Extraction of the FETUS by means of abdominal HYSTEROTOMY.
A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.
Extraction of the fetus by abdominal hysterotomy anytime following a previous cesarean.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
A malpresentation of the FETUS at near term or during OBSTETRIC LABOR with the fetal cephalic pole in the fundus of the UTERUS. There are three types of breech: the complete breech with flexed hips and knees; the incomplete breech with one or both hips partially or fully extended; the frank breech with flexed hips and extended knees.
Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.
Procedure in which an anesthetic is injected directly into the spinal cord.
A nonreassuring fetal status (NRFS) indicating that the FETUS is compromised (American College of Obstetricians and Gynecologists 1988). It can be identified by sub-optimal values in FETAL HEART RATE; oxygenation of FETAL BLOOD; and other parameters.
Delivery of an infant through the vagina in a female who has had a prior cesarean section.
Allowing a woman to be in LABOR, OBSTETRIC long enough to determine if vaginal birth may be anticipated.
Artificially induced UTERINE CONTRACTION. Generally, LABOR, OBSTETRIC is induced with the intent to cause delivery of the fetus and termination of pregnancy.
Medical problems associated with OBSTETRIC LABOR, such as BREECH PRESENTATION; PREMATURE OBSTETRIC LABOR; HEMORRHAGE; or others. These complications can affect the well-being of the mother, the FETUS, or both.
Slow or difficult OBSTETRIC LABOR or CHILDBIRTH.
Procedure in which an anesthetic is injected into the epidural space.
A complete separation or tear in the wall of the UTERUS with or without expulsion of the FETUS. It may be due to injuries, multiple pregnancies, large fetus, previous scarring, or obstruction.
Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; SPONTANEOUS ABORTION; INDUCED ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO.
The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).
A method, developed by Dr. Virginia Apgar, to evaluate a newborn's adjustment to extrauterine life. Five items - heart rate, respiratory effort, muscle tone, reflex irritability, and color - are evaluated 60 seconds after birth and again five minutes later on a scale from 0-2, 0 being the lowest, 2 being normal. The five numbers are added for the Apgar score. A score of 0-3 represents severe distress, 4-7 indicates moderate distress, and a score of 7-10 predicts an absence of difficulty in adjusting to extrauterine life.
An infant during the first month after birth.
The number of offspring a female has borne. It is contrasted with GRAVIDITY, which refers to the number of pregnancies, regardless of outcome.
Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases.
The co-occurrence of pregnancy and a cardiovascular disease. The disease may precede or follow FERTILIZATION and it may or may not have a deleterious effect on the pregnant woman or FETUS.
Extraction of the fetus by means of obstetrical instruments.
Drugs that stimulate contraction of the myometrium. They are used to induce LABOR, OBSTETRIC at term, to prevent or control postpartum or postabortion hemorrhage, and to assess fetal status in high risk pregnancies. They may also be used alone or with other drugs to induce abortions (ABORTIFACIENTS). Oxytocics used clinically include the neurohypophyseal hormone OXYTOCIN and certain prostaglandins and ergot alkaloids. (From AMA Drug Evaluations, 1994, p1157)
The elimination of PAIN, without the loss of CONSCIOUSNESS, during OBSTETRIC LABOR; OBSTETRIC DELIVERY; or the POSTPARTUM PERIOD, usually through the administration of ANALGESICS.
Abnormal placentation in which the PLACENTA implants in the lower segment of the UTERUS (the zone of dilation) and may cover part or all of the opening of the CERVIX. It is often associated with serious antepartum bleeding and PREMATURE LABOR.
Physiologic or biochemical monitoring of the fetus. It is usually done during LABOR, OBSTETRIC and may be performed in conjunction with the monitoring of uterine activity. It may also be performed prenatally as when the mother is undergoing surgery.
The fibrous tissue that replaces normal tissue during the process of WOUND HEALING.
The position or orientation of the FETUS at near term or during OBSTETRIC LABOR, determined by its relation to the SPINE of the mother and the birth canal. The normal position is a vertical, cephalic presentation with the fetal vertex flexed on the NECK.
Thinly cut sections of frozen tissue specimens prepared with a cryostat or freezing microtome.
A widely used local anesthetic agent.
Surgical instrument designed to extract the newborn by the head from the maternal passages without injury to it or the mother.
Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients.
The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization.
Excess blood loss from uterine bleeding associated with OBSTETRIC LABOR or CHILDBIRTH. It is defined as blood loss greater than 500 ml or of the amount that adversely affects the maternal physiology, such as BLOOD PRESSURE and HEMATOCRIT. Postpartum hemorrhage is divided into two categories, immediate (within first 24 hours after birth) or delayed (after 24 hours postpartum).
Disorders or diseases associated with PUERPERIUM, the six-to-eight-week period immediately after PARTURITION in humans.
A term used to describe pregnancies that exceed the upper limit of a normal gestational period. In humans, a prolonged pregnancy is defined as one that extends beyond 42 weeks (294 days) after the first day of the last menstrual period (MENSTRUATION), or birth with gestational age of 41 weeks or more.
A condition in which the HEAD of the FETUS is larger than the mother's PELVIS through which the fetal head must pass during a vaginal delivery.
Period from the onset of true OBSTETRIC LABOR to the complete dilatation of the CERVIX UTERI.
The process of giving birth to one or more offspring.
Labor and delivery without medical intervention, usually involving RELAXATION THERAPY.
The relief of pain without loss of consciousness through the introduction of an analgesic agent into the epidural space of the vertebral canal. It is differentiated from ANESTHESIA, EPIDURAL which refers to the state of insensitivity to sensation.
An infection occurring in PUERPERIUM, the period of 6-8 weeks after giving birth.
The age of the mother in PREGNANCY.
The beginning of true OBSTETRIC LABOR which is characterized by the cyclic uterine contractions of increasing frequency, duration, and strength causing CERVICAL DILATATION to begin (LABOR STAGE, FIRST ).
The condition of carrying TWINS simultaneously.
Agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage.
Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.
Inflammation of the ENDOMETRIUM, usually caused by intrauterine infections. Endometritis is the most common cause of postpartum fever.
A phenethylamine found in EPHEDRA SINICA. PSEUDOEPHEDRINE is an isomer. It is an alpha- and beta-adrenergic agonist that may also enhance release of norepinephrine. It has been used for asthma, heart failure, rhinitis, and urinary incontinence, and for its central nervous system stimulatory effects in the treatment of narcolepsy and depression. It has become less extensively used with the advent of more selective agonists.
Procedures to block or remove all or part of the genital tract for the purpose of rendering individuals sterile, incapable of reproduction. Surgical sterilization procedures are the most commonly used. There are also sterilization procedures involving chemical or physical means.
Death of the developing young in utero. BIRTH of a dead FETUS is STILLBIRTH.
A medical-surgical specialty concerned with management and care of women during pregnancy, parturition, and the puerperium.
Written or other literary works whose subject matter is medical or about the profession of medicine and related areas.
Removal of the fetus from the uterus or vagina at or near the end of pregnancy with a metal traction cup that is attached to the fetus' head. Negative pressure is applied and traction is made on a chain passed through the suction tube. (From Stedman, 26th ed & Dorland, 28th ed)
The visualization of tissues during pregnancy through recording of the echoes of ultrasonic waves directed into the body. The procedure may be applied with reference to the mother or the fetus and with reference to organs or the detection of maternal or fetal disease.
Abnormal placentation in which all or parts of the PLACENTA are attached directly to the MYOMETRIUM due to a complete or partial absence of DECIDUA. It is associated with POSTPARTUM HEMORRHAGE because of the failure of placental separation.
The period of OBSTETRIC LABOR that is from the complete dilatation of the CERVIX UTERI to the expulsion of the FETUS.
Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.
Maternal deaths resulting from complications of pregnancy and childbirth in a given population.
The mass or quantity of heaviness of an individual at BIRTH. It is expressed by units of pounds or kilograms.
A nonapeptide hormone released from the neurohypophysis (PITUITARY GLAND, POSTERIOR). It differs from VASOPRESSIN by two amino acids at residues 3 and 8. Oxytocin acts on SMOOTH MUSCLE CELLS, such as causing UTERINE CONTRACTIONS and MILK EJECTION.
Organized services to provide health care to expectant and nursing mothers.
A historical and cultural entity dispersed across a wide geographical area under the administrative, intellectual, social, and cultural domination of the Arab empire. The Arab world, under the impetus of Islam, by the eighth century A.D., extended from Arabia in the Middle East to all of northern Africa, southern Spain, Sardinia, and Sicily. Close contact was maintained with Greek and Jewish culture. While the principal service of the Arabs to medicine was the preservation of Greek culture, the Arabs themselves were the originators of algebra, chemistry, geology, and many of the refinements of civilization. (From A. Castiglioni, A History of Medicine, 2d ed, p260; from F. H. Garrison, An Introduction to the History of Medicine, 4th ed, p126)
Bleeding from blood vessels in the UTERUS, sometimes manifested as vaginal bleeding.
Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.
Abnormally low BLOOD PRESSURE that can result in inadequate blood flow to the brain and other vital organs. Common symptom is DIZZINESS but greater negative impacts on the body occur when there is prolonged depravation of oxygen and nutrients.
Pathological processes involving any part of the UTERUS.
Special hospitals which provide care to women during pregnancy and parturition.
Situations or conditions requiring immediate intervention to avoid serious adverse results.
Free-standing facilities that provide prenatal, childbirth, and postnatal care and usually incorporate family-centered maternity care concepts and practices.
The outer margins of the ABDOMEN, extending from the osteocartilaginous thoracic cage to the PELVIS. Though its major part is muscular, the abdominal wall consists of at least seven layers: the SKIN, subcutaneous fat, deep FASCIA; ABDOMINAL MUSCLES, transversalis fascia, extraperitoneal fat, and the parietal PERITONEUM.
The last third of a human PREGNANCY, from the beginning of the 29th through the 42nd completed week (197 to 294 days) of gestation.
Hospitals controlled by various types of government, i.e., city, county, district, state or federal.
Onset of HYPERREFLEXIA; SEIZURES; or COMA in a previously diagnosed pre-eclamptic patient (PRE-ECLAMPSIA).
Insurance against loss resulting from liability for injury or damage to the persons or property of others.
Pregnancy in which the mother and/or FETUS are at greater than normal risk of MORBIDITY or MORTALITY. Causes include inadequate PRENATAL CARE, previous obstetrical history (ABORTION, SPONTANEOUS), pre-existing maternal disease, pregnancy-induced disease (GESTATIONAL HYPERTENSION), and MULTIPLE PREGNANCY, as well as advanced maternal age above 35.
A complication of PREGNANCY, characterized by a complex of symptoms including maternal HYPERTENSION and PROTEINURIA with or without pathological EDEMA. Symptoms may range between mild and severe. Pre-eclampsia usually occurs after the 20th week of gestation, but may develop before this time in the presence of trophoblastic disease.
Postnatal deaths from BIRTH to 365 days after birth in a given population. Postneonatal mortality represents deaths between 28 days and 365 days after birth (as defined by National Center for Health Statistics). Neonatal mortality represents deaths from birth to 27 days after birth.
The co-occurrence of pregnancy and NEOPLASMS. The neoplastic disease may precede or follow FERTILIZATION.
Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.
The artificial alteration of the fetal position to facilitate birth.
Pain during the period after surgery.
A homolog of ERGONOVINE containing one more CH2 group. (Merck Index, 11th ed)
CHILDBIRTH at the end of a normal duration of PREGNANCY, between 37 to 40 weeks of gestation or about 280 days from the first day of the mother's last menstrual period.
Monitoring of FETAL HEART frequency before birth in order to assess impending prematurity in relation to the pattern or intensity of antepartum UTERINE CONTRACTION.
In females, the period that is shortly after giving birth (PARTURITION).
The smooth muscle coat of the uterus, which forms the main mass of the organ.
Failure of the UTERUS to contract with normal strength, duration, and intervals during childbirth (LABOR, OBSTETRIC). It is also called uterine atony.
A plant species of the family CUCURBITACEAE that is a source of TRICHOSANTHIN (a ribosomal inhibitory protein).
Measurement of the dimensions and capacity of the pelvis. It includes cephalopelvimetry (measurement of fetal head size in relation to maternal pelvic capacity), a prognostic guide to the management of LABOR, OBSTETRIC associated with disproportion.
Emesis and queasiness occurring after anesthesia.
Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.
An opioid analgesic that is used as an adjunct in anesthesia, in balanced anesthesia, and as a primary anesthetic agent.
Excision of the uterus.
Diagnostic, therapeutic, and investigative procedures prescribed and performed by health professionals, the results of which do not justify the benefits or hazards and costs to the patient.
Care provided the pregnant woman in order to prevent complications, and decrease the incidence of maternal and prenatal mortality.
The unborn young of a viviparous mammal, in the postembryonic period, after the major structures have been outlined. In humans, the unborn young from the end of the eighth week after CONCEPTION until BIRTH, as distinguished from the earlier EMBRYO, MAMMALIAN.
Premature separation of the normally implanted PLACENTA from the UTERUS. Signs of varying degree of severity include UTERINE BLEEDING, uterine MUSCLE HYPERTONIA, and FETAL DISTRESS or FETAL DEATH.
Blocking of maternal circulation by AMNIOTIC FLUID that is forced into uterine VEINS by strong UTERINE CONTRACTION near the end of pregnancy. It is characterized by the sudden onset of severe respiratory distress and HYPOTENSION that can lead to maternal DEATH.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
The practice of assisting women in childbirth.
A highly vascularized mammalian fetal-maternal organ and major site of transport of oxygen, nutrients, and fetal waste products. It includes a fetal portion (CHORIONIC VILLI) derived from TROPHOBLASTS and a maternal portion (DECIDUA) derived from the uterine ENDOMETRIUM. The placenta produces an array of steroid, protein and peptide hormones (PLACENTAL HORMONES).
Pathophysiological conditions of the FETUS in the UTERUS. Some fetal diseases may be treated with FETAL THERAPIES.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Mechanical or anoxic trauma incurred by the infant during labor or delivery.
The thin layers of tissue that surround the developing embryo. There are four extra-embryonic membranes commonly found in VERTEBRATES, such as REPTILES; BIRDS; and MAMMALS. They are the YOLK SAC, the ALLANTOIS, the AMNION, and the CHORION. These membranes provide protection and means to transport nutrients and wastes.
The condition of carrying two or more FETUSES simultaneously.
Deaths occurring from the 28th week of GESTATION to the 28th day after birth in a given population.
Human females who are pregnant, as cultural, psychological, or sociological entities.
Blood of the fetus. Exchange of nutrients and waste between the fetal and maternal blood occurs via the PLACENTA. The cord blood is blood contained in the umbilical vessels (UMBILICAL CORD) at the time of delivery.
An intense itching sensation that produces the urge to rub or scratch the skin to obtain relief.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.
An incision in the uterus, performed through either the abdomen or the vagina.
Onset of OBSTETRIC LABOR before term (TERM BIRTH) but usually after the FETUS has become viable. In humans, it occurs sometime during the 29th through 38th week of PREGNANCY. TOCOLYSIS inhibits premature labor and can prevent the BIRTH of premature infants (INFANT, PREMATURE).
Contraction of the UTERINE MUSCLE.
The care of women and a fetus or newborn given before, during, and after delivery from the 28th week of gestation through the 7th day after delivery.
The hollow thick-walled muscular organ in the female PELVIS. It consists of the fundus (the body) which is the site of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus, are the FALLOPIAN TUBES.
A republic in eastern Africa bounded on the north by RWANDA and on the south by TANZANIA. Its capital is Bujumbura.
The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.
Preliminary administration of a drug preceding a diagnostic, therapeutic, or surgical procedure. The commonest types of premedication are antibiotics (ANTIBIOTIC PROPHYLAXIS) and anti-anxiety agents. It does not include PREANESTHETIC MEDICATION.
The state of PREGNANCY in women with DIABETES MELLITUS. This does not include either symptomatic diabetes or GLUCOSE INTOLERANCE induced by pregnancy (DIABETES, GESTATIONAL) which resolves at the end of pregnancy.
A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Exchange of substances between the maternal blood and the fetal blood at the PLACENTA via PLACENTAL CIRCULATION. The placental barrier excludes microbial or viral transmission.
A clear, yellowish liquid that envelopes the FETUS inside the sac of AMNION. In the first trimester, it is likely a transudate of maternal or fetal plasma. In the second trimester, amniotic fluid derives primarily from fetal lung and kidney. Cells or substances in this fluid can be removed for prenatal diagnostic tests (AMNIOCENTESIS).
Organized efforts by communities or organizations to improve the health and well-being of the mother.
A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
The event that a FETUS is born alive with heartbeats or RESPIRATION regardless of GESTATIONAL AGE. Such liveborn is called a newborn infant (INFANT, NEWBORN).
The flexible rope-like structure that connects a developing FETUS to the PLACENTA in mammals. The cord contains blood vessels which carry oxygen and nutrients from the mother to the fetus and waste products away from the fetus.
The care provided to women and their NEWBORNS for the first few months following CHILDBIRTH.
A potentially life-threatening condition in which EMBRYO IMPLANTATION occurs outside the cavity of the UTERUS. Most ectopic pregnancies (>96%) occur in the FALLOPIAN TUBES, known as TUBAL PREGNANCY. They can be in other locations, such as UTERINE CERVIX; OVARY; and abdominal cavity (PREGNANCY, ABDOMINAL).
The technique of using a microtome to cut thin or ultrathin sections of tissues embedded in a supporting substance. The microtome is an instrument that hold a steel, glass or diamond knife in clamps at an angle to the blocks of prepared tissues, which it cuts in sections of equal thickness.
Diseases of newborn infants present at birth (congenital) or developing within the first month of birth. It does not include hereditary diseases not manifesting at birth or within the first 30 days of life nor does it include inborn errors of metabolism. Both HEREDITARY DISEASES and METABOLISM, INBORN ERRORS are available as general concepts.
A condition in pregnant women with elevated systolic (>140 mm Hg) and diastolic (>90 mm Hg) blood pressure on at least two occasions 6 h apart. HYPERTENSION complicates 8-10% of all pregnancies, generally after 20 weeks of gestation. Gestational hypertension can be divided into several broad categories according to the complexity and associated symptoms, such as EDEMA; PROTEINURIA; SEIZURES; abnormalities in BLOOD COAGULATION and liver functions.
Introduction of therapeutic agents into the spinal region using a needle and syringe.
The innermost membranous sac that surrounds and protects the developing embryo which is bathed in the AMNIOTIC FLUID. Amnion cells are secretory EPITHELIAL CELLS and contribute to the amniotic fluid.
Organic compounds containing the -CO-NH2 radical. Amides are derived from acids by replacement of -OH by -NH2 or from ammonia by the replacement of H by an acyl group. (From Grant & Hackh's Chemical Dictionary, 5th ed)
The bond or lack thereof between a pregnant woman and her FETUS.
Infection occurring at the site of a surgical incision.
A narcotic analgesic that can be used for the relief of most types of moderate to severe pain, including postoperative pain and the pain of labor. Prolonged use may lead to dependence of the morphine type; withdrawal symptoms appear more rapidly than with morphine and are of shorter duration.
Elements of limited time intervals, contributing to particular results or situations.
The event that a FETUS is born dead or stillborn.
A change in the CERVIX UTERI with respect to its readiness to relax. The cervix normally becomes softer, more flexible, more distensible, and shorter in the final weeks of PREGNANCY. These cervical changes can also be chemically induced (LABOR, INDUCED).
Specialized arterial vessels in the umbilical cord. They carry waste and deoxygenated blood from the FETUS to the mother via the PLACENTA. In humans, there are usually two umbilical arteries but sometimes one.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.

