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second stage caesarean section

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https://www.readbyqxmd.com/read/27906038/craniopagus-parasiticus-a-parasitic-head-protruding-from-temporal-area-of-cranium-a-case-report
#1
Wassihun Nega, Meku Damte, Yonas Girma, Getachew Desta, Mengistu Hailemariam
BACKGROUND: Craniopagus parasiticus is rare with an incidence of approximately four to six cases in 10,000,000 births. In our case, the head of the parasitic twin protruded from the temporal area of the normal twin's cranium. The parasitic twin had two deformed lower limbs, of which one was rudimentary, and long bones of the bilateral lower limbs and some pelvic bone. Dissection of the mass of the parasitic twin's body revealed the intestine but no chest organs or abdominal organs. There was a rudimentary labium but no vaginal opening...
December 1, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27892433/efficacy-of-prophylactic-b-lynch-suture-during-lower-segment-caesarian-section-in-high-risk-patients-for-atonic-postpartum-haemorrhage
#2
M Vijayasree
Background Postpartum Haemorrhage causes significant maternal mortality and morbidity all over the world. Active management of the third stage of labour with oxytocics is come into practice. If postpartum haemorrhage is anticipated conservative surgical procedures like B-lynch suture is being applied. Objective To evaluate the effect of elective B-Lynch suture in preventing atonic postpartum haemorrhage during emergency caesarian section with high risk factors for atonicity. Method Forty antenatal women undergoing emergency caesarean section with risk factors for atony of the uterus were selected in our study...
January 2016: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/27590680/audit-of-a-program-to-increase-the-use-of-vacuum-extraction-in-mulago-hospital-uganda
#3
Barbara Nolens, John Lule, Flavia Namiiro, Jos van Roosmalen, Josaphat Byamugisha
BACKGROUND: Prolonged second stage of labour is a major cause of perinatal and maternal morbidity and mortality in low-income countries. Vacuum extraction is a proven effective intervention, hardly used in Africa. Many authors and organisations recommend (re)introduction of vacuum extraction, but successful implementation has not been reported. In 2012, a program to increase the use of vacuum extraction was implemented in Mulago Hospital, Uganda. The program consisted of development of a vacuum extraction guideline, supply of equipment and training of staff...
September 2, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27566217/policies-for-management-of-postpartum-haemorrhage-the-hera-cross-sectional-study-in-france
#4
Françoise Vendittelli, Chloé Barasinski, Bruno Pereira, Michel Dreyfus, Didier Lémery, Marie-Hélène Bouvier-Colle
OBJECTIVE: The principal objective of this study was to describe the policies reported by French maternity units for the prevention and early management of postpartum haemorrhage (PPH). The second objective was to assess their variation according to hospital level and status. STUDY DESIGN: Cross-sectional observational study of French maternity units, from January 2010 to April 2011. The medical supervisor (obstetrician or midwife) of participating maternity wards completed a questionnaire designed to ascertain the unit's protocol for preventing and managing PPH after both vaginal and caesarean deliveries at a gestational age >22 weeks (or a birth weight >500g)...
October 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27524537/diclofenac-rectal-suppository-an-effective-modality-for-perineal-pain
#5
Shabnam Naz, Naila Yousuf Memon, Asma Sattar, Rafia Baloch
OBJECTIVE: To determine the frequency of perineal pain after childbirth after a single dose of diclofenac rectal suppository. METHODS: This cross-sectional study was conducted at Shaikh Zayed Women Hospital, Larkana, Pakistan, from April to September 2014, and comprised patients who were admitted to the labour room for normal vaginal delivery. A single dose of rectal diclofenac suppository of 100mg was given to the patients delivered vaginally or by second-stage emergency Caesarean section...
