scholarly journals Maternal and Fetal Outcomes Following Cesarean Deliveries: A Retrospective Study

2020 ◽  
Vol 10 (2) ◽  
pp. 49-54
Author(s):  
Rojana Dhakal
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Secondary Data ◽  
Complete Information ◽  
Neonatal Outcomes ◽  
World Health ◽  
Maternal Complications ◽  
Fetal Outcomes ◽  
Extensive Evaluation ◽  
Poor Outcomes

Introduction: Cesarean section (CS) was introduced in clinical practice as a life-saving procedure for both the mother and baby. The World Health Organization (WHO) has set a 15 percent minimum threshold for cesarean delivery to save the life of the mother and fetus. The rates of cesarean delivery have been increasing worldwide, leading to emerging public health issues affecting both developed and developing countries. This study examined the maternal and fetal outcomes of cesarean section at a tertiary-level hospital. Methods: This study was based on secondary data retrieved from the record information of the registry of Maternity, Gynecological, Operation Theater, and Neonatal Intensive Care Unit (NICU) ward of the regional hospital in western Nepal. A total of 5802 women delivered by cesarean section, those record had complete information of year 2013 to 2016 were analyzed. Data were collected through review guidelines developed by the researcher. Frequency and percentage were used to analyze the socio-demographic and obstetric information, indication of cesarean section, maternal and neonatal outcomes, and the obtained results presented in tables, graphs, and narratives. The Chi-square test was used to find out the association of cesarean section and its outcomes with demographic and obstetrics variables. Results: The mean age of mothers was 25.25 ± 4.7 years,with the minimum and maximum age being 14 and 48 years respectively. Of the 5802 mothers, 17.1 percent of mothers had poor outcomes having some maternal complications. Regarding neonatal outcomes of 5872 neonates, 11.8 percent of new born had poor outcomes having some complications like low birth weight, asphyxia, etc. There was statistically significant association of age, ethnicity, and type of cesarean section with maternal outcomes. Similarly, weeks of gestation and mode of cesarean section were significantly associated with neonatal outcomes. Conclusion: A large number of cesarean sections were emergency. Of the mothers who delivered by cesarean section majority of them and newborns had good outcomes. Mothers and neonates actual needs, contributory factors and outcomes following cesarean section need to be extensive evaluation before performing it.

scholarly journals Análise comparativa entre o parto normal e cesárea: aspectos para a puérpera e recém-nascido /Comparative analysis between transpelvic and cesarean delivery: aspects for the postpartum woman and newborn

2020 ◽  
Vol 65 (1) ◽  
pp. 1
Author(s):  
Giulia Severini Lazarini ◽  
Stephanie San Gregorio Contieri ◽  
Lucas Fontes Gaetani ◽  
Lucca Marzocca Rodante Corsi ◽  
Cássia Maria Carvalho Abrantes do Amaral
Keyword(s):  
Pregnant Woman ◽  
Cesarean Section ◽  
Comparative Study ◽  
Cesarean Delivery ◽  
Apgar Score ◽  
Statistical Significance ◽  
World Health ◽  
Postpartum Woman ◽  
The World ◽  
Minute Apgar Score

