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Cavallaro, Francesca L., Andrea B. Pembe, Oona Campbell, Claudia Hanson, Vandana Tripathi, Kerry LM Wong, Emma Radovich und Lenka Benova. „Caesarean section provision and readiness in Tanzania: analysis of cross-sectional surveys of women and health facilities over time“. BMJ Open 8, Nr. 9 (September 2018): e024216. http://dx.doi.org/10.1136/bmjopen-2018-024216.
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ObjectivesTo describe trends in caesarean sections and facilities performing caesareans over time in Tanzania and examine the readiness of such facilities in terms of infrastructure, equipment and staffing.DesignNationally representative, repeated cross-sectional surveys of women and health facilities.SettingTanzania.ParticipantsWomen of reproductive age and health facility staff.Main outcome measuresPopulation-based caesarean rate, absolute annual number of caesareans, percentage of facilities reporting to perform caesareans and three readiness indicators for safe caesarean care: availability of consistent electricity, 24 hour schedule for caesarean and anaesthesia providers, and availability of all general anaesthesia equipment.ResultsThe caesarean rate in Tanzania increased threefold from 2% in 1996 to 6% in 2015–16, while the total number of births increased by 60%. As a result, the absolute number of caesareans increased almost fivefold to 120 000 caesareans per year. The main mechanism sustaining the increase in caesareans was the doubling of median caesarean volume among public hospitals, from 17 caesareans per month in 2006 to 35 in 2014–15. The number of facilities performing caesareans increased only modestly over the same period. Less than half (43%) of caesareans in Tanzania in 2014–15 were performed in facilities meeting the three readiness indicators. Consistent electricity was widely available, and 24 hour schedules for caesarean and (less systematically) anaesthesia providers were observed in most facilities; however, the availability of all general anaesthesia equipment was the least commonly reported indicator, present in only 44% of all facilities (34% of public hospitals).ConclusionsGiven the rising trend in numbers of caesareans, urgent improvements in the availability of general anaesthesia equipment and trained anaesthesia staff should be made to ensure the safety of caesareans. Initial efforts should focus on improving anaesthesia provision in public and faith-based organisation hospitals, which together perform more than 90% of all caesareans in Tanzania.
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Singh, Nidhi, und Manjusha . „Are we operating unnecessarily?: caesarean audit in a single unit of a private tertiary care hospital in North India“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, Nr. 3 (27.02.2020): 975. http://dx.doi.org/10.18203/2320-1770.ijrcog20200577.
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Background: Caesarean section emerged as a lifesaving surgery in situations where vaginal delivery could put the mother and fetus at risk. Over the years global rise in caesarean delivery rate has been alarming and may be attributed to changes in medical practice and societal expectations, especially in urban areas and developing countries. Rising caesarean rate is worrisome as it increases maternal morbidity, exposes the mother to future obstetric risks, besides increasing financial burden on the health care system. Caesarean audits could be an effective tool to analyse, understand and propose solutions to reduce caesarean rates. Hence, this retrospective study was conducted to audit caesarean sections done over a period of 5 years (2011 to 2015) in a single unit of a tertiary care private hospital in North India.Methods: The case records of all caesarean deliveries from January 2011 to December 2015 were analysed retrospectively for demographic profile, clinical parameters and recorded indication of caesarean section on the basis of Robson’s classification.Results: The caesarean section rate in the study was 61.8%. According to Robson’s 10 system classification, Group 2, 5 and 10 were the largest contributors. The commonest indication was previous LSCS (18.7%) followed closely by fetal distress (15.4%) and prolonged labor/failed induction (13.3%). Maternal request contributed 10.6% of the Caesarean deliveries.Conclusions: The caesarean section rate in our study is way higher than the national average. We need to re-duce caesareans in primigravidae and consider VBAC where appropriate. Use of Electronic fetal monitoring during labor needs to be optimized. Appropriate use of oxytocics, proper monitoring and using robust criterion to infer non progress of labor are important. Appropriate counselling and assured pain management during labor may help reduce caesareans on maternal request.