August 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27418223/evaluation-of-selected-ultrasonography-parameters-in-the-second-stage-of-labor-in-prediction-mode-of-delivery
#6
Magdalena Ciaciura-Jarno, Wojciech Cnota, Dominik Wójtowicz, Anna Niesłuchowska-Hoxha, Aleksandra Ruci, Rafał Kierach, Aleksandra Stępień, Agnieszka Nowak, Patrycja Sodowska
OBJECTIVES: The aim of the study is to determine the usefulness of ultrasound parameters in the second stage of labor in prediction of the method of delivery and to evaluate the benefits to be derived from this study. MATERIAL AND METHODS: Ultrasound scan was performed with Convex transabdominal probe on 68 pregnant women in labor at term with fetuses in cephalic presentation at the beginning of the second stage of labor and parameters such as angle of progression, head progression distance, head-symphysis distance and head-perineum distance were measured...
2016: Ginekologia Polska
https://www.readbyqxmd.com/read/27407309/induction-of-labour-with-misoprostol-a-prostaglandin-e1-analogue
#7
S Kumar, R T Awasthi, A Kapur, S Srinivas, H Parikh, S Sarkar
The purpose of our study was to compare the safety and efficacy of intravaginal misoprostol versus existing hospital protocol of intracervical dinoprostone and oxytocin for cervical ripening and induction of labour. 200 patients with indication for induction of labour were randomly assigned to receive either intravaginal misoprostol or dinoprostone/oxytocin combination. In first group twenty five micrograms of misoprostol was placed intravaginally every 6 hours till the patient reached active stage of labour...
April 2001: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/27034880/pancreatic-aetiology-for-massive-upper-gastrointestinal-haemorrhage-in-pregnancy
#8
Alexandra Zaborowski, Siun M Walsh, Narayanasamy Ravi, John V Reynolds
We present herein what we believe is the first reported case of massive upper gastrointestinal bleeding in pregnancy due to a pancreatic neuroendocrine tumour causing left sided portal hypertension. A 37-year-old 27-week pregnant female presented with massive haematemesis and melaena requiring transfusion of 10 units of red cell concentrate. Gastric varices were evident at endoscopy. An MRI revealed a large mass infiltrating the pancreatic tail and spleen with massive upper abdominal varix formation secondary to splenic vein invasion...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/26903670/does-labour-epidural-slow-the-progress-of-labour-and-lead-to-complications-obstetricians-perception-working-in-private-and-public-sector-teaching-hospitals-in-a-developing-country
#9
Muhammad Sohaib, Samina Ismail
BACKGROUND AND AIMS: Obstetricians play a major role in the decision making for provision of analgesia for the woman in labour. As epidural analgesia (EA) is the most preferred technique, it is important to know obstetricians' perception regarding its effect on progress of labour and associated complications. METHODS: The 6 months cross-sectional study included 114 obstetricians from teaching hospitals. After informed consent, obstetricians were asked to fill a predesigned questionnaire containing 13 close ended questions regarding their perception on the effect of EA on progress of labour, EA complications and whether they would recommend EA to their patients or not...
December 2015: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/26897398/the-art-of-performing-a-safe-forceps-delivery-a-skill-to-revitalise
#10
REVIEW
Henna Rather, Javaid Muglu, Luxmi Veluthar, K Sivanesan
The number of forceps deliveries is globally falling possibly due to Obstetricians gaining more experience and competence in the use of Ventouse deliveries. The declining use of traction forceps can increase the rate of second stage caesarean sections, which may have a long-term impact on the overall rate of vaginal births, despite the efforts of improving uptake of vaginal births after caesarean sections. The failures in forceps deliveries are commonly related to inaccurate assessment of the foetal position and station, which can be addressed by gaining sound clinical experience and applying intra-partum scanning to determine the fetal head position in the second stage, and should be part of the core curriculum in obstetric training...
