scholarly journals Ovarian cysts in Pregnancy: Obstetric Outcome and Management

2021 ◽  
Vol 9 (1) ◽  
pp. 69-73
Author(s):  
Greeshma Singham ◽  
Vivekanand Achanta ◽  
Satyaprabha Siripurapu Siripurapu ◽  
Ipsita Mohapatra Mohapatra
Keyword(s):  
Cesarean Section ◽  
Pregnancy Outcome ◽  
Histopathological Examination ◽  
Spontaneous Resolution ◽  
Ovarian Cysts ◽  
Medical Sciences ◽  
Simple Cyst ◽  
Emergency Cesarean ◽  
Serous Cystadenomas ◽  
Mucinous Cystadenomas

Objective: To study the pregnancy outcome and management of ovarian cysts during pregnancy. Methods : A prospective observational study was conducted in Prathima Institute of Medical Sciences, Karimnagar from June 2018 to June 2020. A total of 32 cases with ovarian cysts 5cm with benign features as suggested by ultrasound were included in the study. The pregnancy outcome and management were studied. Results : Out of 32 pregnant women with ovarian cysts, 25(78.12%) were asymptomatic and were managed conservatively. Of the 25, spontaneous resolution was seen in 18(56.25%) patients while 7(21.87%) patients in whom ovarian cyst persisted or was incidentally detected during cesarean section were managed by cystectomy at the same time. Surgery was needed in the antenatal period in 7(21.87%) patients due to complications such as increase in size of the cyst seen in 4(12.5%) and torsion seen in 3(9.37%). All the 32 patients had good perinatal outcome. There were no miscarriages. All patients continued to term except one, who presented at 36 weeks with torsion, andunderwent emergency cesarean section with oophorectomy. Histopathological examination of the excised cysts showed 5 as simple cyst, 5 as serous cystadenomas, 3 as mucinous cystadenomas and 1 as dermoid. Conclusion: Management of the ovarian cysts during pregnancy is conservative. Most of them undergo spontaneous resolution. Surgical management is reserved for only symptomatic patients. Pregnancy outcome as such is not affected by ovarian cysts during pregnancy.

scholarly journals Successful Pregnancy Outcome by Repeat Cesarean Section and Herniorrhaphy in a Case of neglected ruptured Incisional Hernia

2014 ◽  
Vol 2 (1) ◽  
pp. 50-51
Author(s):  
Smiti Nanda ◽  
Savita Rani Singhal ◽  
Neetu Sangwan ◽  
Suresh Kumar Singhal
Keyword(s):  
Cesarean Section ◽  
Incisional Hernia ◽  
Pregnancy Outcome ◽  
Postoperative Period ◽  
Elective Cesarean Section ◽  
Gravid Uterus ◽  
Additional Risk Factor ◽  
Successful Pregnancy ◽  
Emergency Cesarean ◽  
Repeat Cesarean Section

ABSTRACT Objective Gravid uterus with incisional hernia is rarely encountered complication. Aim is to report a case of pregnancy with ruptured incisional hernia. Case report A 35-year-old woman, gravida three, para two presented at 30 weeks of gestation with ruptured abdominal incisional hernia. She had previous two emergency cesarean sections done for contracted pelvis, 3 and 2 years back, respectively. Emergency herniorrhaphy was done. Postoperative period was uneventful and pregnancy advanced well without complication. At 37 weeks of gestation, she had elective cesarean section with bilateral tubal ligation. She delivered a healthy female baby of 2.5 kgs and the postoperative period was uneventful. Conclusion If the woman was aware and had come earlier during antenatal period; she would have been put on conservative management (bed rest, binder, etc) which might had prevented rupture of the hernia and further the emergency herniorrhaphy which is additional risk factor for the mother and the baby. How to cite this article Singhal SR, Sangwan N, Nanda S, Singhal SK. Successful Pregnancy Outcome by Repeat Cesarean Section and Herniorrhaphy in a Case of neglected ruptured Incisional Hernia. J South Asian Feder Menopause Soc 2014;2(1):50-51.

scholarly journals Antenatal Care Utilization and Pregnancy Outcome in Women Undergoing Emergency Cesarean Section

