scholarly journals Frequency of caesarean section in diabetic vs. non diabetic females undergoing induction of labour at term

2021 ◽  
Vol 25 (1) ◽  
pp. 97-101
Author(s):  
Fozia Umber Quraishi ◽  
Saima Jabeen ◽  
Anum Yousaf ◽  
Rukhsana Gulzar
Keyword(s):  
Caesarean Section ◽  
Gestational Diabetes ◽  
Cesarean Section ◽  
Sample Size ◽  
Case Series ◽  
Sampling Technique ◽  
Induction Of Labour ◽  
Intrauterine Fetal Death ◽  
Obstetrics And Gynecology ◽  
Normal Delivery

Introduction: Gestational diabetes mellitus (GDM) is a common complication of pregnancy characterized by glucose intolerance recognized during pregnancy. Gestational diabetes is associated with adverse maternal and fetal outcome. Majority of patients with diabetes had induction of labour at term (≥37weeks) to prevent maternal and fetal morbidity especially shoulder dystocia, macrosomia and intrauterine fetal death at term Objectives: To find frequency of gestational diabetes (GDM) in patients undergoing induction of labour. To compare the frequency of caesarean section in diabetic (GDM) and non-diabetic females undergoing induction of labour Methodology: Study Type; It was a descriptive case series conducted at the department of Obstetrics and Gynecology, Shalamar Hospital Lahore. Duration of study was six months after approval from IRB. Sample size; Sample size of 214 cases undergoing induction of labour at term during study period; calculated with 95%confidence level and 3.4% margin of error and taking expected percentage of GDM is 6.9%. Sampling Technique; purposive sampling Methodology: 214 females who will fulfill the inclusion criteria were enrolled in the study from labour room of Department of Obstetrics and Gynecology, Shalamar Hospital Lahore. Induction of labour done with tab prostin 3mg single dose and patients having gestational diabetes were identified and frequency of caesarean section in Diabetic and non-diabetic calculated. Results: In current study, mean age of the patients was 27.8±4.4 years. Mean gestational age was 37.1±3.8 weeks and mean BMI was 28.6±4.1 kg/m2. Primigravida were 88 (41.1%) and multigravidas were 126 (58.9%). Gestational diabetes was found to be in 36 patients (16.8%). Caesarean section was performed in 77 patients (36%). Comparison of frequency of cesarean section in diabetic (GDM) and non-diabetic females undergoing induction of labour revealed majority of the caesarean sections performed in GDM patients (p=0.007). Conclusion In conclusion, our study found a higher incidence of cesarean section than normal delivery in pregnant women with gestational diabetes. Major factors for operational delivery in GDM population included: advanced maternal age and high BMI value.

scholarly journals The burden of caesarean section and its determinants from a tertiary care hospital, Thrissur, Kerala, India

2019 ◽  
Vol 9 (1) ◽  
pp. 216
Author(s):  
Merin Baby ◽  
Sruthi M. V.
Keyword(s):  
Caesarean Section ◽  
Sample Size ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Educational Status ◽  
Care Hospital ◽  
Normal Delivery ◽  
Delivery Date ◽  
Increasing Trend

Background: Caesarean section is a surgical procedure done when vaginal delivery is contraindicated. The prevalence of caesarean section in Kerala showing an increasing trend. Even though the caesarean section is an emergency lifesaving procedure, various other factors like socio-demographic determinants, economic factors and patient’s or clinician’s preferences also influence this increasing trend. The present study was undertaken to compare the various determinants of caesarean section with normal delivery from a tertiary care hospital in Thrissur district.Methods: A hospital-based case control study was done taking mothers who had undergone caesarean section as cases and mothers who had undergone normal delivery as controls during two-month period. The sample size was calculated using the formulae: (Zα + Zβ)2x2xPQ/d2, and the calculated sample size was 88. The various determinants used were socio-demographic, obstetrics and cultural determinants.Results: In this study, it was found that the most common indications for C-section were previous C-section, PPROM and foetal distress. There was a statistically significant association between obstetrics determinants like complications during pregnancy, number of USG taken, period of gestation with mode of delivery. The present study also shows that mothers with educational status up to graduate/PG have lesser incidence of caesarean section. There was a statistically significant association between delivery date close to holidays/festival days and C-section.Conclusions: It is necessary to have health awareness sessions to pregnant mothers about the complication of pregnancy, benefits of normal delivery and complications of C-sections in-order to reduce the patients’ preference for C-section.

scholarly journals Comparative analysis of neonatal sequelae after classic M. Stark and modified cesarean section