Obstetric and neonatal outcome following chronic hypertension in pregnancy among different ethnic groups. (1/2040)

We retrospectively studied pre-eclampsia rate and obstetric outcome in a cohort of 436 pregnancies amongst 318 women of different ethnic backgrounds attending an antenatal hypertension clinic from 1980-1997, identifying 152 women (213 pregnancies) with chronic essential hypertension. The ethnic breakdown was: White, 64 (30.0%) pregnancies in 48 (31.5%) women; Black/Afro-Caribbean, 79 (37.1%) pregnancies in 56 (36.8%) women; and Indo-Asians, 70 (32.3%) pregnancies in 48 (31.6%) women. The prevalences of pre-eclampsia in White, Black and Indo-Asian women were 17.2%, 12.7% and 18.6%, respectively (p = 0.58). Pregnancies of Indo-Asian women were of shorter gestation, and babies in this group also had lower birth weight and ponderal index compared to those of White and Black women (all p < 0.05). The proportions of overall perinatal mortality were 1.6% for Whites (1/64), 3.8% for Blacks (3/79) and 10.0% for Indo-Asians (7/70), suggesting increased risk in the Indo-Asian group. Indo-Asian women with chronic essential hypertension need careful antenatal care and observation during pregnancy.  (+info)

Outcome of pregnancy in women with congenital shunt lesions. (2/2040)

OBJECTIVE: To evaluate the outcome of pregnancy in women with congenital shunt lesions. SETTING: Retrospective study in a tertiary care centre. METHODS: Pregnancy history was obtained by a standardised questionnaire and medical records were reviewed. PATIENTS: 175 women were identified, at a mean (SD) age of 42 (14) years. Pregnancies occurred in 126 women: 50 with an atrial septal defect, 22 with a ventricular septal defect, 22 with an atrioventricular septal defect, 19 with tetralogy of Fallot, and 13 with other complex shunt lesions. RESULTS: 309 pregnancies were reported by 126 woman (2.5 (1.6) pregnancies per woman). The shortening fraction of the systemic ventricle was 40 (8)%, and 98% were in New York Heart Association class I-II at last follow up. Spontaneous abortions occurred in 17% of pregnancies (abortion rate, 0.4 (0.9) per woman). Gestational age of the 241 newborn infants was 8.8 (0.8) months. There were no maternal deaths related to pregnancy. Pre-eclampsia and embolic events were observed in 1.3% and 0.6%, respectively of all pregnancies. Women with complex shunt lesions more often underwent caesarean section (70% v 15-30%, p = 0.005) and gave birth to smaller babies for equivalent gestation (2577 (671) g v 3016 (572) to 3207 (610) g, p < 0.05). The recurrence risk of congenital heart disease was 2.5%. CONCLUSIONS: The outcome of pregnancy is favourable in women with congenital shunt lesions if their functional class and their systolic ventricular function are good. Such patients can be reassured.  (+info)

Desensitization of oxytocin receptors in human myometrium. (3/2040)

In the present study, we investigated the possible mechanisms by which oxytocin might regulate oxytocin receptor (OTR) density. Exposure of cultured myometrial cells to oxytocin for a prolonged period caused desensitization: the steady-state level of oxytocin binding was 210 x 10(3) binding sites/cell, but this was time-dependently reduced to 20.1 x 10(3) sites/cell by exposing the cells to oxytocin for up to 20 h. In contrast, Western blotting data showed that the total amount of OTR protein was not affected by oxytocin treatment for up to 24 h. Flow cytometry experiments demonstrated that OTRs were not internalized during this treatment. However, RNase protection assays and Northern analysis showed that in cultured myometrial cells OTR mRNA was reduced by oxytocin treatment to reach a new low steady-state concentration. Analysis of this mRNA in myometrial biopsies from 17 patients undergoing emergency Caesarean section showed how it decreased with advancing labour. Samples obtained after 12 h of labour contained approximately 50 times less OTR mRNA than samples obtained from patients in labour for less than 12 h. We speculate that this decrease in OTR mRNA represents in-vivo OTR desensitization.  (+info)

Primary aldosteronism with aldosterone-producing adrenal adenoma in a pregnant woman. (4/2040)

A 30-year-old pregnant woman complained of muscle weakness at 29 weeks' gestation. She was hypertensive with severe hypokalemia. Lower plasma renin activity and higher aldosterone level than the normal values in pregnancy suggested primary aldosteronism. A cesarean delivery was performed at 31 weeks' gestation because of pulmonary congestion. The neonatal course was uncomplicated. The laparoscopic adrenalectomy for a 2.0-cm right adrenal adenoma resulted in normalizing of her blood pressure and serum potassium level. Although primary aldosteronism is rare, especially during pregnancy, it should be always considered as one of etiologies of hypertension in pregnancy.  (+info)

Fetal growth rate and adverse perinatal events. (5/2040)

OBJECTIVE: To study fetal weight gain and its association with adverse perinatal events in a serially scanned high-risk population. SUBJECTS AND METHODS: A total of 200 pregnant women considered at increased risk of uteroplacental insufficiency had a total of 1140 scans in the third trimester, with a median of six scans in each pregnancy. The average fetal growth rate was retrospectively calculated for the last 6 weeks to birth, and expressed as daily weight gain in grams per day. Adverse pregnancy outcome was defined as operative delivery for fetal distress, acidotic umbilical artery pH (< 7.15), or admission to the neonatal intensive care unit (NICU). RESULTS: Fetuses with normal outcome in this high-risk pregnancy population had an average antenatal growth rate of 24.2 g/day. Compared to pregnancies with normal outcome, the growth rate was slower in those that required operative delivery for fetal distress (20.9 g/day, p < 0.05) and those that required admission to the NICU (20.3 g/day, p < 0.05). The growth rate in pregnancies resulting in acidotic umbilical artery pH also seemed lower, but this did not reach statistical significance. CONCLUSIONS: Impaired fetal weight gain prior to birth is associated with adverse perinatal events suggestive of growth failure.  (+info)

First-trimester cord entanglement in monoamniotic twins. (6/2040)

OBJECTIVE: Monoamniotic twinning occurs in only 1% of twin pregnancies, but carries a high perinatal mortality rate. Early and reliable diagnosis is essential if attempts are to be made to reduce the complication rate. We report color Doppler demonstration of cord entanglement in the first trimester, which is diagnostic of monoamnionicity. METHODS: Two patients with twin pregnancies were examined in the first trimester with pulsed and color Doppler insonation of their umbilical arteries. RESULTS: Cord entanglement was suspected and proved by demonstrating differing fetal heart rate patterns in the same direction on umbilical artery Doppler analysis of a common mass of cord vessels. Following appropriate counselling, medical amnioreduction was induced at 20 weeks of gestation to reduce fetal movements and worsening cord entanglement. Delivery was by elective Cesarean section at 32 weeks' gestation and monoamnionicity was confirmed. CONCLUSION: We report a new sign for the demonstration of monoamnionicity in twin pregnancies in the first trimester. This should improve the reliability of early diagnosis, but further studies are required to confirm that, if cord entanglement occurs, it is usually present by the end of the first trimester.  (+info)

The mode of delivery and the risk of vertical transmission of human immunodeficiency virus type 1--a meta-analysis of 15 prospective cohort studies. The International Perinatal HIV Group. (7/2040)

BACKGROUND: To evaluate the relation between elective cesarean section and vertical transmission of human immunodeficiency virus type 1 (HIV-1), we performed a meta-analysis using data on individual patients from 15 prospective cohort studies. METHODS: North American and European studies of at least 100 mother-child pairs were included in the meta-analysis. Uniform definitions of modes of delivery were used. Elective cesarean sections were defined as those performed before onset of labor and rupture of membranes. Multivariate logistic-regression analysis was used to adjust for other factors known to be associated with vertical transmission. RESULTS: The primary analysis included data on 8533 mother-child pairs. After adjustment for receipt of antiretroviral therapy, maternal stage of disease, and infant birth weight, the likelihood of vertical transmission of HIV-1 was decreased by approximately 50 percent with elective cesarean section, as compared with other modes of delivery (adjusted odds ratio, 0.43; 95 percent confidence interval, 0.33 to 0.56). The results were similar when the study population was limited to those with rupture of membranes shortly before delivery. The likelihood of transmission was reduced by approximately 87 percent with both elective cesarean section and receipt of antiretroviral therapy during the prenatal, intrapartum, and neonatal periods, as compared with other modes of delivery and the absence of therapy (adjusted odds ratio, 0.13; 95 percent confidence interval, 0.09 to 0.19). Among mother-child pairs receiving antiretroviral therapy during the prenatal, intrapartum, and neonatal periods, rates of vertical transmission were 2.0 percent among the 196 mothers who underwent elective cesarean section and 7.3 percent among the 1255 mothers with other modes of delivery. CONCLUSIONS: The results of this meta-analysis suggest that elective cesarean section reduces the risk of transmission of HIV-1 from mother to child independently of the effects of treatment with zidovudine.  (+info)

Maternal intrapartum temperature elevation as a risk factor for cesarean delivery and assisted vaginal delivery. (8/2040)

OBJECTIVES: This study investigated the association of intrapartum temperature elevation with cesarean delivery and assisted vaginal delivery. METHODS: Participants were 1233 nulliparous women with singleton, term pregnancies in vertex presentations who had spontaneous labors and were afebrile (temperature: 99.5 degrees F [37.5 degrees C]) at admission for delivery. Rates of cesarean and assisted vaginal deliveries according to highest intrapartum temperature were examined by epidural status. RESULTS: Women with maximum intrapartum temperatures higher than 99.5 degrees F were 3 times as likely to experience cesarean (25.2% vs 7.2%) or assisted vaginal delivery (25.2% vs 8.5%). The association was present in epidural users and nonusers and persisted after birthweight, epidural use, and labor length had been controlled. In adjusted analyses, temperature elevation was associated with a doubling in the risk of cesarean delivery (odds ratio [OR] = 2.3, 95% confidence interval [CI] = 1.5, 3.4) and assisted vaginal delivery (OR = 2.1, 95% CI = 1.4, 3.1). CONCLUSIONS: Modest temperature elevation developing during labor was associated with higher rates of cesarean and assisted vaginal deliveries. More frequent temperature elevation among women with epidural analgesia may explain in part the higher rates of cesarean and assisted vaginal deliveries observed with epidural use.  (+info)