Introdução: Segundo as orientações do Ministério da Saúde e da Organização Mundial da Saúde, a gestante deve optar pelo parto transpélvico, caso não tenha nenhuma indicação de cesárea. Apesar disso, Brasil é um dos países que mais realiza cesárea no mundo todo, sendo que apenas 15% são realmente necessárias. Objetivo: Realizar um estudo comparativo em relação ao estado clínico da parturiente e do recém-nascido após a realização de parto transpélvico e cesárea. Material e Métodos: Foram coletados dados de 50 gestantes com idade gestacional entre 38 a 40 semanas quando realizaram o parto, através da análise de prontuário e questionário aplicado às puérperas, e contemplando o estado de saúde tanto da puérpera como do recém-nascido. Resultados: Com as informações levantadas, foi traçado um perfil das gestantes. O estudo estatístico não demonstrou significado estatístico na comparação das vias de parto com relação aos seguintes aspectos: ocorrência e intensidade da dor após o parto (P = 0,14), Apgar do 1º minuto (P = 0,73) e Apgar do 5º minuto (P = 0,53). Apenas o tempo de permanência mostrou-se significativo (P = 0,02), sendo encontrado um maior tempo de permanência do parto transpélvico. Conclusão: Apesar de a literatura demonstrar maiores vantagens tanto para a paciente como para o recém-nascido quando realizado o parto transpélvico, o presente estudo não encontrou diferenças significativas entre as duas vias de parto.Palavras Chave: Parto transpélvico, Cesárea, Período pós-parto, Recém-nascido, Estudo comparativo ABSTRACTIntroduction: According to the guidelines of the Ministry of Health and the World Health Organization, pregnant woman should opt for transpelvic delivery, if she has no indication for cesarean section. Nonetheless, Brazil is one of the most performing cesarean section countries in the world, but only 15% of the cases the method are really needed. Objective: To perform a comparative study regarding the clinical status of parturient and newborn after transpelvic and cesarean delivery. Material and Methods: Data were collected from 50 pregnant women with gestational age between 38 and 40 weeks when they delivered, through analysis of medical records and questionnaire applied to postpartum women and considering the health status of both the postpartum and the newborn. Results: With the information gathered, a profile of the pregnant woman was drawn. The statistical study did not show statistical significance in the comparison of the pathways regarding the following aspects: occurrence and intensity of pain after delivery (P = 0.14), 1st minute Apgar score (P = 0.73) and 5th minute Apgar score (P = 0.53). Only the length of stay was significant (P = 0.02), and a longer time of transpelvic delivery was found. Conclusion: Although the literature demonstrates greater advantages for both the patient and the newborn when performing transpelvic delivery, the present study found no significant differences between the two routes of delivery.Keywords: Transpelvic delivery; Cesarean section; Postpartum period; Infant, newborn; Comparative study

scholarly journals DESCRIPTION OF PRE AND POST HEMOGLOBIN CONDITIONS OF CAESAREAN SECTION

2021 ◽  
Vol 1 (2) ◽  
pp. 102-106
Author(s):  
Eko Puji Rahayu
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Secondary Data ◽  
Cesarean Birth ◽  
Increased Risk ◽  
Mother And Child ◽  
History Of ◽  
Experienced Operator ◽  
Child Hospital

Background: Cesarean delivery without any indication of an increase should the procedure be safer but there is still an increased risk for pregnant women who have a cesarean birth, which is bleeding. Research Objective: To find out the description of hemoglobin levels pre and post cesarean delivery at the Mother and Child Hospital Dian Pertiwi Karanganyar Regency.Research Methods: This research is secondary data research taken from medical record installations at Dian Pertiwi Mother and Child Hospital in Karanganyar Regency.Results: Of 82 samples of pregnant women who gave birth by cesarean at the Mother and Child Hospital Dian Pertiwi Karanganyar 44 (60%) with normal hemoglobin levels above 12 gr / dl pre-cesarean section and 38 (40%) with hemoglobin levels 11 gr / dl post cesarean section.Conclusion: Samples of pregnant women who gave birth by cesarean and there was no history of anemia before cesarean section, after cesarean section decreased hemoglobin levels 2.1 gr / dl. The decrease in hemoglobin level is also supported by the management carried out by a very experienced operator, according to the procedure that makes a decrease in hemoglobin levels is not much.

scholarly journals Correlation between mother’s demand and cesarean section delivery in Pku Muhammadiyah Hospital Bantul Yogyakarta

2019 ◽  
Vol 1 (1) ◽  
pp. 108-113
Author(s):  
Mastina Mastina ◽  
Herlin Fitriani Kurniawati
Keyword(s):  
Cesarean Section ◽  
Quantitative Research ◽  
Secondary Data ◽  
Causative Factor ◽  
World Health ◽  
Health Economy ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Cesarean Section Delivery

