Estimating the Mode of Delivery through Cause Analysis A Systematic Literature Review on the context of Reducing Cesarean

2022 ◽  
Vol 7 (1) ◽  
pp. 0-0
Keyword(s):  
Pregnant Women ◽  
Cesarean Delivery ◽  
Health Workers ◽  
Mode Of Delivery ◽  
Private Hospitals ◽  
Normal Delivery ◽  
Cause Analysis ◽  
Emergency Cesarean ◽  
Medical Reports ◽  
Pregnant Mothers

In developing countries, many health workers force pregnant women in private hospitals having baby through cesarean delivery, even though most pregnant mothers are skeptical about the risk of going under such operations. Doctors often encourage pregnant mothers to have a cesarean on the basis of their physical condition and medical reports. Emergency cesarean patient cannot be prepared in advance but on real time, If a system can be developed that can forecast whether a woman need natural or cesarean delivery, then rate of the risk of the pregnant women get reduce. To design such system, we need to know what factors influences the doctors to choose cesarean over normal delivery. We have conducted a systematic review in well-known databases to understand the various factors of pregnant mothers. A total of 19 studies were selected among 2512 studies based on the relevancy to the research objective. The objective of this study is to predict the mode of delivery based on 10 specific parameters identified separately from 180 parameters present in various test reports.

scholarly journals Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Junnosuke Kimura ◽  
Kento Kawamura ◽  
Manami Minoura ◽  
Ayako Hiramoto ◽  
Yoshifumi Suga ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Business Communication ◽  
Communication Tools ◽  
Case Presentation ◽  
Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

Comparison of Melatonin Levels in the Colostrum between Vaginal Delivery and Cesarean Delivery

2017 ◽  
Vol 35 (05) ◽  
pp. 481-485 ◽  
Author(s):  
Ziya Kalem ◽  
Tuncay Yuce ◽  
Batuhan Bakırarar ◽  
Feride Söylemez ◽  
Müberra Namlı Kalem
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Mode Of Delivery ◽  
Elective Cesarean Section ◽  
Enzyme Linked Immunosorbent Assay ◽  
Cross Sectional ◽  
Emergency Cesarean ◽  
Study Results ◽  
Elective Cesarean

Objective This study aims to compare melatonin levels in colostrum between vaginal and cesarean delivery. Study Design This cross-sectional study was conducted with 139 mothers who gave live births between February 2016 and December 2016. The mothers were divided into three groups according to the mode of delivery: 60 mothers (43.2%) in the vaginal delivery group, 47 mothers (33.8%) in the elective cesarean delivery, and 32 mothers (23.0%) in the emergency cesarean delivery group. Colostrum of the mothers was taken between 01:00 and 03:00 a.m. within 48 to 72 hours following the delivery, and the melatonin levels were measured using the enzyme-linked immunosorbent assay (ELISA) and compared between the groups. Results The melatonin levels in the colostrum were the highest in the vaginal delivery group, lower in the elective cesarean section group, and the lowest in the emergency cesarean group (265.7 ± 74.3, 204.9 ± 55.6, and 167.1 ± 48.1, respectively; p < 0.001). The melatonin levels in the colostrum did not differ according to the demographic characteristics of the mothers, gestational age, birth weight, newborn sex, the Appearance, Pulse, Grimace, Activity, and Respiration (APGAR) scores, and for the requirement for neonatal intensive care. Conclusion Our study results showed that melatonin levels in the colostrum of the mothers who delivered vaginally were higher than those who delivered by cesarean section. Considering the known benefits of melatonin for the newborns, we believe that vaginal delivery poses an advantage.

scholarly journals Characteristics of pregnant women at risk and relationship with type of delivery and complications

2021 ◽  
Vol 74 (4) ◽  
Author(s):  
Marina de Góes Salvetti ◽  
Luciana Garcia Lauretti ◽  
Roseni Carvalho Muniz ◽  
Thalyne Yuri Souza Farias Dias ◽  
Amanda Aparecida Duarte Gomes de Oliveira ◽  
...  
Keyword(s):  
At Risk ◽  
Emergency Room ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Physical Inactivity ◽  
Secondary Data ◽  
High Educational Level ◽  
Normal Delivery ◽  
The Relationship ◽  
Type Of Delivery