2019 ◽  
Vol 23 (3) ◽  
pp. 414-419
Author(s):  
I.Z. Gladchuk ◽  
A.G. Volyanskaya ◽  
Y.V. Herman ◽  
D.O. Grigurko
Keyword(s):  
Comparative Analysis ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Program Analysis ◽  
Confidence Level ◽  
Neonatal Period ◽  
T Test ◽  
Obstetrics And Gynecology ◽  
Clinical Group ◽  
Early Neonatal Period

Over the last twenty years, a sharp perinatal birth rate has registered high perinatal morbidity and mortality in the country. Despite the fact that the number of cesarean sections is constantly increasing, the perinatal mortality rate in the country remains positive and in 2017 was 7.9%%. The purpose of the study was a comparative analysis of the features of the course of the early neonatal period and the frequency of neonatal complications in classical cesarean section according to M. Stark and according to a modified method for improving perinatal outcomes. The selection of patients for the comparative study was performed by type of surgery (classic M. Stark technique or modified technique), which was conducted at the clinical basis of the Department of Obstetrics and Gynecology №1 ONMedU for the period from 2015 to 2018 according to a randomized principle in the obstetric department of the Kherson Regional Clinical Hospital (clinical base of the Department of Obstetrics and Gynecology No. 1 ONMedU). The formation of clinical groups was carried out according to retrospective data from 205 birth histories, the delivery of which was carried out by caesarean section. Statistical processing of the results was carried out using application R of the Microsoft Exel 2003 program. Analysis of quantitative indicators was analyzed using the arithmetic mean value (M) and the error in determining the average value (± m). Qualitative indicators were measured in absolute and relative (percentage) values. The significance of differences in the parametric characteristics in the appropriate groups was evaluated using Student's t test (t - test) and analysis of variance (ANOVA). In the calculations, the differences were considered statistically significant at p <0.05 (95% confidence level (CI) and at p <0.01 (99% confidence level). By using modified access to the abdominal cavity, which involved grasping the peritoneum with the index finger and stretching all layers of the anterior wall in a blunt fashion by two surgeons at the same time, it was almost twice possible to reduce the time to fetal extraction in the main study group (p˂0.001). The condition of newborns on the Apgar scale at 1 and 5 minutes of life in the first clinical group of the study was better (p=0.005). Due to the modified features of fetal extraction, it was possible to reduce the incidence of HID CNS in newborns (p=0.022), to 6 times reduce the need for treatment at the III level (p=0.004). The indicator of early neonatal mortality in the newborns of the first clinical group was zero, whereas in the comparison group 2 cases were recorded. However, the difference is not significant (p=0.223). Thus, the modified Caesarean section improves the overall condition of the newborns according to the Apgar scale at 1 and 5 minutes of life, is accompanied by a decrease in the frequency of some complications in the early neonatal period, creates a certain additional reserve for the improvement of perinatal complications and requires further comprehensive studies.

scholarly journals A case series of caesarean myomectomy

2021 ◽  
Vol 10 (9) ◽  
pp. 3580
Author(s):  
Shazia Parveen ◽  
Nasreen Noor ◽  
Iti Madan ◽  
Ummay Kulsoom
Keyword(s):  
Smooth Muscle ◽  
Caesarean Section ◽  
Observational Study ◽  
Cesarean Section ◽  
Patient Selection ◽  
Uterine Fibroid ◽  
Uterine Fibroids ◽  
Case Series ◽  
Operative Morbidity ◽  
Cesarean Myomectomy

Uterine fibroids are benign, monoclonal tumors of smooth muscle cells of the myometrium. Most fibroids do not increase in size during pregnancy and are not always removed when encountered during cesarean section. Objective was to see the outcome of patients undergoing cesarean myomectomy. The study design was observational study. All patients undergoing cesarean section with uterine fibroid of size more than 5 cm. In carefully selected patients and with use of intraoperative vasopressin, myomectomy may be safely accomplished at the time of caesarean section by experienced surgeons. cesarean myomectomy is safe and successful if patient selection is done carefully and does not add to any additional post-operative morbidity.

scholarly journals Management of stillbirths: an observational analysis at a rural tertiary care centre in Kerala, India

2019 ◽  
Vol 8 (4) ◽  
pp. 1583
Author(s):  
Ajini K. K. ◽  
Reena R. P. ◽  
Radha K. R.
Keyword(s):  
Cesarean Section ◽  
Fetal Death ◽  
Tertiary Care ◽  
Induction Of Labour ◽  
Intrauterine Fetal Death ◽  
Elective Cesarean Section ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Elective Cesarean ◽  
Previous Cesarean