Introduction: Caesarean section rates are increasing worldwide. There are many reasons for this increasing caesarean section rate one of them is increasing requests by women for caesarean section in the absence of medical indications. Most women think that elective caesarean section is safe both for women and babies. Some clinician also considered caesarean section safe. An increasing rate of caesarean section is alarming in developed as well as underdeveloped countries.. Objective: To investigate the frequency of caesarean section on maternal request and factors leading to it in a private teaching hospital.. Materials and Methods: This was a cross-sectional descriptive study carried out at Shalamar hospital from 1st May 2018 to 30th April 2019. Women of all ages who were pregnant and were going to have caesarean delivery during the study period at Shalamar hospital.. Results: There were 3438 total births during the study period. There were 2380(69%) caesarean section and 1058(31%) were normal ...
Background Caesarean section (CS) is not an option that women in Sweden can chose themselves, although the rise in CS rate has been attributed to women. This study describes obstetricians and midwives attitudes towards CS on maternal request. Methods A qualitative descriptive study, with content analysis of 5 focus group discussions where 16 midwives and 9 obstetricians participated. Results The overarching theme was identified as Caesarean section on maternal request-a balance between resistance and respect. On the one hand, CS was viewed as a risky project; on the other hand, request for a CS was understood and respected when women had had a previous traumatic birth experience. Still, a CS was not really seen as a solution for childbirth related fear. Five categories were related to the theme. Overall, our findings indicate that caregivers blamed the women for the increase, they considered the management of CS on maternal request difficult, and they suggested preventive methods to reduce ...
U.S., May 11 -- ClinicalTrials.gov registry received information related to the study (NCT03140683) titled Predictors of Scar Dehiscence in Patients With Previous Caesarean Section on May 3. Brief Summary: In recent decades, the percentage of Cesarean section deliveries has dramatically increased in most countries. Concomitantly, the rates of vaginal birth after Cesarean have decreased steadily. The pregnant women with previous Cesarean section face a difficult choice for their next delivery between a trial of labor after Cesarean or repeat caesarean section delivery. The performance of multiple Cesarean section exposes women to greater risks of complications; furthermore, the risk of complications increases with each subsequent Cesarean section. In fact, women with previous Cesarean section are more likely to experience short and long-term maternal complications in future pregnancies, or a trial of labor after Cesarean, with the risk of [uterine dehiscence, uterine rupture, genitourinary ...
Maternal perceptions about caesarean section contribute to delayed presentation of women for emergency obstetric care. This increases the risks of perinatal and neonatal mortality and slows down the reductions needed to achieve the sustainable development goal (SDG) target of reducing neonatal mortality and ending new-born deaths. The aim of the study is to determine maternal perceptions about caesarean section deliveries and their role in reducing neonatal mortality at a regional and a district hospital in the Upper West Region of Ghana. This descriptive study was carried out at two hospitals in the Upper West Region, the most rural region in Ghana, between 15th January and 29th June, 2018. Maternal perceptions were examined among antenatal care attendants at the Upper West Regional Hospital (UWRH) and St Josephs Hospital Jirapa (SJH), a district hospital, using questionnaires administered by trained nurses. Altogether, 416 completed questionnaires were obtained, comprising 206 from expectant women
April 21, 2010. Cesarean Sections Are Overused in New York, Giving the State One of Highest C-Section Rates in the Country. Public Citizen Releases a Guide to Avoiding Unnecessary Cesareans in New York; New Online Report Provides Statistics by County and Hospital. WASHINGTON, D.C. - Nearly a third of cesarean sections in New York state may be performed unnecessarily, and rates of the procedure there are among the highest of states in the country, according to a Public Citizen report released today.. Within New York state, rates of C-sections performed vary widely. Public Citizens report and an accompanying Web site break down the data by county and hospital, so patients can see how high C-section rates are for their local hospital in comparison to other local hospitals.. There is a growing epidemic of C-sections in the United States, where the 2007 national rate of 31.8 percent was the highest it has ever been, said Dr. Sidney Wolfe, director of Public Citizens Health Research Group. We ...
Increasing rate of caesarean section in all over the world made us perform study on trial of labour in patient with one previous caesarean section in Alzahra Hospital , the center of gynecology obstetric in Najaf , We take number of patients in labour room start labour spontaneously with previous one of caesarean section, lower segment transvers, including case was selected for elective caesarean section but suddenly start labour number of them delivers by emergency caesarean section we compare this percentage with other study the result was acceptable we encourage trial of labour after one caesarean section as a safe mode of delivery that decrease rate of caesarean section and its complications we recommend farther in this evaluate field.
A retrospective study comparing maternal and neonatal outcome of singleton fetuses delivered at 37-38 weeks of completed gestation with those delivered at 39 completed weeks of gestation or longer by elective caesarean section at the University of Nigeria Teaching Hospital, Enugu between January 1, 2004 and December 31, 2008. There were 164(21.3%) elective caesarean deliveries during the study period. 117 (71.3%) were performed between 37-38 weeks of completed gestation and 47(28.7%) at 39 completed weeks of gestation. Elective caesarean births at 37-38 weeks were associated with significantly higher rates of admission to the neonatal care unit, neonatal jaundice, and a higher proportion of newborns with Apgar score
Mrs Elizabeth Martin1, Dr Michael Beckmann2, Professor Nicholas Graves1. 1Queensland University Of Technology, Kelvin Grove, Australia,. 2Mater Health Services, South Brisbane, Australia. Introduction. Surgical site infections following caesarean section are a preventable problem for women and health services. Unique best-practice infection prevention opportunities exist for the peri-operative and surgical process of caesarean section. Some variation in caesarean section peri-operative and surgical practice is justifiable and desirable when individual patients health needs or health preferences are being met. However, clinical practice that varies from the best-practice is unwarranted as it may increase surgical site infection risk. The aim of this study was to identify the extent of unwarranted variation in infection prevention at caesarean section amongst Australian Obstetricians.. Methods. Australian Obstetricians were asked in an electronic survey, whether they usually implement 34 ...
TY - JOUR. T1 - The prognosis for spontaneous labor in women with uncomplicated term pregnancies. T2 - Implications for cesarean delivery on maternal request. AU - Worley, Kevin C.. AU - McIntire, Donald D.. AU - Leveno, Kenneth J.. PY - 2009/4/1. Y1 - 2009/4/1. N2 - OBJECTIVE:: To assess the prognosis for vaginal delivery in women with entirely normal pregnancies who began spontaneous labor at term. METHODS:: Between January 1, 1988, and October 31, 2006, a total of 278,164 women delivered newborns at our hospital. A subset of women with uncomplicated pregnancies and spontaneous labor between 37 and 41 weeks of gestation then were identified for analysis of maternal and neonatal outcomes. The outcomes we studied included admission-to-delivery intervals, use of epidural analgesia, maternal perineal trauma, route of delivery, and several potential indices of neonatal condition at birth. RESULTS:: There were 103,526 (37%) women who delivered at our hospital during the study period who had normal ...
Caesarean section on maternal request (CSMR) is carried out in the absence of maternal or fetal indications. One of the main psychological causes is tokophobia, an intense fear of childbirth affecting between six to ten percent of women.. In addition, women who have had previous vaginal delivery may request caesarean section because of adverse experiences during labour known as secondary tokophobia.. The authors of the review state that rather than counselling women requesting caesarean section about the risks, a better approach would be to explore the reasons for the request.. For women with tokophobia, frequent, regular psychotherapy by trained personnel to address why they are requesting a caesarean section is recommended by the review.. Authors state health workers need to have detailed discussions with women requesting a caesarean section about the unpredictability of events surrounding labour, the lack of control and the need for a flexible birth plan. Local maternity unit statistics for ...
According to this study, the socio-demographic factors are related to the incidence of caesarean sections in Mozambique. The connection was found by carrying out cross tabulations, Pearson`s χ2- tests and logistic regression analyses. In 1994-1997 age group and parity were associated with incidence of caesarean sections when adjusted with all confounders. The older the mother was, the higher was the risk of a caesarean section. Women having their first child had caesarean section more often than women having at least their second or third child. People living in urban areas more likely receive a caesarean section than those in rural areas. In 1998-2003, in addition to age, parity and area of residence, the study found the wealth index to be the strongly associated socio-demographic factor for caesarean section. Caesarean sections were more common among women who-or whose partners-were highly educated. Socio-demographical factors, especially parity, have stronger association in incidence of ...
The study assessed the value of currently-available data on the rates of caesarean section as an indicator of safe-motherhood programmes. Data, collected through the routine health information system of the Ministry of Health, Kenya, were used for analyzing the available process indicators. The methodology of this study illustrates both usefulness and limitations of readily-available healthcare information. The rate of hospital-based caesarean section was 6.3% of all births (range 0.3-37%), whereas the rate of population-based caesarean section was 0.95% (range 0.1%-4%). The rate of population-based caesarean section indicates a significant unmet need for obstetric care in the rural areas and may be a useful tool for monitoring progress on safe-motherhood initiatives in poor settings. Rates of population-based caesarean section are low in Kenya, especially in the rural areas. The rate of caesarean section may be a valuable process indicator for identifying the gaps in obstetric care and may be ...
The increasing cesarean section rate was due to rising of elective cesarean section or patients request. Cesarean section without obstetric indication should be reconsidered to lower the cesarean section rate.
Results: A total of 525 pregnant women with one previous lower segment caesarean section scar had a trial of vaginal birth. Among the 525 women, 390 did not have a prior history of successful VBAC and the remaining 135 women had at least one successful VBAC. Among 390 pregnant women, 208 (53.3%) had successful vaginal deliveries and 182 (46.7%) women underwent emergency lower segment caesarean section as failed VBAC. Among the 182 women, there were two cases of scar dehiscence and both had emergency LSCS performed for abnormal foetal heart tracing. Both had good foetal outcome ...
Preliminary data for 2003 indicated that 27.6% of all births in the United States resulted from cesarean deliveries, an increase of 6% from 2002 and the highest percentage ever reported in the United States. After declines during 1989--1996, the total cesarean rate and the primary cesarean rate (i.e., percentage of cesareans among women with no previous cesarean delivery; 19.1% in 2003) have increased each year. In addition, the rate of VBAC, which had increased during 1989--1996, decreased by 63% to 10.6% in 2003. Among women with previous cesarean deliveries, the likelihood that subsequent deliveries would be cesarean was approximately 90% in 2003. SOURCE: National Vital Statistics System, annual files, 1989--2003. Available at http://www.cdc.gov/nchs/births.htm ...
The rate of births by caesarian section is used as a health service coverage indicator. It reflects the accessibility of basic health interventions to a given population. It is computed by dividing the number of caesarian section deliveries by the total number of live births.. The most common indications for caesarian section include fetal distress, malpresentation, failure to progress in labor, and previous caesarian section. Worldwide, the average number of CS deliveries is at 16%. In low income countries, the average is at 6%, while those in upper middle and high income countries are at 30%. The African Region has the lowest rates at 4%, while the WHO Region of the Americas has the highest rates at 36%. Countries like Ethiopia, Chad, Madagascar and Mali have CS rates of 2%. The United States, Australia and Germany have CS rates of 32%.. Both underuse and overuse of CS delivery can be dangerous, but the ideal rate for CS deliveries has not been set. The World Health Organization has advised ...
The rate of births by caesarian section is used as a health service coverage indicator. It reflects the accessibility of basic health interventions to a given population. It is computed by dividing the number of caesarian section deliveries by the total number of live births.. The most common indications for caesarian section include fetal distress, malpresentation, failure to progress in labor, and previous caesarian section. Worldwide, the average number of CS deliveries is at 16%. In low income countries, the average is at 6%, while those in upper middle and high income countries are at 30%. The African Region has the lowest rates at 4%, while the WHO Region of the Americas has the highest rates at 36%. Countries like Ethiopia, Chad, Madagascar and Mali have CS rates of 2%. The United States, Australia and Germany have CS rates of 32%.. Both underuse and overuse of CS delivery can be dangerous, but the ideal rate for CS deliveries has not been set. The World Health Organization has advised ...
All of the six studies examined were comparative cohort studies. As they were not randomised trials, there is the potential for bias. When methodological quality was assessed on the Newcastle-Ottawa Scale there was a medium risk of selection bias and a medium to high risk of bias in comparability and outcome assessment for most studies. For example, in one study,1 elective caesarean sections were exclusively carried out by doctors, whereas emergencies were carried out by both doctors and clinical officers. As elective caesarean section is associated with better outcomes than emergency caesarean section,13 this arrangement would have conferred an advantage to doctors. Furthermore, clinical officers tend to be located in rural areas,3 where access to lifesaving facilities such as blood transfusion and high dependency care may not be available. Another study8 tackled such issues by adjusting for rural setting, previous caesarean section, haemorrhage, other perioperative medical complications, and ...
TY - JOUR. T1 - Neonatal outcome following elective cesarean section of twin pregnancies beyond 35 weeks of gestation. AU - Wilmink, Freke A.. AU - Hukkelhoven, Chantal W.P.M.. AU - Mol, Ben Willem J.. AU - Van Der Post, Joris A.M.. AU - Steegers, Eric A.P.. AU - Papatsonis, Dimitri N.M.. PY - 2012/1/1. Y1 - 2012/1/1. N2 - Objective: We sought to assess neonatal morbidity and mortality of elective cesarean section (CS) of uncomplicated twin pregnancies per week of gestation ,35+0. Study Design: We performed a retrospective cohort study in our nationwide database including all elective CS of twin pregnancies. Two main composite outcome measures were defined, ie, severe adverse neonatal outcome and mild neonatal morbidity. Results: We report on 2228 neonates. More than 17% were born ,37+0 weeks of gestation. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for severe adverse neonatal outcome at 35 +0-6, 36+0-6, and 37+0-6 weeks were, OR, 9.4; 95% CI, 3.2-27.6; OR, 1.7; 95% CI, ...
INTRODUCTION: caesarean section rates have become a global public health. This study investigated obstetric and socio-demographic factors associated with caesarean section in northern Ghana. METHODS: this was a case-control study comparing 150 women who had caesarean section (cases) and 300 women who had vaginal delivery (controls). Data were collected retrospectively from delivery registers, postpartum and postnatal registers in the Bolgatanga Regional Hospital. Univariate and multivariate analysis of data were done using SPSS 22. RESULTS: the study revealed that women who had higher odds of having a caesarean section were women who; attended Antenatal care (ANC) ≥ 4 times (Adjusted OR = 2.99, 95% CI1.762-5.065), were referred from other health facilities (Adjusted OR = 1.19, 95% CI 1.108-1.337) and had a foetal weight of ≥ 4000 grams (Adjusted OR = 1.21, 95% CI 1.064-1.657). There was a slight increase in odds of having a caesarean section among women who had a gestational age > 40 weeks (Adjusted
