scholarly journals Outcome of Primigravida with high foetal head at term or onset of labour

2018 ◽  
Vol 26 (2) ◽  
pp. 122-125
Author(s):  
Mukti Rani Saha ◽  
Nahid Yasmin ◽  
Afzalunnessa Chowdhury ◽  
Shahrin Ahmed ◽  
Kamrunnahar Sweety ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Mode Of Delivery ◽  
Foetal Distress ◽  
Lower Segment ◽  
College Hospital ◽  
Abdominal Ultrasonography ◽  
Cephalopelvic Disproportion ◽  
Foetal Head ◽  
Medical College ◽  
Lower Segment Caesarean Section

Objective: To determine the causes of high foetal head and their relative frequencies in primigravidae presenting at term and to determine the proportion of these patients undergoing lower segment caesarean section or vaginal delivery. Design: A descriptive study.Place and duration of study: The study was carried out at Mugda Medical College Hospital from March 2017 to June 2017.Materials and Methods: A total of 50 primigravidae patients presenting at term and having a single pregnancy were randomly selected. On the basis of history, Physical examination and abdominal ultrasonography, patients having a high foetal head were recognized and their causes documented.Results: Out of 50 primigravidae, with high foetal head there was foetal malpresentation 17(34%), Cephalopelvic disproportion 13(26%) , Foetal distress 12(24%). Lower segment caesarian section was the management of choice in more than half of the patients with high foetal head.Conclusions: Foetal malpresentation & Cephalopelvic disproportion were the major cause of high foetal head in this study and lower segment Caesarean section was the mode of delivery in more than half of the patients with high foetal head.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 122-125

Comparison of incidences and indications of multi primary caesarean with primi caesarean mothers in a tertiary care teaching hospital

2017 ◽  
Vol 6 (10) ◽  
pp. 4263
Author(s):  
M. Sujatha Alagesan ◽  
M. Meena
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Teaching Hospital ◽  
Tamil Nadu ◽  
Caesarean Section Rate ◽  
Tertiary Care ◽  
Foetal Distress ◽  
College Hospital ◽  
Medical College ◽  
Clinical Profiles

Background: The incidences and indications of caesarean sections between the primary caesarean multies and caesarean primies were comparable in respect of their demographical and clinical variables of mothers and their foetal outcomes. Aim and objective of the study was to analyze the incidences and indications of primary caesarean multies and caesarean primies. To compare the incidences and indications of mothers between the primary caesarean multies and caesarean primies. To compare the demographic and clinical profiles of the mothers and babies.Methods: During January to June 2016 total of 3583 deliveries were conducted in Tiruneleli Medical College Hospital, Tamil Nadu, India. Among them 89 and 1168 were primary caesarean multies and caesarean primies respectively. They had been compared according to the objectives.Results: The caesarean incidences were 62.5% among the primies and 4.8% among the multies as Primary. The primary caesarean incidences among the multies were statistically significantly lesser in the 15-24 ages than the primi (P<0.05). 25-29 age bracket the incidences were not differed significantly (P>0.05). After 30 years of age, the incidences were statistically significantly increased among the multies (P<0.05). The birth weight of babies did not show any statistically significant indications between the two groups (P>0.05). The indications of Foetal distress, Severe Oligo hydration and others did not show any statistically significantly difference between the groups (P>0.05). Mal presentation and Ante Partum hemorrhage were significantly more among the multies than primies (p<0.05) and Failed indication and CPD were the significantly lesser indication than the primies (P<0.05).Conclusions: Without reducing the caesarean section rate in primi we cannot bring down the overall caesarean rate of delivery.

scholarly journals Anaesthetic Challenge in Undiagnosed Mitral Valvular Disease in Emergency Lower Segment Caesarean Section in a Secondary Level Hospital – A Case Report

