scholarly journals Complications during cesarean delivery in a patient with two previous myomectomies

2013 ◽  
Vol 60 (1) ◽  
pp. 99-100 ◽  
Author(s):  
Radmila Sparic ◽  
Milica Berisavac ◽  
Snezana Buzadzic ◽  
Ljiljana Mirkovic
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Postoperative Recovery ◽  
High Rate ◽  
Uterine Myomas ◽  
Cesarean Deliveries ◽  
Fetal Complications

Introduction: Myomas are associted with numerous pregnancy-related maternal and fetal complications, including high rate of cesarean deliveries. Case Outline: We present a woman with huge posterior myoma who had two previous myomectomies. During the cesarean section, the anatomy was found to be grossly distorted. Thus it was necessary to make an inverted T-incision on the uterus, which facilitated delivery of the fetus. The patients postoperative recovery was uneventful. Conclusion: This case illustrates the difficulties that may arise during cesarean section in the presence of uterine myomas in women with previous myomectomies. Clinicians should be prepared to manage those difficulties with inverted T-incision in order to prevent fetal injuries. Such operations should be performed by an experienced obstetrician.

scholarly journals Cesarean Section Among all Deliveries in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (241) ◽  
pp. 839-843
Author(s):  
Renuka Tamrakar ◽  
Sachin Sapkota ◽  
Deekshanta Sitaula ◽  
Rohit Thapa ◽  
Bandana Pokharel ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Cesarean Deliveries

Introduction: Worldwide there is a tremendous increase in cesarean section rate over the last decades which has been a global public health issue. This study aimed to find out the prevalence of cesarean delivery in a tertiary care center of Nepal. Methods: A descriptive cross-sectional study was conducted among pregnant women at tertiary care centre from 15th September 2019 to 15th October 2020. Ethical clearance was taken from the Institutional Review Committee (Ref: CMC-IRC/077/078-200). Convenience sampling was done to reach the sample size. Basic demographic data, clinical indications and neonatal outcomes were noted. Data entry was done using Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 3193 total deliveries, cesarean deliveries were 1412 (44.22%) at 95% Confidence Interval (42.49-45.94). Among caesarean deliveries 1086 (76.9%) were emergency cesarean sections. Most common indication for cesarean section was fetal distress (24.9%). Among 1437 newborns, 1428 (99.4%) were live births, 1387 (98.2%) were singleton and 801 (55.7%) were male. Nearly one third 418 (29.1%) neonates required neonatal intensive care unit admission and transient tachypnoea of newborns (44.28% in emergency and 60.46% in elective cesarean delivery) was the most common indication for admission. Conclusions: The prevalence of cesarean delivery was found to be higher than that recommended by the World Health Organisation. Fetal distress was the leading indication for cesarean deliveries.

scholarly journals A RARE CASE OF SMALL BOWEL OBSTRUCTION POST CAESAREAN SECTION

2020 ◽  
pp. 66-67
Author(s):  
Surya Subhashi Tadala ◽  
Valsa Diana. G
Keyword(s):  
Small Bowel ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Small Bowel Obstruction ◽  
Cesarean Delivery ◽  
Bowel Obstruction ◽  
Rare Complication ◽  
Rectus Sheath ◽  
Population Based ◽  
Cesarean Deliveries

• Small bowel obstruction, is a rare complication following cesarean section, due to herniation of bowel through the rectus sheath. • This is a case of uncomplicated primary cesarean section. The incidence of small bowel obstruction after caesarean section is very low. • In a population-based cohort study, the risk of small bowel obstruction among women with a cesarean delivery was 16.3/10,000 person-years versus 6.4/10,000 person-years in women without caesarean delivery (odds ratio [OR] 2.54, 95% CI 2.15-3.00); and an increasing number of cesarean deliveries was associated with an increasing risk of small bowel obstruction (OR 1.61, 95% CI 1.46-1.78, per additional cesarean delivery)(1).

scholarly journals Our experience with intraoperative cell salvage during cesarean delivery in women with uterine myomas: Four case reports

2014 ◽  
Vol 67 (3-4) ◽  
pp. 111-117 ◽  
Author(s):  
Radmila Sparic ◽  
Biljana Lazovic ◽  
Nenad Sulovic ◽  
Snezana Buzadzic
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Case Reports ◽  
Mortality And Morbidity ◽  
Packed Red Blood Cells ◽  
Blood Salvage ◽  
Uterine Myomas ◽  
Cesarean Myomectomy ◽  
Risk Of Hemorrhage ◽  
Intraoperative Blood Salvage