INTRODUCTION: caesarean section rates have become a global public health. This study investigated obstetric and socio-demographic factors associated with caesarean section in northern Ghana. METHODS: this was a case-control study comparing 150 women who had caesarean section (cases) and 300 women who had vaginal delivery (controls). Data were collected retrospectively from delivery registers, postpartum and postnatal registers in the Bolgatanga Regional Hospital. Univariate and multivariate analysis of data were done using SPSS 22. RESULTS: the study revealed that women who had higher odds of having a caesarean section were women who; attended Antenatal care (ANC) ≥ 4 times (Adjusted OR = 2.99, 95% CI1.762-5.065), were referred from other health facilities (Adjusted OR = 1.19, 95% CI 1.108-1.337) and had a foetal weight of ≥ 4000 grams (Adjusted OR = 1.21, 95% CI 1.064-1.657). There was a slight increase in odds of having a caesarean section among women who had a gestational age > 40 weeks (Adjusted
Post-operative pain is the greatest fear of women who undergo Cesarean section, and despite current analgesic regimens, this pain can be severe, impeding the mothers recovery and her ability to bond with and breastfeed her new infant. Opioids are the mainstay of treatment currently, and, although effective, these drugs have significant adverse effects, including sedation, nausea, vomiting and constipation. Non-steroidal anti-inflammatory drugs (NSAIDs) can reduce opioid consumption, but also have side effects, and are contra-indicated in a significant number of patients. Therefore there remains considerable scope to improve post-Cesarean analgesia.. It has been shown that severe acute post-operative pain after Cesarean section increases the risk of developing chronic pain and post-partum depression. A recent study showed that up to 18% of women have persistent pain after Cesarean section, and that severe acute post-operative pain is a significant risk factor.. Gabapentin is used widely to treat ...
Older, primiparous mothers were much more likely to have a no indicated risk primary caesarean; almost one fifth (19.5%) of primiparous mothers aged over 34 had such a delivery in 2001. More than 5% of multiparous mothers over 34 who had had previous vaginal births also had a no indicated risk primary caesarean in 2001. Among mothers under 30 with no indicated risk, the primary caesarean rate grew by more than half (58%) between 1991 and 2001 to 4.9%.. The raw numbers of births also illustrates this trend. In 2001, 80 028 no indicated risk primary caesareans took place in the United States, an increase of 25 162 since 1996. This represented 25.8% of the total increase (97 659) in primary caesareans between 1996 and 2001.. We used multivariate logistic regression analysis (SAS version 8) to examine changes in primary caesarean rates after controlling for parity; maternal ethnicity, age, and education; birth weight; and data year (1991, 1996, or 2001) (see table on bmj.com). We ran models for all ...
AbstractIn a non-randomized cohort study, we compared continuous with interrupted sutures for the closure of the lower uterine segment at cesarean section. Eighty-two women, who underwent cesarean section at the Department of Obstetrics at the University Hospital of Vienna between January and May 20
We chat to Lisa, of BadMammy.com, about her Emergency C-section experience: Thanks Lisa for sharing your C-section journey. To start perhaps you would include how many children you have and how many were born by C-section: Ive got one child, a son named Eliott, and he was born by Emergency C Section in March 2014. Can you tell me how long ago it is since your C-section occurred and a…. ...
template : Visual Birth Plans Birth Plans Nurses Will Love! | Birth For Cesarean Birth Plan Template Cesarean Birth Plan Template. C Section Birth Plan Template Free. Cesarean Birth Plan Template. C Section Birth Plan Template Uk. Printable C Section Birth Plan Template. Caesarean Birth Plan Template. Cesarean Birth Plan Template Uk. Gentle Cesarean Birth Plan Template.
The increasing rate of intrapartum cesarean sections in high resource countries is subject of attention and concern as it is associated with adverse outcomes for mother and infant [1]. Intrapartum cesarean sections that neither benefit mother nor infant should be avoided. An uncomplicated vaginal birth in nulliparous women strongly predicts uncomplicated labors and deliveries in subsequent pregnancies [2], while intrapartum cesarean sections are associated with a 50% subsequent cesarean section rate [3] and adverse outcome for the mother [4-6] and for the baby [7, 8]. The economic aspect of labor is also of importance as an intrapartum cesarean section is significantly more expensive compared to a spontaneous vaginal delivery [9]. The rate of cesarean sections for nulliparous women with a singleton fetus in a cephalic presentation and spontaneous onset of labor at term has increased from 5.7% to 9.2% in Norwegian hospitals (2000-2012) [10]. The most common indication for intrapartum cesarean ...
Results A total of 482 caesarean sections were included in the study. The overall mortality rate was 3.11 per cent, with 2.59 per cent during or after a conservative caesarean section and 4.19 per cent during or after caesarean section with ovariohysterectomy. The reason for ovariohysterectomy was the owners preference in 63 bitches (47.01 per cent); in 71 (52.98 per cent) bitches, ovariohysterectomy was performed due to a medical indication. The fertility rate after caesarean section was 100 per cent. ...
Caesarean section is a common major operation performed on women in the world. There are many possible ways of performing a caesarean section. Operation and operative techniques vary depending on the clinical situation and surgeon preferences. Safe delivery is important for mother and infant. Any potential reduction of birth trauma to the infant has to be balanced against increased ill-health for the mother [9]. This is a prospective randomized controlled study performed on a total of 120 pregnant patients with one or more previous cesarean sections. patients were randomized in to two groups, 60 patients for whom inverted T-LSCS was performed (group A), and another60 patients for whom transverse lower segment curvilinear incision of the uterus was performed (group B). All CS were elective. Statistically significant difference was found between both groups as regard to socio-demographic and clinical characteristics. In the present study the incision-delivery interval was comparable for both ...
The cesarean section, delivery of the fetus by incision through the abdominal and uterine wall (Leavitt, 1986:272), is a fascinating procedure indeed. Once a heroic gesture done to save the unborn infant from its dying mother, the cesarean section has become a common medical procedure. Between 1968 and 1977, the cesarean section rates in the United States have tripled, reaching 15.2 percent in 1978 and making the cesarean the tenth most common surgical procedure in the United States (Gleicher, 198^:3273). The cesarean rate has continued to rise from 16.5 percent of deliveries in 1980 (Placek, 1983) to 22.7 percent in 1985 (Placek and Taffel, 1987). This upward trend in cesarean delivery is evident in all types of medical facilities, in all regions of the country, and among women of all educational and income levels (Guillemin, 1981:15).
The authors studied the effects on the child of 196 caesarian sections performed in the absence of foetal distress. The following were noted for each child: the time before the first cry, the Apgar score, pH and the need or not for resuscitation techniques. Each feature was studied in terms of different factors: foetal, obstetric, anaesthetic and surgical. The conclusions were as follows: caesarian section, which remains the best means of preventing obstetric trauma, has its own direct complications which are linked to the conditions in which the operation takes place. These can be reduced to a minimum or even completely suppressed if the caesarian section is performed under ideal conditions: few or no depressant drugs before the operation (the use of diazepam for induction should be abandoned); inclined position of 15 degrees, even of the mother has never suffered from utero-caval syndrome and if possible on a heated mattress; extraction of the infant between the 5th and 15th minutes; finally, ...
In the survey, women were asked whether they had requested a caesarean delivery. Among those who had a birth during 2001 2002, 50.7% responded in the affirmative; this compares with an overall figure of 44.7% for the decade preceding the survey. Mothers who resided in urban areas and the western region, those who had senior high school education and above, and those employed in professional and service sectors were more likely to respond in the affirmative to this question (results not shown separately).. Discussion. The increase in rates of caesarean delivery observed over time in our study population was not fully explained by the increase in the rates of institutional birth alone. Instead, they were likely to be driven by the twin pressures of obstetricians favouring recourse to caesarean delivery and women s demand for the procedure. The analysis demonstrated that use of antenatal care, especially ultrasound scanning, was also associated with a greater likelihood of caesarean delivery. The ...
Cesarean delivery is one of the most common surgical procedures. In the United States, more than 1 million cesarean sections are performed each year, accounting for more than 30% of births. The majority of these procedures are performed using a regional technique; general anesthesia is reserved for patients who have a contraindication to a regional block or for emergencies, when there is not enough time for a regional block. Consequently, general anesthesia for cesarean delivery is relatively rare, and providers may be less comfortable administering it to parturients. Their discomfort is warranted. Although straightforward, general anesthetic for cesarean section is fraught with adverse events, including an increased risk of awareness, aspiration, difficult airway with hypoxia, drug-related uterine atony, and neonatal respiratory depression. ...
Objective: To evaluate the effect of chewing sugar-free gum on gastrointestinal function recovery after cesarean section. Methods: Randomized controlled trials comparing the use of chewing gum in postoperative recovery with a control group were retrieved from the databases including Pubmed, Cochrane Library, Science Direct, Web of Science, CBM, CNKI, Wanfang and VIP, et al. After screening literatures, evaluating the quality of studies, extracting data, the RevMan5.3 software was used for data analysis. Results: A total of 13 RCTs including 2233 patients were analyzed in the study. The results showed that chewing gum after cesarean delivery can effectively shorten the recovery time of bowel sounds, passage of flatus and first defecation (all P < 0.05). Conclusion: Chewing sugar-free gum after cesarean section can promote the early recovery of gastrointestinal function, but the side effects of chewing gum are still unclear, which needs more clinical, large sample and high-quality studies to
I had planned a normal birth. We were going to video tape the birth and I was going to have this perfect delivery. I never even considered that I might have to have a c-section. Now I look back and dont regret for a second that I never experienced...
How to avoid an unnecesarean? Too many women are delivered surgically without any evidence that they really needed this. The WHO recently stated that Cesarean sections should only be performed if medically necessary.. A Cesarean section is major abdominal surgery and, like everything in life, has its own risks attached. A Cesarean section influences all your subsequent pregnancies and births.. The expert appraoch of Proactive Support of Labor absolutely increases your chances of a normal birth, but sadly in countries like the USA, China and Brazil, to name a few, Cesarean rates are soaring. Quite often there is a financial incentive for the obstetrician, not to mention the convenience of scheduled surgery instead of just sitting with a woman, Supporting her.. There are too many stories of women more or less forced into Cesareans because of: an estimated large baby, a tightly closed cervix at 38 weeks, a failed induction because the dr wanted her to deliver because of his holidays, etc. The list ...
BACKGROUND: The aim of this study was to identify the appropriateness of cesarean sections, performed in Tehran hospitals using standardized Rand Appropriateness Method (RAM) criteria. METHODS: In this study we used the RAM criteria. In order to prepare the list of cesarean scenarios, clinical guidelines were selected, and the Appraisal of Guidelines for Research and Evaluation was used to choose the most appropriate. Two panels were held with the participation of related specialists. The scenarios derived through this method were compared with data existing in the medical records of 250 women who underwent cesarean sections in selected hospitals affiliated with Tehran University of Medical Sciences. The appropriateness rate of the cesarean sections was calculated.   RESULTS: Out of 250 cases of cesarean sections performed, 91 (36.4%) were inappropriate, 41 (16.4%) were equivocal and 118 (47.2%) were considered to be appropriate. Appropriateness differed between public and private hospitals,
Surgical site infections are common and a cause of major morbidity. They are also more common in obese women. Cesarean sections are the most common surgery performed in the United States, therefore pregnant women are being faced with this problem frequently. There is evidence to show that prophylactically administered antibiotics, cefazolin specifically, to obese women prior to cesarean section do not reach adequate concentrations in adipose tissue to prevent infection. The purpose of this study is to evaluate if an increased dose of cefazolin will attain adequate tissue concentration in obese women. Our hypothesis is that three grams of cefazolin given no more than 60 minutes prior to the start of a cesarean section in an obese (Body mass index (BMI) greater than or equal to 30) woman will attain adequate adipose tissue concentration compared to two grams of cefazolin.. Subjects will be selected if they are greater than 37 weeks gestation wiht a singleton pregnancy and require a cesarean ...
The average caesarean birth costs more than twice the amount of a natural, uncomplicated birth. Thats big money for cash-strapped hospitals which is exactly why they have recently banned all non-emergency caesarean births.. The ban is much different than the discouragement that hospitals have practiced in the past. Previously, moms were simply educated about the risks. The new ban makes it practically impossible for women to go ahead with a planned caesarean unless there is proof that either mother or babys life would be endangered through a vaginal birth.. Case studies have been conducted on the number of caesarean births all over the world. Rates have been rising steadily throughout almost every country, including the UK. According to the studies, one-fourth of all births in the UK are now caesareans. This is a dramatic rise from the 9 percent of caesarean births in 1980.. UK hospitals arent the first to ban non-emergent caesarean births. Major hospitals in Phoenix, Arizona also banned ...
Many countries have an increasing rate of caesarean section. Higher rates do not always give additional health gains and they can increase maternal risks and affect subsequent pregnancies. Active management of labour has been proposed to reduce the number of caesarean births. Active management includes routine amniotomy (artificial rupture of the membranes), strict rules for diagnosing slow progress, use of the intravenous drug oxytocin to increase contractions of the uterus and one-to-one care. The disadvantages of active management are that it can possibly lead to more invasive monitoring, more interventions and a more medicalised birth in which women have less control and less satisfaction. The review included seven trials involving 5390 women. These studies show that women who received active management were slightly less likely to have a caesarean section and were more likely to have shorter labours (less than 12 hours). There was no difference in the number of assisted deliveries, nor was ...
Objective: Cesarean section (C-section) is associated with various immune-mediated diseases in the offspring. We investigated the relationship between mode of delivery and celiac disease (CD) and CD autoimmunity (CDA) in a multinational birth cohort. Methods: From 2004 to 2010, infants from the general population who tested positive for HLADR3-DQ2 or DR4-DQ8 were enrolled in The Environmental Determinants for Diabetes in the Young (TEDDY) study. Children were annually screened for transglutaminase autoantibodies, if positive, they are retested after 3 to 6 months and those persistently positive defined as CDA. Associations of C-section with maternal (age, education level, parity, pre-pregnancy weight, diabetes, smoking, weight gain during pregnancy) and child characteristics (gestational age, birth weight) were examined by Fisher exact test or Wilcoxon rank-sum test. Hazard ratios (HRs) for CDA or CD were calculated by Cox proportional hazard regression models. Results: Of 6087 analyzed ...
