scholarly journals Obstetric complications and schizophrenia

2000 ◽  
Vol 176 (6) ◽  
pp. 516-522 ◽  
Author(s):  
R. E. Kendell ◽  
K. McInneny ◽  
E. Juszczak ◽  
M. Bain
Keyword(s):  
Caesarean Section ◽  
Birth Cohort ◽  
Case Control ◽  
Emergency Caesarean Section ◽  
Obstetric Complications ◽  
Small Scale ◽  
Case Control Studies ◽  
Emergency Caesarean ◽  
Patient Diagnosis

BackgroundMost previous case–control studies of obstetric complications in schizophrenia have been small scale and many have relied on retrospective information.AimsTo determine which obstetric complications are more common in probands with schizophrenia than matched controls.MethodTwo hundred and ninety-six probands with an in-patient diagnosis of schizophrenia who had been born in Scotland in 1971–74, and a further 156 born in 1975–78, were closely matched with controls and the incidence of obstetric complications in the two compared using obstetric data recorded in a set format shortly after birth.ResultsNot a single complication of pregnancy or delivery was significantly more common in the probands with schizophrenia than the controls in the 1971–74 birth cohort and only emergency Caesarean section and labour lasting over 12 hours were significantly more common in the schizophrenia probands in the 1975–78 cohort.ConclusionThe evidence that schizophrenia is associated with a raised incidence of obstetric complications is weaker than has recently been assumed.

scholarly journals Differences in rates and odds for emergency caesarean section in six Palestinian hospitals: a population-based birth cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019509 ◽  
Author(s):  
Mohammed Zimmo ◽  
Katariina Laine ◽  
Sahar Hassan ◽  
Erik Fosse ◽  
Marit Lieng ◽  
...  
Keyword(s):  
Cohort Study ◽  
Caesarean Section ◽  
Birth Cohort ◽  
Population Based ◽  
Emergency Caesarean Section ◽  
Birth Cohort Study ◽  
Emergency Caesarean ◽  
Reference Hospital ◽  
Primiparous Women ◽  
Singleton Pregnancies

ObjectiveTo assess the differences in rates and odds for emergency caesarean section among singleton pregnancies in six governmental Palestinian hospitals.DesignA prospective population-based birth cohort study.SettingObstetric departments in six governmental Palestinian hospitals.Participants32 321 women scheduled to deliver vaginally from 1 March 2015 until 29 February 2016.MethodsTo assess differences in sociodemographic and antenatal obstetric characteristics by hospital, χ2test, analysis of variance and Kruskal-Wallis test were applied. Logistic regression was used to estimate differences in odds for emergency caesarean section, and ORs with 95% CIs were assessed.Main outcome measuresThe primary outcome was the adjusted ORs of emergency caesarean section among singleton pregnancies for five Palestinian hospitals as compared with the reference (Hospital 1).ResultsThe prevalence of emergency caesarean section varied across hospitals, ranging from 5.8% to 22.6% among primiparous women and between 4.8% and 13.1% among parous women. Compared with the reference hospital, the ORs for emergency caesarean section were increased in all other hospitals, crude ORs ranging from 1.95 (95% CI 1.42 to 2.67) to 4.75 (95% CI 3.49 to 6.46) among primiparous women. For parous women, these differences were less pronounced, crude ORs ranging from 1.37 (95% CI 1.13 to 1.67) to 2.99 (95% CI 2.44 to 3.65). After adjustment for potential confounders, the ORs were reduced but still statistically significant, except for one hospital among parous women.ConclusionSubstantial differences in odds for emergency caesarean section between the six Palestinian governmental hospitals were observed. These could not be explained by the studied sociodemographic or antenatal obstetric characteristics.

Twin pregnancy in a Fontan-palliated patient

2016 ◽  
Vol 26 (6) ◽  
pp. 1221-1224 ◽  
Author(s):  
Anupama Nair ◽  
Sitaraman Radhakrishnan ◽  
Krishna S. Iyer
Keyword(s):  
Caesarean Section ◽  
Twin Pregnancy ◽  
Perinatal Care ◽  
Emergency Caesarean Section ◽  
Obstetric Complications ◽  
Significant Deterioration ◽  
Emergency Caesarean ◽  
Fetal Complications ◽  
In Pregnancy

AbstractThe Fontan connection, originally described in 1971, is used to provide palliation for patients with many forms of CHDs that cannot support a biventricular circulation. An increasing number of females who have undergone these connections in childhood are now surviving into adulthood and some are becoming pregnant. We report a case of a 29-year-old woman who presented with a twin pregnancy at 33 weeks of gestation. She had significant deterioration of her cardiovascular status before the twin babies were delivered by emergency caesarean section owing to associated obstetric complications. This report also highlights the various maternal and fetal complications occurring in pregnancy of Fontan-palliated patients and suggests the need for meticulous pre-conception counselling and strict perinatal care.

