scholarly journals Pharmacologic Therapy in Postpartum Pelvic Pain Management

2019 ◽  
Vol 69 (12) ◽  
pp. 3622-3625
Author(s):  
Alexandra Matei ◽  
Cringu Ionescu ◽  
Mihai Dimitriu ◽  
Corina Ilinca ◽  
Diana Gheorghiu ◽  
...  
Keyword(s):  
Pain Management ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Pelvic Pain ◽  
Epidural Anesthesia ◽  
Confidence Level ◽  
Pearson Correlation ◽  
Descriptive Study ◽  
Pharmacologic Therapy ◽  
Childbirth Experience

Women�s perception on childbirth experience is frequently related to pain struggle, regardless the type of birth. We aimed to present our Department�s experience on pharmacologically treating postpartum related pain. We developed a 6 months retrospective, descriptive study which included a number of 305 patients. Two sample patients were formed depending on the type of birth. In the sample of vaginal delivery a correlation between episiotomy and Paracetamol consumption was found (Pearson correlation of 0.238). In the sample of cesarean section births, for Acupan, Ketoprofen and Algifen the correlations with epidural anesthesia are negative and statistically significant at the 99.9% confidence level.

Alterations in the Umbilical Cord Blood NK Cells Related to the Mode and the Time of Delivery.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 3926-3926 ◽  
Author(s):  
Barbara Królak-Olejnik ◽  
Igor Olejnik
Keyword(s):  
Cesarean Section ◽  
Nk Cells ◽  
Natural Killer ◽  
Vaginal Delivery ◽  
Epidural Anesthesia ◽  
Umbilical Cord Blood ◽  
Full Term ◽  
Preterm Neonates ◽  
Term Neonates ◽  
Spontaneous Vaginal Delivery

Abstract Natural killer (NK) cells take part in the early immunological response to infection. Their lower cytotoxic activity in the neonates, especially premature ones, compared to children and adults, is assumed to be one of the factors responsible for high susceptibility to infections. Moreover, alterations in every components of immune response during anesthesia and surgery have been suggested. The numbers of natural killer cells are decreased postoperatively. The aim of the study was to estimate the influence of the mode and time of delivery on the number of leukocytes, number and percentage of lymphocytes and natural killer (NK) cells. The NK cells were examined by the three-color flow cytometry with the use of monoclonal antibodies of Becton Dickinson in the following study groups: (1) full-term neonates born by normal spontaneous vaginal delivery (n=19); (2) preterm neonates born by normal spontaneous vaginal delivery (n=15); (3) full-term neonates born by elective cesarean section under epidural anesthesia (n=23); (4) preterm neonates born by cesarean section under epidural anesthesia (n=22). The number of leukocytes was similar in all examined neonates. The numbers of leukocytes were lower albeit not significantly in preterm neonates born by cesarean section. The numbers of lymphocytes were also similar in all examined neonates but the percentage of lymphocytes was higher in the preterm neonates than in the full-term ones (p<0,05). The number and percentage of natural killer (NK) cells were higher in the neonates born by normal spontaneous vaginal delivery both full-term and preterm ones. The significant lowest value of NK cells was in the preterm neonates born by cesarean section under epidural anesthesia. These results suggest that either mode of delivery or time of delivery might influence the NK cell numbers in the umbilical cord blood of the neonates.

The Effective and Safety Use of the Epidural Analgesia at Vaginal Delivery in the Women with the Uterine Scar

10.12737/9077 ◽  
2015 ◽  
Vol 22 (1) ◽  
pp. 50-56
Author(s):  
Виноградов ◽  
V. Vinogradov ◽  
Густоварова ◽  
T. Gustovarova ◽  
Боженков ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Epidural Analgesia ◽  
Vaginal Delivery ◽  
Epidural Anesthesia ◽  
Apgar Score ◽  
Negative Effects ◽  
Birth Canal ◽  
Clinical Hospital ◽  
Natural Birth ◽  
Uterine Scar

The frequency of the Cesarean section leads to increase number of the patients with the scar on the uterus. In the Clinical hospital № 1 (Smolensk, Russia) the childbirth is carried out through natural birth canal on the women having a reliable scar on the uterus. The analysis of the vaginal delivery and labour outcomes in 69 patients with the scar on the uterus is carried out. The childbirth in 38 patients was conducted with the epidurals, in 31 patients – without this type of anesthesia. The efficiency and safety of the epidural anesthesia are shown. The obtained results confirm that the epidural anesthesia doesn&#180;t complicate the labour, doesn&#180;t increase the hospitalization term, doesn&#180;t influence the bleeding and negative effects on the fetus condition and the newborn assessment according to Apgar score. The possibility of using epidural anesthesia at childbirth on the women with uterine scar during the dystocia is shown.

scholarly journals PERBANDINGAN PERSALINAN SEKSIO SESAREA DAN PERVAGINAM PADA WANITA HAMIL DENGAN OBESITAS

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Adelia S. Ekwendi ◽  
Maya E. Mewengkang ◽  
Frank M. M. Wagey
Keyword(s):  
Body Weight ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Descriptive Study ◽  
Age Group ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Vaginal Deliveries

