scholarly journals VP46.23: Comparison of the lower uterine segment measurements, performed by expert and resident in pregnant women with and without previous Caesarean section

2020 ◽  
Vol 56 (S1) ◽  
pp. 273-274
Author(s):  
N. Vedmedovska ◽  
E. Biseniece ◽  
D. Bokucava ◽  
A. Kivite‐Urtane
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Lower Uterine Segment ◽  
Previous Caesarean Section

scholarly journals P25.16: Sonographic assessment of lower uterine segment at term in women with previous Caesarean section

2014 ◽  
Vol 44 (S1) ◽  
pp. 335-335
Author(s):  
P. Uharcek ◽  
A. Brestansky ◽  
J. Ravinger ◽  
A. Manova ◽  
M. Zajacova
Keyword(s):  
Caesarean Section ◽  
Lower Uterine Segment ◽  
Previous Caesarean Section ◽  
Sonographic Assessment

scholarly journals Factors associated to Caesarean delivery in public and private health care systems

2016 ◽  
Vol 50 (5) ◽  
pp. 733-740 ◽  
Author(s):  
Rosana Rosseto de Oliveira ◽  
Emiliana Cristina Melo ◽  
Elisiane Soares Novaes ◽  
Patrícia Louise Rodrigues Varela Ferracioli ◽  
Thais Aidar de Freitas Mathias
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Minimum Wage ◽  
Caesarean Delivery ◽  
Family Income ◽  
Previous Caesarean Section ◽  
Cross Sectional ◽  
Factors Associated ◽  
Per Capita ◽  
In Pregnancy

Abstract OBJECTIVE Identifying factors associated to Caesarean sections among the residents of Maringá-PR, according to the financing source for delivery. METHODS A cross-sectional study with data from 920 postpartum women interviewed between October 2013 and February 2014. Association analysis was performed by logistic regression. RESULTS Caesarean section rates were 55.5% in the Unified Healthcare System (SUS) and 93.8% in the private system. Factors associated with Caesarean section in the SUS were: previous Caesarean section (OR=8.9; CI=4.6-16.9), desire for Caesarean section early in pregnancy (OR=2.0; CI=1.1-3.6), pregestational overweight/obesity (OR=1.8; CI=1.1-2.8), and per capita family income higher than one minimum wage (OR=2.1; CI=1.3-3.4). In the private system, desire for Caesarean section early in pregnancy (OR=25.3) and a previous Caesarean section (OR=11.3) were strongly associated to its performance. CONCLUSION It is necessary to properly orientate all pregnant women who desire a Caesarean delivery, from both the SUS and the private system, about the inherent risks of the surgical procedure without indication. In the public health sector, guidelines should be focused on pregnant women with previous Caesarean delivery, with a per capita income higher than one minimum wage and those who are overweight or obese, as these women are more likely to have a Caesarean section.

scholarly journals Histological and histopathological study of the lower uterine segment after previous caesarean section and placenta accreta

2017 ◽  
Vol 6 (4) ◽  
pp. 90
Author(s):  
Reem Abdulazim Hussein Abdulsalam ◽  
Mohamed Ezz El Deen Ali Azzam ◽  
Amr Mohammed Abd El Fatah El Helaly ◽  
Marwa Labib Badr Ahmed
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Placenta Accreta ◽  
Lower Uterine Segment ◽  
Histopathological Study ◽  
Previous Caesarean Section ◽  
Underlying Mechanisms

Although the risk factors for placenta accreta are well established, the underlying mechanisms leading to abnormal placental adhesions are less well understood. This study was undertaken to evaluate the histology and histopathology of the lower uterine segment in CS in a trial to understand the possible pathogenesis of placenta accreta.

Factors Associated With Lower Uterine Segment Thickness Near Term in Women With Previous Caesarean Section

2011 ◽  
Vol 33 (6) ◽  
pp. 581-587 ◽  
Author(s):  
Laurie Bérubé ◽  
Mariko Arial ◽  
Geneviève Gagnon ◽  
Normand Brassard ◽  
Amélie Boutin ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Lower Uterine Segment ◽  
Previous Caesarean Section ◽  
Factors Associated ◽  
Near Term

scholarly journals Prediction of Placenta Accreta Using Hyperglycosylated Human Chorionic Gonadotropin

