scholarly journals Frequency of Placenta Previa in Women with Previous Caesarean Section

2021 ◽  
Vol 15 (8) ◽  
pp. 2359-2361
Author(s):  
Anaheeta Israr ◽  
Anum Malik ◽  
Sadia Anwar ◽  
Zahra Wasim ◽  
Zubaida Khanum Wazir ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Placenta Previa ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Mean Value ◽  
Obstetrics And Gynecology ◽  
International Studies ◽  
Previous Caesarean Section ◽  
Cross Sectional ◽  
Gynecological Examination

Objectives: To determine the frequency of placenta previa in women with previous caesarean section presenting at Obstetrics and Gynecology department. Study Design: Descriptive (cross-sectional) study Setting and Duration: The study was carried out in the Department of Obstetrics and Gynecology of Abbottabad Medical Complex, Abbottabad and Mufti Mehmood Teaching Hospital, D. I. Khan during from December 2020 to May 2021. Methodology: The study population included those who have had at least one or more caesarean section, whether emergency or elective and irrespective of the cause of previous caesarean section with age group of 20 to 45 years of age. Patients fulfilling the inclusion and exclusion criteria were enrolled in the study after taking the informed consent. The aims and objectives of the study were explained to the patients being enrolled and their relatives and assured about confidentiality of information. Women included in the study underwent complete history, physical and gynecological examination. Results: A Total of 147 patients were included in the study sample with placenta previa. Mean age of the patients was 28.69±6.086, ranging from 20 to 45 years. Mean value of the parity was 3.18±1.141 ranging from 2 to 7 in the descriptive analysis, and the mean of gestational age (weeks) was 39.029±1.5618 ranging from 36.4 to 41.0 weeks. Out of 147 patients, Placenta previa diagnosed by ultrasound was found in 26(17.7%) patients. Conclusion: The study concludes that the frequency of PP in this setting is in keeping with globally cited frequencies. Other findings such as causes of PP and maternal morbidity data also agree with most national and international studies on this topic. Key Words: Placenta previa, Previous Caesarean Section

scholarly journals Discrimination by parity is a prerequisite for assessing induction of labour outcome – cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Branko Denona ◽  
Michael Foley ◽  
Rhona Mahony ◽  
Michael Robson
Keyword(s):  
Caesarean Section ◽  
Cross Sectional Study ◽  
Induction Of Labour ◽  
Previous Caesarean Section ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nulliparous Women ◽  
Significant Difference ◽  
Multiparous Women ◽  
Group 3

Abstract Background To demonstrate that studies on induction of labour should be analyzed by parity as there is a significant difference in the labour outcome among induced nulliparous and multiparous women. Methods Obstetric outcome, specifically caesarean section rates, among induced term nulliparous and multiparous women without a previous caesarean section were analyzed in this cross-sectional study using the Robson 10 group classification for the year 2016. Results In the total number of 8851 women delivered in 2016, the caesarean section rates among nulliparous women in spontaneous and induced labour, Robson groups 1 and 2A, were 7.84% (151/1925) and 32.63% (437/1339) respectively and among multiparous (excluding those women with a previous caesarean section), Robson group 3 and 4A were 1%(24/2389) and 4.37% (44/1005), respectively. Pre labour caesarean rates for nulliparous and multiparous women, Robson groups 2B and 4B (Robson M, Fetal Matern Med Rev, 12; 23–39, 2001) were 3.91% (133/3397) and 2.86% (100/3494), of the respective single cephalic cohort at term. Conclusion The data suggests that studies on induction of labour should be analyzed by parity as there is a significant difference between nulliparous and multiparous women.

scholarly journals Interinstitutional variations in mode of birth after a previous caesarean section: a cross-sectional study in six German hospitals

2015 ◽  
Vol 43 (2) ◽  
Author(s):  
Mechthild M. Gross ◽  
Andrea Matterne ◽  
Silvia Berlage ◽  
Annette Kaiser ◽  
Nicholas Lack ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Cross Sectional Study ◽  
Previous Caesarean Section ◽  
Sectional Study ◽  
Regional Data ◽  
Cross Sectional ◽  
Regional Patterns ◽  
German States ◽  
Mode Of Birth ◽  
Vaginal Birth After Caesarean

AbstractRegional and interinstitutional variations have been recognized in the increasing incidence of caesarean section. Modes of birth after previous caesarean section vary widely, ranging from elective repeat caesarean section (ERCS) and unplanned repeat caesarean section (URCS) after trial of labour to vaginal birth after caesarean section (VBAC). This study describes interinstitutional variations in mode of birth after previous caesarean section in relation to regional indicators in Germany.A cross-sectional study using the birth registers of six maternity units (n=12,060) in five different German states (n=370,209). Indicators were tested by χThe percentages of women in the six units with previous caesarean section ranged from 11.9% to 15.9% (P=0.002). VBAC was planned for 36.0% to 49.8% (P=0.003) of these women, but actually completed in only 26.2% to 32.8% (P=0.66). Depending on the indicator, the units studied deviated from the regional data by up to 32% [relative risk 0.68 (0.47–0.97)] in respect of completed VBAC among all initiated VBAC.There is substantial interinstitutional variation in mode of birth following previous caesarean section. This variation is in addition to regional patterns.