2014 ◽  
Vol 9 (1) ◽  
pp. 118-121
Author(s):  
ME Karim ◽  
S Akhter ◽  
MM Yasin
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Heart Diseases ◽  
Indian Subcontinent ◽  
Secondary Level ◽  
Armed Forces ◽  
Lower Segment ◽  
Medical College ◽  
Lower Segment Caesarean Section ◽  
Level Hospital

Although the incidence of Rheumatic Mitral Stenosis is grossly reduced in Indian subcontinent, it occupies a greater segment among heart diseases complicating pregnancy. A 25 years old lady, who was not known as a case of valvular heart disease, was admitted in a secondary level hospital for emergency lower segment caesarean section. The patient developed severe pulmonary oedema during operation which was managed successfully. DOI: http://dx.doi.org/10.3329/jafmc.v9i1.18741 Journal of Armed Forces Medical College Bangladesh Vol.9(1) 2013: 118-121

scholarly journals Indications of Caesarean Section - Study of 100 cases in Mymensingh Medical College Hospital

2012 ◽  
Vol 1 (1) ◽  
pp. 6-10
Author(s):  
Khairun Nahar
Keyword(s):  
Caesarean Section ◽  
Perinatal Death ◽  
Previous Caesarean Section ◽  
Age Group ◽  
Foetal Distress ◽  
College Hospital ◽  
Emergency Operations ◽  
Medical College ◽  
Foetal Outcome ◽  
Primary Section

This study was a prospective descriptive one. It was done in MMCH from January 1996 to march 1996. A total of 714 deliveries occurred of which 225 deliveries by Caeserean section, incidence of LSCS was 30.36%. The commonest age group of patients being operated ranged from 20 - 30 yrs (77%). Most of the patients who had undergone LSCS were multigravida (45%). The section were due to various indications, the commonest cause in this study was previous caesarean section, foetal distress and obstructed labour. The rate of primary section was more (84%) while repeat section being 16%. The peak range of operations were done in patients with 5 feet 2 inches height. The rate of elective operation was 37% . where emergency operations were done in 63% of cases. Regarding foetal outcome. 92% survived and 8% had perinatal death. DOI: http://dx.doi.org/10.3329/jssmc.v1i1.12167 Journal of Shaheed Suhrawardy Medical College Vol.1, No.1, December 2009 p.6-10

scholarly journals Viable baby from a couvelaire uterus

2015 ◽  
Vol 1 (2) ◽  
pp. 49-51
Author(s):  
Laxmi R.C. Karki ◽  
Chitra Ranjan Das
Keyword(s):  
Caesarean Section ◽  
Apgar Score ◽  
Preterm Labor ◽  
Health Sciences ◽  
Lower Segment ◽  
Cephalopelvic Disproportion ◽  
Lower Segment Caesarean Section ◽  
Female Baby

A 20-year-old primi gravida of 32 weeks pregnancy by date was admitted in the labor room with diagnosis of preterm labor with preeclampsia. Ultrasonography revealed 36 weeks pregnancy with normal liquor volume and fundal placenta. Lower segment caesarean section was done for cephalopelvic disproportion with preeclampsia. A female baby was delivered weighing 2.4 kg, with Apgar score of 6/10, 8/10. The placenta was delivered by control cord traction. On the fundus 25% of placenta was already separated and 500 ml of old retro placental clots were found. It was abruption placentae (concealed type), the uterus was bluish/purplish color, which was diffuse on fundal area and effusions of blood were also seen beneath the tubal serosa. After delivery of the baby uterus was well contracted 20 weeks size, bilateral ovaries were normal.Journal of Patan Academy of Health Sciences. 2014 Dec;1(2):49-51

scholarly journals TO OBSERVE THE EFFECT OF ORAL GABAPENTIN, THEOPHYLLINE AND CAFFEINE ON SBP, DBP, MAP AND HR.