2018 ◽  
Vol 8 (2) ◽  
pp. 142-146
Author(s):  
Maad Mahdi Shalal ◽  
Shaymaa Kadhim Jasim ◽  
Huda Khalil Abd
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Chorionic Gonadotropin ◽  
Gestational Age ◽  
Human Chorionic Gonadotropin ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Control Group ◽  
Previous Caesarean Section ◽  
Hyperglycosylated Human Chorionic Gonadotropin

Objectives: Hyperglycosylated human chorionic gonadotropin (hCG) is a variant of hCG. In addition, it has a different oligosaccharide structure compared to the regular hCG and promotes the invasion and differentiation of peripheral cytotrophoblast. This study aimed to measure hyperglycosylated hCG as a predictor in the diagnosis of placenta accreta. Materials and Methods: In general, 90 pregnant women were involved in this case-control study among which, 30 ladies (control group) were pregnant within the gestational age of ≥36 weeks with at least one previous caesarean section and a normal sited placenta in transabdominal ultrasound (TAU). The other 60 pregnant women (case group) were within a gestational age of ≥36 weeks at least, one previous caesarean section and placenta previa with or without signs of placenta accreta in TAU. Hyperglycosylated hCG and total hCG were measured in each group and the results of the surgery were followed up. Results: Hyperglycosylated hCG showed higher serum levels in patients with placenta accreta compared to those with placenta previa and control women. Hyperglycosylated hCG with an optimal cut point of (3) IU/L predicted placenta accreta in pregnant women with 90% specificity, 76.7% sensitivity, and 81.1% accuracy. Conclusions: The high specificity of the above approach makes it a good diagnostic tool (as a single test) for confirming placenta accreta in clinical settings. When this test is added to our established workup, its high positive predictive value makes it a suitable method within the algorithm of accreta confirmation when there is a high suspicion or insufficient evidence to the diagnosis of placenta accreta.

scholarly journals Kasus Persalinan Dengan Bekas Seksio Sesarea Menurut Keadaan Waktu Masuk di Bagian Obstetri dan Ginekologi RSUP Dr. M. Djamil Padang

2013 ◽  
Vol 2 (3) ◽  
pp. 116
Author(s):  
Anggy Afriani ◽  
Desmiwarti Desmiwarti ◽  
Husnil Kadri
Keyword(s):  
High Risk ◽  
Caesarean Section ◽  
Pregnant Women ◽  
Medical Record ◽  
Previous Caesarean Section ◽  
Premature Rupture ◽  
Early Referral ◽  
Risk Pregnancy ◽  
The Subject ◽  
To Come

AbstrakKehamilan dengan bekas seksio sesarea merupakan kehamilan dengan risiko tinggi sehingga persalinannya harus dilakukan di rumah sakit dengan fasilitas yang memadai. Ibu hamil dengan bekas seksio sesarea yang akan melakukan persalinan seharusnya datang ke rumah sakit dalam keadaan belum in partu, belum ada komplikasi persalinan. Namun, masih banyak ibu hamil dengan bekas seksio sesarea datang ke rumah sakit dalam keadaaan in partu. Penelitian ini bertujuan untuk mengetahui kasus-kasus persalinan dengan bekas seksio sesarea saat masuk ke bagian Obstetri dan Ginekologi RSUP.dr.M.Djamil Padang. Penelitian ini dilakukan pada ibu hamil dengan bekas seksio sesarea yang datang ke RSUP.dr.M.Djamil untuk melakukan persalinan. Penelitian dilakukan pada tanggal 22 Desember 2012-21 Maret 2013 di bagian Obstetri dan Ginekologi RSUP. dr. M. Djamil Padang. Penelitian ini merupakan studi deskriptif. Kasus-kasus persalinan dengan bekas seksio sesarea didapat dari observasi rekam medik dan mewawancarai subjek penelitian dengan menggunakan kuesioner. Hasil penelitian didapatkan 52 kasus persalinan dengan bekas seksio sesarea. Premature rupture of membrane (PRM) merupakan kasus persalinan dengan bekas seksio sesarea terbanyak yaitu 13 kasus (25%) dan ibu hamil dengan bekas seksio sesarea yang melakukan rujukan dini berencana sebanyak 5,7%. Simpulan dari penelitian adalah masih kurangnya kesadaran ibu hamil dengan bekas seksio sesarea yang akan melakukan persalinan untuk datang ke rumah sakit beberapa hari sebelum tanggal taksiran persalinan.Kata kunci: bekas seksio sesarea, rujukan dini berencanaAbstractPregnancy with previous caesarean section is a high risk pregnancy. The delivery must be performed in hospital. The women who has previous caesarean section in their pregnancy must come to the hospital before the date of planned birth, no labor, and no complications for the woman and her infants. However, there are many woman with caesarean section come to the hospital in partu. The objective of this study to describe labor case of previous section birth when come to the Obstetric and Gynecology of dr.M.Djamil Padang Hospital. This study is descriptive .The subject of this study is a pregnant women with previous caesarean section who come to the dr.M.Djamil Padang hospital to the delivery. This study was performed from on 22rd December 2012 until 21rdMarch 2013 in Obstetric and Gynecology of dr.M.Djamil Padang. The labor case of previous caesarean section are gotten from medical record and interview with use questionnaire. The result of this study is gotten fifty two labor cases of previous caesarean section. Premature rupture of membrane (PRM) is the mayority labor case, thirteen case(25%) and account for 5,7% of woman with previous caesarean section who early referral plan come to the hospital. The conclusion is the woman who have previous caesarean section are not awarness to come to the hospital a few days before the plan birth.Keywords: previous caesarean section, early referral plan