Abstract: Obesity is a problem throughout the world and is commonly found among women in the region of Southeast Asia. Obesity in pregnant women increases the risk of complications associated with an increasing incidence of caesarean section and a decreasing incidence of vaginal delivery. This study aimed to determine the comparison of caesarean section and vaginal delivery in pregnant women with obesity. This was a descriptive study with a cross-sectional approach. This study used data of the patients’ medical record. Samples were all pregnant women with obesity (BMI ≥30 kg/m2) at the end of pregnancy who underwent caesarean sections and vaginal deliveries in Prof. Dr. R. D. Kandou Hospital Manado from January 2014 until October 2015. The data were processed by using the Microsoft Excel. The results showed that the number of pregnant women with obesity was 926 and of pregnant women who underwent caesarean section was 50.22%. Pregnant women with obesity in the age group over 30 years, nutritional status obese II and III, and body weight over 85 kg were more frequent in undergoing the cesarean section. Conclusion: The higher BMI, body weight, and age of a pregnant woman, the higher risk of undergoing cesarean section compared to vaginal delivery. Keywords: BMI, obesity, caesarean section, vaginal delivery   Abstrak: Obesitas merupakan masalah yang mendunia dan paling banyak dialami oleh wanita di wilayah Asia-Tenggara. Obesitas pada wanita hamil meningkatkan risiko terjadinya komplikasi yang berhubungan dengan peningkatan angka kejadian persalinan seksio sesarea dan penurunan kejadian persalinan pervaginam. Penelitian ini bertujuan untuk mengetahui perbandingan persalinan seksio sesarea dan pervaginam pada wanita hamil dengan obesitas. Penelitian ini menggunakan metode deskriptif dengan pendekatan potong lintang. Penelitian dilakukan dengan melihat catatan rekam medis pasien. Sampel penelitian ialah seluruh wanita hamil dengan obesitas (IMT ≥ 30 kg/m2) pada akhir kehamilan yang menjalani persalinan seksio sesarea dan pervaginam di RSUP Prof. Dr. R. D. Kandou Manado dari bulan Januari 2014 sampai Oktober 2015. Data yang diperoleh diolah dengan menggunakan Microsoft excel. Hasil penelitian menunjukkan bahwa jumlah wanita hamil dengan obesitas 926 orang dan yang menjalani seksio sesarea sebanyak 50,22%. Wanita hamil dengan obesitas pada kelompok umur di atas 30 tahun, status gizi obes II dan III, serta kelompok berat badan lebih dari 85 kg lebih banyak menjalani persalinan seksio sesarea. Simpulan: Semakin meningkat IMT, berat badan, dan usia seorang wanita hamil, maka semakin tinggi risiko menjalani persalinan seksio sesarea dibandingkan pervaginam. Kata kunci: IMT, obesitas, seksio sesarea, persalinan pervaginam

scholarly journals Complications among Mothers and New Born Due to Delivery Process in Rupandehi District Nepal

2018 ◽  
Vol 16 (2) ◽  
pp. 190-194
Author(s):  
Shanta Sharma ◽  
Indra Dhakal
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Descriptive Study ◽  
Lower Segment ◽  
Chi Square ◽  
Normal Delivery ◽  
Child Birth ◽  
New Born ◽  
Lower Segment Cesarean Section ◽  
Chi Square Test

Background: Child birth is a universally celebrated occasion, yet everyday for thousands of women child birth is experienced not as a joyful event as it should be, but as a private hell that may even end in death. The objective of this study is to determine the complications of normal delivery and cesarean section on the mothers and new born.Methods: A descriptive study was conducted in two selected hospitals of Rupandehi district, Nepal. Data was collected as per pretested structured proforma from 550 respondents who were the mothers and new born delivered normally and through cesarean section randomly till the completion of sample size and analyzed by using SPSS, MANOVA and Chi-square test to determine associations between categorical variables.Results: In a total of 550 deliveries,25.8% were cesarean delivery, 42.7% motherssuffered from delivery related complications, common were PPH (21.1%), prolonged labour (8.5%) and wound infection (7.6%). 35.5% of newborn had complications, common were respiratory distress (6.3%) and neonatal jaundice (4.2%).Conclusions: Delivery related complications were higher among Lower segment cesarean section compared to vaginal delivery in mothers and newborn.Keywords: Cesarean section; child birth; maternal complication; new born; vaginal delivery.

scholarly journals Use and costs of pain management in cesarian section

2020 ◽  
Vol 101 (3) ◽  
pp. 418-425
Author(s):  
C B Tashtanbekova ◽  
E A Chuenkova ◽  
A A Evstratov ◽  
L E Ziganshina
Keyword(s):  
Pain Management ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Epidural Anesthesia ◽  
Postoperative Period ◽  
Opioid Analgesics ◽  
Cost Of Drugs ◽  
Control Pain ◽  
The Cost ◽  
Anesthesia Epidural

Aim.To study the use of drugs for pain management for cesarean section and their cost on time and the first day after surgery. Methods.A retrospective analysis of 117anesthesia cards and childbirth histories of women after a cesarean section was performed. We analyzed drug therapy aimed at reducing pain during 1day after cesarean section and performed a comparative analysis of the cost of drugs used in spinal and epidural anesthesia. Results.Regional methods of anesthesia, epidural and spinal, were used in 95% of all cases. Spinal anesthesia was performed in 77women, epidural in 34women. The frequency of prescribing opioid analgesics was higher with spinal anesthesia compared with epidural: trimeperidine (intramuscular) was used in 62(83%) of 77patients for spinal anesthesia and 1(3%) of 34 for epidural anesthesia (p0.05). There were no differences in the use of ketoprofen in the postoperative period with epidural and spinal anesthesia. The total cost of medicines used to control pain during and on the 1st day after surgery, with epidural anesthesia, was almost 10times higher than that of spinal anesthesia: 938 and 98rubles, respectively. Conclusion.To control pain during cesarean section, in addition to local anesthetics, trimeperidine was used more often with spinal than epidural anesthesia; in the postoperative period, ketoprofen and trimeperidine were used with the equal frequency with greater use of ropivacaine with epidural anesthesia through a stored catheter; this has caused a higher cost of pain management during and in the first day after cesarean section with epidural anesthesia.

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