scholarly journals Desaceleraciones variables [Variable decelerations]

2020 ◽  
Vol 24 (2) ◽  
Author(s):  
Osvaldo Reyes
Keyword(s):  
Caesarean Section ◽  
Emergency Room ◽  
Female Patient ◽  
Fetal Monitoring ◽  
Emergency Caesarean Section ◽  
Uterine Contractions ◽  
Emergency Caesarean ◽  
History Of ◽  
Fetal Tachycardia ◽  
At Home

<p>Paciente femenina de 22 años con gestación de 38 semanas. Acude con historia de salida espontánea de líquido transvaginal en su casa, asociado a contracciones uterinas de 6 horas de evolución. Al llegar al hospital, con 3 centímetros de dilatación, 80% de borramiento, cefálico, membranas ovulares rotas, líquido meconial. Monitoreo fetal realizado en el cuarto de urgencias (figura 1) evidencia desaceleraciones profundas de tipología variable, variabilidad disminuida y taquicardia fetal hacia el final del trazo (más de diez minutos). Se realizó cesárea de urgencia, obteniéndose un producto de sexo masculino, APGAR 6/8, de 3200g, con triple circular de cordón al cuello. Evolución satisfactoria post parto.</p><p>22-year-old female patient with a 38-week gestation. She comes with history of spontaneous leakage of transvaginal fluid at home, associated with uterine contractions of 6 hours of evolution. On arrival at the hospital, with 3 centimeters of dilation, 80% effacement, cephalic, ruptured ovular membranes, meconial fluid. Fetal monitoring performed in the emergency room (Figure 1) shows deep decelerations of variable typology, decreased variability and fetal tachycardia towards the end of the line (more than ten minutes). An emergency caesarean section was performed, obtaining a male product, APGAR 6/8, of 3200g, with a triple circular cord around the neck. Satisfactory postpartum evolution.</p>

STUDY OF OBSTETRIC OUTCOMES IN ELECTIVE AND EMERGENCY CAESAREAN SECTION IN PATIENTS WITH PRIOR LOWER SEGMENT CAESAREAN SECTION

2021 ◽  
pp. 57-60
Author(s):  
Dipak S. Kolate ◽  
Meenal M. Patvekar ◽  
Shriraj Katakdhond ◽  
Yogesh Thawal ◽  
Kale DhanaLaxmi ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Perinatal Outcome ◽  
Maternal Morbidity ◽  
Caesarean Delivery ◽  
Emergency Caesarean Section ◽  
Obstetric Outcomes ◽  
Fetal Outcomes ◽  
Emergency Caesarean ◽  
Management Protocol ◽  
History Of

Background:Acomprehensive study of maternal morbidity and mortality with perinatal outcome in patients with prior LSCS undergoing elective or emergency caesarean section was carried out. With the sky rocketing caesarean section rates worldwide an increasing number of women face the issue of mode of delivery in their current pregnancy. There are conicting reports regarding the safety of a trial for vaginal birth after caesarean delivery (VBAC) in terms of uterine rupture, maternal and perinatal morbidity. The purpose of this study was to evaluate the obstetric and fetal outcomes of patients presenting at term with a history of previous one or more LSCS. Methods:Asix months prospective, observational study was conducted where all patients who had a term pregnancy with a history of previous one or more LSCS were included after obtaining their consent for participation. The obstetric and fetal outcomes of these patients with elective or emergency LSCS in the present pregnancy were noted and tabulated. Adescriptive analysis of these outcomes was carried out. Results: 100 Patients at term, with a history of previous one or more LSCS were studied. 38 patients underwent an elective repeat caesarean delivery and 62 in emergency.Scar dehiscence was seen in 35.5 % of the patients who were presented in emergency with uterine contractions or lower abdominal pain and those were not candidate for a trial for VBAC.All of the complications were signicantly higher in emergency group in terms of both maternal (83.9 % Vs 31.6%) and perinatal outcome (6.5% Vs 0 %). Conclusion:With an increase in the proportion of patients with a history of previous LSCS, it is essential for health care institutions to have proper antenatal counseling regarding plan of delivery and vigilance while operating patients with prior history of LSCS , especially in emergency situation. There should be a well dened management protocol in an effort to decrease the number of complications and bring down the overall maternal morbidity & mortality .

scholarly journals Midgut malrotation with volvulus discovered at an emergency caesarean section for placental abruption

