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Gentle cesarean

Rebecca J Mercier, Julia C Durante
BACKGROUND: Protocols for neonatal care and mother-baby interaction at cesarean birth frequently differ from those at vaginal birth. There is increasing interest in adopting family-friendly or gentle protocols for women having cesarean birth. Current evidence suggests challenges in achieving interdepartmental cooperation and consensus are potential barriers to implementing gentle cesarean protocols. PURPOSE: To describe how care providers' professional role and characteristics may affect perception about gentle cesarean birth techniques and inform specific concerns about protocol changes...
March 2018: MCN. the American Journal of Maternal Child Nursing
Jolien Onsea, Bernadette Bijnens, Siska Van Damme, Tim Van Mieghem
BACKGROUND/AIMS: "Gentle" or "natural" cesarean sections are implemented to improve parental satisfaction. The objective of this study was to investigate whether there is a need for adopting such a gentle approach. METHODS: We recruited those with low-risk pregnancies scheduled for elective cesarean delivery at term. Three questionnaires were administered to both partners: prior to delivery, 2-5 days after delivery, and 6 weeks postpartum. Questionnaires assessed the couple's expectations, fears, and satisfaction prior to and after cesarean section...
November 16, 2017: Gynecologic and Obstetric Investigation
Yusuf Erdem, Serkan Akpancar, M Hanifi Gemci
INTRODUCTION: Femur fractures as a result of birth trauma can still occur during the C/S, in spite of recent developments of surgical and anesthetic techniques. In this study, we aimed to present a rare case of a newborn with myelomeningocele who delivered by cesarean section due to breech presentation and sustained bilateral fracture of femoral shaft. CASE PRESENTATION: A 2690 g female newborn with myelomeningocele sustained bilateral femoral shaft fractures during cesarean section...
July 2016: Journal of Orthopaedic Case Reports
Loïc Sentilhes, Marie-Victoire Sénat, Anne-Isabelle Boulogne, Catherine Deneux-Tharaux, Florent Fuchs, Guillaume Legendre, Camille Le Ray, Emmanuel Lopez, Thomas Schmitz, Véronique Lejeune-Saada
Shoulder dystocia (SD) is defined as a vaginal delivery in cephalic presentation that requires additional obstetric maneuvers to deliver the fetus after the head has delivered and gentle traction has failed. It complicates 0.5-1% of vaginal deliveries. Risks of brachial plexus birth injury (level of evidence [LE]3), clavicle and humeral fracture (LE3), perinatal asphyxia (LE2), hypoxic-ischemic encephalopathy (LE3) and perinatal mortality (LE2) increase with SD. Its main risk factors are previous SD and macrosomia, but both are poorly predictive; 50-70% of SD cases occur in their absence, and most deliveries when they are present do not result in SD...
August 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Kirsten Wisner
No abstract text is available yet for this article.
May 2016: MCN. the American Journal of Maternal Child Nursing
Andrea Tinelli, Ospan A Mynbaev, Radmila Sparic, Daniele Vergara, Silvia Di Tommaso, Michel Salzet, Michele Maffia, Antonio Malvasi
Fibroids or myomas involve large proportion of women of reproductive age. The myoma formation starts from the transformation of the myometrium, causing the progressive formation of a pseudocapsule, which is made of compressed muscle fibers. Numerous studies investigated on myoma pseudocapsule anatomy, discovering many neurotransmitters and neuropeptides, as a neurovascular bundle, influencing myometrial physiology. These substances have a positive impact on wound healing and muscular restoring, also playing a role in sexual and reproductive function...
2017: Current Protein & Peptide Science
Sunita Lamba, Simmy Chopra, Mamta Negi
OBJECTIVES: To study the effect of antenatal breast milk expression at term pregnancy and subsequent effect on postnatal lactation performance. METHODS: A sample size of 200 pregnant women who had completed 37 weeks of gestational period was selected. The sample size was divided equally into study (group 1) and control (group 2). The pregnant women in study (group 1) were advised to gently manually express their breasts at least once daily at any time, preferably during bathing...
February 2016: Journal of Obstetrics and Gynaecology of India
L Sentilhes, M-V Sénat, A-I Boulogne, C Deneux-Tharaux, F Fuchs, G Legendre, C Le Ray, E Lopez, T Schmitz, V Lejeune-Saada
OBJECTIVES: To determine the available evidence to prevent and treat shoulder dystocia to attempt to decrease its related neonatal and maternal morbidity. MATERIALS AND METHODS: The PubMed database, the Cochrane Library and the recommendations from the French and foreign obstetrical societies or colleges have been consulted. RESULTS: Shoulder dystocia, defined as a vaginal delivery that requires additional obstetric maneuvers to deliver the fetus after the head has delivered and gentle traction has failed, complicates 0...
December 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Jackie Tillett
No abstract text is available yet for this article.
October 2015: Journal of Perinatal & Neonatal Nursing
Susanna R Magee, Cynthia Battle, John Morton, Melissa Nothnagle
PURPOSE: In this commentary we describe our experience developing a "gentle cesarean" program at a community hospital housing a family medicine residency program. The gentle cesarean technique has been popularized in recent obstetrics literature as a viable option to enhance the experience and outcomes of women and families undergoing cesarean delivery. METHODS: Skin-to-skin placement of the infant in the operating room with no separation of mother and infant, reduction of extraneous noise, and initiation of breastfeeding in the operating room distinguish this technique from traditional cesarean delivery...