About one birth in every four in Australia is by caesarean section, and that rate appears to be increasing. The proportionof births by caesarean vary significantly from region to region, and the most appropriate rate is a matter of some debate. A caesarean section is needed when delivery through the birth canal (vagina) is not possible or when vaginal delivery would pose a danger to the mother or baby. A caesarean section may be planned in advance as
Results: The mean age of the women participating in this study was 34.2 7.7 years, and 274 (52.4%) of them delivered a baby by cesarean section at least once. Of the participants, those whose longest place of residence was an urban area gave birth through caesarian section more than did those whose longest place of residence was a rural area.Similarly, thosewho had ahighereducation level, who were employed,who obtained information about birth before delivery gave birth through caesarian section more than did those who had a lowereducation level, who were unemployed and who did notobtain information about birth before delivery. Of the participants who obtained information about birth, those who obtained it from physicians also gave birth through caesarian section more than did those who obtained it frommidwives and nurses ...
OBJECTIVE: Preexisting diabetes in pregnancy is associated with a high risk of emergency cesarean section (CS), which is associated with increased risk of maternal and neonatal complications. Thus, the aim of this study was to identify possible predictors of emergency CS in women with preexisting diabetes.. STUDY DESIGN: This is a secondary analysis of a prospective observational study of 204 women with preexisting diabetes (118 with type 1 diabetes and 86 with type 2) with singleton pregnancies recruited at Rigshospitalet, Copenhagen, Denmark from August 2015 to February 2018. Mode of delivery (trial of labor or planned CS) was individually planned in late pregnancy based on clinical variables reflecting maternal and fetal health including glycemic control and ultrasonically estimated fetal weight. Univariate and multivariable analyses were performed to identify possible predictors of in labor emergency CS.. RESULTS: Trial of labor was planned in 79 % (n = 162) of the women of whom 65 % (n = ...
C sections are now much safer than they used to be, and with them becoming more routine, surgeons are more skilled at this than ever before.
I had a cesarean section at the The Medical City last August 15, 2014. It was a scheduled CS and I was admitted August 14. First step is that you have to go to the Admitting Section where you have to choose your room. One technique is to get a semi-private room, to have lesser charge. Usually semi-private rooms are reserved for minor OB-GYNE surgery for overnight stay like hysteroscopy. I was hesitant to get a semi-private room because rooming in of newborn is practiced at this hospital ...
By: Healtheoz , Tags: abdominal exercise after cesarean delivery, can i do exercise after cesarean delivery, exercise after c section delivery, exercise after cesarean, exercise after cesarean delivery, exercise after cesarean delivery to reduce stomach, exercise for back pain after cesarean delivery, post pregnancy exercise after cesarean, yoga after c section deliver, yoga after cesarean delivery , Comments: 0. Cesarean or C-section is a delivery method which is carried out when the vaginal delivery poses a risk to the mother. Exercising after cesarean is always an added benefit. You can go for various post pregnancy exercises after cesarean…. READ MORE ...
In many hospitals, especially in Argentina, the United States, United Kingdom, Canada, Norway, Australia, and New Zealand the mothers birth partner is encouraged to attend the surgery to support the mother and share the experience. The anaesthetist will usually lower the drape temporarily as the child is delivered so the parents can see their newborn ...
Looking for online definition of lower uterine segment cesarean section in the Medical Dictionary? lower uterine segment cesarean section explanation free. What is lower uterine segment cesarean section? Meaning of lower uterine segment cesarean section medical term. What does lower uterine segment cesarean section mean?
Looking for online definition of nonreassuring fetal status in the Medical Dictionary? nonreassuring fetal status explanation free. What is nonreassuring fetal status? Meaning of nonreassuring fetal status medical term. What does nonreassuring fetal status mean?
Endometriosis, a common gynecological condition, is defined as the presence of functioning endometrial tissue outside the uterine cavity. It often presents as a cyclic, hormonally stimulated pain in women during their reproductive years. While endometriosis is usually located within the pelvis, it may also occur at intraperitoneal, intestinal, perineal, and distant ectopic sites. Although often diffuse, a localized, focal mass of endometrial tissue is termed as an endometrioma. In rare occurrences, an endometrioma will present superficially to the peritoneum within the abdominal wall following gynecologic or obstetric surgery. The presence of an abdominal wall endometrioma within a cesarean section scar may pose a diagnostic dilemma, which is often misdiagnosed, and results in surgery referrals for treatment. The clinical symptoms and sonographic appearance of abdominal wall endometriomas occurring at cesarean section scars are highlighted in this case series.
The effect of continuous epidural analgesia on cesarean section for dystocia in nulliparous women. Am J Obstet Gynecol. 1989 Sep;161(3):670-5.
Objective. To investigate the effect of cervical dilation at the time of cesarean section due to dystocia and success in a subsequent pregnancy of attempted vaginal delivery. Design. Retrospective study. Setting. University hospital in Copenhagen capital area. Population. All women with a prior cesarean section due to dystocia who had undergone a subsequent pregnancy with a singleton delivery during 2006-2010. Methods. Medical records were reviewed for prior vaginal birth, cervical dilation reached before cesarean section and induction of labor, gestational age, use of oxytocin, epidural anesthesia and mode of birth was collected. Results. A total of 889 women were included; 373 had had a trial of labor. The success rate for vaginal birth among women with prior cesarean section for dystocia at 4-8 cm dilation was 39%, but 59% for women in whom prior cesarean section had been done at a fully or almost fully dilated cervix (9-10 cm) (p , 0.001). Among the women with a previous vaginal delivery ...
Women who have had a prior c-section have the option of a undergoing vaginal birth after c-section (VBAC) or an elective repeat c-section. A successful vaginal birth carries a lower risk to the woman than does a repeat c-section. Women undergoing a vaginal delivery will generally have an easier recovery with fewer problems after delivery and a shorter hospital stay than those who have a c-section.. However, there are certain individuals who are more likely to be successful for a VBAC than others. If your prior cesarean section had been performed for a fetal issue (I.e. baby was breech, heart rate was worrisome, etc.), the likelihood of a successful VBAC approaches 85%. If your prior cesarean section was done for a maternal reason (i.e. stopped dilating, baby didnt fit through the pelvis), the likelihood of a successful VBAC is only around 50%.. There are risks associated with undergoing a VBAC. The most serious risk is that of uterine rupture. In most cases, cesarean sections are performed with ...
Background. Informed consent consists of availing information to the patient in an understandable manner without coercion to allow the patient to make an informed decision about their health care. In the case of informed consent for caesarean section, this information must include the name, nature, intended benefits of the procedure, risks of the procedure, alternative procedures, implications on future reproductive health and anaesthetic options Little attention, in Zambia, has been paid to whether patients receive adequate consent before operation and its implications for future reproductive capacity; this study aims to explore this aspect.Methods. This was a cross sectional study in which post-caesarean section mothers were interviewed in the postnatal wards at the University Teaching Hospital (UTH), Lusaka, Zambia after under going emergency (n=l 15) and elective caesarean section (n=32). Information was obtained using a standardized questionnaire. Adequacy was determined by asking about ...
We studied 510 patients in a retrospective, nonrandomized, comparative survey of vaginal births and repeat caesarean section after one primary caesarean section at the Port Moresby General Hospital. 478 (94%) were allowed a trial of scar (TOS). The m
Vaginal birth after Caesarean Section (VBAC) carries risks of uterine rupture, with increased perinatal mortality risk. When labour is induced there may be higher uterine rupture and repeat caesarean section (CS) rates in women with previous CS, compared to when labour starts spontaneously.1 The method of induction of labour (IOL) in women with previous CS remains controversial, as there is a higher risk of uterine rupture when prostaglandins (PGs) are used compared with the use of non-prostaglandin methods.2 For women with previous CS, NICE guidance recommends PGs for routine use in IOL,3 however, obstetricians concerned about the increased uterine rupture risk may prefer to offer elective CS instead, therefore increasing CS rates.. Comparisons between the use of cervical dilator balloon catheters versus PGs in nulliparous women have shown similar efficacy in establishing labour, without the risks of uterine hyperstimulation or rupture.4 5 IOL with Cook cervical dilator balloon was introduced ...
Free Online Library: Emergency caesarean section in a patient with myotonic dystrophy: a case of failed postoperative extubation in a patient with mild disease.(Report) by Anaesthesia and Intensive Care; Health, general Anesthesia Methods Patient outcomes Cesarean section Myotonic dystrophy Care and treatment Complications and side effects
Retrospective study on outcome of trial of vaginal birth after Previous Caesarean Section and indications for emergency repeat caesarean section in tertiary care hospital-IJOGR-Print ISSN No:-2394-2746 Online ISSN No:-2394-2754Article DOI No:-10.18231,Indian Journal of Obstetrics and Gynecology Research-IP Innovative P
we had unprotected sex for the first time on 13th, 14th and 15th. Moreover, if second pregnancy after emergency c-section is, there second pregnancy after emergency c-section aafter way of knowing if you will require stitches. Its usually light spotting and does not last second pregnancy after emergency c-section. Lysteda works by stabilizing a protein that helps blood to clot. Its released from the ovary and travels down the fallopian tube where hopefully sperm are second pregnancy after emergency c-section to meet it. In the first few weeks following conception, your hormone levels change very early pregnancy signs breasts. Home pregnancy tests work by detecting hCG (human chorionic gonadotropin). Antibiotics and various about the counter drugs are accessible for the therapy of this effectively known medical problem. At the mark of the second trimester, an increase in appetite may or may not occur. And hopefully whatever your body is doing in the absence of xfter possible lack of awareness - ...
The risks of VBAC. The most serious but rare risk of women attempting a VBAC is uterine rupture. A uterine rupture is a tear or hole in the uterus. There is an increased risk of uterine rupture with VBAC compared to ERCS. The rates of uterine rupture are approximately one in every 200 women who labour and have previously had a caesarean section, and one in every 5000 women who choose ERCS.. A uterine rupture can be very small or large. In most circumstances this is quickly identified and we are able to make plans for the safe delivery of your baby. While very rare, uterine rupture can be associated with significant bleeding for you (including the potential need for a blood transfusion or even hysterectomy (removal of the uterus)), and the need for urgent delivery of your baby who can be deprived of oxygen. The evidence tells us that in most cases, when an emergency caesarean section is performed, no serious harm comes to the mother or baby.. In some situations the risk of rupture is increased. ...
MONDAY, Feb. 10, 2020 (HealthDay News) -- Women who receive general anesthesia during a cesarean section delivery are at higher risk of severe postpartum depression that requires hospitalization, as well as self-inflicted harm and suicidal thoughts, a new study finds.. Researchers from Columbia University analyzed more than 428,000 discharge records of women who delivered by C-section in New York state hospitals between 2006 and 2013. Eight percent had general anesthesia.. In all, 1,158 women (3%) had to be hospitalized for severe postpartum depression. Of those, 60% were diagnosed at readmission, about 164 days after their initial discharge.. Compared with local anesthesia, general anesthesia was associated with a 54% increased odds of postpartum depression, and a 91% higher risk of suicidal thoughts or self-inflicted injury. The study only found an observation rather than a cause-and-effect link.. General anesthesia for cesarean delivery may increase the risk of postpartum depression because ...
MONDAY, Feb. 10, 2020 (HealthDay News) -- Women who receive general anesthesia during a cesarean section delivery are at higher risk of severe postpartum depression that requires hospitalization, as well as self-inflicted harm and suicidal thoughts, a new study finds.. Researchers from Columbia University analyzed more than 428,000 discharge records of women who delivered by C-section in New York state hospitals between 2006 and 2013. Eight percent had general anesthesia.. In all, 1,158 women (3%) had to be hospitalized for severe postpartum depression. Of those, 60% were diagnosed at readmission, about 164 days after their initial discharge.. Compared with local anesthesia, general anesthesia was associated with a 54% increased odds of postpartum depression, and a 91% higher risk of suicidal thoughts or self-inflicted injury. The study only found an observation rather than a cause-and-effect link.. General anesthesia for cesarean delivery may increase the risk of postpartum depression because ...
TY - JOUR. T1 - Blood transfusion during cesarean section. A 12 years retrospective analysis.. AU - Imberti, R.. AU - Preseglio, I.. AU - Trotta, V.. AU - Filisetti, P.. AU - Mapelli, A.. PY - 1990. Y1 - 1990. N2 - Transfusional practice over the last 12 years was investigated retrospectively in 1618 women submitted to lower-segment cesarean section. The overall percentage of transfused patients was low (2.4%) and it has become lower in the last four years (1.1%), in concomitance with the development of better knowledge of tissue oxygenation and with the fear of transmitting infectious diseases, factors which have led anesthesiologists to employ blood only when strictly required. Three conditions greatly increased the risk of bleeding: placenta previa, abruptio placentae and coagulation disorders. Previous cesarean section, fetal distress, dystocias and hypertensive disorders of pregnancy did not increase the risk of bleeding and no difference was found between elective and non-elective ...
Student Health Services covers inpatient maternity care at Barnes-Jewish Hospital, Barnes Jewish West County Hospital, or Missouri Baptist Medical Center. Covered Persons must notify Student Health Services either three business days prior for planned admissions or two business days following emergency admissions. The student is responsible for a $250 deductible for the first delivery and a $1,000 deductible for any additional deliveries. Student Health Services will pay 100% of the remaining covered expenses for up to 96 hours following a caesarean section delivery and up to 48 hours following any other delivery.. Student Health Services also covers all routine nursery care for newborn infant for up to 96 hours following a caesarean section delivery and for up to 48 hours following any other delivery. Newborn infant means any child birthed by a student or covered dependent. The right to continue such coverage for the newborn infant beyond the first 48 or 96 hours is determined by the Eligible ...
Objective To estimate the incidence of incisional hernias requiring surgical repair after cesarean delivery over a 10-year period. Methods This population- and register-based cohort study identified all women in Denmark with no history of previous abdominal surgery who had a cesarean delivery between 1991 and 2000. The cohort was followed from their first until 10 years after their last cesarean delivery within the inclusion period or until the first of the following events: hernia repair, death, emigration, abdominal surgery, or cesarean delivery after the inclusion period. For women who had a hernia repair, hospital records regarding the surgery and previous cesarean deliveries were tracked and manually analyzed to validate the relationship between hernia repair and cesarean delivery. Data were analyzed with a competing risk analysis that included each cesarean delivery. Results We identified 57,564 women who had had 68,271 cesarean deliveries during the inclusion period. During follow-up, 134 of
