scholarly journals Cesarean Section and Right Femur Fracture: A Rare but Possible Complication for Breech Presentation

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Giampiero Capobianco ◽  
Giuseppe Virdis ◽  
Pietro Lisai ◽  
Claudio Cherchi ◽  
Ornella Biasetti ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Femur Fracture ◽  
Traumatic Injury ◽  
Breech Presentation ◽  
Complete Healing ◽  
Elective Cesarean Section ◽  
Elective Cesarean ◽  
Abdominal Route ◽  
Breech Extraction ◽  
The Right

Background. The breech extraction of the fetus through the vagina has a greater risk of hip fracture compared with the extraction by abdominal route.Case. A 2390 g female infant was delivered at 39 weeks by elective cesarean section for breech presentation. The newborn sustained a fracture of the right femur. A simple immobilization of the limb in extension led to a complete healing of the fracture without sequelae.Conclusion. Caesarean delivery reduces the risk of causing a traumatic injury of the newborn compared to vaginal delivery, especially with breech presentation but does not eliminate this possible accidental complication.

scholarly journals Hemodynamic effects of right pelvic wedge in patients undergoing elective cesarean section under spinal anesthesia

2018 ◽  
Vol 1 (2) ◽  
pp. 70-74
Author(s):  
Rohini Sigdel ◽  
Maya Lama ◽  
Sanish Gurung ◽  
Bishal Gurung ◽  
Anil Prasad Neupane ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Elective Cesarean Section ◽  
Controlled Study ◽  
Control Group ◽  
Operating Table ◽  
Hemodynamic Effects ◽  
Elective Cesarean ◽  
Spinal Hypotension ◽  
The Right

Background: Several methods have been used to prevent post spinal hypotension including preloading, co-loading, use of vasopressors, placement of pelvic wedge, lumbar wedge and tilting of operating table in parturients undergoing cesarean section. We conducted a randomized controlled study to determine the hemodynamic effects of a standard pelvic wedge placed below the right hip immediately after the spinal block till the delivery of baby. Methods: One hundred consenting women undergoing elective cesarean section under spinal anesthesia were randomly allocated to wedge group (N=50) and control group (N=50). A standard wedge was placed under the right pelvis soon after spinal anesthesia till the delivery of baby in wedge group whereas the control group remained supine. Hemodynamic parameters including blood pressure, heart rate, vasopressor consumption, other side effects like nausea, vomiting and neonatal outcome were also recorded. Results: The incidence of hypotension and bradycardia was similar between groups (Wedge group 60% vs Control group 75.51%, p=0.125) before the birth of baby. The use of vasopressors (p=0.212), incidence of nausea (p=0.346) and Apgar score at 1 and 5 minutes (p=0.629, p=0.442) were also not statistically significant. None of the patients had vomiting. Conclusion: In our study, the use of right pelvic wedge immediately after spinal anesthesia was not effective in preventing post spinal hypotension in elective cesarean section.

scholarly journals BREECH PRESENTATION AT TERM;

2013 ◽  
Vol 20 (04) ◽  
pp. 526-529
Author(s):  
BUSHRA MUKHTAR, ◽  
BUSHRA KHAN ◽  
NUZHAT RASHEED
Keyword(s):  
Cesarean Section ◽  
Neonatal Mortality ◽  
Apgar Score ◽  
Breech Presentation ◽  
Fetal Outcome ◽  
Vaginal Birth ◽  
Elective Cesarean Section ◽  
Mortality And Morbidity ◽  
Elective Cesarean ◽  
Group B

Objective: To compare the fetal outcome of elective cesarean section with elective vaginal birth for Term Breechpresentation in terms of APGAR Score, Respiratory Distress Syndrome, Admission in Neonatology Unit and Neonatal mortality. Design:Quasi experimental study. Setting: Department of Obstetrics & Gynaecololgy Bahawal Victoria Hospital, Bahawalpur. Methods: Total 120cases were included in the study divided into two groups, each having 60 fulfilling the inclusion criteria. Group 'A' had those who deliveredby planned cesarean and Group 'B' comprised those having planned vaginal delivery. Results: It was found that neonatal mortality was3.33 in vaginal and 0 in cesarean group. Mean APGAR Score at 1 and 5 minute was 8.47 and 9.53 in vaginal and 8.58 and 9.62 incesarean group. RDS was more in cesarean (5) than vaginal group (1.6). Admission in Neonatalogy Unit was more in vaginally deliveredgroup (8.33) as compared to the cesarean section group (5). Conclusion: Planned cesarean delivery in breech presentation at term isassociated with a reduction in neonatal mortality and morbidity as compared to the planned vaginal birth.

