Prevalence of vaginal delivery after cesarean in a high-risk maternity / Prevalência de parto vaginal após cesárea em uma maternidade de alto risco

2021 ◽  
Vol 13 ◽  
pp. 1506-1511
Author(s):  
Keli Regiane Tomeleri da Fonseca Pinto ◽  
Juliana Sousa de Almeida ◽  
Emily Marques Alves ◽  
Thelma Malagutti Sodré ◽  
Catia Campaner Ferrari Bernardy
Keyword(s):  
High Risk ◽  
Vaginal Delivery

Objetivo: estimar a prevalência de parto vaginal após cesárea em uma maternidade de alto risco e identificar as complicações maternas e neonatais. Método: trata-se de um estudo transversal, quantitativo e retrospectivo, realizado com 44 mulheres que tiveram parto normal com cesárea prévia, por meio da análise dos prontuários realizou-se a análise descritiva com frequências absolutas e simples. Resultados: a prevalência de parto vaginal após cesárea foi de 13%. Ocorreu complicação em 13,6% das mulheres, porém não houve rotura uterina e em 4,5% dos neonatos. Conclusões: os desfechos favoráveis comprovam a segurança deste procedimento para a mãe e para neonato e servem de estímulo para que os profissionais incentivem as gestantes com cesárea anterior a considerarem a via vaginal como uma possibilidade segura para o próximo parto.  

scholarly journals Defining “normal recovery” of pelvic floor function and appearance in a high-risk vaginal delivery cohort

2019 ◽  
Vol 31 (3) ◽  
pp. 495-504 ◽  
Author(s):  
Pamela S. Fairchild ◽  
Lisa Kane Low ◽  
Katherine M. Kowalk ◽  
Giselle E. Kolenic ◽  
John O. DeLancey ◽  
...  
Keyword(s):  
High Risk ◽  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Pelvic Floor Function ◽  
Floor Function

scholarly journals Twin Pregnancies Labour Modus and Timing

2021 ◽  
Author(s):  
Panagiotis Tsikouras ◽  
Anna Chalkidou ◽  
Anastasia Bothou ◽  
Angeliki Gerede ◽  
Xanthoula Anthoulaki ◽  
...  
Keyword(s):  
High Risk ◽  
Vaginal Delivery ◽  
Perinatal Outcome ◽  
Twin Pregnancy ◽  
Monozygotic Twins ◽  
Morbidity And Mortality ◽  
Assessment And Evaluation ◽  
Dizygotic Twins ◽  
The Impact ◽  
Twin Pregnancies

Twin pregnancies are categorized according to three factors, zygosity, chorionicity and amnionicity. Dizygotic twins are always dichorionic and diamniotic, where each twin has its own chorionic and amniotic sac. Monozygotic twins account for 1/3 of twin pregnancies and show higher morbidity and mortality. In monozygotic twins, chorionicity and amnionicity are determined by the time of zygote division. Chorionicity and amnionicity determine the risks of twin pregnancy. Morbitidies are shown notable decreasing tendency depending on improving of high risk obstetric and neonatal care, however is still discussed the optimum labour management in twin pregnancies Vaginal delivery in twin pregnancies is possible when both have cephalic presentation and in the late weeks of pregnancy during which the risks of prematurity are minimized. The aim of this review was the assessment and evaluation the impact of the labour modus and timing of termination of twin pregnancies due to rise of their occurrence based on scientific aspects of the new published literature on perinatal outcome.

PLANNING HIGH RISK VAGINAL DELIVERY IN A PATIENT WITH NON-COMPACTION CARDIOMYOPATHY: A MULTIDISCIPLINARY APPROACH

2019 ◽  
Vol 73 (9) ◽  
pp. 2612
Author(s):  
Sayf Altabaqchali ◽  
Ahmed Bakhit ◽  
Fady Marmoush ◽  
Ramses Thabet ◽  
Nirmal Kaur ◽  
...  
Keyword(s):  
High Risk ◽  
Vaginal Delivery ◽  
Multidisciplinary Approach

scholarly journals 40 Weeks of Gestation is as High-Risk Gestation as 41 Weeks in Low-Risk Pregnancies

2020 ◽  
Vol 24 (4) ◽  
pp. 358-362
Author(s):  
Aqsa Ikram Ul Haq ◽  
Shama Bashir ◽  
Nargis Shabana ◽  
Nadia Sadiq ◽  
Fatima Chaudhry Inayat ◽  
...  
Keyword(s):  
High Risk ◽  
Vaginal Delivery ◽  
Low Risk ◽  
P Value ◽  
Gestation Age ◽  
B 41 ◽  
Group A ◽  
Study Population ◽  
Group B ◽  
Meconium Stained Amniotic Fluid