Introduction. Cesarean section is more frequent in pregnant women with uterine myomas, and is usually complicated with perioperative hemorrhage. In some cases, cesarean myomectomy represents an inevitable surgery, adding risk of hemorrhage occurrence. Massive obstetric hemorrhage is the most common cause of maternal mortality and morbidity. The aim of this study was to show our experience and results of the implementation of intraoperative blood salvage during cesarean section in the patients with uterine myomas. Material and Methods. The study encompassed four patients with uterine myomas who had cesarean delivery at our Department in the period from 2010 to 2011. Results. Postoperative transfusion of packed red blood cells was given to one patient. No complications resulting form the intraoperative blood salvage were recorded in our research. Conclusion. Intraoperative blood salvage should be applied in patients with uterine myoma, and certainly in those who are planned for cesarean myomectomy and particularly in cases when massive intraoperative hemorrhage is expected.

The Effect of Epidural Analgesia Alone and in Association With Other Variables on the Risk of Cesarean Section

2017 ◽  
Vol 19 (4) ◽  
pp. 393-398 ◽  
Author(s):  
Antonio Herrera-Gómez ◽  
Elvira De Luna-Bertos ◽  
Javier Ramos-Torrecillas ◽  
Francisco Manuel Ocaña-Peinado ◽  
Olga García-Martínez ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Epidural Analgesia ◽  
Cesarean Delivery ◽  
Maternal Age ◽  
Well Being ◽  
Labor Pain ◽  
Cesarean Deliveries ◽  
Increased Risk ◽  
Newborn Weight ◽  
Fetal Position

Introduction: Epidural analgesia (EA) is the most widespread pharmacologic method of labor pain relief. There remains disagreement, however, regarding its adverse effects. The objective of this study was to determine the effect of EA administration on the risk of cesarean delivery and its causes (e.g., stalled labor, risk of loss of fetal well-being, among others) and the degree to which this effect may be modulated by mother-, newborn-, and labor-related variables. Method: A retrospective cohort observational study was conducted including all deliveries in a Spanish public hospital between March 2010 and March 2013 ( N = 2,450; EA = 562, non-EA = 1,888). Results: Risk of a cesarean section was significantly increased by EA administration (odds ratio [ OR] = 2.673; p < .0001). The percentage of cesarean deliveries due to the risk of loss of fetal well-being was significantly higher in the EA (47.8%) versus non-EA group (27.5%; OR = 1.739; p = 0.0012,). The EA-associated risk of cesarean section was not significantly modified as a function of maternal age or parity, fetal position, newborn weight, weeks of gestation, or sedation administration alone. However, these variables in combination may increase the risk. We present multivariate models for each group that account for these variables, allowing for estimation of the risk of a cesarean delivery if EA is administered. Conclusion: EA is associated with an increased risk of cesarean delivery. Other variables in combination (maternal age or parity, fetal position, newborn weight, weeks of gestation, or sedation administration) may increase this risk.

scholarly journals Maternal Mortality in Eclampsia after Cesarean Section versus Vaginal Delivery

2018 ◽  
Vol 23 (4) ◽  
pp. 430-434
Author(s):  
Ghazala Saeed ◽  
Rabia Wajid ◽  
Ayesha Yousaf Dar
Keyword(s):  
Cesarean Section ◽  
Maternal Mortality ◽  
Vaginal Delivery ◽  
Case Series ◽  
Cesarean Deliveries ◽  
Vaginal Deliveries ◽  
Fetal Complications ◽  
Section Versus ◽  
The Mean ◽  
Clonic Convulsions

Preeclampsia with generalized tonic-clonic convulsions is termed as eclampsia. Eclampsia isassociated with multiple maternal and fetal complications.  Eclampsiais an obstetric emergency and quick decision making is required to save lives. The objective of the study was to compare the maternal mortalityafter cesarean section versus vaginal delivery among eclampsiapatients. It is a descriptive case series conducted in Department of Obstetrics and Gynecology, Lady Willingdon Hospital, from December 2014 to June 2015. In our study, 62.86 % (n=88) patients were between18-25 years of age and 37.14 % (n=52) werebetween 26-35 years of age. The mean+SD was calculated as 25.12+4.53 years. Frequency ofvaginal delivery in patients with eclampsia was 30.71 % (n=43) while69.29 % (n=97) were delivered through cesarean section. Comparisonof maternal mortality in two groups was recorded, where out of 43 spontaneous vaginal deliveries mortality was recorded in 6.98 % (n=3). Out of 97 cesarean deliveries, mortality was recorded in 17.53% (n=17). We concluded that mortality rates are higher in patients undergoing cesarean section.