2019 ◽  
Vol 3 (12) ◽  
Author(s):  
Kunwar Singh Thakur ◽  
Rahul Meda
Keyword(s):  
Informed Consent ◽  
Caesarean Section ◽  
Spinal Anesthesia ◽  
Ethics Committee ◽  
Lower Segment ◽  
Medical College ◽  
Lower Segment Caesarean Section ◽  
Haemodynamic Parameters ◽  
Institutional Ethics ◽  
Written Informed Consent

After obtaining approval from institutional ethics committee, and written informed consent, the present study entitled "To Observe the Effect of Oral Gabapentin, Theophylline and Caffeine on SBP, DBP, MAP and HR"  was conducted on 120 patients of ASA grade I &II scheduled for elective and emergency lower segment caesarean section under spinal anesthesia in the Department of Anesthesiology, J.A. Group of Hospitals & G.R. Medical College, Gwalior (M.P.)  after getting written informed consent from the patients. No significant effects on haemodynamic parameters were observed with all the study drugs. Recurrence of PDPH was significantly high with caffeine treatment. No serious untoward effects or complications of study drugs were observed in the study. Keywords: Oral Gabapentin, Theophylline, Caffeine, SBP, DBP, MAP & HR.

scholarly journals Caesarean Delivery: Increases Subsequent Risk of Placenta Praevia

1970 ◽  
pp. 13-17
Author(s):  
Nasreen Banu ◽  
Nasima Begum
Keyword(s):  
Caesarean Section ◽  
Caesarean Delivery ◽  
Mode Of Delivery ◽  
Subsequent Pregnancy ◽  
Placenta Praevia ◽  
Chi Square ◽  
College Hospital ◽  
Medical College ◽  
Chi Square Test ◽  
Control Study

This case control study was conducted in the Department of Obstetrics and Gynecology, Chittagong Medical College Hospital, in the period from April 07 to March 08. A total of 232 multiparous pregnant women were included in this study; among them 51 were cases (with placenta praevia) and 181 were similar matched control. Past mode of delivery were explored in both the groups and analyzed statistically.Out of 232 subjects, prior caesarean delivery had 25.5% (n=13) in cases and 44.2% (n=80) in controls. After statistical analysis, caesarean section was considered as a risk factor for placenta praevia in subsequent pregnancy. The odds ratio = 0.43 (CI 0.22 – 0.86) and chi square test = 5.80 (df =1; p= 0.016). Key words: Placenta praevia; caesarean section. DOI: 10.3329/bjpp.v25i1.5740Bangladesh J Physiol Pharmacol 2009; 25(1&2) : 13-17

scholarly journals Relation of Placenta Praevia with Previous Lower Segment Caesarean Section (LUCS) in our Clinical Practice

2017 ◽  
Vol 12 (2) ◽  
pp. 75-77
Author(s):  
Zebunnessa Parvin ◽  
Sanjoy Das ◽  
Lutfun Naher ◽  
Sumitendra Kumar Sarkar ◽  
Kaneez Fatema
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Placenta Praevia ◽  
P Value ◽  
Lower Segment ◽  
Chi Square ◽  
College Hospital ◽  
Cross Sectional ◽  
Lower Segment Caesarean Section ◽  
Number Of Patients

Caesarean section (c-section) is one of the important risk factor to placenta praevia. There is significant association between placenta praevia and previous c-section pregnancy. It is a leading cause of APH and it affects approximately 0.5% of all labour. This cross sectional type of observational descriptive study based on non- probability technique was done in Faridpur Medical College Hospital from July 2015 - June 2016. A total of 150 pregnant women were studied. Pregnant women with H/O previous c-section once or more beyond 28 weeks gestation were included. Those who were primigravidae or pregnant women without previous c-section were excluded. The data were subjected to chi-square test with SPSS software version 20.0. In our study women with previous c-section were selected; out of which 16 patients (10.67%) were found to have placenta praevia and 134 patients (89.33%) were not found. The mean age of the study subject was 27.25 ± 3.43 years with maximum number of patients having age between 25 to 29 years. Among the study population other placental positions were anterofundal 90(60%) and posterofundal 44 (29.33%). The frequency of placenta praevia out of 16 women who had one c-section was 11 (10%), two c-section was 4 (11.4%) and three c-section was 1 (20%).There was significant association (p-value < 0.05) between number of c-section and placenta praevia. There was found significant relation between placenta praevia and lower segment caesarean section (LSCS) in our study.Faridpur Med. Coll. J. Jul 2017;12(2): 75-77

scholarly journals Comparison between fractionated dose with bolus dose in Spinal Anaesthesia for haemodynamic stability and duration of analgesia in patients undergoing elective Lower Segment Caesarean Section (LSCS)