2020 ◽  
Keyword(s):  
Cesarean Section ◽  
Antenatal Care ◽  
Pregnancy Outcome ◽  
Maternal Death ◽  
Care Utilization ◽  
Maternal Outcomes ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean ◽  
Antenatal Care Utilization ◽  
Neonatal Icu

Objective: To assess the effect of antenatal care utilization on pregnancy outcomes in women undergoing emergency cesarean section. Method: This was a retrospective study conducted from January to December 2017. Women who underwent emergency cesarean section were included. Booking status was ascertained from previous antenatal slips. Primary outcome measure was pregnancy outcome, assessed by maternal and fetal parameters. Stay in hospital greater than 4 days and maternal death were maternal outcomes, whereas neonatal ICU admission and death were fetal outcomes. Results: During the study period, 419 women were delivered by Emergency cesarean section and were included. Of these 419 women, 300 (71.6%) were unbooked. Post cesarean, 284 (67.8%) women stayed for four or more days in the hospital and 16 (3.8%) women died. After cesarean 87 (20.8%) babies were shifted to neonatal ICU, whereas 91 (21.7%) of the delivered babies died. However, the maternal outcomes (stay of 4 days and above, p˂0.001 and maternal death, p=0.045) were significantly worse in unbooked women. Moreover the fetal outcomes were also poor in the unbooked population (NICU admission, p=0.004 and death p=0.010) as compared to booked women. Conclusion: Suboptimal antenatal care utilization continues to be an area of concern in Pakistan. Women may need an emergency delivery any time by cesarean section; all efforts must be made to ensure antenatal care is optimized so that high risk women and those with medical comorbidities do not suffer a suboptimal outcome. A policy that ensures attendance and utilization of antenatal care by all pregnant women is the need of the hour.

A Case of Emergency Cesarean Section on Client with Pseudopregnancy

2020 ◽  
pp. 1-6
Keyword(s):  
Heart Rate ◽  
Cesarean Section ◽  
Fetal Heart Rate ◽  
Medical Service ◽  
Fetal Heart ◽  
Placenta Previa ◽  
Urban Hospital ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean ◽  
Rural Health Center

Pseudopregnancy detection is significant while as the false pregnancy may show all symptoms. It is important to differentiate it. This is a case report of a pseudopregnancy which led to an emergency cesarean section. A 28-year-old woman who claimed to 7-month pregnancy was brought to the rural health center by husband families complaining of vaginal bleeding. The woman refers to an urban hospital by Emergency Medical Service with the diagnosis of placenta previa. In the hospital, she underwent an emergency cesarean section due to a severe deceleration of fetal heart rate, prior to assessing by sonography. No fetus or signs of uterine or abdominal pregnancy were found. Wrong auscultation of the mother's heart rate instead of fetal heart rate seems to be the main error. It is required to pay more attention to the methods of differentiation of fetal heart rate from the mother's heart rate. This report enlightens false pregnancy and early differentiation.

Pregnancy Outcome Among Twins Conceived After Subfertility Treatment Compared With Natural Twins: A Population-Based Study

2006 ◽  
Vol 9 (2) ◽  
pp. 279-284 ◽  
Author(s):  
Michael F. G. Murphy ◽  
Rachel E. Neale ◽  
Kate Hey ◽  
Valerie A. Seagroatt ◽  
Michael J. Goldacre ◽  
...  
Keyword(s):  
Social Class ◽  
Cesarean Section ◽  
Pregnancy Outcome ◽  
Ovulation Induction ◽  
Population Based ◽  
Population Based Study ◽  
Twin Birth ◽  
Twin Pregnancies

AbstractPregnancy outcome and characteristics of women who conceive following subfertility treatment remains a subject of great interest. We analyzed these variables among 199 women who delivered a registerable twin birth compared with 1773 women who delivered a naturally conceived twin birth in a population-based obstetric cohort drawn from around Oxford, England. Treatment was restricted to conceptions involving simple ovulation induction only. Treated mothers were of significantly higher social class and older, more likely to deliver girls and to be delivered by cesarean section, and significantly less likely to be smokers at the time of antenatal booking and to have delivered previous pregnancies. Pregnancy outcome was similar between the two groups for most measures, with the exception of birthweight which was lower in treated twins, though not significantly so. Overall the results are reassuring with respect to outcome in twin pregnancies following simple ovulation induction.

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.

Sign in / Sign up

Export Citation Format

Share Document