Pregnancy and delivery after augmentation enterocystoplasty: a case report

2014 ◽  
Vol 21 (1) ◽  
pp. 17-20
Author(s):  
Odeta Bobelytė ◽  
Feliksas Jankevičius ◽  
Virginija Paliulytė ◽  
Martynas Manikas ◽  
Diana Ramašauskaitė
Keyword(s):  
Caesarean Section ◽  
Urine Analysis ◽  
Bladder Augmentation ◽  
Reproductive Age ◽  
Function Evaluation ◽  
Lower Segment Caesarean Section ◽  
Augmentation Enterocystoplasty ◽  
Before And After ◽  
Pregnancy And Delivery ◽  
Vilnius University

Background. The aim of this article is to present a rare clinical case of pregnancy and surgical delivery after bladder augmentation surgery in the past. Methods and materials. In this report we present one case of a 23-yearold woman who became pregnant 3 years later after bladder augmenta­tion surgery for congenital microcystis leading to hydronephrosis and nephrosclerosis and delivered a live healthy baby through a lower segment Caesarean section at 38 weeks of gestation in Vilnius University Hos­pital Santariškių Clinics. We investigated all documentation of the patient before and after bladder augmentation enterocystoplasty. Results and conclusions. Bladder augmentation is mostly performed for women in their childhood or young age and most of them reach reproductive age. There is no contraindications for these women to become pregnant and deliver, both vaginally or surgically. It is advisable to consult urologists regularly, make regular bacteriological urine analysis, take monthly blood samples for kidney function evaluation and perform renal ultrasonography. Multiple consultations in a Perina­tology Center are also necessary to follow the fetus condition and prevent preeclampsia. Antibacterial treatment or prophylaxis should be used during pregnancy if necessary, intermittent self-catheterization is mostly performed routinely. The presence of a urologist is suggested during the Caesarean section.

scholarly journals Vasa praevia: a case report and literature review

2016 ◽  
Vol 23 (1) ◽  
pp. 11-16
Author(s):  
Kristina Norvilaitė ◽  
Aurelija Peštenytė ◽  
Diana Bužinskienė ◽  
Gražina Drąsutienė ◽  
Audronė Arlauskienė ◽  
...  
Keyword(s):  
Mode Of Delivery ◽  
University Hospital ◽  
Fetal Ultrasound ◽  
Healthy Baby ◽  
Lower Segment Caesarean Section ◽  
Vasa Praevia ◽  
Before And After ◽  
Vilnius University ◽  
Preterm Rupture Of Membranes ◽  
Selection Of

Background. The aim of this article is to present a rare clinical case of vasa praevia as well as to assess the relevance of the problem by reviewing the latest literature sources. Materials and methods. In this report we present a case of a 33-yearold woman diagnosed with vasa praevia at 33 weeks of pregnancy, after hospitalisation with preterm rupture of membranes following the delivery of a  live healthy baby through a  lower segment Caesarean section during 33rd week of gestation at Vilnius University Hospital Santariškių Clinics. We investigated all the documentation of the patient before and after delivery. Results and conclusions. Vasa praevia is a  rather rare pathology which is likely to occur during pregnancy, may result in heavy bleeding and be particularly threatening to the  fetus life. A  timely diagnosis for these women is essential. The gold standard for vasa praevia diagnosis is the fetal ultrasound scan. Vasa praevia pathology is found during the routine second trimester ultrasound check-up. The selection of proper tactics applied during pregnancy care is essential. At the gestational age of 28–32, it is advisable to mature fetal lungs as well as the fetus condition should be investigated by a perinatologist. The mode of delivery is the C-section which tends to reduce the frequency of possible complications.

scholarly journals Pregnancy and delivery in patients with idiopathic scoliosis

2020 ◽  
Vol 17 (2) ◽  
pp. 15-22
Author(s):  
A. A. Snetkov ◽  
S. V. Kolesov ◽  
D. S. Gorbatyuk ◽  
A. A. Panteleyev ◽  
V. V. Shvets ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Spinal Anesthesia ◽  
Anesthetic Management ◽  
Mode Of Delivery ◽  
Deformity Correction ◽  
Reproductive Age ◽  
Lumbar Pain ◽  
Spine Deformity ◽  
Before And After ◽  
Pregnancy And Delivery