scholarly journals An institutional study of cesarean delivery on maternal request

2017 ◽  
Vol 6 (7) ◽  
pp. 2879
Author(s):  
A. Shanti Sri ◽  
Nazia Khanam
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Neonatal Outcome ◽  
Maternal Request ◽  
Cesarean Deliveries ◽  
Vaginal Deliveries ◽  
Painless Labor ◽  
One Year ◽  
Primary Cesarean Delivery ◽  
A Prospective Study

Background: Cesarean delivery on maternal request refers to a primary cesarean delivery performed because the mother requests this method of delivery in the absence of a standard medical/obstetrical indication for avoiding vaginal birth. The aim of the study was to find out the reasons behind, and the incidence of women preferring Cesarean section in the absence of obstetric and medical indications.Methods: This was a prospective study among women who came for delivery at Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, over a period of one year from 1st April 2015 to 31st March 2016. All women who underwent Cesarean delivery for maternal request were included in this study.Results: The total number of deliveries during the study period of one year was 2574. There were 1346 (52.29%) vaginal deliveries and 1228 (47.7%) cesarean deliveries. Among 1228 Cesarean deliveries, 87 (7.08%) had maternal request as their indication. Majority of them were in the age group of more than 35 years. Multigravidae opted for Cesarean delivery more than primigravidae (59 multigravidae vs 28 primigravidae). Among the various reasons for women requesting delivery cesarean were tocophobia, refusal of trial of labor after Cesarean section (TOLAC), concurrent sterilization, prolonged infertility and treatment conception, afraid of neonatal outcome (previous adverse neonatal outcome) and astrological concerns.Conclusions: Many of the women opted for Cesarean delivery in our study for preventable reasons like painless labor and concurrent sterilization which would have been easily avoided by prior counseling starting from antenatal period and by providing labor analgesia. Patient education and personal involvement of the treating obstetrician in counseling the patient and emotional support during labor can reduce Cesarean delivery for maternal request.

scholarly journals Spontaneous Rupture of Uterine Artery in a 14-Week Pregnant Woman

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
João Paulo Mancusi de Carvalho ◽  
Luciano Augusto de Carvalho Severo ◽  
Maria Helena Mancusi de Carvalho ◽  
Marina de Paula Andres ◽  
Mariano Tamura Vieira Gomes ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Pregnant Woman ◽  
Cesarean Section ◽  
Spontaneous Rupture ◽  
Uterine Artery ◽  
Diagnostic Laparoscopy ◽  
Postoperative Recovery ◽  
Healthy Newborn ◽  
Fetal Complications

We report a case of uterine artery rupture in a woman at 14 weeks’ gestation who presented with abdominal pain, tachycardia, and hypotension and underwent a diagnostic laparoscopy. During this procedure, a spontaneous rupture of the left uterine artery was diagnosed and the surgery was converted into a laparotomy. The artery was bound to its origin and to its distal uterine portion. The patient exhibited excellent postoperative recovery and was discharged two days after the surgery. The pregnancy continued without other maternal or fetal complications, and the patient delivered a healthy newborn via cesarean section at 39 weeks of gestation.

scholarly journals COMPARISON OF FETAL OUTCOME IN PLANNED ELECTIVE DELIVERIES AT 38 AND 39 GESTATIONAL WEEKS AT LADY WILLINGDON HOSPITAL, LAHORE

2016 ◽  
Vol 21 (4) ◽  
pp. 285
Author(s):  
Gul Hani Qaisrani ◽  
Sarwat Rizvi ◽  
Anum Jafri ◽  
Rubar Haider
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cesarean Section ◽  
Cesarean Delivery ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Fetal Outcome ◽  
Cesarean Deliveries ◽  
Elective Cesarean ◽  
Elective Deliveries