April 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/26825356/risk-factors-for-obstetric-anal-sphincter-injury-to-prolong-or-to-vacuum
#11
Gali Garmi, Hadar Peretz, Meirav Braverman, Ilanit Berkovich, Robert Molnar, Raed Salim
INTRODUCTION: An awareness of risk factors for obstetric anal sphincter injuries (OASIS) is essential in order to reduce the occurrence of the primary event. These risk factors are demographic, obstetric and intrapartum related. We aimed to identify the risk factors for OASIS and to examine how modifiable risk factors may be used in order to reduce the incidence of OASIS. METHODS: A retrospective, matched case-control study was conducted in the delivery ward of a single university teaching hospital in Israel, using data from January 2004 to July 2012...
March 2016: Midwifery
https://www.readbyqxmd.com/read/26681573/labour-duration-and-timing-of-interventions-in-women-planning-vaginal-birth-after-caesarean-section
#12
Susanne Grylka-Baeschlin, Antje Petersen, André Karch, Mechthild M Gross
OBJECTIVE: understanding the labour characteristics of women attempting vaginal birth after caesarean (VBAC) may suggest how to improve intrapartum management and may enhance success rates. Promoting VBAC is a relevant factor in decreasing overall caesarean section (c-section) rates. However, the labour processes of women attempting VBAC are not well investigated. The aim of this paper is to compare multiparae planning a first VBAC (pVBAC) with primiparae and with multiparae planning a second vaginal birth, all starting to give birth vaginally, with regard to (a) perinatal characteristics, (b) the timing of intrapartal spontaneous rupture of membranes (SROM) and of interventions, and (c) labour duration, with respect to the first and second stages...
March 2016: Midwifery
https://www.readbyqxmd.com/read/26637078/learning-from-experience-development-of-a-cognitive-task-list-to-perform-a-caesarean-section-in-the-second-stage-of-labour
#13
Sorca O'Brien, Kalpana Sharma, Andrea Simpson, John Kingdom, Rory Windrim, Fionnuala M McAuliffe, Mary Higgins
OBJECTIVE: Caesarean section at full cervical dilatation is a challenging procedure with a higher risk of fetal and maternal morbidity. We wished to elicit the essential clinical components of a CS at full dilatation performed skilfully and safely. METHODS: We conducted a prospective study with both qualitative (individual interviews) and quantitative (questionnaire) components. In the qualitative components, senior clinicians were interviewed using open-ended questions regarding techniques used for performance of CS at full cervical dilatation...
December 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26564016/monochorionic-quadramniotic-and-triamniotic-pregnancies-following-single-embryo-transfers-two-case-reports-and-a-review-of-the-literature
#14
Sotirios H Saravelos, Ting Zhang, Jacqueline Pui Wah Chung, Lu-Ming Sun, Yun Sun, Tin-Chiu Li, Zi-Jiang Chen
PURPOSE: The purpose of this study is to report two cases of monozygotic quadruplet and triplet pregnancies following single embryo transfer (ET). METHODS: A 29-year-old woman and a 34-year-old woman underwent ART treatment in two affiliated University based ART units. The first woman underwent ICSI with day 3 embryo biopsy for pre-implantation genetic diagnosis (PGD) followed by day 4 transfer, which resulted in a monochorionic quadramniotic (MCQA) quadruplet pregnancy...
January 2016: Journal of Assisted Reproduction and Genetics
https://www.readbyqxmd.com/read/26475700/increased-maternal-tsh-and-decreased-maternal-ft4-are-associated-with-a-higher-operative-delivery-rate-in-low-risk-pregnancies-a-prospective-cohort-study
#15
L Monen, V J Pop, T H Hasaart, H Wijnen, S G Oei, S M Kuppens
BACKGROUND: The increasing number of operative deliveries is a topic of major concern in modern obstetrics. Maternal thyroid function is of known influence on many obstetric parameters. Our objective was to investigate a possible relation between maternal thyroid function, and operative deliveries. Secondary aim was to explore whether thyroid function was related to specific reasons for operative deliveries. METHODS: In this prospective cohort study, low-risk Caucasian women, pregnant of a single cephalic fetus were included...
