scholarly journals Vaginal and Bladder Rupture without Uterine Rupture in Unscarred Uterus

2017 ◽  
Vol 9 (3) ◽  
pp. 269-270

ABSTRACT Introduction Risk of uterine rupture in obstructed labor in grand multipara in developing countries is well documented; however, rupture of vagina involving bladder is uncommon. Below is described a rare case of 30-year-old grand multipara who suffered vaginal rupture associated with bladder rupture rather than uterine rupture during second stage of labor. This case is an important reminder to obstetricians that vaginal rupture can also occur in unscarred uterus without uterine involvement. How to cite this article Garg R, Singh S, Yadav A, Kumar A, Sahu S, Agarwal R. Vaginal and Bladder Rupture without Uterine Rupture in Unscarred Uterus. J South Asian Feder Obst Gynae 2017;9(3):269-270.

2017 ◽  
Vol 222 (01) ◽  
pp. 34-36 ◽  
Author(s):  
Dubravko Habek ◽  
Ingrid Marton ◽  
Ana Luetic ◽  
Matija Prka ◽  
Zeljka Kuljak ◽  
...  

AbstractWe report a rare case of spontaneous intraperitoneal bladder rupture following normal vaginal delivery without concomitant uterine rupture. Key diagnostic clinical features were acute renal failure, new-onset ascites and bowel ileus with urosepsis. Laparotomy and bladder repair with omentum patch were performed with no adverse outcome reported.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257285
Author(s):  
Lisa Bouille ◽  
Joanna Sichitiu ◽  
Julien Favre ◽  
David Desseauve

Background In order to manage a protracted second stage of labor, “eminence-based” birth positions have been suggested by some healthcare professionals. Recent biomechanical studies have promoted the use of an optimized supine birthing position in this setting. However, uncertainty exists regarding the feasibility of this posture, and its acceptability by women. This pilot study primarily aimed to assess these characteristics. Objective and methods In this monocentric prospective study, 20 women with a protracted second stage of labor were asked to maintain a biomechanically-optimized position for at least 20 minutes at full dilatation. This posture is similar to the McRoberts’ maneuver. Maintaining the position for 20 minutes or more was considered clinically relevant and indicative of feasibility and acceptability. Satisfaction with the position was assessed using a Visual Analogue Scale (VAS). A sub-group analysis was performed to assess eventual differences between more and less satisfied patients, according to the median of patients’ satisfaction scores. Results Seventeen patients (85%) maintained the optimized position for at least 20 minutes. The median satisfaction score of these participants was 8 (interquartile range: 1) out of 10. No significant differences were found between the two sub-groups (satisfaction score <8 vs satisfaction score ≥8) regarding general and obstetric characteristics, as well as obstetrical and fetal outcomes. Conclusion The optimized position is acceptable and feasible for women experiencing a protracted second stage of labor. Further clinical studies are needed to assess the efficiency of such positions when women undergo an obstructed labor.


2012 ◽  
Vol 206 (1) ◽  
pp. S148
Author(s):  
Nicole Jastrow ◽  
Suzanne Demers ◽  
Robert J. Gauthier ◽  
Nils Chaillet ◽  
Normand Brassard ◽  
...  

1998 ◽  
Vol 5 (1) ◽  
pp. 171A-171A
Author(s):  
E XENAKIS ◽  
J PIPER ◽  
M MCFARLAND ◽  
C SUITER ◽  
O LANGER

1988 ◽  
Vol 27 (3) ◽  
pp. 336-338
Author(s):  
Muhammad Hussain Malik

The need to enhance their economic relations with each other has long been felt by developing countries. However, their efforts in this regard have met with limited success. One of the reasons for this could be that not much serious work has been done to understand the complexities and possibilities of economic relations of developing countries. The complementarities which exist among the economies of these countries remain relatively unexplored. There is a lack of concrete policy proposals which developing countries may follow to achieve their often proclaimed objective of collective self-reliance. All this needs serious and rigorous research efforts. In this perspective, the present study can be considered as a step in the right direction. It examines trade and other economic relations of developing countries of two regions of Asia-South Asian countries and member countries of the Association of Southeast Asian Nations (ASEAN). The study also explores ways and means to improve economic relations among these countries


Choonpa Igaku ◽  
2016 ◽  
Vol 43 (3) ◽  
pp. 457-465
Author(s):  
Koichi KOBAYASHI ◽  
Miki GOTO ◽  
Ken SAKAMAKI

2020 ◽  
Vol 24 (1) ◽  
pp. 37-49
Author(s):  
Sandeep Basnyat ◽  
Suryakiran Shrestha ◽  
Bijita Shakya ◽  
Reeja Byanjankar ◽  
Shubhashree Basnyat

Compared to international tourism, domestic tourism is less susceptible to external changes and provides a more stable business environment for industry stakeholders. Traditionally, the focus of a majority of tourism research has been international tourism. Existing domestic tourism literature predominantly focuses on the potential of domestic tourism and the measurement of its demands, but greatly ignores the issues and challenges in the domestic tourism industry. This article fills this gap and examines the issues and challenges the domestic tourism industry is facing with a focus on Nepal, a South Asian developing country. The data for this study were collected through semistructured interviews with 20 tourism industry practitioners. The findings of this study demonstrate how uncertainties created by the lack of institutional arrangements and prioritization, and confusion around the appropriate ways and means of managing domestic tourism have contributed to the chaos in the private sector tourism industry in Nepal. Implications for the government and other stakeholders in Nepal and other developing countries have been discussed.


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