Background: Stillbirth is a distressing event, both for the expecting mother and the obstetrician. Several maternal, social and circumstantial factors influence its occurrence. These women with intrauterine fetal death need to be treated in a considerate manner. Our aim was to analyse different methods   of induction, management of labour and their outcomes in women with antepartum fetal demise.Methods: All women admitted to a tertiary care centre with intrauterine fetal death after 22 weeks during the study period of 24 months were recruited. Maternal sociodemographic characteristics and relevant investigations were studied. Induction of labour was achieved with mechanical and pharmacological methods.  Stillborn babies, placentae and umbilical cord were examined after delivery.Results: There were 175 women with IUFD   admitted during the study period. The stillbirth rate was 38.6 per1000 live births.148 women (84.57%) required induction of labour while16 women had spontaneous onset of labour. Among the 44 women with previous Cesarean section, 11 underwent elective Cesarean section. 19 women (57.6%) out of 33 cases of trial of labour after Cesarean had a successful vaginal delivery. There were 2 cases of rupture uterus and 10 women required ICU admissions. Intrauterine growth restriction was the leading cause of stillbirth (41.8%) followed by hypertensive disorders (27.7%).Conclusions: Present study has shown that vaginal birth can be achieved in most women with mechanical and pharmacological methods of induction within a reasonable period of time.

scholarly journals COLORECTAL CANCER

2016 ◽  
Vol 23 (06) ◽  
pp. 687-692
Author(s):  
Muhammad Fahd Shah ◽  
Irum Sabir Ali ◽  
Ahmed Faraz
Keyword(s):  
Colorectal Cancer ◽  
Sample Size ◽  
Gastrointestinal Disease ◽  
Case Series ◽  
Sampling Technique ◽  
Sample Size Determination ◽  
Surgical Department ◽  
Well Differentiated ◽  
Adeno Carcinoma ◽  
Time Of Presentation

Introduction: Colorectal cancer is a potentially fatal gastrointestinal disease andhas been studied extensively. In an effort to decrease the morbidity and mortality associatedwith this disease, studies have been performed to gain insight into the anatomic distribution,average age at presentation, mean age at presentation for different segments of colon involvedand intersex differences. Objective: The objective of this study is to determine the frequencyof sites of colorectal cancer involvement. Material and methods: Study design: Study wasdescriptive case series. Setting: General surgical department post graduate Lady ReadingHospital Peshawar. Period: From 01/01/2011 to 30/06/2012. Sample size: Sample size was416 using 3.57% proportion of descending colon5, 95% confidence level and 1.785% margin oferror under WHO software for sample size determination. Sampling technique: Consecutivenon probability sampling. Results: This study was carried out in 416 consecutive patients.These patients included 233 men (56 %) and 183 women (44%). Age varied from twelve yearsto seventy years. The commonest age group in the study at the time of presentation was63-72 years. Commonest site involved was rectum (26%) followed by sigmoid colon (16%).Bleeding per rectum was the commonest symptom (62.05%) followed by altered bowel habits(35.71%). Twelve patients (21.43%) presented with intestinal obstruction. Histopathologically,twenty patients had well differentiated adeno-carcinoma (35.72%) whereas eighteen patientshad anaplastic tumour (32.14%) and mucinous adeno-carcinoma was found in five patients(8.92%).Conclusion: Rectum is the most common site of tumour followed by left, right andtransverse colon respectively. The site of involvement affects the surgical procedure required.In conclusion the symptoms of colorectal cancer may not be representative of any anatomicalsite, by the time symptoms appear the lesion may have become invasive.

scholarly journals Factors Associated for Caesarean Section among Mothers Attending in Teaching Hospital, Chitwan

2020 ◽  
Vol 6 (1) ◽  
pp. 39-49
Author(s):  
Indira Adhikari Poudel ◽  
B Bhattarai ◽  
P Dhakal
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Teaching Hospital ◽  
College Teaching ◽  
Sampling Technique ◽  
Fetal Distress ◽  
Cross Sectional ◽  
Medical College ◽  
Health Experts ◽  
Previous Cesarean

Correction: The page numbers were changed from 57-67 to 39-49 on 31/08/2020. Background: Cesarean section (CS) rate has increased rapidly over the past two decades in world. It is serious concern for public health experts globally. Various medical and non-medical factors, such as maternal socio-demographics, are found to be responsible for this upsurge. Like in other countries, the rate of caesarean sections has increased in Nepal as well. Therefore, there is a need to investigate the factors behind this increase. Objectives: To identify the factors associate for caesarean section among mothers attending at teaching hospital, Chitwan Methods: A cross sectional analytical study was conducted using total enumerative sampling technique in the maternity ward of Chitwan Medical College Teaching Hospital. Interview was done with closed ended Questionnaire for data collection, a total number of 139 mothers after 24 hours cesarean section (CS). Results: The study shows that, nearly three- quarters (71.2%) of CS were performed as an emergency. There are mainly fetal, maternal and placental indication for cesarean section. The most frequent indications were: previous cesarean section (22.3%), thick Meconium stained liquor (12.2%), fetal distress (10.6%) and oligohydramnios (7.2%).