September 2014: Journal of the American Board of Family Medicine: JABFM
Marjorie A Bowman, Anne Victoria Neale, Dean A Seehusen
Oh, what an issue! Extra, Extra, Read all about it! Patients deceiving doctors for prescriptions; characteristics of chronic pain seekers in primary care versus specialty settings; potential overuse of antidepressants when depression screening instruments are used; improving smoking quit rates through anger/stress management training; using immunoglobulin G levels to diagnose and follow eradication of Helicobacter pylori; patient- and family-friendly gentle cesarean deliveries; plus the economic impact of family physicians delivering babies … quite a line-up this issue...
September 2014: Journal of the American Board of Family Medicine: JABFM
Alexandra Hansen, Suneet P Chauhan
Though subjective in nature, both the American College of Obstetricians and Gynecologists practice bulletin and the Royal College of Obstetricians and Gynaecologists green guideline are in agreement on the descriptor of shoulder dystocia: requirement of additional obstetric maneuvers when gentle downward traction has failed to affect the delivery of the shoulders. The rate of shoulder dystocia is about 1.4% of all deliveries and 0.7% for vaginal births. Compared to non-diabetics (0.6%), among diabetics, the rate of impacted shoulders is 201% higher (1...
June 2014: Seminars in Perinatology
S L Sholapurkar
With the increasing numbers of caesareans, long-term complications, such as anterior placenta praevia-accreta are becoming important. Two case reports are presented here, leading to a hypothesis that the increasing incidence of anterior placenta praevia after prior caesareans may be a result of excessive differential development of the lower uterine segment. This could result from marked stretching of a poorly-healed myometrial area by the developing placenta. This would explain the lower incidence of 'apparent' migration of low placenta, as well as the higher likelihood of morbid adhesion...
November 2013: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Vladimir Blagaić, Milan Stanojević, Ana Jelčić
UNLABELLED: More than 50 percent of preterm neonates below 28 gestational weeks in our institution are delivered by cesarean section (CS). AIM: To present advantages of less used method of delivery of premature and/or very low birth weight (VLBW) neonates by Amnion Protective Cesarean Section (APCS) when indicated and to review our experience with the method. It can be used in all deliveries by CS with unruptured amniotic membranes, at all gestational ages. MATERIALS AND METHODS: Including criteria were singleton pregnancies, gestation of 26 to 35 weeks and birth body weight between 700 to 1500 g...
March 2014: Journal of Maternal-fetal & Neonatal Medicine
Andrea Tinelli, Antonio Malvasi, Ospan A Mynbaev, Antonio Barbera, Emanuele Perrone, Marcello Guido, Ioannis Kosmas, Michael Stark
Authors evaluated the outcome of intracapsular cesarean myomectomy by a prospective case-control study on 68 patients who underwent intracapsular cesarean myomectomy, compared with a control group of 72 patients with myomatosic pregnant uterus who underwent cesarean section (CS) without myomectomy. Mostly of removed myomas were subserous or intramural, fundal in 37 women (54.4%), corporal in 22 (32.3%) and peri-low uterine segment in 9 women (18.7%). The average myoma' size was 8 cm (1.5-20), in 40 women, with 8 myomas measuring 4-6 cm, 14 myomas between 10 and 12 cm and >13 cm in 6 patients...
January 2014: Journal of Maternal-fetal & Neonatal Medicine
Diony Young
No abstract text is available yet for this article.
September 2011: Birth
Kerstin Nyberg, Inger Lindberg, Kerstin Öhrling
OBJECTIVE: To describe midwives' experience of encountering women with posttraumatic stress symptoms after childbirth. STUDY DESIGN: Semi-structured interviews with eight midwives with experiences of encountering women with posttraumatic stress symptoms after childbirth. Data were analyzed using thematic content analysis. RESULT: The midwives encountered women with severe experiences after a childbirth, which had affected their lives. The midwives thought that they had to reflect on their own attitude and use their gentleness as they responded to the women's stories...
April 2010: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
Michael Sbarra, Marc Boyd, Thomas S Dardarian
OBJECTIVE: To describe complications due to adhesion formation following cesarean sections and methods to prevent adhesion formation. DESIGN: Case reports. SETTING: Labor and delivery suites in three hospitals. PATIENT(S): [1] A 32-year-old G2P1 undergoing a repeat cesarean section with severe adhesions and subsequent bladder injury and repair. [2] A 36-year-old G3P1 undergoing a vaginal birth after cesarean (VBAC) with partial uterine dehiscence, fetal distress, and dense pelvic adhesions...
July 2009: Fertility and Sterility
Kouji Masumoto, Risa Teshiba, Genshiro Esumi, Kouji Nagata, Yasushi Takahata, Shunji Hikino, Toshiro Hara, Satoshi Hojo, Kiyomi Tsukimori, Norio Wake, Naoko Kinukawa, Tomoaki Taguchi
BACKGROUND/OBJECTIVES: No definitive treatment strategy has been established for patients with an antenatal diagnosed congenital diaphragmatic hernia (AD-CDH). From 1997 to 2003 in this department fetal stabilization (FS) was administered using both morphine and diazepam via the placenta just before delivery of the fetus by cesarean section. In contrast, from 2004 to the present, a combination of gentle ventilation (GV) and a delayed operation was selected, which was performed when the patient's circulatory stabilization (CS) was achieved...
June 2009: Pediatric Surgery International
Michela Camorcia
PURPOSE OF REVIEW: This review examines the literature on the ability of an epidural test dose to detect intravascular or intrathecal epidural catheter misplacement in the obstetric patient. RECENT FINDINGS: There is no consensus on the exact nature of the epidural test dose in obstetrics, as no single regimen has been proven to be completely effective as an epidural test dose. The administration of a test dose is especially important in patients who may require the administration of a large dose of local anesthetic such as for an emergency cesarean section...
June 2009: Current Opinion in Anaesthesiology
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