Do female elite athletes experience more complicated childbirth than non-athletes? A case–control study

2018 ◽  
Vol 53 (6) ◽  
pp. 354-358 ◽  
Author(s):  
Thorgerdur Sigurdardottir ◽  
Thora Steingrimsdottir ◽  
Reynir Tomas Geirsson ◽  
Thorhallur Ingi Halldorsson ◽  
Thor Aspelund ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Case Control Study ◽  
Elite Athletes ◽  
Case Control ◽  
High Impact ◽  
Emergency Caesarean Section ◽  
Delivery Outcome ◽  
Emergency Caesarean ◽  
Perineal Tears ◽  
Control Study

ObjectivePrevious studies have suggested that female athletes might be at higher risk of experiencing complications such as caesarean sections and perineal tears during labour than non-athletes. Our aim was to study delivery outcomes, including emergency caesarean section rates, length of the first and second stages of labour and severe perineal tears, in first-time pregnant elite athletes compared with non-athletes.MethodsThis is a retrospective case–control study comparing birth outcomes of primiparous female elite athletes engaging in high-impact and low-impact sports compared with non-athletic controls. The athletes had prior to birth competed at a national team level or equivalent. Participant characteristics and frequency of training for at least 3 years before a first pregnancy were collected via a self-administered questionnaire. Information on delivery outcome was retrieved from the Icelandic Medical Birth Registry.ResultsIn total, 248 participated, 118 controls, 41 low-impact and 89 high-impact elite athletes. No significant differences were found between the groups with regard to incidence of emergency caesarean section or length of the first and second stages of labour. The incidence of third-degree to fourth-degree perineal tears was significantly higher (23.7%) among low-impact athletes than in the high-impact group (5.1%, p=0.01), but no significant differences were seen when the athletes were compared with the controls (12%; p=0.09 for low-impact and p=0.12 for high-impact athletes).ConclusionParticipation in competitive sports at the elite level was not related to adverse delivery outcome, including length of labour, the need for caesarean section during delivery and severe perineal tears.

Maternal temperature in emergency caesarean section (MATES): an observational multicentre study

2021 ◽  
pp. 102963
Author(s):  
P.T. Thorburn ◽  
R. Monteiro ◽  
A. Chakladar ◽  
A. Cochrane ◽  
J. Roberts ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Multicentre Study ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean

Absence of Wharton’s jelly

2020 ◽  
Vol 13 (11) ◽  
pp. e237222
Author(s):  
Sarah J Murphy ◽  
Nikita Deegan ◽  
Bobby D O'Leary ◽  
Peter McParland
Keyword(s):  
Caesarean Section ◽  
Histological Examination ◽  
Umbilical Cord ◽  
Emergency Caesarean Section ◽  
Wharton’S Jelly ◽  
Female Infant ◽  
Fetal Bradycardia ◽  
Wharton's Jelly ◽  
Emergency Caesarean ◽  
Fetal Movements

Wharton’s jelly is a specialised tissue which surrounds the vasculature within the fetal umbilical cord. We present the case of a 42-year-old woman who gave birth to a female infant via emergency caesarean section. At the time of delivery, absence of Wharton’s jelly was noted. This finding was confirmed by histological examination. Emergency caesarean section was necessitated due to a fetal bradycardia, and of note, the patient had presented twice prior to this with reduced fetal movements.

Chikungunya–dengue co-infection during pregnancy requiring preterm Caesarean section: first case report from Bangladesh

2017 ◽  
Vol 48 (3) ◽  
pp. 234-235 ◽  
Author(s):  
Muhammad Abdur Rahim ◽  
Shahana Zaman ◽  
Nasreen Sultana ◽  
Ariful Islam ◽  
Khwaja Nazim Uddin
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Fetal Distress ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean ◽  
First Case

We report the first case of chikungunya-dengue co-infection during pregnancy requiring emergency Caesarean section (CS) because of fetal distress in a Bangladeshi primigravida. Though previously unreported, this situation may become increasingly common.

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