AbstractIntroduction:Planned elective cesarean delivery is carried out when a patient has no emergency maternal or fetal indication for cesarean section. Such a planned cesarean section can be delayed.Objective:To compare fetal outcome of planned elective cesarean deliveries at 38 and 39 weeks of gestation in a tertiary care hospital.Study Design: Cohort Study.Place and Duration of Study:Lady Willingdon Hos-pital, Lahore. The study was carried out over a period of six months from 1st October, 2012 to 3 st March, 2013.Sample Size:A total number of 470 live born neonates were included in the study. 235 neonates were born at 38 weeks while other 235 neonates were born at 39 weeks of gestation.Results:Majority of patients, 121 (51.48%) who underwent cesarean section at 38 weeks of gestation were at 26 30 years of age with mean age of 27.69 3.5 years. Mean parity at 38 weeks cesarean delivery group was 2.4 1.35. 19 (8.1%) neonates were admitted to intensive care unit in this 38 weeks gestational age cesarean delivery group. Majority of patients 122 (51.91%) who underwent cesarean section at 39 weeks of gestation were between 26 30 years of age with a mean age of 27.36 3.54 years. Mean parity of patients in this group was 2.30 1.280. 6 (2.6%) neonates delivered at 39 weeks of gestation were admitted to neonatal intensive care unit.Conclusion:Neonatal outcome was better at 39 weeks of gestation as compared to 38 weeks of gesta-tion.Key Words:Planned cesarean delivery, neonatal intensive care unit admission (NICU), transient tachypnea of newborn.

scholarly journals Imaging findings of cesarean delivery complications: cesarean scar disease and much more

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
F. Rosa ◽  
G. Perugin ◽  
D. Schettini ◽  
N. Romano ◽  
S. Romeo ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Imaging Findings ◽  
Predisposing Factor ◽  
Delivery Complications ◽  
Cesarean Scar ◽  
Cesarean Deliveries

Abstract In the last years, there has been a significant increase in the number of cesarean deliveries and, with it, of the number of complications following the procedure. They can be divided into early and late ones. We will illustrate herein the most common complications following cesarean section to help radiologists to recognize them. To familiarize with these various pathologic conditions is crucial to alert referring clinicians for a prompt and appropriate maternal and fetal management. Special attention will be given to the cesarean scar defect (CSD), the most common but also the most unknown of such conditions. Although often asymptomatic, a severe CSD represents a predisposing factor for subsequent complications especially in future pregnancies.

scholarly journals Cesarean delivery on maternal request and its influencing factors in Chongqing, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ruibin Deng ◽  
Xian Tang ◽  
Jiaxiu Liu ◽  
Yuwen Gao ◽  
Xiaoni Zhong
Keyword(s):  
Logistic Regression ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
High Rate ◽  
Primiparous Woman ◽  
Personal Factors ◽  
Maternal Request ◽  
Primary Indication ◽  
Vaginal Deliveries

Abstract Background A high rate of cesarean delivery has become a cause of global concern. Although the rate of cesarean delivery has declined over recent years, it remains at a high level largely because of cesarean delivery on maternal request (CDMR). Unnecessary cesarean delivery has limited significance in benefiting maternal and infant physical health; in some ways, it might pose potential risks instead. With the implementation of the “Two-child Policy” in China, an increasing number of women plan to have a second child. Accordingly, how to handle the CDMR rate in China remains an important issue. Methods Data were collected from a longitudinal follow-up study conducted in Chongqing, China, from 2018 to 2019. A structured questionnaire was administered to subjects for data collection. Basic information, including demographic characteristics, living habits, medical history, and follow-up data of pregnant women, as well as their families and society, was collected. Additionally, delivery outcomes were recorded. Logistic regression was performed to analyze the factors influencing CDMR. Results The rate of cesarean delivery in Chongqing, China was 36.01 %, and the CDMR rate was 8.42 %. Maternal request (23.38 %), fetal distress (22.73 %), and pregnancy complications (9.96 %) were the top three indications for cesarean delivery. Logistic regression analysis showed that older age (OR = 4.292, 95 % CI: 1.984–9.283) and being a primiparous woman (OR = 6.792, 95 % CI: 3.230-14.281) were risk factors for CDMR. In addition, CDMR was also associated with factors such as the tendency to choose cesarean delivery during late pregnancy (OR = 5.525, 95 % CI: 2.116–14.431), frequent contact with mothers who had undergone vaginal deliveries (OR = 0.547, 95 % CI: 0.311–0.961), and the recommendation of cesarean delivery by doctors (OR = 4.071, 95 % CI: 1.007–16.455). Conclusions “Maternal request” has become the primary indication for cesarean delivery. The occurrence of CDMR is related to both the personal factors of women during pregnancy and others. Medical institutions and obstetricians should continue popularizing delivery knowledge among pregnant women, enhancing their own professional knowledge about delivery, adhering to the standard indications for cesarean delivery, and providing pregnant women with adequate opportunities for attempting vaginal delivery.

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