RELATIONSHIP BETWEEN PAIN INTENSITY WITH SLEEP QUALITY OF PATIENT POST CAESAREAN SECTION IN RS TK. II DUSTIRA CIMAHI YEAR 2017

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Hevy Amelia Noviyanti ◽  
Eny Kusmiran ◽  
Marlin Sutrisna
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Sleep Quality ◽  
Pain Intensity ◽  
Quality Measurement ◽  
Sampling Technique ◽  
Poor Sleep ◽  
Test Results ◽  
Cross Sectional

ABSTRACT Background. Cesarean section is an artificial birth, in which the fetus is born through an incision in the abdominal wall and uterine wall and the weight of the fetus is above 500 grams. Impacts that occur after caesarean section are pain and sleep disorders. Aim. To know the relation of pain intensity with sleep quality of mothers post cesarean section. Research methods. Using cross sectional approach. The sample of the study were 42 post-cesarean mothers taken by accidental sampling technique. The data was collected at RS TK. II Dustira Cimahi using Maternal Pain Questionnaire (MPQ) questionnaire for pain intensity measurement and The Sleep Sleep Quality Index (PSQI) for sleep quality measurement, in May 2017. Data analysis using Chi-Square test . Results. The highest intensity of pain occurred in the client after cesarean section with severe pain intensity with 22 respondents (52,4%) and uncomfortable there were 20 respondents (47,6%) and more than most client experience poor sleep quality that is 28 respondents ( 66.7%) but there are still clients who experienced good sleep quality 14 respondents (33.3%). The statistical test results obtained p significance number p = 0,000 thus p <α (0.000 <0.05), then H0 is rejected. Conclusion. There was a significant relationship between the intensity of pain and sleep quality in post-caesarean section patients. Keywords: Cesarean Section, Pain, Sleep Quality  

scholarly journals Maternal and fetal outcomes of obese pregnant women: a prospective cohort study

2017 ◽  
Vol 6 (2) ◽  
pp. 725
Author(s):  
Jenniferbritto John ◽  
Mary Mahendran
Keyword(s):  
Diabetes Mellitus ◽  
Caesarean Section ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Maternal Obesity ◽  
Gestational Hypertension ◽  
Induction Of Labour ◽  
Control Group ◽  
Fetal Outcomes

Background: Obesity in Indian women had increased from 10.6% to 14.8% in India. Mothers who are overweight or obese during pregnancy and childbirth cause significant antenatal, intrapartum, postpartum and also neonatal complications. The present study aimed to explore various maternal and fetal outcomes influenced by maternal obesity. The objective was to find the effect of obesity on maternal and perinatal outcome among obese pregnant women compared to those of normal weight.Methods: The study was conducted in antenatal women attending antenatal outpatient department of CSI rainy multispecialty hospital located in North Chennai of South India. Consecutive sampling method was followed to include 50 cases and 50 controls. Analysis was done with IBM SPSS v.21.0. Chi square test was applied to find difference between proportions. For comparison of means independent t-test and ANOVA was applied. Pearson's correlation was done to find association between maternal BMI and birth weight.Results: Sixteen (32%) cases developed gestational diabetes mellitus during their antenatal period and 19 (38%) developed gestational hypertension. 10% underwent in emergency caesarean section and in 28% cases elective caesarean section was done. The proportion of cases who developed ante partum complications including gestational diabetes mellitus, gestational hypertension and preeclampsia were higher than in control groups (p value = 0.03,0.00,0.004 respectively). The need for induction of labour and caesarean section was found to be higher in cases than in controls (p = 0.014,0.03 respectively). Increased NICU admissions for stabilization of the newborn among cases was higher than control group (p = 0.012).Conclusions: It was clearly evident from the present study that maternal obesity had adverse maternal and fetal outcomes. Maternal obesity was strongly associated with antenatal complications like gestational diabetes mellitus, gestational hypertension, preeclampsia and increase in need for induction of labour and operative interference.

scholarly journals Fetomaternal Outcome After Induction of Labor at Term in Patients with Gestational Diabetes