Objective. To analyze the course of pregnancy and delivery that occurred before and after surgical correction of idiopathic scoliosis with  instrumented fixation of the spine.Material and Methods. The paper presents a retrospective randomized study of 100 patients of reproductive age (18–35 years) with Lenke type 2–6 idiopathic scoliosis. The following aspects of pregnancy were analyzed: the possibility of independent conception, the pain severity according to VAS during each of the three trimesters of pregnancy, and the mode of delivery (naturally or by C-section). A comparative analysis of the data of patients operated on for the spine deformity correction before and after pregnancy and delivery was carried out. Data was collected using a questionnaire survey of patients. Detection and analysis of differences between groups were carried  out using the χ 2 criterion.Results. A statistical relationship was found between the presence of instrumentation installed before delivery (during or before pregnancy) and the need for C-section. It was revealed that the lower the caudal end of instrumentation within the L3–S1 region, the higher the C-section occurrence. Predominantly thoracic scoliosis (Lenke types 2–4) is characterized by higher likelihood of independent conception and lower lumbar pain intensity during pregnancy than predominantly lumbar scoliosis (Lenke types 5–6). There are also certain difficulties in conducting spinal anesthesia in patients with installed instrumentation, which negatively affects the possibility of its use.Conclusion. The issue of the course of pregnancy and delivery in idiopathic scoliosis continues to be very significant for both patients and spine surgeons who supervise them. The solution to this issue is impossible without cooperation with obstetrician gynecologists and anesthetists planning and administering anesthetic management during delivery (which is especially important in case of impossibility or significant restriction of spinal anesthesia use in such patients).

Successful pregnancy and delivery in a woman with achondroplasia

2020 ◽  
pp. 1-9
Author(s):  
Nasira Tasnim ◽  
Madeeha Ghani ◽  
Suresh Kumar ◽  
Shumaila Naeem ◽  
Sobia Luqman
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Regional Anaesthesia ◽  
Antenatal Visit ◽  
Lower Segment ◽  
Successful Pregnancy ◽  
Live Births ◽  
Lower Segment Caesarean Section ◽  
First Child ◽  
Pregnancy And Delivery

Abstract Achondroplasia is a common form of dwarfism occurring in one out of 25,000 of live births. These patients present many problems during pregnancy and at the time of the delivery. The anaesthetist may also face several difficulties for both general and regional anaesthesia. The aim of this case report is to discuss various obstetric and anaesthetic considerations in such patients and ways to manage the difficulties. A 29-year-old woman expecting her first child, with achondroplasia —height of just 3’2’’ (98 centimetres) — at 31 weeks of gestation, presented to our OPD for antenatal visit on May 15, 2018. Her successful elective lower segment caesarean section was performed on June 25, 2018 at 37 weeks in view of contracted pelvis under general anaesthesia. Continuous...  

Incidence of urinary ketosis and the effect of carbohydrate drink supplementation during fasting for elective caesarean section: Audit

2021 ◽  
pp. 175045892110090
Author(s):  
Hannah Bellwood ◽  
Kellie M Rozdarz ◽  
John Riordan
Keyword(s):  
Caesarean Section ◽  
Elective Caesarean Section ◽  
Caloric Intake ◽  
Preoperative Fasting ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Fasting Time ◽  
Before And After ◽  
The Mean

Elective lower segment caesarean section patients are routinely instructed to fast from food for 6h before surgery, with clear fluids up until 2h before surgery. We conducted an audit examining the true fasting times of mothers undergoing an elective caesarean section and the incidence of urinary ketones before and after introducing a preop carbohydrate drink (Nutricia preOp 400ml) to be administered to all patients at 6am on the day of surgery. We audited 50 patients prior to introducing the preop carbohydrate drink and 54 patients after the introduction of a carbohydrate drink. We found the mean fasting time from last caloric intake was reduced from 13h 35min to 5h 5min after the introduction of a preoperative carbohydrate drink. We found that the incidence of urinary ketones was 40.4% prior to the introduction of a preoperative carbohydrate drink and 38.3% after the introduction of a preop drink (p = 1). If fasting times were limited to under 4h, the incidence of urinary ketones is 10%. Our audit demonstrates that reducing preoperative fasting times is possible and preventing metabolic derangements may be possible, requiring an approach targeted at keeping fasting times to a minimum.

Infeksi Herpes Simpleks Dalam Kehamilan

2017 ◽  
Vol 10 (1) ◽  
pp. 1
Author(s):  
Fauzia Andrini Djojosugito
Keyword(s):  
Herpes Simplex ◽  
Caesarean Section ◽  
Sexually Transmitted Diseases ◽  
Recurrent Infection ◽  
Neonatal Infection ◽  
Sexually Transmitted ◽  
Caesarean Section Delivery ◽  
Common Causes ◽  
Pregnancy And Delivery ◽  
Simplex Virus

Herpes simplex virus is one the most common causes of sexually transmitted diseases. This infection is common inreproductive age women and can cause severe sequealae for fetus and neonates because this virus can be transmittedto the fetus during pregnancy and the newborn. Infection of Herpes simplex can occurs as first or primary infectionand recurrent infection. Most of the case is asymptomatic. Rarely during intrauterine, the risk of transmission ofmaternal-fetal can be increased during the last trimester of pregnancy and delivery. Based on type of infection,primary or recurrent, performing a treatment with antiviral drugs or caesarean section delivery can decrease the riskof neonatal infection

scholarly journals Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?

