries were carried out during the study period. Total number of caesarean section was 537 accounting to 45.81%. Most of the patients were of the age group of 25-29 years (42.8%). Most of the patients were primigravida (n=274; 51%). Emergency caesarean section was 411 (76.5%) and elective caesarean section was 126 (23.4%). Multigravida (71%) underwent more elective procedure than primigravida (25. 39%).The most frequent indication was fetal distress19.55% (n=105), failed induction 19.73%(n=106), and previous caesarean section 21.3% (n=115).Conclusions: The rate of cesarean section is quite high than that recommended by WHO which is (10-15%). Most of the caesarean sections were emergency caesarean section with previous caesarean being the leading cause.

scholarly journals Bacteriological analysis of infected wound and their antibiotic sensitivity following emergency caesarean section-a study of 100 cases

KYAMC Journal ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 61-64
Author(s):  
Sushmita Paul ◽  
Debashis Paul ◽  
Ashraful Haque ◽  
Bijan Kumar Nath ◽  
Md Rezaur Rahman Miah ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Wound Infection ◽  
Antibiotic Sensitivity ◽  
Cross Sectional Study ◽  
Emergency Caesarean Section ◽  
Klebsiella Pneumonia ◽  
Infected Wound ◽  
College Hospital ◽  
Cross Sectional ◽  
Emergency Caesarean

Background: Emergency caesarean section is one of the commonly performed operation in the department of gynae and obstetrics.Objectives: The aim and objective of the study was to evaluate the organisms responsible for post emergency caesarean wound infection and their antibiotics sensitivity.Materials & Methods: The study is a prospective type of cross sectional study where 100 patient of post emergency caesarean wound infection was evaluated during July 2012 to December 2012 (6 Month Duration) at Rajshahi Medical College Hospital (RMCH) Rajshahi. The wound swab was sent for culture and sensitivity test.Results: The peak incidence of wound infection to between 6th - 8th post operative day. In wound discharge shows various organism but 16% showed no growth. The most of the infected wound showed (48%) thick creamy pus and the organisms isolated is Staphylococcus. antibiotics mostly used were Ciprofloxacin, Cephradine and Metronidazole. This study revealed that maximum wound infection is due to S. aureus. Regarding antibiotic sensitivity of the cultured organisms, all of them are sensitive to Imepenem (100%). Staphylococcus aureus mostly sensitive to Flucloxacillin (79.16%). Ciprofloxacin sensitivity is found in 58.33% cases. E coli mostly sensitive to Imepenem (100%) followed by Ceftriaxone (53.84%). Klebsiella pneumonia found mostly sensitive to Imepenem (100%) followed by Ceftriaxone (75%) and Cephradine (50%).Conclusion: Selection of appropriate antibiotic is important to reduce post caesarean wound infection.KYAMC Journal Vol. 9, No.-2, July 2018, Page 61-64

scholarly journals Neonatal Bartter Syndrome

2016 ◽  
Vol 36 (2) ◽  
pp. 204-207 ◽  
Author(s):  
Amrita Roy ◽  
Debalina Sarkar Chakraborty ◽  
Shivani Dogra ◽  
Sudip Sengupta
Keyword(s):  
Caesarean Section ◽  
Metabolic Alkalosis ◽  
Bartter Syndrome ◽  
High Serum ◽  
Emergency Caesarean Section ◽  
Male Baby ◽  
Emergency Caesarean ◽  
Neonatal Bartter Syndrome

The neonatal form of Bartter syndrome is characterized by intrauterine onset of polyuria leading to severe polyhydramnios. We report a case of a 31 weeks, male baby was born by emergency Caesarean Section due to severe polyhydramnios (AFI 54). Postnatally, baby had polyuria, dehydration, hyponatremia, hypokalemia and hypochloremic metabolic alkalosis. Possibility of neonatal Bartter syndrome was supported by high serum renin and aldosterone levels. Correction of electrolytes and dehydration along with indomethacin constituted the treatment. This syndrome is reported to make paediatricians aware about the severe neonatal form of the disease.J Nepal Paediatr Soc 2016;36(2):204-207.

scholarly journals Spontaneous Haemoperitoneum in Pregnancy- A Diagnostic Challenge

2020 ◽  
Author(s):  
Niranjan Mayadeo ◽  
Anusha Devalla
Keyword(s):  
Caesarean Section ◽  
Acute Pain ◽  
Rare Condition ◽  
Fetal Outcome ◽  
Emergency Caesarean Section ◽  
Posterior Surface ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Emergency Caesarean ◽  
In Pregnancy

