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Ceasarean section

G Ducellier-Azzola, M Pontvianne, A S Weingertner, M Kohler, B Viville, M Weil, N Sananès, R Favre
OBJECTIVE: Erythrocyte allo-immunization's rate has decreased but without adapted treatment the prognosis is still poor. The aim of our study was to evaluate the fetal prognosis, the complication's rate and the risk factors of complications of the intrauterine transfusion. METHODS: Retrospective study about 37 fetus and 86 intrauterine transfusions between 2001 and 2017. Our main criterion in judging was the occurrence of procedure related complications: premature membrane rupture or premature delivery within seven days from the procedure, chorioamnionitis, abnormal fetal heart rate indicating an emergency ceasarean section within the 24hours from the procedure, in utero death or neonatal death related to the procedure...
December 21, 2017: Gynecologie, Obstetrique, Fertilite & Senologie
Lucy F van der Voet, Inge P M Jordans, Hans A M Brölmann, Sebastiaan Veersema, Judith A F Huirne
AIM: To study changes in a ceasarean section (CS) scar during the first year after a CS using gel installation sonography (GIS). METHODS: Proof-of-concept study, prospective cohort study. Twenty women who delivered by their first CS were evaluated by both transvaginal sonography and GIS 2 months and 1 year after CS. A niche was defined as an anechogenic space at the uterine caesarean scar with a depth >2 mm. The primary outcome was any change in the thickness of the residual myometrium (RMT) as evaluated by GIS...
September 29, 2017: Gynecologic and Obstetric Investigation
S Rouf, A W Chowdhury
Congenital complete heart block presenting for the first time in pregnancy is a rare occurrence posing a therapeutic challenge. We present a case of unpaced preexisting congenital complete heart block in pregnancy diagnosed for the first time during routine prenatal care at her early weeks of gestation. Our patient was asymptomatic and haemodynamically stable and was managed conservatively with a multidisciplinary term approach. Intrauterine growth retardation (IUGR) was present and she was delivered by ceasarean section at term for foetal distress with IUGR...
October 2016: Mymensingh Medical Journal: MMJ
Semra Akköz Çevik, Mürüvvet Başer
AIMS AND OBJECTIVES: The purpose of this study was to determine the effects of bed exercises and gum chewing on abdominal sounds, flatulence and early discharge on women who have given birth at the Cengiz Gökçek Gynecology and Obstetrics Hospital surgery services in Gaziantep city centre. BACKGROUND: Caesarean operation is the most significant surgical intervention that affects central nervous system and decelerates bowel movements in the postoperative period...
May 2016: Journal of Clinical Nursing
Anselm S Berde, Siddika Songül Yalcin
BACKGROUND: Provision of mother's breast milk to infants within one hour of birth is referred to as Early Initiation of Breast Feeding (EIBF) which is an important strategy to reduce perinatal and infant morbidities and mortality. This study aimed to use recent nationally representative survey data to identify individual, household and community level factors associated with EIBF and to update on previous knowlegde with regards to EIBF in Nigeria. METHODS: We used cross-sectional data from the 2013 Nigerian Demographic and Health Survey (NDHS)...
February 6, 2016: BMC Pregnancy and Childbirth
S L Nause, J Spiegler, J Weichert, D R Hartge
A 31-year-old 2 G 1 P was referred to our unit of prenatal medicine at 35+3 weeks of gestation with a spontaneously conceived singleton pregnancy of a female fetus without detectable anomalies. Maternal hematological evaluation revealed an Evans-syndrome-related thrombocytopenia based on a lupus erythematosus. The former delivery was aggravated by a severe hemorrhage several years before. Anti-autoimmunologic therapy was started and maternal platelets count increased to physiological values. Uneventful ceasarean section was performed at 37 weeks of gestation with favourable outcome for mother and child...
August 2015: Zeitschrift Für Geburtshilfe und Neonatologie
B Bechev, A Nacheva, N Magunska, Iv Kostov
OBJECTIVE: To investigate the risk of adhesions after laparoscopic myomectomy (LM). To establish the percentage of adhesions, their kind, situation and magnitude. MATERIALS AND METHODS: For the period form June 2011 to November 2013 totally 81 patients were operated by LM. In the study only patients with intramural leymyomas bigger than 5 sm were included. For this period 14 patients had second-look because of the need of another operation--LS or Ceasarean section...