Esculapio ◽  
2021 ◽  
Vol 17 (1) ◽  
pp. 49-54
Author(s):  
Sajida Imran ◽  
Asifa Noreen ◽  
Irum Khayam ◽  
Ayesha Arjmand ◽  
Razia Ghafoor ◽  
...  
Keyword(s):  
Birth Weight ◽  
Gestational Diabetes ◽  
Fetal Outcome ◽  
Maternal Outcome ◽  
Induction Of Labor ◽  
Induction Of Labour ◽  
Obstetrics And Gynecology ◽  
Apgar Scores ◽  
Vaginal Deliveries ◽  
Diabetes Induction

Objective: The objective of study is to determine the fetomaternal outcome after induction of labour at term in patients with gestational diabetes. Methods: This study was conducted at department of Obstetrics and gynecology of Hameed Latif hospital, Lahore, Pakistan from March 2019 to October 2019. Seventy-nine pregnant women with gestational diabetes at term, undergoing induction of labour were included in the study after informed consent. Maternal outcome was studied by classifying different modes of delivery. Fetal outcome was measured on basis of APGAR scores and neonatal weight. Results: There were 55/79 vaginal deliveries making vaginal delivery rate to be 66.9%. Mean birth weight of neonates was 3.15 + 0.558 kg. Mean APGAR Score at 1 min and 5 minutes were 7.7 + 0.6193 and 8.8 + 0.4793 respectively. Conclusion: Labor induction in patients with gestational diabetes is associated with lower rate of cesarean delivery with a satisfactory fetal outcome. Key Words: Gestational diabetes, induction of labour, maternal outcome, fetal outcome How to cite: Imran S., Dr., Noreen. A, Khayam. I., Arjmand A., Ghafoor R., Khalique F. Fetomaternal Outcome After Induction of Labor at Term in Patients with Gestational Diabetes. Esculapio 2021;17(01):49-54

scholarly journals Perbedaan Pola Menyusui Bulan Pertama Ibu Melahirkan Seksio Sesarea Dibandingkan Melahirkan Normal di Rumah Sakit Sayang Bayi

2018 ◽  
Vol 5 (3) ◽  
pp. 126
Author(s):  
Winda Nurmayani ◽  
Madarina Julia ◽  
Shinta Prawitasari
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Post Partum ◽  
Mode Of Delivery ◽  
Sampling Technique ◽  
Total Sample ◽  
Chi Square ◽  
Exact Test ◽  
Vaginal Deliveries

Background: exclusive breastfeeding should be provided until 6 months of age, but the fact proves that the pattern of breastfeeding has decreased. The pattern of the first month lactation is a critical period for the survival of the subsequent breastfeeding, so it is necessary to make efforts to maintain the duration of breastfeeding because the success of the first month breastfeeding will increase mothers’ confidence to continue breastfeeding.Objective: To determine differences in the pattern of the first month breastfeeding in mothers who gave birth by cesarean section compared to those by vaginal delivery in Rumah Sakit Sayang Bayi (Baby Friendly Hospital)Method: Type of research is comparative observational  with a prospective cohort design using a quantitative approach. The research was conducted in Baby Friendly Hospital of RSUD (General Hospital) Mataram City. Total sample 120 consisted of 60 mothers giving birth the caesarean section and 60 mothers vaginal delivery. The independent variable of giving birth by Cesarean Section and vaginal delivery, dependent variable pattern the first month of breastfeeding and external variables age, parity, employment, the incidence of antepartum and postpartum. The sampling technique using consecutive sampling. Analysis of the data used is univaribel, bivariate using Chi-square and Fisher's exact test and multivariable logistic regression and stratification testResult and Discussion: There was no significant correlation between the mode of delivery and the patterns of the first month breastfeeding by including a variable of employment with a value of OR (95% CI) = 1.6 (0.63 to 4.17) and there was a decrease in the value of OR (95% CI ) from 2.5 (1.05 to 5.94) to 1.6 (0.63 to 4.17); there was also no  significant correlation when involving the variable of the incidence of ante partum and post partum with the value of OR (95% CI) = 1.7 (0.45 to 6.26) and OR (95% CI) = 2.3 (0.96 to 5.53), respectively.Conclusion: : There is no difference patterns of breastfeeding mothers first month who gave birth cesarean section compared to normal birth. Caesarean section would affect the pattern of the first month breastfeeding if cesarean section deliveries occurred at housewives and mothers who did not experience the incidence of ante partum. Keywords: pattern of breastfeeding; vaginal deliveries; caesarean section; breast milk; 

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