World Health Organization (WHO) found the number of Cesarean Section delivery in the world at 25.7% in 2004-2008 which was 27.3% in Asia, 19.0% in Europe, 29.2% in Latin America and the highest number was in China at the rate of 46.2% (Wang, Hellerstein, Hou, Zou, Ruan, & Zhang, 2017). Rates determined by WHO for each country were 10-15% (WHO, 2015). WHO (2015) stated that the causative factor that can be delivered by Cesarean section is when vaginal delivery may have a risk to the mother and baby such as taking too much time for delivery and fetal disorders. Another cause was because of abnormal position. This study aims to determine the relationship between mother’s demand and Cesarean section delivery at PKU Muhammadiyah Hospital Bantul. The type of research used in this study is quantitative research with Cross Sectional approach using secondary data, namely medical record data of PKU Muhammadiyah Hospital Bantul in 2017. Chi-Square with P value 0.05 and CI 95% was used as data analysis. The bivariate results obtained were mother’s demand associated with delivery of Cesarean section with p value of 0.000 which means that the mother's demand had a significant relationship with the section Cesarean delivery. Based on the analysis of health technology assessment (HTA), the selection efforts at Cesarean section delivery were very beneficial for the mother and family, in terms of maternal health, economy and other factors.

scholarly journals Perbandingan Komplikasi dan Keluaran antara Persalinan Pervaginam dan Seksio Sesaria pada Ibu dengan Riwayat Seksio Sesaria di RSD dr. Soebandi Jember

2018 ◽  
Vol 6 (3) ◽  
pp. 403
Author(s):  
Gilang Vigorous Akbar Eka Candy ◽  
Dita Diana Parti ◽  
Rosita Dewi
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Apgar Score ◽  
Postpartum Hemorrhage ◽  
Uterine Rupture ◽  
Neonatal Outcomes ◽  
Birth Injury ◽  
Maternal Complications ◽  
Complication Risk ◽  
Significant Difference

  The number of cesarean section in Indonesia is 9,8% and approaching cesarean limit suggested by WHO which is 10%. The most common reason for cesarean section is prior cesarean. Cesarean section has higher maternal mortality risk compared to vaginal delivery. Vaginal delivery with prior cesarean has higher complication risk compared to cesarean section. Maternal complications and neonatal outcomes are important to decide delivery methods. Maternal complications that can be compared are postpartum infection, postpartum hemorrhage, and uterine rupture. Neonatal outcomes that can be compared are APGAR score and neonatal birth injury. This study aimed to compare maternal complications and neonatal outcomes between vaginal delivery and cesarean section in women with prior cesarean section. There was a significant difference in the incidence of postpartum infection (p=0.01) and neonatal birth injury (p=0.05). There was no significant difference in APGAR score and the incidence of postpartum hemorrhage. There was no uterine rupture observed. In conclusion, vaginal delivery is a viable option for pregnant woman with prior cesarean.  

scholarly journals Mothers and their children’s health (MATCH): a study protocol for a population‐based longitudinal cohort

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Reihaneh Pirjani ◽  
Ashraf Moini ◽  
Javad Heshmati ◽  
Azar Mardi-Mamaghani ◽  
Mahnaz Esmaeili ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prenatal Care ◽  
Pregnant Women ◽  
First Trimester ◽  
Neonatal Outcomes ◽  
Children's Health ◽  
World Health ◽  
Children’S Health ◽  
Maternal Complications ◽  
Adverse Pregnancy

Abstract Background The quality of prenatal care is critical for the prevention of adverse pregnancy outcomes. However, according to the World Health Organization (WHO), only 64 % of women worldwide have access to over four sessions of prenatal care throughout their pregnancy. Thus, studies that address factors affecting maternal and child health status before and after pregnancy are of immense importance. The primary aim of the mothers and their children’s health (MATCH) cohort study is to evaluate the effect of nutrition, sleep quality, and lifestyle on maternal and neonatal outcomes. Methods A prospective cohort of > 2500 pregnant women in the first trimester (before 12 weeks’ gestation) will be recruited at Arash Women’s Hospital in Tehran, Iran between February 2020 and August 2021. All eligible pregnant women will be followed from their first trimester of pregnancy until delivery at four time points and assessed through a series of in-person visits with interviewer-administered questionnaires and telephone interviews. Detailed data will be collected on maternal demographics, lifestyle, medical history, reproductive history, obstetric history, dietary intake, sleep pattern, blood specimens, and anthropometric measurements, alongside paternal demographics, lifestyle, and family history. The outcomes will include antenatal, peripartum, and postnatal maternal complications and infant growth and neurodevelopment. Discussion The results of the MATCH cohort study will support the development of contextual interventions that can enhance antenatal, peripartum, and postnatal status, neonatal outcomes, and longevity mother and child.