scholarly journals A cross sectional study of 1000 lower segment cesarean section in obstetrics and gynecology department of P. D. U Medical College, Rajkot, Gujarat, India

2017 ◽  
Vol 6 (4) ◽  
pp. 1186
Author(s):  
Dolly Chavda ◽  
Kamal Goswam ◽  
Kavita Dudhrejiya
Keyword(s):  
Caesarean Section ◽  
Caesarean Section Rate ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Obstetrics And Gynecology ◽  
Sectional Study ◽  
Lower Segment ◽  
Cross Sectional ◽  
Medical College ◽  
Lower Segment Cesarean Section

Background: Though WHO recommends a rate of 10-15% caesarean section for a given hospital, there has been a rising trend worldwide. We estimated the recent incidence of caesarean section in Obstetrics and Gynecology Department, P.D.U. Medical College, Rajkot (Gujarat and correlated these rates with the socioeconomic, demographic, and health variables.Methods: We have studied 1000 cases of lower segment caesarean section (cross sectional study) at Obstetrics and Gynecology Department, P.D.U Medical College, Rajkot (Gujarat) to find out rate of caesarean section, common maternal and fetal indication and complications of lower segment caesarean section.Results: Caesarean section rate of the present study is 19.9%. Most common indication of LSCS was scarred uterus 39.9%.followed by fetal distress 19.1%, malpresentation 18.6%, and failed induction 7.3%. Maternal morbidities and mortalities in emergency LSCS in compare to elective LSCS. Analysis based on Robson’s ten-group showed that group 5 (Previous CS, single cephalic,>37 weeks) made the greatest contribution to total CS rate.Conclusions: Scientific advances, social and cultural changes, and medico legal considerations seem to be the main reasons for the increased acceptability of caesarean sections. The decision to perform a C-section delivery must be chosen carefully and should not be profit oriented. There is a possibility of keeping the rate to minimum by reducing number of primary caesarean sections, by proper counseling of the patients, proper monitoring and patience.

scholarly journals Factors influencing decision-making to accept elective caesarean section in a hospital in Ghana: A descriptive cross-sectional study

2020 ◽  
Author(s):  
Victoria Bam ◽  
Alberta Yemotsoo Lomotey ◽  
Abigail Kusi-Amponsah Diji ◽  
Hayford Isaac Budu ◽  
Dorothy Bamfo-Ennin ◽  
...  
Keyword(s):  
Decision Making ◽  
Caesarean Section ◽  
Elective Caesarean Section ◽  
Cross Sectional Study ◽  
Decision Making Process ◽  
Previous Caesarean Section ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Influencing

Abstract Background Elective caesarean section rates are on the rise and socioeconomic status, perceptions of safety, cultural and social influences are contributory factors. Inspite of the benefits of medically-indicated caesarean section, some women refuse this due to a complexity of factors. This study aimed at determining the factors that influence women to accept medically-indicated caesarean section in a district hospital in Ghana.MethodsA descriptive cross-sectional study was conducted among 163 purposively-sampled postnatal women in a hospital. A questionnaire was used for data collection after the women gave their consent to participate. Data was analyzed using SPSS version 25.0, Chi-square test was done to determine the association between the factors that facilitated respondents’ acceptance of caesarean section and the duration of decision-making. ResultsMajor factors influencing their decision-making process were support from their husbands/relatives (39.3%), their baby’s life being at risk (24.5%), history of previous caesarean section and knowledge about the procedure (19.6%). Age (R2 = 0.19, p< 0.001); previous caesarean section (R2 = 0.14, p<0.001) are the major predictors of the duration of the decision-making process.ConclusionMost women will make decisions to accept elective caesarean section within a week’s duration based on consultation with relatives. There is the need to involve relatives during the antenatal care period in order for younger women in particular to be readily supported to make the decision early to avoid any complications and allay their fears.

scholarly journals Discrimination by parity is a prerequisite for assessing induction of labour outcome – cross-sectional study

2020 ◽  
Author(s):  
Branko Denona ◽  
Michael Foley ◽  
Rhona Mahony ◽  
Michael Robson
Keyword(s):  
Caesarean Section ◽  
Cross Sectional Study ◽  
Induction Of Labour ◽  
Previous Caesarean Section ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nulliparous Women ◽  
Significant Difference ◽  
Multiparous Women ◽  
Group 3