Introduction: Postdate pregnancy is associated with a higher frequency of obstetrical complications and perinatal morbidity. The incidence of meconium-stained amniotic fluid is 30% at 40 weeks which is very high. This study aimed to find out the need for fetal surveillance and delivery in our population, keeping in view that 40 weeks of gestation is as high risk as 41 weeks gestation in low-risk pregnancies.Material and Methods: The study was conducted at Obstetrics & Gynecology Department, Unit-II, Holy Family Hospital, and Rawalpindi from 16 February to 15 August 2019 after ethical clearance. Postdate pregnant women from 40 to 41 weeks who meet study criteria were enrolled in the study. We divided participants into two groups. Group A (40 to 40+6 weeks of gestation) while group B had Group B (41 to 41+6 weeks of gestation). Results: A total of 236 postdate mothers presented of which 148(62%) were in group A while 88 (38%) were in group B. Mean gestational age in our study was 40.88 ± 0.71 weeks. overall vaginal delivery, cesarean delivery, and meconium stained liquor were found in 75.84%, 24.16%, and 35.17% patients respectively. 82 (34.7%) participants presented with meconium-stained liquor meconium-stained liquor with women in group B has a higher frequency of meconium-stained liquor, 45 (30.41%) in group A and 37 (42.04%) in group B, P-value 0.069. rate of vaginal delivery was 71.62% in group A and 82.95% in group B which was statistically significant. P-value 0.049Conclusion: High percentage of meconium-stained liquor was observed in the study population. Frequency of vaginal delivery increases if postdate women waited till 41 weeks. 30% of women at gestation age 40 to 40+6 have meconium-stained liquor which shows almost 1/3 of pregnant ladies are exposed to the compromised fetal status which is a considerable risk. This increases further as the gestation age advances. Appropriate interventions should be taken at 40 weeks in low-risk pregnancies to avoid perinatal risk.

scholarly journals Carbetocin versus Oxytocin for the Prevention of Postpartum Haemorrhage

2016 ◽  
Vol 10 (2) ◽  
pp. 76-83 ◽  
Author(s):  
Poly Begum ◽  
Dipti Rani Shaha ◽  
Mahbuba ◽  
Lipika Sanjowal ◽  
Md Kamrul Hassan
Keyword(s):  
High Risk ◽  
Vaginal Delivery ◽  
Postpartum Haemorrhage ◽  
Low Risk ◽  
Uterine Atony ◽  
Synthetic Analogue ◽  
High Risk Women ◽  
Prophylactic Drug ◽  
Maternal Morbidity And Mortality ◽  
Hypertensive Disorders In Pregnancy

Postpartum haemorrhage is the leading cause of maternal mortality worldwide. Total 67-80% of cases are caused by uterine atony. Preventive measures include prophylactic drug use to aid uterine contraction after delivery, thus avoiding severe blood loss and reducing maternal morbidity and mortality. Carbetocin is a synthetic analogue of oxytocin with a long half-life which ensure more effective contraction and less adverse effects. It can be administered as a single dose injection either intravenously or intramuscularly rather than as an infusion over several hours as is the case with oxytocin. Carbetocin is currently indicated for prevention of uterine atony after delivery by caesarean section in spinal or epidural anaesthesia. A reduced need for additional uterotonics was observed with carbetocin vs. oxytocin in high-risk women and carbetocin was at least as effective as syntometrine in low-risk women. Carbetocin is effective treatment for the prevention of postpartum haemorrhage not only following caesarean delivery but also after vaginal delivery in high-risk women and those who suffer from hypertensive disorders in pregnancy. Further research is required to assess whether prophylactic carbetocin is superior to conventional uterotonic agents following vaginal delivery in low-risk women.Faridpur Med. Coll. J. Jul 2015;10(2): 76-83

scholarly journals Pyometra and Pregnancy with Herlyn-Werner-Wunderlich Syndrome

2016 ◽  
Vol 38 (12) ◽  
pp. 623-628 ◽  
Author(s):  
Maria Reis ◽  
Ana Vicente ◽  
Joana Cominho ◽  
Andrea Gomes ◽  
Luísa Martins ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
High Risk ◽  
Vaginal Delivery ◽  
Previous History ◽  
Gravid Uterus ◽  
Gestational Period ◽  
Ascending Infection ◽  
Horizontal Septum ◽  
History Of

AbstractWe describe a Herlyn-Werner-Wunderlich syndrome (HWWS) patient with previous history of infertility who got pregnant without treatment and presented a pyometra in the contralateral uterus throughout the gestational period, despite multiple antibiotic treatments. Due to the uterus' congenital anomaly and the possibility of ascending infection with subsequent abortion, this pregnancy was classified as high-risk. We believe that the partial horizontal septum in the vagina may have contributed to the closure of the gravid uterus cervix, thus ensuring that the pregnancy came to term, with an uneventful vaginal delivery.

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