Major Placenta Previa with Assisted Vaginal Delivery and Primary Postpartum Hemorrhage

2009 ◽  
Vol 1 (1) ◽  
Author(s):  
OY Oyedele ◽  
YA Oshodi ◽  
DO Akinpelu ◽  
A Adeyemi ◽  
MO Adedeji
Keyword(s):  
Vaginal Delivery ◽  
Postpartum Hemorrhage ◽  
Placenta Previa ◽  
Assisted Vaginal Delivery

scholarly journals RISKY GRAND MULTIPARAS

2013 ◽  
Vol 20 (03) ◽  
pp. 416-421
Author(s):  
IRUM - ◽  
SAMINA KAUSAR ◽  
ROBINA ALI ◽  
Shazia Shaheen
Keyword(s):  
Vaginal Delivery ◽  
Postpartum Hemorrhage ◽  
Placenta Previa ◽  
Mode Of Delivery ◽  
Case Series ◽  
Health Care Facilities ◽  
Normal Vaginal Delivery ◽  
Case Series Study ◽  
Increased Risk ◽  
Intrapartum Complications

Grandmultiparity has long been classified as constituting a high risk factor in pregnancy. The complications associatedwith grandmultiparity have been divided into ante-partum, intra-partum and the postpartum. Intrapartum complications most commonlythought to be associated with grandmultiparity are malpresentations, placental disorders, postpartum hemorrhage and uterine rupture.Concerted effort should be instituted for effective family planning initiatives and specialized antepartum and intrapartum management.Objective: To determine the frequency of intrapartum complications and mode of delivery in grandmultipara. Material and Methods: Itis descriptive case series study conducted in department of obstetrics and gynaecology, Punjab Medical College and affiliated hospitals,Faisalabad from March 11, 2010 to September 10, 2010. Results: Grandmultipara women who fulfilled the inclusion criteria werestudied for intrapartum complications and mode of deliveries. One hundred and thirty nine patients were included in my study. Mean ageof the patients was 32.38 years. Mean gestational age for delivery was 37.06 weeks. Grandmultiparas had more intrapartumcomplications including malpresentation (19.4%), placental abruption (5.8%), placenta previa (8.6%), postpartum hemorrhage (6.5%)and ruptured uterus (1.4%). Mode of delivery was also assessed and 59%, 7.9 %, 31.7% of patients had normal vaginal delivery,instrumental vaginal delivery and cesarean section respectively. Conclusions: It is concluded that in the developing countries theincidence of grandmultiparity is still high with a significantly increased risk of complications. Grandmultiparity should be considered highrisk and needs active intervention by improving literacy, health care facilities, provision of safe and effective contraception andreproductive health status.

scholarly journals Cesarean section by maternal request

2016 ◽  
Vol 43 (4) ◽  
pp. 301-310 ◽  
Author(s):  
RAPHAEL CÂMARA ◽  
MARCELO BURLÁ ◽  
JOSÉ FERRARI ◽  
LANA LIMA ◽  
JOFFRE AMIM JUNIOR ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Postpartum Hemorrhage ◽  
Lower Risk ◽  
Placenta Previa ◽  
Maternal Request ◽  
Potential Benefits ◽  
Potential Risks ◽  
The One

ABSTRACT Cesarean section by maternal request is the one performed on a pregnant woman without medical indication and without contraindication to vaginal delivery. There is great controversy over requested cesarean section. Potential risks include complications in subsequent pregnancies, such as uterine rupture, placenta previa and accreta. Potential benefits of requested cesareans include a lower risk of postpartum hemorrhage in the first cesarean and fewer surgical complications compared with vaginal delivery. Cesarean section by request should never be performed before 39 weeks.

Prediction of Postpartum Hemorrhage by Sonographic Uteroplacental Morphology in Placenta Previa

2021 ◽  
Vol 3 (2) ◽  
pp. 659-665
Author(s):  
Orhan Altinboga ◽  
Kemal Sarsmaz ◽  
Seyit Ahmet Erol ◽  
Betul Yakistiran ◽  
Batuhan Bakirarar ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Placenta Previa

scholarly journals Pregnancy Outcome of Single Previous cesarean Section

1970 ◽  
Vol 7 (1) ◽  
pp. 25-28 ◽  
Author(s):  
M Jha
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Apgar Score ◽  
Postpartum Hemorrhage ◽  
Elective Caesarean Section ◽  
Previous Caesarean Section ◽  
Cephalopelvic Disproportion ◽  
Main Indication ◽  
Assisted Delivery ◽  
Vacuum Delivery

Background: The main aim of this study is to determine the maternal and fetal outcome of pregnancy among women with one previous caesarean section at term in relation to vaginal delivery, post partum complication, neonatal complication like low Apgar score, fetal weight and admission in special baby unit. Methods: This is a prospective and descriptive study done in a sample size of 100. Inclusion criteria were term pregnancy, single live fetus with cephalic presentation with one previous caesarean section. During study period total number of obstetric admissions was 3546 and 115 cases were admitted with previous one caesarean section. Result: Out of 100 cases, 31 cases had vaginal delivery and 69 cases had caesarean section. Among 31 vaginal deliveries, 24 cases had spontaneous vaginal delivery and 7 had assisted delivery with vacuum, main indication of vacuum delivery was to cut short the second stage of labor that was in 5(71.43%) cases. Among 69 caesarean section cases, 51 had emergency caesarean section and 18 had elective caesarean section and cephalopelvic disproportion was the main indication in both the groups. Most common complication was scar dehiscence and postpartum hemorrhage. There were two still births in each group and one minute APGAR score was slightly better in caesarean section. Conclusions: Patients with previous caesarean section are at high risk of repeat emergency or elective caesarean section. About one in three patients with previous caesarean section delivered vaginally. In the present study postpartum hemorrhage was the commonest complication, which was found in caesarean section, and only  one puerperal pyrexia was seen in case of vaginal delivery. Key words: Cephalopelvic disproportion, Premature rupture of membrane, Septicemia, Vacuum delivery   DOI: 10.3126/jnhrc.v7i1.2275 Journal of Nepal Health Research Council Vol. 7, No. 1, 2009 April 25-28