2015: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/26474231/adolescent-pregnancy-guidelines
#16
Nathalie Fleming, Teresa O'Driscoll, Gisela Becker, Rachel F Spitzer, Lisa Allen, Debra Millar, Philippa Brain, Nancy Dalziel, Elise Dubuc, Julie Hakim, Deanna Murphy, Rachel Spitzer
OBJECTIVE: To describe the needs and evidence-based practice specific to care of the pregnant adolescent in Canada, including special populations. OUTCOMES: Healthy pregnancies for adolescent women in Canada, with culturally sensitive and age-appropriate care to ensure the best possible outcomes for these young women and their infants and young families, and to reduce repeat pregnancy rates. EVIDENCE: Published literature was retrieved through searches of PubMed and The Cochrane Library on May 23, 2012 using appropriate controlled vocabulary (e...
August 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26359408/influence-of-fetal-birth-weight-on-caesarean-section-rate-and-fetal-outcome-after-induction-of-labor
#17
Dunja Temerinac, X I Chen, Marc Sütterlin, Sven Kehl
AIM: The aim of the present study was to provide information for better obstetric counselling by analyzing the impact of fetal birth weight on the caesarean section rate and fetal outcome after induction of labor. MATERIALS AND METHODS: In this retrospective study from January 2010 to December 2013, 1,474 singleton deliveries with labor induction at or greater than 37 gestational weeks were analyzed for their impact of fetal birth weight on delivery outcome. The normal birth weight group was defined as 2,500 g to less than 4,000 g...
September 2015: In Vivo
https://www.readbyqxmd.com/read/26334603/perinatal-outcome-in-1515-cases-of-prolonged-second-stage-of-labour-in-nulliparous-women
#18
Jennifer C Hunt, Savas M Menticoglou
OBJECTIVE: To examine perinatal outcomes among nulliparous women with a second stage of labour lasting more than three hours. METHODS: We conducted a retrospective review of all nulliparous women over a 14-year period who had a term, live, singleton, cephalic fetus ≥ 2500 g and who had a second stage of labour lasting at least three hours. Outcome measures included five-minute Apgar score < 7, cord arterial pH < 7.10, admission to the NICU, neonatal seizures, and neonatal death...
June 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26328462/the-place-of-kielland-s-forceps-in-reducing-caesarean-section-rates
#19
Pooja Balchandra, Fiona Marsh, Christine Landon
The rise in births by caesarean section (CS) is a global issue. A skilled obstetrician with a midwife knowledgeable in Kielland's forceps (KF) is often able to achieve a successful rotational vaginal birth when safe. The KF, however, has risks--and outcomes must be audited. In this article we present the results of a literature review and retrospective audit, evaluate maternal and neonatal morbidity associated with KF in our unit and compliance with national standards. Our conclusion is that our unit complies with national standards and offers the woman an alternative to CS when it is safe to do so...
April 2015: Practising Midwife
https://www.readbyqxmd.com/read/26301522/comparison-of-techniques-used-to-deliver-a-deeply-impacted-fetal-head-at-full-dilation-a-systematic-review-and-meta-analysis
#20
REVIEW
Y B Jeve, O B Navti, J C Konje
BACKGROUND: Second-stage caesarean section with a deeply impacted fetal head is associated with maternal and neonatal complications. OBJECTIVES: Systematic review and meta-analysis to identify, appraise and synthesise existing evidence that evaluated various techniques of delivering a baby with a deeply impacted head at full-dilation caesarean section. The primary outcome was uterine extension and secondary outcomes were other maternal and neonatal morbidities. SEARCH STRATEGY: Online searches of MEDLINE (1946-January 2015), EMBASE (1950-January 2015), Web of Sciences (1950-2015), and the Cochrane Library databases were performed using a set of relevant keywords...
February 2016: BJOG: An International Journal of Obstetrics and Gynaecology
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