Mediscope ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. 95-102
Author(s):  
Md Munjur Hossain ◽  
Biplab Biswas ◽  
Pankaj Kumar Mohanta ◽  
Muhammad Masud Hassan ◽  
Plabon Basu ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia ◽  
Bolus Dose ◽  
Elective Caesarean Section ◽  
Lower Segment ◽  
College Hospital ◽  
Lower Segment Caesarean Section ◽  
Haemodynamic Stability ◽  
Spine Deformities ◽  
Group B

Background: Elective or emergency caesarean sections are routinely done under spinal anaesthesia (SA) with bolus dose of local anaesthetic drugs. Objective: To compared fractionated dose with bolus dose in SA for haemodynamic stability and duration of analgesia in patients undergoing elective lower segment caesarean section (LSCS). Methods: The present study was carried out in the Department of Anaesthesiology, Ad-din Akij Medical College Hospital, Khulna from January 2018 to December 2018 on sixty female patients (thirty in each group) of the American Society of Anesthesiologists physical status I–III, age from 18 to 40 years, height from 140 to 180 cm, singleton pregnancies scheduled for elective LSCS under SA. Patients with pre-existing diseases or pregnancy-induced hypertension, cardiovascular or cerebrovascular disease, any contraindication to SA, those weighing <50 kg or >110 kg and those taller than 180 cm or shorter than 140 cm and severely altered mental status, spine deformities or history of laminectomy were excluded from the study. Results: The mean duration of analgesia was statistically significant (p<0.05) between two groups. Mean pulse rate- after 5 min, after 10 min, after 15 min, after 30 min, after 45 min and after 60 min were significantly (p<0.05) higher in group F than group B. Mean arterial pressure- before given study drug, after 0 min, after 5 min, after 10 min, after 15 min, after 30 min, after 45 min and after 60 min were not significantly (p>0.05) between two group. 14 patients (46.7%) in group B and 5 patients (16.7%) in group F required vasopressor. The difference was significant (p<0.05) between two groups. Conclusion: Separation process in which a certain quantity of a mixture dose of SA provides better haemodynamic stability and longer period of analgesia compare to bolus dose in patients undergoing elective caesarean section. Mediscope Vol. 7, No. 2: July 2020, Page 95-102

scholarly journals Conservative Management of Uterovesical Fistula Following Primary Caesarean Section

2014 ◽  
Vol 2 (4) ◽  
pp. 211-213
Author(s):  
Rashmi Bastakoti ◽  
Rachana Saha
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Uterine Cavity ◽  
Emergency Caesarean Section ◽  
Foetal Distress ◽  
Lower Segment ◽  
Rare Type ◽  
Lower Segment Caesarean Section ◽  
Urogenital Fistula ◽  
Primary Section

Uterovesical fistula is an abnormal communication between uterine cavity and the bladder. It is a rare type of fistula accounting for four percent of all cases of urogenital fistula. However the incidence of uterovesical fistula has been rising due to increasing incidence of lower segment caesarean section. Uterovesical fistula is seen more after repeated caesarean section rather than primary section. This is a case report of a primipara with uterovesical fistula following primary emergency Caesarean section on her 12th postoperative day for foetal distress. She was managed conservatively using IV antibiotics and catheterization for six weeks.DOI: http://dx.doi.org/10.3126/jkmc.v2i4.11799Journal of Kathmandu Medical CollegeVol. 2, No. 4, Issue 6, Oct.-Dec., 2013Page: 211-213

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