ABSTRACT Objective: to describe characteristics of pregnant women at risk and analyze the relationship with type of delivery and complications during pregnancy and puerperium. Methods: a retrospective study with secondary data of 1,574 at-risk pregnant women followed up in an educational intervention by telemedicine. Results: pregnant women with an average age of 35 years and high educational level participated. Preference for normal delivery was 43.1%, but only 17.3% had normal delivery. During pregnancy, 43.5% sought emergency care. In the postpartum period, 2.0% needed an ICU. Emergency room search was associated with age and contacts with the intervention. Cesarean delivery was associated with age, physical inactivity and overweight/obesity. ICU admission was associated with age and BMI. Conclusion: pregnant women were of high age and education, the younger and who had more contacts with the intervention sought more the emergency room. Older age, physical inactivity and overweight/obesity were factors associated with cesarean delivery.

scholarly journals Evaluation of maternal and fetal outcome in corona positive pregnant women

2020 ◽  
Vol 9 (12) ◽  
pp. 5037
Author(s):  
Bharti Maheshwari ◽  
Preeti Sharma ◽  
Kamini Pawar ◽  
Kirti Goswami
Keyword(s):  
Pregnant Women ◽  
Viral Infections ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Normal Delivery ◽  
Medical College ◽  
Cell Immunity ◽  
Term Delivery ◽  
Fetal Complications

Background: COVID-19 has spread globally at an accelerated rate with rapid increases in cases and mortality. Viral pneumonia is one of the leading causes of pregnancy deaths worldwide. Physiological changes during pregnancy, such as reduced functional residual volumes, diaphragm elevation, and oedema of respiratory tract mucosa, as well as changes in cell immunity can lead to increased susceptibility to viral infections and can have worsened outcomes.Methods: The study was conducted after clearance from Board of Studies and Ethical committee in the Department of obstetrics and gynaecology, Muzaffarnagar medical college, Muzaffarnagar. It was a retrospective study. Out of total 1500 covid positive patients admitted in 3 months, 33 pregnant women were included which were covid positive.Results: The study population consisted of 16 (48.5%) women from 20-25 years, 12 (36.4%) women from 26-30 years and 5 (15.2%) women from above 30 years. There was history of exposure among all (100.0%) pregnant women with only 2 (6.1%) having symptoms of COVID-19.Out of 33, 8 patients were severelyanemic, 4 had preeclampsia, 2 cases had previous 2 LSCS, 5 previous 1 LSCS, 1 leaking pervaginum, 3 cases had fetal distress at admission. As per gestational age, 9 (27.3%) women had pre-term delivery, 21 (63.6%) had normal term delivery and 3 (9.1%) had post-term delivery. 13 women were primigravida and 20 were multigravida. The mode of delivery was LSCS among 24 (73%) and normal delivery among 1 (3.0%) women.Conclusions: In our study, there were no maternal and fetal complications among pregnant women with COVID-19.

scholarly journals Pregnancy outcomes in sexually transmitted infections or human immunodeficiency viruses infected women at a tertiary care center: a retrospective study

2021 ◽  
Vol 7 (2) ◽  
pp. 229
Author(s):  
Saradha K. P. ◽  
Anitha Christy Stephen ◽  
Vikram V. Huddar
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Adverse Pregnancy Outcomes ◽  
Cd4 Count ◽  
Clinical Staging ◽  
Normal Delivery ◽  
Adverse Pregnancy

<p><strong>Background: </strong>The natural history of HIV infection in early disease is not affected by pregnancy. In later stages there may be rapid disease progression leading to adverse pregnancy outcomes. Prevalence of HIV in India is 0.3% in pregnant women. With the advent of PPTCT, there have been a decline in the adverse pregnancy outcomes but still few adversities are reported.  Aim of the study was to assess the various pregnancy outcomes in HIV positive women and the effects of antiretroviral therapy (ART).</p><p><strong>Methods: </strong>A retrospective analytical study conducted from July 2017-June 2019 on HIV infected pregnant women. Their maternal age, CD4 count at diagnosis of HIV, after postpartum, mode of delivery, birth weight and HIV status of baby were noted and analyzed.  <strong></strong></p><p><strong>Results: </strong>18 HIV infected pregnant women were included. Their mean age was 25.6 years. 12 patients were in 2<sup>nd</sup> trimester and the rest in 1<sup>st</sup> trimester. All were on triple-drug (TEL) regimen. Three were diagnosed with HIV prior to conception and were already on ART. Remaining were detected at the time of ANC visit. All cases fall under stage I WHO clinical staging. Out of the 18 pregnant, two delivered by LSCS and the rest by normal delivery. All were term deliveries, with mean birth weight of 2.82 kg. One HIV infected baby was born by LSCS. The mean CD4 count at the time of diagnosis of HIV was 389 and at postpartum was 508. Overall, there was seen to be an increase in CD4 count without any adverse effects during ART.<strong></strong></p><p><strong>Conclusions: </strong>Prompt HIV diagnosis and ART initiation during antenatal period can have good pregnancy outcome and thereby reducing transmission to children.</p>

scholarly journals Hubungan antara paritas dengan persalinan letak sungsang

2018 ◽  
Vol 13 (1) ◽  
pp. 13-18
Author(s):  
Lidia Widia
Keyword(s):  
Significant Relationship ◽  
Health Workers ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Testing Data ◽  
Breech Birth ◽  
Cross Sectional Design ◽  
Pregnant Mothers