scholarly journals Giant uterine leiomyoma in a pregnant woman – case study and review of literature

2020 ◽  
Vol 66 (1) ◽  
Author(s):  
Kinga Kadelska ◽  
Małgorzata Sokołowska ◽  
Sebastian Kwiatkowski ◽  
Joanna Lebdowicz-Knul ◽  
Wioletta Mikołajek-Bedner ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Uterine Leiomyoma ◽  
Good Condition ◽  
Breech Presentation ◽  
Elective Cesarean Section ◽  
Review Of Literature ◽  
Foetal Development ◽  
Trimester Pregnancy ◽  
Elective Cesarean

The case of successful pregnancy outcome in a 39-year-old nulligravida with an enormous leiomyoma is presented. At 16th week of gestation patient began to complain of dyspnoea and abdominal pain. Due to rapid growth, high vascularization, worsening pain, respiratory symptoms and limited conditions for foetal development, surgery was taken. Repeat sonography was performed at the 20th week and normal fetal development consistent with a 2nd trimester pregnancy was observed. Singular fibroids 1–5 cm in diameter were visualized and no tumor growth was noted when compared with subsequent ultrasound studies. At the 39th week, the patient was referred to the hospital for preparations towards elective cesarean section due to a breech presentation. During the planned cesarean section, numerous subscapular fibroids were observed which were left without intervention. The patient delivered a live female neonate, in a good condition, weighting 3280 g. There were no complications during the surgery and the postpartum period.

Neonatal Circulatory Changes Following Elective Cesarean Section: An Echocardiographic Study

PEDIATRICS ◽  
1982 ◽  
Vol 69 (3) ◽  
pp. 374-376
Author(s):  
Mark D. Jacobstein ◽  
Stephen S. Hirschfeld ◽  
Celia Flinn ◽  
Thomas Riggs ◽  
Avroy Fanaroff
Keyword(s):  
Cesarean Section ◽  
Right Ventricular ◽  
Diastolic Pressure ◽  
Systolic Time Intervals ◽  
Elective Cesarean Section ◽  
Ejection Time ◽  
Elective Cesarean ◽  
Systolic Time ◽  
The Right ◽  
Ventricular Ejection Time

Right ventricular systolic time intervals have been used in neonates to demonstrate both normal and abnormal cardiovascular adaptation to extrauterine life.1,2 The ratio of these intervals, which include the right ventricular preejection period (RVPEP) and right ventricular ejection time (RVET), correlates closely with pulmonary vascular resistance (PVR) and pulmonary artery diastolic pressure.3 Previous echocardiographic studies in normal newborns have demonstrated the decline in PVR, but have excluded babies delivered by cesarean section (CS).1 Many respiratory abnormalities are noted following both elective and emergency CS. These are attributed to respiratory distress syndrome, transient tachypnea of the newborn (TTN), aspiration syndromes, and persistent fetal circulation (PFC).4-9

Maternal deaths after elective cesarean section for breech presentation in the Netherlands

2007 ◽  
Vol 86 (2) ◽  
pp. 240-243 ◽  
Author(s):  
Joke M. Schutte ◽  
Eric A.P. Steegers ◽  
Job G. Santema ◽  
Nico W.E. Schuitemaker ◽  
Jos Van Roosmalen ◽  
...  
Keyword(s):  
The Netherlands ◽  
Cesarean Section ◽  
Breech Presentation ◽  
Elective Cesarean Section ◽  
Maternal Deaths ◽  
Elective Cesarean

Acute Dystonia after a Single Dose of Intravenous Metoclopramide during Elective Cesarean Section: A Case Report.

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Danielle Levin
Keyword(s):  
Single Dose ◽  
Case Report ◽  
Cesarean Section ◽  
Epidural Anesthesia ◽  
Elective Cesarean Section ◽  
Single Administration ◽  
Dystonic Reaction ◽  
Elective Cesarean ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

We would like to present the first report of severe acute dystonic reaction after a single administration of metoclopramide during cesarean section under combined spinal-epidural anesthesia.  During elective cesarean section, a 30-year-old female vomited four times and was treated with 10mg intravenous metoclopramide and 8mg intravenous ondansetron.  Nausea subsided with the antiemetic treatment, but two minutes later, patient had rapid eye blinking, uncontrollable head movement, and became unresponsive.  Bolus of 50mg intravenous diphenhydramine resolved the acute dystonic symptoms within seconds.  Patient was again oriented times three, with no recollection of symptoms, and remained symptom free for the rest of admission. 

Sign in / Sign up

Export Citation Format

Share Document