Cesarean section (CS) rate has risen dramatically and stayed at a very high level in China over the past two to three decades. Given the short- and long-term adverse effects of CS, effective strategies are needed to reduce unnecessary CS. We aimed to evaluate whether a multifaceted intervention would decrease the CS rate in China. We carried out a cluster-randomized field trial with a multifaceted intervention in Shanghai, China, from 2015 to 2017. A total of 20 hospitals were randomly allocated into an intervention or a control group. The intervention consisted of more targeted health education to pregnant women, improved hospital CS policy, and training of midwives/doulas for 8 months. The study included a baseline survey, the intervention, and an evaluation survey. The primary outcome was the changes of overall CS rate from the pre-intervention to the post-intervention period. A subgroup analysis stratified by the Robson classification was also conducted to examine the CS change among women with
Cesarean section (CS) rate has risen dramatically and stayed at a very high level in China over the past two to three decades. Given the short- and long-term adverse effects of CS, effective strategies are needed to reduce unnecessary CS. We aimed to evaluate whether a multifaceted intervention would decrease the CS rate in China. We carried out a cluster-randomized field trial with a multifaceted intervention in Shanghai, China, from 2015 to 2017. A total of 20 hospitals were randomly allocated into an intervention or a control group. The intervention consisted of more targeted health education to pregnant women, improved hospital CS policy, and training of midwives/doulas for 8 months. The study included a baseline survey, the intervention, and an evaluation survey. The primary outcome was the changes of overall CS rate from the pre-intervention to the post-intervention period. A subgroup analysis stratified by the Robson classification was also conducted to examine the CS change among women with
TY - JOUR. T1 - Practices to Reduce Surgical Site Infections among Women Undergoing Cesarean Section. T2 - A Review. AU - McKibben, Rebeccah A.. AU - Pitts, Samantha I.. AU - Suarez-Cuervo, Catalina. AU - Perl, Trish M.. AU - Bass, Eric B.. PY - 2015/1/1. Y1 - 2015/1/1. N2 - OBJECTIVE Surgical site infections (SSIs) are a leading cause of morbidity and mortality among women undergoing cesarean section (C-section), a common procedure in North America. While risk factors for SSI are often modifiable, wide variation in clinical practice exists. With this review, we provide a comprehensive overview of the results and quality of systematic reviews and meta-analyses on interventions to reduce surgical site infections among women undergoing C-section. METHODS We searched PubMed and the Cochrane Database of Systematic Reviews for systematic reviews and meta-analyses published between January 2000 and May 2014 on interventions to reduce the occurrence of SSIs (incisional infections and endometritis), ...
Background-This study was designed to evaluate effect of adding 25 μg of fentanyl to 0.5% intrathecal bupivacaine for elective caesarean section. Methods- The study was conducted on 40 ASA I & II women posted for elective caesarean section. Patients were randomized into two groups and lumbar subarachnoid block performed with bupivacaine and fentanyl, or bupivacaine alone. The time of onset , upper level of block, duration of sensory and motor block, systolic blood pressure, heart rate and respiratory rate were recorded and analysed. Results- It was observed that fall in blood pressure and sedation showed significant differences between the groups. None of the other variables differed. Conclusion- Addition of fentanyl to bupivacaine resulted in faster onset of action and effective spinal anaesthesia with a lower dose of bupivacaine. The duration of block was similar in both groups. The most striking feature was the greater hemodynamic stability with the addition of fentanyl.. ...
Some women who have delivered previous babies by c-section would like to have their next baby vaginally. This is called vaginal delivery after c-section or VBAC. Women have various reasons for wanting a vaginal delivery after c-section. Some want to avoid the risks and long recovery of surgery while others want to experience a vaginal delivery.. Studies show that vaginal delivery after c-sections are more risky for the woman and baby than a repeat c-section. The most serious danger of vaginal delivery after c-sections is the chance that the c-section scar on the uterus will open up during labor and delivery, or uterine rupture. While very rare, uterine rupture is very dangerous for the mother and baby. Uterine rupture can lead to life-threatening bleeding for the mother and brain damage or even death for the baby.. The biggest and best study on vaginal delivery after c-section was published in the New England Journal of Medicine in 2004. The researchers studied more than 30,000 women who had had ...
-How to Help Yourself or Your Friends/Family to Avoid an Unnecessary C-section The United States cesarean section rate, which skyrocketed during the 1980s, has plateaued and begun a very slow reversal of this earlier dangerous trend. It appears that increased use of vaginal birth after cesarean section (VBAC) has been a major factor in bringing…
Background The increase prices of cesarean section (CS) occurred at the same period as the dramatic increase of child years overweight/obesity. we divided cesarean delivery into elective or non-elective. The mode of delivery and additional parental information were self-reported by parents. Multivariate logistic regression analysis was used to examine the associations. Results In our cross-sectional study of 8900 preschool children aged 3C6 years, 67.3?% were given birth to via CS, of whom 15.7?% were obese. Cesarean delivery was significantly associated with the risk of obese [OR 1.24; (95?% CI 1.07C1.44); test for continuous characteristics in relation to delivery mode. Categorical variables were presented as rate of recurrence with percentage while continuous variables were Telmisartan indicated as the mean??standard deviation. In our analysis, we 1st dichotomized delivery mode as cesarean section and vaginal delivery. Multinomial logistic regression was used to assess the associations of CS ...
Comment on Increased caesarean section rate over time (1994-2006) is not associated with improved outcomes in very low birth weight infants ...
TY - JOUR. T1 - An international survey of practice variation in the use of antibiotic prophylaxis in cesarean section. AU - Huskins, W. C.. AU - Ba-Thike, K.. AU - Festin, M. R.. AU - Limpongsanurak, S.. AU - Lumbiganon, P.. AU - Peedicayil, A.. AU - Purwar, M.. AU - Shenoy, S.. AU - Goldmann, D. A.. AU - Tolosa, Jorge. PY - 2001. Y1 - 2001. N2 - Objective: To examine the use of antibiotic prophylaxis in cesarean section in different countries and in relation to a reference regimen. Method: Fifty consecutive cesarean sections performed in eight centers in five countries were surveyed. Data from each center were compared to a regimen recommended by the Cochrane Collaboration (one dose of ampicillin or cefazolin administered to all women shortly before the procedure or immediately after cord clamping) using logistic regression with adjustment for procedure type. Result: Prophylaxis was used widely, but only four centers administered prophylaxis to all women. Ampicillin and cefazolin were the ...
Last year, when Weldon began as chair of the obstetrician/gynecology department at PeaceHealth Southwest Medical Center - a role that rotates among physicians - she worked to promote quick skin-to-skin contact following C-section deliveries.. Once delivered, babies remain attached to the umbilical cord for one minute to allow more blood to get to the baby, then the surgeon dries the baby so a receiving nurse can put the infant on a mothers chest after the cord is cut, Weldon explained. The mother can hold her child as her incision is closed.. At PeaceHealth Southwest, representatives from labor and delivery nursing, neonatal nursing, anesthesia, midwifery and obstetrics/gynecology met to determine the changes theyd need to make in order to facilitate skin-to-skin contact following C-section births. They worked out how to move the baby without compromising the sterile surgical field and how to position monitors to ensure there was room between a womans head and chest for the baby to ...
Research in the latest edition of the European Journal of Anaesthesiology (the official journal of the European Society of Anaesthesiology) reports the potential dangers of allowing skin-to-skin contact for mother and baby in the operating room, following a cesarean section birth.
Thank you for visiting our blog. In the future we continue to seek better in presenting good information. Dont forget to share the article Nursing Care Plan for Cesarean Section (C-section) this in social media.. advertise. Frequently searched keywords:. Nanda Nursing Diagnosis, nanda nursing diagnosis pdf, nanda nursing diagnosis for renal failure, nanda nursing diagnosis for diabetes mellitus, nanda nursing diagnosis for respiratory problems, nanda nursing diagnosis book+free download, nanda nursing diagnosis for respiratory failure, nanda nursing diagnosis list 2015 pdf, nanda nursing diagnosis for atrial septal defect, nanda nursing diagnosis 2015, nanda nursing diagnosis 2015 pdf, nanda nursing diagnosis 2015 to 2017, nanda nursing diagnosis free download, nanda nursing diagnosis list 2015 free download, nanda nursing diagnosis impaired gas exchange, nanda nursing diagnosis ppt, nanda nursing diagnosis classification, nanda nursing diagnosis care plans examples, nanda nursing diagnosis for ...
During my moms pregnancy with me, she was diagnosed with placenta previa, a condition in which the placenta lies very low in the uterus and covers all or part of the cervix. The cervix is the opening to the uterus that sits on the top of the vagina. If you have placenta previa, when your labor starts, your cervix begins to thin out and dilate (open up), and the blood vessels connecting the placenta to your uterus may tear. This can cause severe bleeding.. My mom remembers the day I was born, like it was yesterday. She remembers my Aunt running down the hall to get towels for her while she stood in the bathroom bleeding during her third trimester. She was rushed to the hospital and had an emergency Cesarean section (C-section) performed. My mom says she can still remember what the pressure felt like on her lower abdomen during the procedure.. We dont know what causes placenta previa, which happens in about 1 in 200 pregnancies. If you have placenta previa early in pregnancy, it usually isnt a ...
The patient was taken for an emergency CS in view of twin pregnancy with first twin in breech presentation and leaking PV. The option of myomectomy at CS had been previously discussed in the antenatal period and in fact the patient had requested the same; she was counseled again when she presented with leaking PV and her consent was obtained preoperatively. Two units of blood were cross matched and kept ready. During the cesarean section, a subserous penduculated fibroid of size 10 x 12 cm was noticed on the right anterior fundal wall of the uterus. Lower segment cesarean section was performed, both live male neonates with a weight of 1.95 kg and 2.4 kg were delivered. Both neonates had an Apgar score of 8 and 10 at 1 and 5 minutes respectively. Placenta with membranes was also delivered completely. After closing the lower segment, a decision was taken to perform myomectomy. The fibroid was removed using electrocautery and the pedicle was clamped and sutured without difficulty in 2 layers using ...
A 37-year-old woman (gravida 2, para 1, abortus 0), following an uncomplicated pregnancy except for a history of insulin-dependent gestational diabetes with good glycaemic control and a local Varicella-Zoster infection which treated successfully, underwent elective caesarean section under spinal anaesthesia with bupivacaine hydrochloride (10mg). Surgery was uneventful and two healthy twin-girls were delivered. Corticosteroids were at no point given. Antibiotics were given intraoperatively. Four days after the caesarean section the patient experienced a sudden decrease of visual acuity combined with a central scotoma and metamorphopsia in her right eye. At presentation, best-corrected visual acuity of the right eye was 8/20 with metamorphopsia, a central scotoma in Amslers grid and blurred vision. Funduscopy of the right eye revealed a serous elevation of the macula (Figure 1). Fluorescein angiography (FA) disclosed three expanding points of fluorescein leakage at the foveolar avascular zone. ...
placenta accreta, accreta, high cesarean rate, cesareans, cesarean section, c-section, VBAC, VBAC ban, complications of cesareans, birth politics, percreta, increta, placentation
Eisenmenger syndrome belongs to the 0.4-4.1% (incidence) rarely encountered congenital cardiac lesions in pregnancy. Management of a pregnant patient with Eisenmenger syndrome is a challenging task for the anesthesiologist. Here, we report the successful outcome with the use of low-dose sequential combined spinal-epidural (CSE) anesthesia in a patient with Eisenmenger syndrome posted for cesarean section. Low-dose sequential CSE anesthesia was adequate for the performance of cesarean section with minimal hemodynamic changes and good fetal outcome. Low-dose sequential CSE can be a safe alternative to achieve good anesthesia with hemodynamic stability in such case.
Labor and delivery can quickly transform from what should be one of the happiest moments of your life into a life-threatening emergency for both mother and baby. However, when Labor and Delivery Nurses or Obstetricians do not follow the standard of care in an emergency situation, their negligence can cause devastating injuries, or even death, to both the mother and baby. Some of the more common delivery room errors include: Delayed Cesarean Section Delivery: Delay in performing a C-Section is, by far, the leading cause of malpractice-related birth injuries because negligent delay in performing an emergency C-Section is known to.... read more ...
Louise Kenny and colleagues conduct a population-based cohort study in Denmark to assess the likelihood of stillbirth, miscarriage, and ectopic pregnancy following cesarean section compared to women who gave birth by vaginal delivery. Please see later in the article for the Editors Summary
What is a vaginal birth after cesarean delivery (VBAC)? If you have had a previous cesarean delivery, you have two choices about how to give birth again: 1. You can have a scheduled cesarean delivery. 2. You can give birth vaginally. This is called a VBAC. What is a vaginal birth after cesarean delivery (VBAC)? If you have had a previous cesarean delivery, you have two choices about how to give birth again: You can have a scheduled cesarean delivery; You can give birth vaginally. This is called a vaginal birth after cesarean delivery (VBAC). ...
This is the first study of its kind to show that one vaginal delivery influences the long-term risk of developimg urinary incontinence, prolapse and faecal incontinence compared to one caesarean section. The results of this study provide important new information for women who are concerned that a vaginal delivery will lead to long-term pelvic floor damage.. However it is important to note that when choosing the most suitable form of delivery it is necessary to consider numerous medical issues that can potentially influence the health of the mother and child.. The thesis Long-term consequences of vaginal delivery on the pelvic floor. A comparison with caesarean section in one-para women was defended by Maira Gyhagen on January 25, 2013.. Link to thesis: https://gupea.ub.gu.se/handle/2077/31701. For more information please contact: ...
The aim of the study was to assess the value of the todays appropriate approach, preterm delivery in the 34th week of gestation by Caesarean section and subsequent surgical intervention at the perinatal center, in daily practice of pediatric surgery with regard to early postoperative and mid-term outcome. Material and methods. Over the time period of 9 years, all consecutive cases diagnosed with gastroschisis at the perinatal center, University Hospital of Magdeburg, were born by Caesarean section within the 34th week of gestation followed by surgical intervention. The registered data were compared with those published by other groups. Results. Overall, there were 19 cases through the investigation period from 01/01/2006 to 12/31/2014. The mean duration of gestation was 237.9 days. The mean birth weight was 2,276 g. In all individuals, a primary closure with no artificial material was achieved. The duration of postoperative artificial respiration was 2.3 days. Oral uptake could be initiated on ...
One of the areas of medicine where this process of informed consent has historically been lacking is in obstetrics. In the past, women have often been told that they are not allowed to choose caesarean section unless it was, in the doctors opinion, medically necessary. This practice, however, is slowly changing. In July 2018, the Society of Gynecologists and Obstetricians of Canada (SOGC), the professional body that sets guidelines for practicing obstetricians, published a Committee Opinion making it clear that informed consent must be obtained for childbirth as well.. The first step required of the medical team (doctors, nurses, midwives) is to have a clear understanding of the risks and benefits of both planned caesarean section (for non-medical reasons) and of attempted vaginal delivery. The discussion of risks should include both common risks (like pain after delivery) and rarer, long term consequences (brain damage, death, complications in future pregnancies, etc.).. There are currently no ...