Frequency of early initiation of breastfeeding among women in Thatta, Sindh and factors associated with it: A secondary data analysis

2022 ◽  
Vol 71 (12) ◽  
pp. 2731-2734
Author(s):  
Rahil Barkat ◽  
Ahsun Jiwani ◽  
Anum Rahim ◽  
Sherwali Khan
Keyword(s):  
Exclusive Breastfeeding ◽  
Rural Areas ◽  
Secondary Data ◽  
Complete Information ◽  
Population Based ◽  
Early Initiation ◽  
World Health ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Introduction: It is recommended by the World Health Organization to initiate breastfeeding within first hour of birth. In recent time, many efforts are being taken by international and national stakeholders to promote mothers to initiate early breastfeeding. However, only 42% of newborns in South Asia and 45% of newborns in world are put to breastfeeding within first hour of birth. The aim of this study was to determine the prevalence of early initiation of breastfeeding and factors associated with it in rural areas of Sindh, Pakistan. Methodology: The data for this study were extracted from the survey related to Exclusive breastfeeding among women in Thatta, 2019. Survey was implemented in areas of Thatta registered in Maternal and Neonatal Health Registry (MNHR). MNHR is a population-based study for low- and middle-income countries (LMICs) to assess pregnancy related outcomes. About 397 women with complete information on timing of initiation of breastfeeding were used in the analysis. Results: The early initiation of breastfeeding to their newborn baby i.e. within first hour of the birth, were found in 20.4% of mothers. Factors associated with early initiation of breastfeeding include adequate knowledge (AOR=3.63, 95% CI= 1.99-6.59), place of delivery AOR=2.66  (95% CI=1.51-4.67), gestational age of baby (AOR= 1.89, 95% CI=1.10-3.24) and Age of mother (AOR=1.07, 95% CI=1.02-1.13). Conclusion: Providing counselling and health education for mother before, during and after the pregnancy are important to motivate mothers to initiate breastfeeding early and continue exclusive breastfeeding for recommended period i.e. 6 months.

scholarly journals PREVALENCE AND INDICATION AND OUTCOME OF CESAREAN SECTION IN JUGAL HOSPITAL, HARARI REGIONAL STATE, ETHIOPIA, 2019: A RETROSPECTIVE STUDY

2019 ◽  
Vol 5 (4) ◽  
pp. 85-90
Author(s):  
Arif Hussen Jamie
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Birth Asphyxia ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
World Health ◽  
Steady Increase ◽  
Cross Sectional ◽  
Cesarean Section Delivery ◽  
Regional State

Background: Rising rates of cesarean delivery is becoming a concern to developing countries. Though cesarean section is a lifesaving surgical intervention, the rise in rates has resulted in significant health problems of mothers and newborns. Objective: The aim to undertaking this research is to know the prevalence, indications and outcome of cesarean section delivery In Jugal Hospital, Harari regional state, Ethiopia.Methods: Hospital based record review cross-sectional study was conducted in Jugal Hospital, Harar, Ethiopia from September 1, 2015 to September 1, 2019. Trained data collector and the principal investigator collected data employing a pre-tested extraction format. After checking the filled extraction format for completeness, data was entered, cleaned and analyzed using SPSS software Version 20.Results: In five years’ time (2015-2019), there were 6,111 deliveries, of which 1,817 were delivered by cesarean section which gives the overall rate of 29.7%. The most common indications for cesarean section were Cephalo-pelvic Disproportion (CPD) 323 (17.78%) followed by fetal distress 292(16.07%) and the least indication was pre-eclampsia 9(0.5%) and the most cause of prenatal death was birth asphyxia 38% followed by prematurity34%.Conclusion: In this study, there is a steady increase in the rates of cesarean delivery in five years’ time, the overall rate of C-section in Jugal Hospital was 29.7%. This rate is higher than the World Health Organization standard. Policies and efforts aimed at decreasing the unnecessary cesarean sections should be promoted and implemented at each health facility. 