2021 ◽  
Author(s):  
Panagiotis Thomaidis ◽  
Niklas J. Weltermann ◽  
Claudia S. Seefeldt ◽  
Dana C. Richards ◽  
Axel Sauerwald ◽  
...  
Keyword(s):  
Negative Impact ◽  
Male Partner ◽  
Current Data ◽  
Reproductive Age ◽  
Negative Effects ◽  
Desire For Children ◽  
Pregnancy And Delivery ◽  
Hybrid Notes ◽  
Type Of Delivery

Abstract Purpose We conducted a retrospective observational study in order to identify negative effects of NOTES procedures (Natural Orifice Transluminal Endoscopic Surgery) with transvaginal specimen removal on pregnancy and delivery. Methods From the total population of 299 patients in our NOTES registry, we tried to contact the 121 patients who were of reproductive age (≤ 45 years) at the time of a transvaginal NOTES procedure. They were interviewed by telephone regarding their desire for children, post NOTES-operation pregnancies, and type of delivery using a structured questionnaire. The collected data was analyzed and compared with current data. Results We were able to contact 76 patients (follow-up rate: 62.8%) with a median follow-up of 77 months after surgery (33–129 months). Twenty of 74 participating patients had a desire for children (27.0%). One of them and another's male partner were diagnosed as infertile. Regarding the remaining 18 patients, 14 became pregnant, and three of them became pregnant twice. Considering these 17 pregnancies, there was one miscarriage (5.9%) and one twin birth (5.9%). On average, childbirth occurred 44 months after the NOTES procedure. With regard to the type of delivery, 10 vaginal births (58.8%) and 7 caesarean sections (41.2%) occurred. Thus, the rate of fulfilled desire for children was 77.8%. Compared with the literature, no difference to the normal course could be detected. Conclusion There is no sign that the transvaginal approach in Hybrid-NOTES, with removal of the specimen through the vagina, has a negative effect on conception, the course during pregnancy, or the type of delivery.

scholarly journals The Impact of Bariatric Surgery on Menstrual Abnormalities—a Cross-Sectional Study

2020 ◽  
Vol 30 (11) ◽  
pp. 4505-4509
Author(s):  
Anna Różańska-Walędziak ◽  
Paweł Bartnik ◽  
Joanna Kacperczyk-Bartnik ◽  
Krzysztof Czajkowski ◽  
Maciej Walędziak
Keyword(s):  
Bariatric Surgery ◽  
Menstrual Cycle ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Obese Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Contraception Use ◽  
Before And After ◽  
The Impact

Abstract Introduction Obesity is associated with hyperestrogenism along with other hormonal abnormalities affecting the menstrual cycle. The most effective and decisive method of obesity treatment is bariatric surgery. The aim of this study was to analyze the impact of bariatric surgery on menstrual cycle, the incidence of menstrual abnormalities, hyperandrogenism manifestation, and contraception use. Materials and Methods It was a cross-sectional study of 515 pre-menopausal women who had undergone bariatric surgery between 1999 and 2017 in a bariatric center. Data was collected via anonymous questionnaire, and the questions covered a 1-year period before the surgery and the last year before questionnaire completion. Results Before the surgery, 38.6% of the patients reported irregular menstruations in comparison with 25.0% after bariatric surgery (RR = 0.65; 95%CI 0.53–0.79). The mean number of menstruations per year did not differ before and after surgery (10.2 ± 3.9 vs 10.4 ± 3.3; p < .45). There were no statistically significant differences in terms of prolonged menstruations, acne, and hirsutism prevalence. A total of 14.4% of patients before surgery reported estrogen-based contraception use in comparison with 15.0% after the surgery (p < .95). There were no significant differences in the frequency of OC use (11.0% before surgery vs 13.6% 12 months after the surgery vs 11.5% at the moment of survey administration; p < 0.46). Conclusion Bariatric surgery improves the regularity of the menstrual cycle in obese women in reproductive age. The lack of any changes in the combined hormonal contraception (CHC) use, especially OC, before and after bariatric surgery may be a result of a possibly low level of contraception counseling.

scholarly journals Wound infiltration of local anaesthetic after lower segment Caesarean section

Anaesthesia ◽  
1991 ◽  
Vol 46 (5) ◽  
pp. 404-407 ◽  
Author(s):  
T. N. Trotter ◽  
P. Hayes-Gregson ◽  
S. Robinson ◽  
L. Cole ◽  
S. Coley ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Local Anaesthetic ◽  
Lower Segment ◽  
Wound Infiltration ◽  
Lower Segment Caesarean Section
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