2014: Akusherstvo i Ginekologii︠a︡
Ismet Gün, Mehmet Akif Sargın, Ali Babacan
Urinary tract injuries are one of the most serious complications of pelvic surgery and its incidence is about 0.1-1.5%. A 28 year-old woman who had delivered by emergency cesarean section in the second stage of labour presented at the emergency department with pain commencing on the fifth day of the birth. The diagnosis was left ureteral angulation due to deep myometrial suturing during surgery. The patient was regularly followed-up by ultrasonography once a week until the left pelvic ectasia disappeared. Medical therapy is given when necessery...
2009: Journal of the Turkish German Gynecological Association
M Poláková, D Alexander, J Sulc, L Zetová, R Vlk, A Křepelová, D Zantová
TYPE OF STUDY: Summary review and a case report. SETTINGS: GEST IVF, Centre of Reproductive Medicine, Prague. INTRODUCTION: In scientific literature there two syndrome have been described in the presence of pure 46,XY karyotype when an individual is phenotypically and psychosexually identified as a woman. Androgen insensitivity syndrome (AIS) and pure gonadal dysgenesis XY (GD XY, Swyer syndrome). Thanks to the presence of a uterus in Swyer syndrome we can treat this type of sterility with donated oocytes...
November 2013: Ceská Gynekologie
I Petrova, A Nikolov, P Markov, B Slancheva, N Yarakova
OBJECTIVES: The aim of this research was to find out the average gestational age of delivery in multiple pregnancy and to compare the results with world trend. MATERIAL AND METHODS: Retrospective and prospective comparative analysis was used. The study covered 20 years from 1991 to 2011, included 71114 births, 1436 twins, 67 triplets and I quadruplets. RESULTS: The number of multiple pregnancies in 1991 was 64 and in 2011 was 118. The frequency of twins increased from 1...
2013: Akusherstvo i Ginekologii︠a︡
Angélica de Fátima de Assunção Braga, José Aristeu Fachini Frias, Franklin Sarmento da Silva Braga, Rosa Inês Costa Pereira, Stella Marys Meirelles Campos Titotto
PURPOSE: To comparatively study the efficacy and maternal and fetal side-effects of two doses of bupivacaine associated with morphine and clonidine, administered by the subarachnoid route for cesarean section. METHODS: The study included 66 pregnant women at term, distributed into two groups. GI: bupivacaine 8.0 mg (1.6 mL) + clonidine 75 µg (0.5 mL) + morphine 100 µg (1.0 mL) and GII: bupivacaine 10 mg (2.0 mL) + clonidine 75 µg (0.5 mL) + morphine 100 µg (1...
January 2013: Acta Cirúrgica Brasileira
Zarko Alfirevic, Tamara Stampalija, Devender Roberts, Andrea L Jorgensen
BACKGROUND: Cervical cerclage is a well-known surgical procedure carried out during pregnancy. It involves positioning of a suture (stitch) around the neck of the womb (cervix), aiming to give a mechanical support to the cervix and thereby reducing the risk of preterm birth. The effectiveness and safety of this procedure remains controversial. OBJECTIVES: To assess whether the use of cervical stitch in singleton pregnancy at high risk of pregnancy loss based on a woman's history and/or ultrasound finding of 'short cervix' and/or physical exam improves subsequent obstetric care and fetal outcome...
April 18, 2012: Cochrane Database of Systematic Reviews
Hsiu-Huei Peng, Chuan-Chi Kao, Shuenn-Dyh Chang, An-Shine Chao, Yao-Lung Chang, Chao-Nin Wang, Po-Jen Cheng, Yun-Shien Lee, Tzu-Hao Wang, Hsin-Shih Wang
Labor and its associated pain are thought to have unique impacts on parturient women. The goal of this study was to investigate the effects of labor and associated pain on differential gene expression profiles in the maternal, fetal, and placental compartments. We used microarrays to analyze maternal blood (MB), fetal cord blood (CB), and placental tissue samples in pregnant women after term vaginal deliveries (laboring group) and in term pregnant women after scheduled Ceasarean sections (nonlaboring group)...
November 2011: Kaohsiung Journal of Medical Sciences
Tatjana Potpara, Miodrag Grujić, Jelena Marinković, Miodrag Ostojić, Bosiljka Vijisić-Tesić, Marija Polovina, Nobojsa Mujović, Aleksandar Kocijancić
INTRODUCTION: The use of epidural anaesthesia in delivery with the purpose to reduce pain and fear in a pregnant woman has the influence on the physiological status of the woman in childbirth and the course of delivery. From the epidural space of the pregnant woman, one part of free anaesthetic comes in the foetal circulation through the mother's circulation and placenta and connects with the foetal proteins. A lower value of albumins and serum proteins in the foetal circulation give bigger free fraction of anaesthetic which is accumulated in the foetal liver, brain and heart full of blood...