Abstract: The purpose of this study was to determine the relationshipbetween parity with the layout of Breech Birth on RSUD dr. H. AndiAbdurrahman Noor Kabupaten Tanah Bumbu. This research methodis analytic survey with cross sectional design. The population in thisstudy were all women who registered in the Delivery Room on RSUDdr. H. Andi Abdurrahman Noor Kabupaten Tanah Bumbu with asample of 510 respondents. The sampling technique used is totalsampling and testing data using chi-square test.The results showedrespondents who have breech deliveries of 210 respondents (41.2%)and normal delivery 300 respondents (58.8%). Of Chi-square testobtained There is a significant relationship between parity with breechdeliveries by value ñ = 0.000. The conclusion of this study therelationship between parity chest with breech deliveries in the DeliveryRoom RSUD dr. H. Andi Abdurrahman Noor Kabupaten TanahBumbu. Suggestions are expected for health workers to providecounseling to pregnant mothers and young checkups on a regularbasis in order to avoid breech.

scholarly journals EFEKTIFITAS PELATIHAN MEDIA AUDIO-VISUAL TERKAIT ANEMIA IBU HAMIL DALAM PENINGKATAN KOMPETENSI PETUGAS PENYULUH KESEHATAN DI KABUPATEN BANYUMAS

2017 ◽  
Vol 9 (01) ◽  
pp. 9
Author(s):  
Siti Masfiah ◽  
Elviera Gamelia ◽  
Arrum Firda Ayu Maghfiroh ◽  
Adhika Pramasatya
Keyword(s):  
Health Promotion ◽  
Pregnant Women ◽  
Health Workers ◽  
Visual Media ◽  
Local Context ◽  
Knowledge And Skills ◽  
Central Java ◽  
Significant Difference ◽  
Visual Health ◽  
Pregnant Mothers

Pregnant suffers anemia can lead to infection and bleeding, which is a major factor in maternal mortality. In 2013 Central Java district recorded 3rd rank of 35 dictricts, at rate 126 per 100,000 live births. Cases of anemia in pregnant women in Banyumas accounted as 68.99%, higher than the national number. Banyumas did anemia counseling in pregnant mothers using leaflets, but did not effective. Health promotion media and materials based on local context are still limited. The ability of health workers are still based on extension activities with lectures, competency to make audio-visual health promotion is still limited. This study aimed to determine the effectiveness of audio-visual media training related anemia in pregnant women to increase the competence (knowledge and skills) of health workers in Banyumas.The study was quasy-experimental design with time series method. Population were 58 health educators in Banyumas and it was selected 33 sample by purposively. Data were collected by questionnaires for knowledge, and it was used checklist for observation the skills. For analyze the data’s normality I usedShapiro Wilk, and it used Wilcoxonto analyze the data’s difference.There was a significant difference of knowledge and skills at pretest and posttest I, but there was no significant difference on the posttest 1 and posttest II. Training of audio-visual media-related anemia in pregnant mothers increased the competence of health workers in Banyumas District.

scholarly journals A Survey on Causes of Cesarean Sections Performed on Women and Their Knowledge towards the Mode of Delivery

2020 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Cesarean Delivery ◽  
Mode Of Delivery ◽  
Previous History ◽  
Breech Presentation ◽  
Cesarean Sections ◽  
College Hospital ◽  
Cross Sectional ◽  
Emergency Cesarean ◽  
Special Cases ◽  
History Of

Recently elective cesarean delivery rates have increased alongside with emergency cesarean delivery where less information has been conveyed to the women who have been subjected to C-sections. The main objective of C-section is reducing the incidence of maternal and neonatal mortality during childbirth in dangerous situations. It is recommended when there is a risk to mother or child during vaginal delivery. A descriptive type of cross-sectional study design was used. All the data were collected through structured format in questionnaires. The present study was carried out in the department of Obstetrics and Gynecology in the Chittagong Medical College Hospital. The data was collected from 29th September 2019 to 10th October 2019. Most of the patients who were subjected to c section were within the age range of 15-25 (57%). 41% of the cesarean sections were planned whereas 59% were on the basis of emergency and mostly the decision was doctor’s (66%). 58% of the population had enough information before undergoing C-sections and 42% wasn’t fully aware. Among pain medication intake, only 2% of the patients had taken a combination of three pain medications which include paracetamol, metronidazole and suppository. 80% of the patients consumed a combination of paracetamol and suppository whereas only 10% of population consumed paracetamol and metronidazole. 8% of the patients were managed only with paracetamol. 23% of the cesarean patients had a previous history of ceaser and among them some rare special cases had a previous history of 4 ceasers (2%). 43% of the patients suffered pregnancy induced hypertension and 8% suffered pregnancy induced diabetes. 20% of the c section were due to breech presentation and 80% were due to other reasons which included seventeen factors. Patients are not given enough information about C-section and mostly the decisions are taken by the doctors without the consent of the patients.