The association of endometriosis with placenta previa and postpartum hemorrhage: a systematic review and meta-analysis

2021 ◽  
Vol 3 (5) ◽  
pp. 100417
Author(s):  
Shinya Matsuzaki ◽  
Yoshikazu Nagase ◽  
Yutaka Ueda ◽  
Misooja Lee ◽  
Satoko Matsuzaki ◽  
...  
Keyword(s):  
Systematic Review ◽  
Postpartum Hemorrhage ◽  
Placenta Previa ◽  
Meta Analysis

O720 METAL CUPS FOR VACUUM-ASSISTED VAGINAL DELIVERY INCREASE NEONATAL PAIN RESPONSE

2012 ◽  
Vol 119 ◽  
pp. S514-S514 ◽  
Author(s):  
E. Visca ◽  
C. Voekt ◽  
E.-M. Tinner ◽  
T. Burkhardt ◽  
A. Krafft ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Pain Response ◽  
Assisted Vaginal Delivery ◽  
Neonatal Pain

scholarly journals Role of emergency bilateral internal iliac ligation in postpartum hemorrhage

2021 ◽  
Vol 10 (8) ◽  
pp. 3086
Author(s):  
Sunder Pal Singh ◽  
Shipra Misra ◽  
Naresh Sharma
Keyword(s):  
Retrospective Study ◽  
Iliac Artery ◽  
Postpartum Hemorrhage ◽  
Internal Iliac Artery ◽  
Placenta Previa ◽  
Uterine Perforation ◽  
Life Saving ◽  
Internal Iliac ◽  
Early Decision

ABSTRACTBackground: The aim of the study was to determine the effectiveness of emergency bilateral internal iliac ligation in intractable postpartum hemorrhage.Methods: A retrospective study was done on 33 women who have undergone emergency bilateral internal iliac ligation in obstetrics haemorrhage.Results: In all of 33 women under this study bilateral internal iliac ligation was performed in emergency. (11) of the cases were of atonic PPH, placenta previa (8), uterine rapture (7), extension of C-section scar (3), vaginal and cervical laceration (3) and uterine perforation (1). hysterectomy was not performed in any of the cases. internal iliac artery was injured in one case during the procedure and was managed successfully but two patients died during and after the BIIL.Conclusions: BIIL is an effective, less time consuming and life-saving procedure in intractable obstetrics hemorrhage if early decision is taken and performed by practiced surgeons.

scholarly journals Emergency Peripartum Hysterectomy as Postpartum Hemorrhage Treatment: Incidence, Risk factors, and Complications

2014 ◽  
Vol 52 (193) ◽  
pp. 668-676 ◽  
Author(s):  
Meena Pradhan ◽  
Yong Shao
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Blood Loss ◽  
Postpartum Hemorrhage ◽  
Placenta Previa ◽  
Uterine Atony ◽  
Previous Caesarean Section ◽  
Peripartum Hysterectomy ◽  
Incidence Risk ◽  
Emergency Peripartum Hysterectomy

Introduction: The aim of the research was to investigate incidence, risk factors, and complications associated with emergency peripartum hysterectomy, the ultimate treatment method for intractable postpartum hemorrhage.Methods: This is a single center case-control study conducted in Chongqing city in central China from 1st January 2007 to 31st December 2012 for emergency peripartum hysterectomy performed as a treatment of postpartum hemorrhage both in caesarean and vaginal delivery cases. While the study group included emergency peripartum hysterectomy (n=61) due to intractable postpartum hemorrhage, the control group included no hysterectomy (n=333) during the same study period.Results: We found 61 cases recorded for emergency peripartum hysterectomy for intractable postpartum hemorrhage. Incidence of peripartum hysterectomy was 2.2 per 1000 deliveries. Emergency peripartum hysterectomy as treatment of intractable postpartum hemorrhage include the followings: (i) blood loss 1000-2000 ml, crude odd ratio (OR) =18.48 (95% CI 5.1-65.7), adjusted odd ratio (AOR) = 9.1 (95% CI 2.2-37.7); (ii) blood loss >2000 ml, OR = 152 (95% CI 43.7-528.4), AOR = 45.3 (95% CI 11.6-176.9); (iii) previous caesarean section, OR = 5.5 (95% CI 2.9-9.7), AOR = 3.7(95% CI 1.4-9.9); (iv) uterine atony, OR = 11.9 (95% CI 5.8-24.6), AOR = 7.5 (95% CI 1.8-30.2); (v) placenta previa, OR = 2.04 (95% CI 1.1-3.5), AOR = none. Conclusions: Emergency peripartum hysterectomy is the last resort as treatment of intractable severe postpartum hemorrhage. Our study depicts that severe post partum hemorrhage, further dreaded complex events for emergency peripartum hysterectomy, has significant association with placental factors, previous caesarean section, and uterine atony. Pathologically, placenta accreta remained the most leading cause of hysterectomy.Keywords: caesarean section; hemorrhage; peripartum hysterectomy; placenta previa.

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