Abstract Background: To demonstrate that studies on induction of labour should be analyzed by parity as there is a significant difference in the labour outcome among induced nulliparous and multiparous women Methods: Obstetric outcome, specifically caesarean section rates, among induced term nulliparous and multiparous women without a previous caesarean section were analyzed in this cross-sectional study [BD1] using the Robson 10 group classification2 for the year 2016.Results: In the total number of 8851 women delivered in 2016[BD2] , the caesarean section rates among nulliparous women in spontaneous and induced labour, Robson groups 1 and 2A, were 7.8% (151/1925) and 32.6% (437/1339) respectively and among multiparous (excluding those women with a previous caesarean section), Robson group 3 and 4A were 1%(24/2389) and 4.4% (44/1005), respectively. Pre labour caesarean rates for nulliparous and multiparous women, Robson groups 2B and 4B2 were 3.9% (133/3397) and 2.8% (100/3494), of the respective single cephalic cohort at term.Conclusion: The data suggests that studies on induction of labour should be analyzed by parity as there is a significant difference between nulliparous and multiparous women.

scholarly journals Factors influencing use of essential surgical services in North-East India: a cross-sectional study of obstetric and gynaecological surgery

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038470
Author(s):  
Tim Ensor ◽  
Amrit Virk ◽  
Noel Aruparayil
Keyword(s):  
Caesarean Section ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Logit Analysis ◽  
Demand Side ◽  
Cross Sectional ◽  
Low Resource Settings ◽  
Low Resource ◽  
North East India ◽  
North East

IntroductionThere continues to be a large gap between need and actual use of surgery in low-resource settings. While policy frequently focuses on expanding the supply of services, demand-side factors are at least as important in determining under utilisation and over utilisation. The aim of this study is to understand how these factors influence the use of selected essential obstetric and gynaecological surgical procedures in the underserved and remote setting of North-East India.MethodsThe study combines and makes use of data from a variety of surveys and routine systems. Descriptive analysis of variations in caesarean section, hysterectomy and sterilisation and then multivariate logit analysis of demand-side and supply-side factors on access to these services is undertaken.ResultsSurgical rates vary substantially both across and within North-East India, correlated with service capacity and socioeconomic status. Travel times to surgical facilities are associated with rates of caesarean section and hysterectomy but not sterilisation where services are much more deconcentrated. Travel is less important for surgery in private facilities where capacity is much more dispersed but dominated by the non-poor. The presence of non-doctor medical staff is associated with lower levels of surgical activity.ConclusionIn low resource, remote settings policy interventions to improve access to services must recognise that surgical rates in low-resource settings are heavily influenced by demand-side factors. As well as boosting services, mechanisms need to mitigate demand-side barriers particularly distance and influence practice to encourage surgical intervention only where clinically indicated.

scholarly journals Communication Between Healthcare Providers and their Clients: How Accurately do Mothers Remember the Indications for the Caesarean Section that they had?

2020 ◽  
Vol 6 (4) ◽  
pp. 439-448
Author(s):  
EJ Enabudoso ◽  
LE Ajakaiye ◽  
CEM Okoror
Keyword(s):  
Caesarean Section ◽  
Caesarean Delivery ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Delivery Mode ◽  
Previous Caesarean Section ◽  
Cross Sectional ◽  
Similarity Group ◽  
Group A ◽  
Level Of Agreement

Background: The indication for Caesarean delivery is one of the most important information required in the antenatal care and delivery mode for women with previous Caesarean section(s). Objective: To assess the level of agreement/disparity between mothers’ report and the actual medical indication for Caesarean delivery and to explore factors associated with it. Methods: This cross-sectional study was carried out among 248 women who were delivered by Caesarean section. A comparison was done between the patient's report of the indication for the Caesarean section and the physician's record and the level of similarity was recorded. Results: More than half (126; 50.7%) of the respondents reported indications that were classified as complete similarity [Group A] while Groups B to E had 54 (21.8%), 21 (8.5%), 26 (10.5%) and 21 (8.5%) responses respectively. Of the group with “non-similar” responses, foetal indication accounted for 36.1% of them. Parity was the only predictor of “similarity”. Compared to para 0, para 1-4 were more likely to report “similarity” in the indications for the Caesarean section (AOR = 3.370; 95% CI = 1.277-8.888). Conclusion: While the past obstetric history is an important aspect of the evaluation of the pregnant woman, it is important to attempt greater verification of facts at history taking for the indications for previous Caesarean section, especially when it has to do with foetal health as the indication, and in the nulliparae.

scholarly journals Catastrophic Maternal Complications of Morbidly Adherent Placenta in Patients with History of Previous Caesarean Delivery