Published in J Clin Anesth. 2014 May;26(3):235-7. Authors: Samanta S et al. Abstract. Valvular heart disease in a parturient presenting for Cesarean section is challenging. A 25 year old primigravida parturient with severe mitral stenosis, mild mitral regurgitation, mild aortic regurgitation, and mild pulmonary arterial hypertension required Cesarean delivery after developing pulmonary edema.. Low-dose spinal with hyperbaric bupivacine 0.5% 1.8 mL plus 25 μg of fentanyl was used for anesthesia.. Chest ultrasonography (US) and transthoracic echocardiography (TTE) were used for monitoring purposes.. Spinal-induced preload reduction improved the pulmonary edema, as evidenced by chest US. Chest US and TTE helped in fluid management.. ...
Within the past month, I have heard more than a handful of stories where planned vaginal births ended up in emergency cesareans, and mom was given a diagnosis of either FTP or CPD. More horrifying, I keep hearing of *ELECTIVE* cesarean surgery, to avoid the pain or possible injury of a vaginal birth, because a woman is led to believe that a VBAC is just too risky, or because she cannot find a care provider to support her in one. I continue to be utterly baffled by the mentality in our society, surrounding cesarean sections, ie, major abdominal surgery. The risks are pasted all over the internet, warning women about choosing such a dangerous mode of delivery, and yet...we have the highest cesarean rate that weve ever had as a country. Theres absolutely no excuse for a 31.1% ( and that was 2006, we dont know 2007s rates yet! ) cesarean rate. The WHO has recommended a national cesarean rate of NO MORE than 10-15%, which means that roughly 1/2-2/3 of *all* cesareans done are unnecessary ...
Methods This cohort study was performed on all the healthy mothers with a term pregnancy who underwent caesarean section in the obstetrics emergency department of an educational hospital affiliated with Tehran University of Medical Sciences from December 2013 to December 2014. We divided this 12-month period into two consecutive 6 months. Povidone-iodine 10% (PVP-I) and chlorhexidine gluconate 4% (CHX) were used in the first and second 6 months, respectively, for skin preparation before caesarean section and also for umbilical cord disinfection. Cord blood thyroid stimulating hormone (TSH) and thyroxine (T4) were assayed by the ELISA method. ...
While Barry applied Western surgical techniques, nineteenth-century travelers in Africa reported instances of indigenous people successfully carrying out the procedure with their own medical practices. In 1879, for example, one British traveller, R.W. Felkin, witnessed cesarean section performed by Ugandans. The healer used banana wine to semi-intoxicate the woman and to cleanse his hands and her abdomen prior to surgery. He used a midline incision and applied cautery to minimize hemorrhaging. He massaged the uterus to make it contract but did not suture it; the abdominal wound was pinned with iron needles and dressed with a paste prepared from roots. The patient recovered well, and Felkin concluded that this technique was well-developed and had clearly been employed for a long time. Similar reports come from Rwanda, where botanical preparations were also used to anesthetize the patient and promote wound healing. In Western society women for the most part were barred from carrying out cesarean sections
Now Im 26 weeks with Baby #2. The hernia isnt bothering me, but it is very noticeable. I am scheduled for a second c-section due to the hernia (dont give me any grief!). My OBGYN consulted with the surgeon and they feel it should not be repaired during the c-section, but 6 weeks after. My uterus needs to shrink first ...
Hi mummies, just after some advice from mums who have had a high number C-section (more then 3) and had their tubes tied at the same time? We are hoping for a 4th bub and thinking of trying soon, it would be my 4th C-section and Im - page 3
... , also known as C-section or caesarean delivery, is the surgical procedure by which one or more babies are ... In Brazil and Iran the caesarean section rate is greater than 40%. Brazil has one of the highest caesarean section rates in the ... "Cesarean Section". "Caesarean". "Definition of CESAREAN". Hugill, K; Kemp, I; Kingdon, C (April 2015). "Fathers' presence at ... Mothers who have previously had a caesarean section are more likely to have a caesarean section for future pregnancies than ...
A self-performed caesarean section is a form of self-surgery where a woman attempts to perform a caesarean section on herself. ... Cases of self-inflicted caesarean section have been reported since the 18th and 19th century. While mostly deadly to either the ... In the science fiction film Prometheus, by Ridley Scott, the character Elizabeth Shaw gives herself a caesarean section. The ... Molina-Sosa, A; Galvan-Espinosa, H; Gabriel-Guzman, J; Valle, RF (2004). "Self-inflicted cesarean section with maternal and ...
A lower (uterine) segment Caesarean section (LSCS) is the most commonly used type of Caesarean section. Most commonly to ... 2008 Lower segment Caesarean section Primary Surgery: Volume One: Non-trauma. Prev. Chapter 10. The surgery of labour "Cesarean ... Lower segment Caesarean section Primary Surgery: Volume One: Non-trauma. Prev. Chapter 10. The surgery of labour (CS1 errors: ... This type of incision results in less blood loss and is easier to repair than other types of Caesarean sections. A vertical ...
"Rates for Total Cesarean Section, Primary Cesarean Section and Vaginal Birth After Cesarean Section (VBAC), United States, 1989 ... "Once a caesarean, always a caesarean." Overall, cesarean sections became so commonplace that the caesarean delivery rate ... Elective repeat caesarean section (ERCS) Both have higher risks than a vaginal birth with no previous caesarean section. There ... caesarean section should give birth by elective repeat caesarean section (ERCS). Unknown previous uterine incision Previous ...
During a caesarean section, a hysterotomy is utilized to make an incision in the uterus and remove the fetus. Gestational age, ... Caesarean sections require a large incision of the uterus, which can lead to complications such as blood loss, postoperative ... A hysterotomy is used to remove a fetus from the uterus, similar to a procedure known as caesarean section, in order to ... Although fetal delivery through caesarean section is a very common surgery done in the world, it comes with several risks ...
"Why Is It Called A 'Cesarean Section' Anyway?". HuffPost. 2018-04-05. Retrieved 2019-11-23. Depierri, Kate P. "One Way of ... "cesarean section , Description, History, & Risks". Encyclopedia Britannica. Retrieved 2019-11-23. Boss, Jeffrey. "Caesarian ... In early Christian Rome, C-sections were almost non-existent. Loss of skill is a possibility for the lack of C-sections. Infant ... Thus, C-sections could have potentially occurred on a fairly regular basis, and accounts were simply not recorded. Mortality ...
Clemetson CA, Hassan R, Mallikarjuneswara VR, Wallace G (August 1973). "Tilt-bend cesarean section". Obstetrics and Gynecology ... "Tilt caesarean section". The Journal of Obstetrics and Gynaecology of the British Commonwealth. 77 (8): 713-21. doi:10.1111/j. ... he showed an improved oxygen saturation in the umbilical cord of blood of babies delivered by Caesarean Section under spinal ... Articles with sections that need to be turned into prose from March 2021, Articles with a promotional tone from March 2021, All ...
Cesarean section is also commonly considered when the pregnancy fails to progress. With a cesarean section, there is a higher ... It is considered the preferred method of delivery, with lower morbidity and mortality than Caesarean sections (C-sections). 70 ... Cesarean section is indicated. Post-partum hemorrhage is defined by the loss of at least 1,000 mL of blood accompanied with ... "Caesarean section rates continue to rise, amid growing inequalities in access: WHO". www.who.int. Retrieved 2021-08-30. Desai ...
"Cesarean Section Under Difficulties", which documented a caesarean section he performed in a remote ranch-house lit by an oil ... Harrison, Tillson (1912). "Cesarean Section Under Difficulties". Journal of the American Medical Association. 59 (1): 37. doi: ...
"Healthcare Bluebook: Cesarean Section". CAREOperative. Archived from the original on 2014-03-20. Retrieved February 11, 2014. ... The cost of a cesarean section, the recommended mode of delivery for brain dead pregnant women, is roughly $4,500 for ... a viable child was delivered via cesarean section after extended somatic support. However, according to Esmaelilzadeh, et al. ... child delivered from a somatically supported brain dead mother focused on the case of a child delivered via cesarean section in ...
... and lowest total cesarean section rate, by the American College of Nurse Midwives. On April 9, 2014, a Eurocopter AS350B3E ( ... lowest primary cesarean section rate; highest rate of 6 week post partum visit attendance; highest breast-feeding continuation ...
Bracha J.; Lotan M.; Zakut H. (1988). "Ovarian abscess following cesarean section. A case report and review of the literature ...
Cesarean sections are not recommended. Breastfeeding is considered safe if the nipples are not damaged. Infection around the ...
For example, a large baby or a small pelvis often lead to death unless a caesarean section is performed. It is also used by ... ISBN 0-8036-1207-9. "Encyclopedia of Medicine: Cesarean Section". eNotes. Archived from the original on 2006-11-28. Retrieved ...
Yutzy SH, Wolfson JK, Resnick PJ (1993). "Child stealing by cesarean section: a psychiatric case report and review of the child ... Burgess AW, Baker T, Nahirny C, Rabun JB (2002). "Newborn kidnapping by cesarean section". J Forensic Sci. 47 (4): 827-30. doi: ... The definition of the subject does not include compulsory cesarean sections for medical reasons nor child removal from parents ... Dalley, Marlene (2005). "Abductions from the womb : Caesarean section murder a new category of homicide" (PDF). Royal Canadian ...
II: Studies at cesarean section". Anesthesiology. 54 (6): 474-80. doi:10.1097/00000542-198106000-00006. PMID 7235275. World ... caesarean section) rapidly makes her unconscious, but the baby in her uterus remains conscious. However, larger or repeated ... Awareness and Newborns During Caesarean Section Under General Anaesthesia". Turkish Journal of Anaesthesiology and Reanimation ...
Caesarean Section. 1925. The History of British Midwifery from 1650 to 1800. Bale & Danielsson, London, 1927. (Fitzpatrick ... In 1905, he was president of the Obstetric and Gynaecology section of the British Medical Association (BMA). Two years later, ... He was active amongst various medical societies and was president of the Obstetric and Gynaecology section of the British ... when Spencer became the president of the Obstetrics and Gynaecology section at the RSM. In 1923, he presided over the Medical ...
... by which vesicouterine fistulas occur following caesarean sections include undetected bladder injury during caesarean section, ... It occurs following lower segment caesarean section and the incidence is increasing due to the increasing incidence of ... Kurt, Sefa; Obuz, Funda (2016-10-10). "A Case of Type 2 Youssef's Syndrome following Caesarean Section for Placenta Previa ... Vesicouterine fistulas occur most commonly after lower segment caesarean sections (about 83-93% of cases). The possible ...
A fear of cesarean section in Benin may be the cause of rumor, but it may also be justified based on the outcomes. One in 20 ... Cesarean section has been described in Benin as an act against nature, and women cite that their mothers and grandmothers were ... Approximately 4% deliver by cesarean section. Birth position is greatly influenced by place of birth in Benin. A Bariba woman ... As of April 2009, the government of Benin made cesarean sections free to those needing emergent operative delivery in 43 ...
ISBN 978-0-85255-431-9. Cesarean Section - A Brief History(2008). National Library of Medicine, part 2 Butler, J.A.; Slate, A.J ... One observer noted a "surgical skill which had reached a high standard". Caesarean sections and other abdominal and thoracic ...
Cesarean Section - A Brief History(2008). National Library of Medicine, part 2 "Bunyoro-Kitara Kingdom - Bunyoro-Kitara Kingdom ...
Cesarean section may result in less painful sex during the first 3 months, or there may be no difference, and there is no ... Barrett, G; Peacock J; Victor CR; Manyonda I (2005). "Cesarean section and postnatal sexual health". Birth. Wiley Periodicals, ... difference in sexual function or symptoms by six months, although women who delivered by cesarean report greater sexual ...
... and obstructed labor at full cervical dilation when there is no option of a caesarean section. In some Irish cases, caesarean ... She thought she was being brought to theatre for a caesarean section. No one told her the plan was to do the 'new procedure,' a ... Since this procedure does not scar the uterus, the concern of future uterine rupture that exists with cesarean section is not a ... Symphysiotomy in combination with vacuum extraction can be a life-saving procedure in areas of the world where caesarean section ...
Perform Caesarean section. Construct Prosthetic limbs. Perform Plastic surgery, though reconstructive nasal surgery is ... The dates listed in this section refer to the earliest evidence of an invention found and dated by archaeologists (or in a few ...
A resuscitative hysterotomy, also referred to as a perimortem Caesarean section (PMCS) or perimortem Caesarean delivery (PMCD ... Potential structures that may be damaged during the procedure are as for Caesarean section, including the fetus itself and the ... Combined with a laparotomy, the procedure results in a Caesarean section that removes the fetus, thereby abolishing the ... Parry R, Asmussen T, Smith JE (March 2015). "Perimortem caesarean section". Emergency Medicine Journal. BMJ Group (published 24 ...
Court-Ordered Cesarean Section, "poor, minority women are affected most often by court-ordered c-section [...] which include: ... For example, a cesarean section could save the baby and mother's life, but the mother wants a natural birth that will kill both ... In another example, a woman can receive a court-ordered cesarean section to save a fetus, but this is usually viewed as ... Even in the case where court-ordered cesarean sections seem necessary, most physicians and law-makers avoid it altogether as ...
Abi's baby is delivered via cesarean section. Max is hopeful that Abi will recover and does not tell Lauren the truth, but she ...
Abi's baby is delivered via cesarean section. Max is hopeful that Abi will recover and does not tell Lauren the truth, but she ...
Rural hospitals also have higher rates of Cesarean sections, which can increase the risk of complications for the person giving ... Greene, Sandra B.; Holmes, George M.; Slifkin, Rebecca; Freeman, Victoria; Howard, Hilda Ann (November 2004). "Cesarean Section ... The Healthy People 2010 goal was to reduce the c-section rate to 15% for low-risk first-time mothers, but that goal was not met ... This would ultimately reduce the amount of maternal injury, c-sections, and mortality. The UK has had success drastically ...
The child was born via cesarean section. In April 2014, a team of scientists led by Anthony Atala reported that they had ...
"Rates for total cesarean section, primary cesarean section, and vaginal birth after cesarean (VBAC), United States, 1989-2010 ... A Caesarean section, also called a C section, can be the safest option for delivery in some pregnancies. During a C section, ... A vaginal delivery is recommended over a cesarean section due to increased risk for complications of a cesarean section and ... There are many conflicting stories of the first successful cesarean section (or C-section) in which both mother and baby ...
It is discovered that the mother has an inverted uterus, and requires an emergency caesarean section. The second baby requires ...
... were born six weeks prematurely by caesarean section on 15 August 1953 at Queen Charlotte's and Chelsea Hospital in Hammersmith ... But the silly bastards - instead of telling everyone we were 25 miles east when they finished the section, they told them we ... in August 2004 and was charged with contravening two sections of South Africa's Foreign Military Assistance Act, which bans ...
... to retire from wrestling for them to get pregnant and has not yet returned to the ring after giving birth though a Caesarean section ...
... injury to the cervix or bladder bleeding Cervical Dystocia with failure to dilate requiring Cesarean Section displacement of ... A c-section is required for women giving birth with a TAC.[citation needed] A transabdominal cerclage can also be placed pre- ... Shirodkar procedure sometimes involves a permanent stitch around the cervix which will not be removed and therefore a Caesarean section ...
The first child of the then Duke and Duchess of Brabant, Elisabeth was delivered by Caesarean section at 21:58 CET on 25 ...
If everything is stable, vaginal delivery may be tried, otherwise cesarean section is recommended. In those less than 36 weeks ... and previous cesarean section. Diagnosis is based on symptoms and supported by ultrasound. It is classified as a complication ... History of placental abruption or previous Caesarian section increases the risk by a factor of 2.3. In the vast majority of ...
Birnbach D J, Bourlier R A, Choi R, Thys D M (1995) Anaesthetic management of Caesarean section in a patient with recurrent ... such as Caesarean section) or bromocriptine as an alternative to, or in addition to, the postpartum trigger. With modern ...