scholarly journals Severe acute respiratory syndrome coronavirus 2 in pregnant women: an observational study

2020 ◽  
Vol 9 (12) ◽  
pp. 4892
Author(s):  
Suyajna Joshi D. ◽  
Vijayalakshmi G. ◽  
Kavya N. ◽  
Rai Rajeswari ◽  
Ruksar Banu ◽  
...  
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Observational Study ◽  
Pregnant Women ◽  
Gestational Hypertension ◽  
Economic Status ◽  
Mode Of Delivery ◽  
Severe Anaemia ◽  
Full Term ◽  
Cross Sectional ◽  
Normal Delivery

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is an emergency health delinquent, with increase in cases worldwide. Pregnant women with COVID-19 positive status are also on rise and reported complications that occur to them during pregnancy, delivery and puerperium accentuates the need for superior care.Methods: This is a prospective cross sectional observational study of 133 pregnant COVID-19 positive patients delivered at District Hospital, Bellary, Karnataka during the period June 2020 to September 2020.Results: In the present study 87.9% were in age 20 to 30 years. 96.3% patients belong to lower socio-economic status. 4.5% patients had mild anaemia, 11.2% had moderate anaemia and 4.5% had severe anaemia. Non-severe pre-eclampsia was present in 11.2% of the patients, severe pre-eclampsia in 12% and 0.7% had gestational hypertension. Mode of delivery was 17.4% Full term normal delivery (FTND), 9% Full term vaginal delivery (FTVD), emergency Lower segment caesarean section (LSCS) in 67.7% cases and preterm delivery was seen in 4.5% of the cases. Elevated levels of D-dimer were found in 9.7% of the cases. One maternal death was reported in the study due to COVID-19 pneumonia.Conclusions: This study evaluates the obstetric and clinical outcome in COVID-19 positive patients who are in labor. Although our conclusions are limited, the findings obtained are important for understanding the clinical parameters, obstetric parameters and perinatal outcome.

scholarly journals Five-Year Retrospective Evaluation of large for gestational age (LGA) infants who Birth Weight of Over 90% Percentile

2020 ◽  
Vol 2 (1) ◽  
pp. 1-4
Author(s):  
Hüseyin Altaş ◽  
Mehmet Sait İçen ◽  
Hıdır Budak ◽  
Rezan Bugday ◽  
Mehmet Şükrü Budak ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Birth Weight ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Gestational Age ◽  
Large For Gestational Age ◽  
Normal Delivery ◽  
Gynecology And Obstetrics ◽  
The Mean

Objective: The aim of this study is to evaluate the obstetric and neonatal outcomes of pregnant women delivering large for gestational age (LGA) infants. Material and Methods: A total of 399 pregnant women giving birth to LGA infants in the Gynecology and Obstetrics Department of Dicle University Medical Faculty Hospital between January 2014 and December 2018 were included in this retrospective study. Demographic features, pregnancy and infant data, delivery type (vaginal delivery/cesarean delivery), and patients’ indications for cesarean section were assessed. Results: The mean age of the patients was 32.34±6.63, their gravida was 5.16±2.65 and parity was 3.55±2.36. The mean gestational week was 37.12±2.840 weeks and the mean birth weight was 3922.46±643.546 g. Of all patients, diabetes was detected in 28.5%, polyhydramnios in 11.3%, placental invasion anomaly in 4%, and preeclampsia in 9%. While 83.7% (334) of the patients underwent cesarean section, the remaining 16.3% (65) underwent normal delivery. 3.25% (13) of the patients developed complications during delivery. The rate of fetal anomaly was 11.7% (47) in existing pregnancies while the rate of fetal death was 5.01% (20). Conclusion: A cesarean delivery was performed in the majority of pregnant women with a suspected LGA infant. This group of patients exhibited a very high rate of gestational diabetes mellitus and diabetes mellitus. Existing pregnancies constitute a specifical pregnancy population that should be taken into consideration regarding probable complications and problems with the infant.

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