2020 ◽  
Vol 33 (2) ◽  
pp. 96-100
Author(s):  
Mumtahena Amir ◽  
Salma Rouf ◽  
Saleha Begum Chowdhury
Keyword(s):  
Caesarean Section ◽  
Multiorgan Failure ◽  
Cross Sectional Study ◽  
Bladder Injury ◽  
Previous Caesarean Section ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Morbidly Adherent Placenta ◽  
Adherent Placenta ◽  
History Of

Objective:The study is aimed to describe the grave maternal outcomes encountered inpatients having morbidly adherent placenta along with history of previous caesarean section. Materials and Methods: This was a cross-sectional study from September 2014 to August2015. All the patients attended in the in-patient department of obstetrics & gynaecology inDMCH during the study period having morbid adhesion of placenta (diagnosed antenatallyby USG or diagnosed preoperatively) along with history of previous caesarean section. Result: Total 10,805 obstetric patients delivered during the study period, of which 6,337patients had caesarean sections. Out of them 37 pregnant patients were found to havemorbid adhesion of placenta along with history of previous C/S. The incidence is 1 in 292deliveries. All of the 37 patients needed hysterectomy for intractable per operativehaemorrhage. All the patients needed transfusion of more than 04 units of blood. Nineteenpatients needed ICU supports Ten (27%) patients died. Other grave complications werehypovolemic shock (19 patients), bladder injury (16patients), renal failure (07 patients),multiorgan failure (07 patients) and DIC (06 patients). Conclusion: All the patients of morbidity adherant placenta with previous Caesarean Sectionneeded caesarian hysterectomy and ten patients died. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 96-100

scholarly journals Cesarean Section profile at a tertiary center

2020 ◽  
Vol 15 (1) ◽  
pp. 68-71
Author(s):  
Madhu Shrestha ◽  
Shanti Shrestha
Keyword(s):  
Caesarean Section ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Emergency Caesarean Section ◽  
Previous Caesarean Section ◽  
Sectional Study ◽  
Cross Sectional ◽  
Operation Theatre ◽  
Tertiary Center ◽  
Section Profile

Aim: To determine the incidence and indication of caesarean section. Method: It is a retrospective cross sectional study conducted at Paropakar Maternity and Women’s Hospital for three months. The data was retrieved from the medical record of operation theatre. Results: During the study period, 31.1% (1,592 out of 5,120) of women underwent caesarean section. Eighty eight percent (n-1,402) of them were emergency caesarean section while 12 % were elective (n-190). Majority of the women (70.3%) belonged to 20-29 years and half of them were primigravida. Around 89.2% caesarean sections were performed at 37-42 weeks of gestation. The four leading indications were fetal distress (31.5%), previous caesarean section (19.7%), cephalo -pelvic disproportion (13.4%) and abnormal presentation (7.9%). Conclusions: In this study, incidence of caesarean section is more than WHO recommendation. It may be mainly due to the referral of complicated cases from the periphery of the country. Key words: caesarean section, indication

scholarly journals Relaparotomy after caesarean section

2016 ◽  
Vol 3 (2) ◽  
pp. 28-31
Author(s):  
Reena Shrestha ◽  
Laxmi RC Karki ◽  
Sarada Duwal Shrestha ◽  
Anagha Pradhan Malla ◽  
Binita Pradhan ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Clinical Judgment ◽  
Descriptive Analysis ◽  
Rectus Sheath ◽  
Fetal Distress ◽  
Conservative Surgery ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Obstetrics And Gynaecology ◽  
Rectus Sheath Hematoma

Introductions: Relaparotomy after caesarean section is rare and literature are scanty. The decision requires a good clinical judgment to save mother’s life. Our objective was to analyse the outcome of relaparotomy after caesarean section at Patan Hospital.Methods: This was a cross sectional study done at the department of obstetrics and gynaecology, Patan Hospital, Lalitpur, Nepal. Charts of the caesarean section from January 2010 to December 2014 were reviewed to analyze the cases of relaparotomy for incidence, indication, management and outcome. Descriptive analysis was done using SPSS.Results: During 5 years, there were 17,538 caesarean deliveries, 39.15% of total 44,788 deliveries. Relaparotomy was done in 15 cases, 0.085% of 17,538 caesarean. Mean age was 26.6±4.7 years, 14 (93.3%) were between 25-35 years, 12 (80%) were primigravida. Indications for relaparotomy were pyoperitoneum (40%), hemoperitoneum (33.3%) and rectus sheath hematoma (26.7%). Out of 15 relaparotomies, 14 were conservative surgery and one required hysterectomy. There was no maternal mortality.Conclusions: Relaparotomy rate in our study was eight in 10,000. Those requiring relaparotomy had fetal distress as indication for first caesarean.Journal of Patan Academy of Health Sciences. 28 2016 Dec;3(2):28-31

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