scholarly journals Factors that influenced pregnant women with one previous caesarean section regarding their mode of delivery

2020 ◽  
Vol 55 ◽  
pp. 124-130
Author(s):  
Amer Sindiani ◽  
Hasan Rawashdeh ◽  
Nail Obeidat ◽  
Faheem Zayed ◽  
Ala”a A. Alhowary
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Mode Of Delivery ◽  
Previous Caesarean Section

scholarly journals The Incidence, Risk Factors and Maternal and Foetal Outcomes of Uterine Rupture During Different Birth Policy Periods: An Observational Study in China

2020 ◽  
Author(s):  
Yangwen Zhou ◽  
Yi Mu ◽  
Peiran Chen ◽  
Yanxia Xie ◽  
Jun Zhu ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Pregnant Women ◽  
Uterine Rupture ◽  
Maternal Age ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Previous Caesarean Section ◽  
One Child Policy ◽  
Child Policy ◽  
The One

Abstract Background: Currently, there are no studies on changes in the incidence of uterine rupture or maternal and foetal outcomes after uterine rupture during different birth policy periods in China. Moreover, the results of association studies of maternal age, parity and previous caesarean section number with the risk of maternal and foetal outcomes after uterine rupture have not been consistent. This research aims to conduct and discuss the above two aspects. Methods: We included singleton pregnant women with no maternal complications other than uterine rupture from January 2012 to June 2019 in China’s National Maternal Near Miss Surveillance System. Through Poisson regression analysis with a robust variance estimator, we compared the incidences of uterine rupture and maternal and foetal outcomes after uterine rupture during different birth policy periods in China and determined the relationship between maternal age, parity or previous caesarean section number and uterine rupture or maternal and foetal outcomes after uterine rupture. Results: This study included 8,637,723 pregnant women. The total incidences of uterine rupture were 0.13% (12,934) overall, 0.05% during the one-child policy, 0.12% during the partial two-child policy (aRR=1.96; 95% CI: 1.53-2.52) and 0.22% (aRR=2.89; 95% CI: 1.94 4.29) during the universal two-child policy. The maternal near miss and stillbirth rates after uterine rupture were respectively 2.35% (aRR=17.90; 95% CI: 11.81-27.13) and 2.12% (aRR=4.10; 95% CI: 3.19 5.26) overall, 5.46% and 8.18% during the first policy, 1.72% (aRR=0.60; 95% CI: 0.32-1.17) and 2.02% (aRR=0.57; 95% CI: 0.37-0.83) during the second policy, and 1.99% (aRR=0.90; 95% CI: 0.52-1.53) and 1.04% (aRR=0.36; 95% CI: 0.24-0.54) during the third policy. The risk of uterine rupture increased with parity and previous caesarean section number. Conclusion: Our findings suggest that the total and different characteristics risk of uterine rupture in China increased and the risk of stillbirth after uterine rupture improved from the one-child policy period to the universal two-child policy period. The risk of uterine rupture increased with parity and previous caesarean section number. The higher the parity and lower the previous caesarean section number was, the more serious the maternal and foetal outcomes would be.

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