Increased rates of cesarean sections and large families: a potentially dangerous combination

2017 ◽  
Vol 45 (5) ◽  
Author(s):  
Ahmed M. Saleh ◽  
Joachim W. Dudenhausen ◽  
Badreldeen Ahmed
Keyword(s):  
Immune System ◽  
Cesarean Section ◽  
Cesarean Delivery ◽  
World Health ◽  
Safe Procedure ◽  
Cesarean Sections ◽  
Morbidly Adherent Placenta ◽  
Adherent Placenta ◽  
The World ◽  
Large Families

AbstractRates of cesarean sections have been on the rise over the past three decades all over the world, despite the ideal rate of 10–15% that had been set by the World Health Organization (WHO) in 1985, in Fortaleza, Brazil. This epidemic increase in the rate of cesarean delivery is due to many factors which include, cesarean delivery on request, advanced maternal age at first pregnancy, decrease in number of patients who are willing to try vaginal birth after cesarean delivery, virtual disappearance of vaginal breech delivery, perceived increase in the weight of the fetus and increase in the number of women with chronic medical conditions such as Diabetes Mellitus and congenital heart disease in the reproductive age. There is no doubt that cesarean delivery is a safe procedure and it is getting safer and safer for many reasons. However, like all other surgical procedures it is not without risks both to the mother and the new born. There is a substantial increase in the incidence of morbidly adherent placenta and the risk of scar pregnancy. In the Middle East and many African and Asian countries women tend to have large families. The number of previous cesarean section deliveries is directly proportional to the risk of developing morbidly adherent placenta. Morbidly adherent placenta is the most common cause of emergency postpartum hysterectomy, which is often associated with multiple surgical complications, severe maternal morbidity and mortality. The increased rates of cesarean sections lead to increased rates of scar pregnancies, which can have lethal consequences. Cesarean delivery has a negative impact on the infant immune system. This effect on the infant led to the introduction of a new concept called “Vaginal seeding”. This refers to the practice of transferring some maternal vaginal fluid to the infant born via cesarean section in an effort to enhance its immune system.

scholarly journals CRASH CESAREAN SECTIONS-DECISION TO DELIVERY INTERVAL, MATERNALAND FETAL OUTCOMES

2020 ◽  
pp. 1-3
Author(s):  
Swetha Shivaram ◽  
Sally Mary Abraham
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Team Work ◽  
Bladder Injury ◽  
P Value ◽  
Cesarean Sections ◽  
Maternal Complications ◽  
Fetal Outcomes ◽  
Cross Sectional ◽  
Safe Delivery

Objective  To determine decision to delivery interval in crash caesarean sections .  To review the risks and benefits associated with crash caesarean section, and ways to achieve swift and safe delivery.  To know the maternal and fetal outcome of crash caesarean section. . Methods This is a 30 month retrospective cross-sectional study at Yenepoya medical college studying Category 1(Crash Cesarean sections) of RCOG cesarean section between July 2017 to December 2019 .A total 509 Crash cesarean sections were analyzed out of 6169 deliveries for decision to delivery interval (DDI) and maternal and fetal outcomes Results During the study period there were total of 6169 deliveries of which cesarean section comprised of 1852(30.03%) and 509(8.25%) crash cesarean sections. 82 (16.1%) of crash cesarean sections had DDI of less than 30 min. Neonatal out comes compared as NICU admission in groups with DDI less than 30 min and greater than 30 min had significant p value of 0.0002.Fresh still births(n=2) were present with DDI greater than 30 min. Maternal complications such as bladder injury, traumatic PPH, postoperative wound infections, ICU admissions, negative birth experience were noted. Conclusion Monitoring decision to delivery intervals remains essential in assessing quality of obstetric Caesarean section units. For swift and safe C sections, periodic simulation drills are valuable to improve team work, readiness and enhance communication skills.

Sign in / Sign up

Export Citation Format

Share Document