Spontaneous haemoperitoneum in pregnancy is an extremely rare condition that poses a diagnostic dilemma for the obstetrician. The authors here present a case of 23-year-old primigravida presenting at 34-weeks with acute pain in abdomen masquerading as clinical chorioamnionitis secondary to prolonged rupture of membranes. Abdomen palpation revealed uterine tenderness and pathological cardiotocography tracings suggesting the need for immediate delivery of the foetus by emergency caesarean section. Intraoperatively, there was haemoperitoneum (800 mL) and bleeding superficial uterine serosal veins on the posterior surface of uterus seen on exploration. The patient was successfully managed with favourable maternal and fetal outcome.

scholarly journals Incidental Diagnosis of Ovarian Mucinous Cyst Adenocarcinoma during Emergency Caesarean Section - A Case Report

1970 ◽  
Vol 24 (1) ◽  
pp. 32-35
Author(s):  
Salma Sultana
Keyword(s):  
Caesarean Section ◽  
Tamil Nadu ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Emergency Caesarean Section ◽  
Mucinous Cystadenocarcinoma ◽  
Obstructed Labor ◽  
Medical College ◽  
Emergency Caesarean ◽  
Mucinous Cyst

Mucinous cystadenocarcinoma contribute about 10 to 20 % of epithelial carcinoma ovaries. A large Mucinous cystadenocarcinoma about 15kg weight and about 25cm×15cm×10cm size was found during emergency caesarean section due to obstructed labor in a primi gravida with term pregnancy. Right sided salpingo-ovariotomy with the mass was done. Per-operative no evidence of metastasis, other ovary was healthy. Histopathological report confirmed the diagnosis of well differentiated mucinous cystadenocarcinoma .The patient was referred to the National Institute of Cancer Research & Hospital, Mohakhali, Dhaka. She was treated with 3 cycles chemotherapy (Inj.paclotaxel 250mg. 01+Inj.carboplatin 450mg×02 for 4 days 1st week, 3 days 2nd week, 2 days 3rd week). 3 months later, the patient was treated in Christian Medical College Vellore, Tamil Nadu, India, where interval debulking (total abdominal hysterectomy, left sided salpingo-oophorectomy with infra colic omentectomy) was done and another same 3 cycles chemotherapy was given. Further follow up in the same institute in India after 6 months revealed no abnormalities (C.T scan of the abdomen and pelvis -no evidence of intra abdominal adenopathy). Now the patient is symptom free for about two years (Last visit 3 months back). Key words: Mucinous cystadenocarcinoma; caesarean section; primi gravida; salpingooophorectomy; chemotherapy. DOI: 10.3329/bjog.v24i1.6325 Bangladesh J Obstet Gynaecol, 2009; Vol. 24(1) 32-35

scholarly journals Puerperal complications in elective versus emergency caesarean deliveries

2021 ◽  
Author(s):  
Ashka Joshi ◽  
Maulesh Modi ◽  
Ami Shah ◽  
Kanupriya Singh ◽  
Haresh Doshi
Keyword(s):  
Caesarean Section ◽  
Rectus Sheath ◽  
Emergency Caesarean Section ◽  
Dense Adhesion ◽  
Medical College ◽  
Lower Segment Caesarean Section ◽  
Emergency Caesarean ◽  
Number Of Patients ◽  
Significant Difference ◽  
History Of

Background: The aim of current study was to compare puerperal complications in elective vs emergency caesarean section. Though similar complications occur in elective and emergency caesarean sections, this study aims to find out which complications are more common in either of them.Methods: A prospective case comparative study was conducted at GCS Medical College and Hospital, Department of Obstetrics and Gynecology, Ahmedabad from 01 December 2020 to 01 June 2021.Results: The emergency caesarean section (CS) rates (36) were more common in the age group of 21-25 years than the elective CS (32). Emergency CS was most common in primipara women (69). The most common risk factor is previous known history of hypothyroidism and most common indication is known history of previous lower segment caesarean section (LSCS). 10 patients in elective CS and 8 patients in emergency CS had previous LSCS. Body mass index (BMI) of 26 patients in elective CS was ranging between 24.9-29.9 kg/m2 when compared to 28 patients with similar BMI in emergency CS. Overweight patients underwent more emergency CS when compared to elective CS. Most common intra-operative complication was adhesions between rectus sheath and muscle and second most common was dense adhesion. Most common post op complication was breast engorgement and mastitis.Conclusions: There is a significant difference between the number of patients in elective and emergency CS group when common indications are seen (p<0.05). Similarly, statistically significant is observed between the 2 groups when post-operative complications are observed (p<0.05).

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