These include stillbirth, miscarriage, and complications leading to delivery via caesarean section. Fetal complications for ... and cesarean section regardless of conception method. Elite egg donor agencies that advertise in places such as Ivy League ...
Adam was born on August 29, 2000 by Caesarean section. In October 2000, the blood from Adam's umbilical cord was transplanted ...
... and as an argument in favor of caesarean section. In 1880, German physician Friedrich Küchenmeister reviewed 47 cases of ...
Tysiąc delivered through cesarean section. Subsequently, Ms. Tysiąc sought further medical advice. A general practitioner (GP) ... Tysiąc's health as there was a risk of rupture of the uterus, given her two previous deliveries by caesarean section. She ... He was of the view that, in these circumstances, the applicant should give birth by caesarean section. As a result, Ms. ... They stated that she could have had a safe delivery by caesarean section. The prosecutor further requested the preparation of ...
They were both born on 12 December 1999 via Caesarean section because of Elizabeth's heart condition. Freddie had to stay in a ... who was delivered by emergency caesarean section the day after New Years Day 2011, Helen having been diagnosed with pre- ...
In women who have had a previous cesarean section, the American College of Obstetricians and Gynecologists issued a bulletin ... could be absorbed through the cervix and vaginal vault up into the low transverse scar of a typical cesarean section, and ... Results from 2021 systematic reviews of the literature found no differences in cesarean delivery, neonatal, nor maternal ... 342: induction of labor for vaginal birth after cesarean delivery". Obstet Gynecol. 108 (2): 465-8. doi:10.1097/00006250- ...
... and reduces the need for analgesics and surgical interventions such as operative vaginal delivery or cesarean sections. The ...
The Simurgh appeared and instructed him upon how to perform a caesarean section (rostamzad), thus saving Rudabeh and the child ... The word Rudābeh consists of two sections. "Rud" and "āb", "Rud" means child and "āb" means shining, therefore means shining ...
One of the most vivid images shows Ceriani looking exhausted in a kitchen, having performed a Caesarean section during which ...
Introduction of the transverse incision technique to minimize bleeding by modern Caesarean section Donald J. Kessler: ... The unit for the two-photon absorption cross section is named the Goeppert-Mayer (GM) unit. Konrad Grebe: Coal-machine ( ...
Cervical cancer may require birth by Caesarean section. Radiation to the breast reduces the ability of that breast to produce ...
... by emergency caesarean section, five and a half weeks early, at the Otis Air Force Base Hospital in Bourne, Massachusetts. He ...
"Dissecting the current caesarean section rate in Shanghai, China". Scientific Reports. 9 (1): 2080. doi:10.1038/s41598-019- ...
She has an emergency caesarean section and their son Billy is born, leaving them both on the critical list. Todd shows little ...
... who suffered from an obstructed labour and was transferred to a bush hospital where the medic had never performed a caesarean section ...
Olenski delivers her daughter by caesarean section. During Rosetta Cammeniti (Natalie Saleeba) and Frazer Yeats's (Ben Lawson) ...
... cesarean section, medical ethics, medical biographies, and a catalogue of the Arabic medical manuscripts he had collected. He ...
... with operating suites for Cesarean or high risk births, and a Special Care (Level II) Nursery. There are also services for ... Located in the eastern section of Westmoreland County, Latrobe Hospital offers acute, surgical and specialized services. A 196- ...
The couple had two children (both born by Caesarean section at Margaret's request): David, born 3 November 1961, and Sarah, ...
... and cesarean section varies between private and public hospitals. A study of women in Delhi found that the cesarean rate in ... The cesarean section rate in India was 8.2 percent in 2008, which is below the WHO's recommended 10-15 percent. However, this ... Only 8 percent of births resulted in a cesarean section. 48 percent of women went to their postnatal visits 2 days after their ... After the placenta is delivered, the cord is cut and an herbal oil, face powder, or ash mixture is rubbed on the cut section. ...
C-section), surgery to deliver a baby through the mothers abdomen. It is done when a vaginal birth is not safe. ... Cesarean Sections (C-Sections) (Nemours Foundation) Also in Spanish * Delivery by Cesarean Section (American Academy of ... What is a cesarean delivery?. A cesarean delivery, also called a cesarean section or c-section, is surgery to deliver a baby. ... Breastfeeding after Cesarean Delivery (American Academy of Pediatrics) Also in Spanish * Repeat C-Sections: Is There a Limit? ( ...
Variation in repeat caesarean section complication rates among 3 hospitals in northern Jordan  ... We investigated the complication rates of repeat caesarean deliveries in 3 hospitals [‎national health, military, university]‎ ...
Variation in repeat caesarean section complication rates among 3 hospitals in northern Jordan  ... We investigated the complication rates of repeat caesarean deliveries in 3 hospitals [‎national health, military, university]‎ ...
That women are seeking elective cesarean deliveries may be indicative of failures of modern medicine. ... Cite this: Elective Cesarean Section: An Acceptable Alternative to Vaginal Delivery? - Medscape - Sep 01, 2002. ... But cesarean delivery is very different. The benefits of elective cesarean delivery relative to vaginal delivery are not ... One of the most significant risks of cesarean delivery is the need for a subsequent cesarean delivery. We can safely assume ...
Frequency of Cesarean Sections (PDF, 783 KB). Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #281: ... Internet Citation: Frequency of Cesarean Sections. Content last reviewed November 2021. Agency for Healthcare Research and ...
Maternal and neonatal effects of caesarean section BMJ 2007; :bmj;bmj.39372.587650.80v1 doi:10.1136/bmj.39372.587650.80 ... Maternal and neonatal effects of caesarean section. BMJ 2007; doi: https://doi.org/10.1136/bmj.39372.587650.80 (Published 31 ...
Cesarean section was required for fetal distress and alive 2300 g weighted male infant with Ap- gar score of 6 at one minute, ... As uterine incision could not be closed because of the myoma, myomectomy was performed dur- ing cesarean section unavoidably. A ... But, myomectomy has been reported during cesarean section in recent studies. We presented a patient with large in- tramural ... Although there are case series that have demonstrated the safety of myomectomy during cesarean section, we con-cluded that ...
Cesarean section on maternal request (CSMR) could represent an avoidable quota of cesareans. View cesarean section completed. ... Cons of Cesarean Births 1. The mortality rate of a mother is higher in the case of a c-section. Cesarean section is a surgical ... Disadvantages of C-Section for the Baby. What Is A C-Section Birth? The Misgav Ladach technique for caesarean section was first ... 2. Cesarean Section. Their Apgar scores at birth are lower. A C-section. The C-section delivery is highly convenient for the ...
Background: Caesarean section (CS) is a life-saving operation when vaginal delivery is risky to the mother or baby. However, if ... Caesarean section (CS) is a major surgical operation aimed at saving the lives of mothers and their children under conditions ... Eastern Mediterranean Health Journal , All issues , Volume 28 2022 , Volume 28 issue 5 , Rising trends in Caesarean section in ... Keywords: caesarean section, Egypt, epidemiology, risk factors, sociodemographic factors. Citation: Wahdan M; Hakim S; El ...
Intravenous Ketamine and Postoperative Pain Following Cesarean Section.. The safety and scientific validity of this study is ... Intravenous Ketamine and Postoperative Pain Following Cesarean Section. Official Title ICMJE Effect of Single Intravenous ... A randomized study of the effects of preoperative ketorolac on general anaesthesia for caesarean section. Int J Obstet Anesth. ... Eligible women ASA class 1 and 2, are at term (≥37 week gestation), Scheduled for elective cesarean section whose anesthetic ...
The study found the highest rates of C-sections in Florida, New Jersey and Texas, and the lowest in Utah, Wisconsin and ... A C?section (caesarean section) is necessary to remove the baby from the uterus when a vaginal delivery could risk the health ... Rates of Caesarean section deliveries in the United States climbed to 34 percent in 2009, hitting an all time high, a new study ... Caesarean Section Rates Hit All-Time High, Study Shows. By Jennifer Welsh ...
... health care systems and professionals in the views on vaginal birth after previous caesarean section (VBAC), according to a ... Globally there is huge variation in the rate of caesarean section (CS), from a small percentage to more than half of the births ... Study: Cultural views vary on vaginal birth after previous caesarean section. *Download PDF Copy ... 2019) Cultural perspectives on vaginal birth after previous caesarean section in countries with high and low rates - A ...
49 operations were performed by the Pfannenstiel method of caesarean section, 55 by the ... A prospective randomized trial of 111 women undergoing caesarean section was carried out in the Pula General Hospital. ... "COMPARISON OF "MISGAV LADACH" AND PFANNENSTIEL SURGICAL TECHNIQUE OF CESAREAN SECTION." Glasnik pulske bolnice, vol. 1, br. 1, ... D. Belci, "COMPARISON OF "MISGAV LADACH" AND PFANNENSTIEL SURGICAL TECHNIQUE OF CESAREAN SECTION", Glasnik pulske bolnice, vol. ...
Learn about in which cases a Cesarean section is recommended over vaginal birth and how a Cesarean section affects your future ... C-Section. While theyre not always planned, Cesarean sections account for almost 30% of births in the United States. ... Get all the facts you need to understand a cesarean section and feel good about your different birthing options. ... Find the answers to all your questions about stages of labor, creating a birth plan, labor medications, and c-sections: their ...
Learn about in which cases a Cesarean section is recommended over vaginal birth and how a Cesarean section affects your future ... C-Section. While theyre not always planned, Cesarean sections account for almost 30% of births in the United States. ... Get all the facts you need to understand a cesarean section and feel good about your different birthing options. ... Find the answers to all your questions about stages of labor, creating a birth plan, labor medications, and c-sections: their ...
Cesarean (C-section) delivery rate. A Cesarean delivery, commonly known as a C-section, refers to a surgical procedure to ... Some cesarean sections are necessary to protect the health of the infant or mother. There are currently no methods to evaluate ... the "right" number of C-sections for a population of patients. Some expectant mothers discuss this rate with their ...
... has assisted a 31 year old lady to obtain compensation following a caesarean section. ... What should have been a joyous time was rendered terrifying for Mrs White as a result of an error during her caesarean section ... Mrs White underwent a caesarean section for the birth of her second child because of complications resulting from her first ... has assisted a 31 year old lady to obtain compensation following a caesarean section. ...
What happens if your baby is born through an elective or emergency caesarean section ... Caesarean section (C-section) A caesarean section (C-section) is an elective or emergency operation used to help babies be born ... Emergency caesarean section. You may go into labour and expect to give birth vaginally, then find you need a caesarean section ... Elective caesarean section. If you know beforehand youll be having a caesarean section, its called an elective operation. ...
Browse Caesarean section news, research and analysis from The Conversation ... Articles on Caesarean section. Displaying 1 - 20 of 38 articles. Shutterstock August 11, 2022 Sepsis is serious during ... Cesarean sections have become more common in the U.S. Tomsickova Tatyana/Shutterstock.com March 11, 2020 Newborn babies weigh ... Theres no evidence caesarean sections cause autism or ADHD. Andrew Whitehouse, The University of Western Australia ...
Precision Opioid Care After Cesarean Delivery (PRECISE-CD) ... Clinical trial for Cesarean Section Complications , Opioid Use ... Cesarean delivery at UPMC Magee. Yes for Cesarean delivery at UPMC Magee inclusion criteria 4 ... or NSAIDs which are standard parts of post-cesarean multimodal analgesia Yes for Contraindications to neuraxial anesthesia, ... neuraxial morphine, acetaminophen, or NSAIDs which are standard parts of post-cesarean multimodal analgesia exclusion criteria ...
... to determine the incidence and severity of respiratory morbidity among late preterm and term babies born by elective Caesarean section ... "Respiratory Morbidity in Late Preterm and Term Babies Born by Elective Caesarean Section." Journal of Obstetrics and ... Respiratory Morbidity in Late Preterm and Term Babies Born by Elective Caesarean Section. ... to determine the incidence and severity of respiratory morbidity among late preterm and term babies born by elective Caesarean section ...
A caesarean section, or C-section, is surgery to deliver your baby through a cut that the doctor makes in your lower belly and ... Health Information and Tools , Patient Care Handouts , Caesarean Section: What to Expect at Home ...
Cesarean Section. The Cesarean rate in the U.S. has risen to about 30% of live births. Many women are choosing elective ... Cesarean section is major abdominal surgery. There are uncommon birth complications in which a Cesarean may be beneficial to ... Many women report having been pressured into a Cesarean section by physicians claiming that the baby is "too large" or that a ... However, unnecessary Cesareans carry a number of increased short- and long-term health risks, require a longer recovery time, ...
... - What it is Incision pain, uterine cramping and gas discomfort are the most common ... In Singapore, 9.2%1 of mothers develop chronic pain (pain lasts more than three months) after caesarean section. During first ... experiences after a caesarean section. Most of the mothers have moderate pain, however one in five mothers may suffer from ... Home , Patient Care , Conditions and Treatment , Post Caesarean Section Pain Management Post Caesarean Section Pain Management ...
Our vets have put together a list of what to expect after your pets caesarean section and what to do to keep her safe and ... Caesarean section aftercare advice If you have just brought your pet home after she has had a caesarean section your head is ... Learn how to keep your pet safe and comfortable after a Caesarean section Whats normal after my pets Caesarean section? As ... Caring for your pet after a Caesarean section. Our vets have put together a list of what to expect after your pets caesarean ...
Practice routine and complex cesarean section procedures with the Enhanced C-section Module for the PROMPT Flex birthing ... Enhanced Caesarean Section Module (ECSM) - PROMPT Flex (Dark Skin Tone). $2,450.00 Price does not include taxes or delivery ... Allows for training in routine and complex caesarean section at full dilation ... ACGME OB/GYN Milestones (p.10): Performs complex obstetrical procedures, including: .....repeat Cesarean section ...
Home /Afdelinger/Fødeområdet/Pregnancy and Delivery/Caesarean section: Practical information before planned caesarean section ... During the caesarean section he or she will be sitting next to you. It is not permitted to film during the caesarean section ... Preparation for planned caesarean section When you are scheduled for a caesarean section you will be given with a list of ... Caesarean section: Practical information before planned caesarean section. ​Here you can read about what you need to prepare ...
Within each region and for each variable considered, cesarean section deliveries rose fairly uniformly. Nationally, C-sections ... Cesarean Section Female Fetal Monitoring Humans Infant, Newborn Length Of Stay Marriage Maternal Age Ownership Pregnancy ... Title : Trends in cesarean section rates for the United States, 1970--78. Personal Author(s) : Placek, Paul J.;Taffel, Selma M ... Electronic fetal monitoring in relation to cesarean section delivery, for live births and stillbirths in the U.S., 1980. Cite ...
That women are seeking elective cesarean deliveries may be indicative of failures of modern medicine. ... Cite this: Elective Cesarean Section: An Acceptable Alternative to Vaginal Delivery? - Medscape - Sep 01, 2002. ... But cesarean delivery is very different. The benefits of elective cesarean delivery relative to vaginal delivery are not ... One of the most significant risks of cesarean delivery is the need for a subsequent cesarean delivery. We can safely assume ...
This guide answers the most frequently asked questions about planned and emergency caesarean sections. It is designed to help ... Planned caesarean section: What you need to know We answer the most frequently asked questions about planned caesarean section ... When is the right time for a planned caesarean section?. Nowadays, obstetricians aim to perform a caesarean section as close as ... with only a few opting for a planned caesarean section. However, currently the number of caesarean sections performed in many ...

No FAQ available that match "cesarean section"