March 2010: Srpski Arhiv za Celokupno Lekarstvo
V Kalis, J Stipán, P Chaloupka, J Karbanová, Z Rokyta
OBJECTIVE: Summary of the impact of Caesarean section on anal incontinence. DESIGN: Review. SETTING: Department of Gynaecology and Obstetrics, Charles University and University Hospital Plzen. SUMMARY: Review of the current international literature. Currently, Caesarean section is not considered to reduce symptoms of anal incontinence. If there is any reduction of symptoms, that remains only for a short term (40% in 3 months after the delivery in the largest trial)...
April 2008: Ceská Gynekologie
J Gallwas, H Ackermann, W Friedmann
Thrombotic thrombocytopenic purpura (TTP) represents a rare complication mainly in the second trimester and can, in its early stage, mimic HELLP syndrome. At 38 weeks of gestation, a 40-year-old primigravida with elevated blood pressure, thrombocytopenia and elevated liver enzymes was diagnosed with HELLP syndrome. Despite a Ceasarean section her laboratory parameters remained pathological with severe thrombocytopenia and hemolysis. In addition, the patient developed neurological comatose-like symptoms. The diagnosis of TTP was made after further tests revealed fragmented red cells in the blood, autoantibodies against ADAMTS13 and a nearly total loss of ADAMST13 plasma activity...
April 2008: Zeitschrift Für Geburtshilfe und Neonatologie
Mariusz Kuźmicki, Jacek Szamatowicz, Adam Kretowski, Paweł Kuć, Marek Kretowski, Natalia Wawrusiewicz, Anna Okruszko, Dereck Leroith, Maria Górska
OBJECTIVES: Recent studies suggest the essential role of different cytokines realised from adipose tissue in pathogenesis of gestational diabetes. The aim of the study was evaluation of adiponectin (diabetes development protective factor) and TNFalpha (one of the most important insulin resistance mediator) genes expression in maternal visceral and subcutaneous adipose tissue as well as placental tissue. MATERIAL AND METHODS: The study group consists of patients with gestational diabetes, healthy pregnant glucose tolerant women represented the control group...
December 2006: Ginekologia Polska
K Safaï, M Sodji, M Kapella, A Maubon, M Servaud, Y Aubard
Chilaïditi's syndrome is the association of a radiological and clinical semiology of the interposition of large colon or small intestine between the lower side of diaphragm and liver. We report the case of a 32-year-old woman, primigravida, who undergone a caesarean section at 39 weeks of amenorrhoea, for a clinical picture of persistent abdominal pain and a beginning hepatic cytolysis. The patient presented one day after the ceasarean section an occlusive syndrome of the small intestine. The etiology of the occlusion of the small intestine in post-partum was a Chilaïditi's syndrome with inter hepatodiaphragmatic incarceration of the small intestine discovered at the computed tomography...
June 2006: Gynécologie, Obstétrique & Fertilité
P Ndiaye, A Tal Dia, A Diedgiou, A Diediou, E H L Dieye, D A Dione
OBJECTIVE: to evaluate the socio-cultural determinants of the delay in having the first pre-natal exam (CPN) in order to make recommendations which aim to reduce maternal and fetal morbidity and mortality in the Richard-Toll health district in Senegal. METHOD: the study was cross-sectional, descriptive and analytical, and was conducted on the entire population of pregnant women who came in for a CPN between March 1st and April 30th, 2003. A questionnaire which was developed on the basis of studied variables steered the interview process which was carried out upon completion of each pregnant woman's CPN in 15 different health facilities...
December 2005: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Y Sajjad, M Leonard, M Doyle
The aim of this study was to compare the differences in the total antioxidant levels in the cord blood after a normal vaginal delivery and after an elective caesarean section. This was a prospective study approved by the Wirral Hospital ethical research committee. The study was carried out in a district general hospital. We investigated 96 healthy pregnant women who had normal antenatal period with singleton pregnancies between 37 and 42 completed weeks of gestation. Sixty-five women had a spontaneous normal vaginal delivery and 31 underwent elective caesarean section...
September 2000: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
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