2021 ◽  
Vol 55 (1) ◽  
pp. 88-92
Author(s):  
Kofi T. Mensah ◽  
Raphael Kwarase ◽  
Stephenson Laari ◽  
William N. A. Thompson
Keyword(s):  
Small Bowel ◽  
Caesarean Section ◽  
Placental Abruption ◽  
Emergency Caesarean Section ◽  
Midline Laparotomy ◽  
Midgut Malrotation ◽  
Emergency Caesarean ◽  
Uncommon Presentation ◽  
History Of ◽  
Bowel Gangrene

Adult midgut malrotation with volvulus (AMMV) is an uncommon presentation which may be found incidentally during abdominal radiologic investigations or at laparotomy. We report a case of AMMV and small bowel gangrene in a 35-year-old Gravida four, Para three at 39 weeks, 4 days gestation who presented with a short history of worsening abdominal pain, repeated vomiting and abdominal wall guarding. Emergency caesarean section performed on account of a suspected placental abruption incidentally revealed a long segment of non-viable small intestine. Subsequent midline laparotomy disclosed a midgut malrotation with volvulus and bowel gangrene. This resulted in a 4.6m resection of non-viable small bowel with Ladd’s procedure. The patient developed moderate symptoms of short bowel syndrome in the post-operative period which was successfully managed non-operatively. This case report represents a rare diagnosis, in the West-African sub-region, of an adult midgut malrotation with volvulus mimicking a third trimester obstetric emergency.

scholarly journals Indications of Emergency Caesarean Section at a Tertiary Care Hospital in Dhaka City

2018 ◽  
Vol 15 (2) ◽  
pp. 36-40
Author(s):  
Rifat Sultana ◽  
Mahmuda Khatun ◽  
Dewan Shahida Banu ◽  
Mst Nurunnahar Aktar ◽  
Rumana Ashraf ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Emergency Caesarean Section ◽  
Hypertensive Disorder ◽  
Previous Caesarean Section ◽  
Foetal Distress ◽  
Common Indication ◽  
Obstructed Labour ◽  
Antepartum Haemorrhage ◽  
Emergency Caesarean ◽  
History Of

Background: Caesarean Section is now a common surgical practice during child birth.Objective: The purpose of the present study was to see the indication of emergency caesarean section.Methodology: This descriptive type of cross sectional study was conducted in the Department of Gynaecology & Obstetrics at Dhaka Medical College Hospital during the period from July 2006 to December 2006 for a period of 6 months. The pregnant women who were selected for emergency caesarean section during the mentioned period of study were included as study population. The details of the indication of the caesarean section were recorded.Result: A total number of 100 cases were recruited in this study. Among the all indications of emergency caesarean section history of previous caesarean section was the most common which was found in 25(25.0%) cases. Foetal distress was the second common indication of emergency caesarean section which was 18(18.0%) cases. Obstructed labour was also reported in 11(11.0%) cases. Antepartum haemorrhage (8.0%) was another indication of emergency caesarean section. Considering the hypertensive disorder preeclamptic toxaemia (7.0%), eclampsia (5.0%) and pregnancy induced hypertension (1.0%) were the reported as the indications of emergency caesarean section. Some other indications of emergency caesarean section were recorded which were mal-presentation (7.0%), prolonged labour (6.0%), cephalopelvic disproportion (4.0%) and failed trial labour (4.0%).Conclusion: In conclusion history of previous caesarean section is the most common indication for emergency caesarean section obstructed labour, antepartum haemorrhage as well as foetal distress, malpresentation and cephalopelvic disproportion.Journal of Science Foundation 2017;15(2):36-40

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).

Maternal temperature in emergency caesarean section (MATES): an observational multicentre study

2021 ◽  
pp. 102963
Author(s):  
P.T. Thorburn ◽  
R. Monteiro ◽  
A. Chakladar ◽  
A. Cochrane ◽  
J. Roberts ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Multicentre Study ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean

Absence of Wharton’s jelly

2020 ◽  
Vol 13 (11) ◽  
pp. e237222
Author(s):  
Sarah J Murphy ◽  
Nikita Deegan ◽  
Bobby D O'Leary ◽  
Peter McParland
Keyword(s):  
Caesarean Section ◽  
Histological Examination ◽  
Umbilical Cord ◽  
Emergency Caesarean Section ◽  
Wharton’S Jelly ◽  
Female Infant ◽  
Fetal Bradycardia ◽  
Wharton's Jelly ◽  
Emergency Caesarean ◽  
Fetal Movements

Wharton’s jelly is a specialised tissue which surrounds the vasculature within the fetal umbilical cord. We present the case of a 42-year-old woman who gave birth to a female infant via emergency caesarean section. At the time of delivery, absence of Wharton’s jelly was noted. This finding was confirmed by histological examination. Emergency caesarean section was necessitated due to a fetal bradycardia, and of note, the patient had presented twice prior to this with reduced fetal movements.

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