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Hoxha, Ilir, Alban Fejza, Mrika Aliu, Peter Jüni und David C. Goodman. „Health system factors and caesarean sections in Kosovo: a cross-sectional study“. BMJ Open 9, Nr. 4 (April 2019): e026702. http://dx.doi.org/10.1136/bmjopen-2018-026702.
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ObjectiveTo investigate the association of caesarean section rates with the health system characteristics in the public hospitals of Kosovo.DesignCross-sectional survey.SettingFive largest public hospitals in Kosovo.Participants859 women with low-risk deliveries who delivered from April to May 2015 in five public hospitals in Kosovo.Outcome measuresThe prespecified outcomes were the crude and adjusted OR of births delivered with caesarean section by health system characteristics such as delivery by the physician who provided antenatal care, health insurance status and other. Additional prespecified outcomes were caesarean section rates and crude ORs for delivery with caesarean in each public hospital.ResultsWomen with personal monthly income had increased odds for caesarean (OR 1.55, 95% CI 1.06 to 2.27), as did women with private health insurance coverage (OR 3.44, 95% CI 1.20 to 9.85). Women instructed by a midwife on preparation for delivery had decreasing odds (OR 0.32, 95% CI 0.19 to 0.51) while women having preference for a caesarean had increasing odds for delivery with caesarean (OR 3.84, 95% CI 1.96 to 7.51). The odds for caesarean increased also in the case of delivery by a physician who provided antenatal care (OR 2.06, 95% CI 1.16 to 3.67) and delivery during office hours (OR 2.36, 95% CI 1.37 to 4.05), while delivery at the University Clinical Centre of Kosovo decreased the odds for caesarean (OR 0.46, 95% CI 0.24 to 0.90).ConclusionsWe found that several health system characteristics are associated with the increase of caesarean sections in a low-risk population of delivering women in public hospitals of Kosovo. These findings should be explored further and addressed via policy measures that would tackle provision of unnecessary caesareans. The study findings could assist Kosovo to develop corrective policies in addressing overuse of caesareans and may provide useful information for other middle-income countries.
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Novita, Nesi, Heni Sumastri und Marinisa Nindita Sari. „PENGARUH TEKNIK BENSON RELAXATION TERHADAP INTENSITAS NYERI PADA IBU POST SECTIO CAESAREA DI RSUD Dr. H.M. RABAIN MUARA ENIM“. JPP (Jurnal Kesehatan Poltekkes Palembang) 17, Nr. 1 (30.06.2022): 37–43. http://dx.doi.org/10.36086/jpp.v17i1.1160.
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ABSTRAK
Latar Belakang : Tindakan sectio caesarean dapat menimbulkan masalah yang cukup kompleks baik secara fisik, psikologis, sosial, dan juga spiritual. Dampak fisik atau fisiologis yang sering muncul dan dirasakan oleh pasien post sectio caesarea adalah rasa nyeri akibat adanya insisi jaringan yang mengakibatkan kontinuitas jaringan terputus. Nyeri dapat diatasi menggunakan metode farmakologis dan non-farmakologis. Salah satu metode non-farmakologis yang dapat dilakukan adalah teknik Benson Relaxation. Tujuan : Penelitian ini untuk mengetahui pengaruh teknik benson relaxation terhadap intensitas nyeri pada Ibu post sectio caesarean di Rumah Sakit Umum Daerah Dr. H. M. Rabain Muara Enim tahun 2020.
Metode Penelitian : Penelitan ini merupakan penelitian quasi eks perimen menggunakan non equaivalent control group design. Teknik pengambilan sampel menggunakan purposive sampling, Sampel penelitian yakni Ibu post sectio caesarea hari pertama di RSUD Dr. H. M. Rabain Muara Enim yang memenuhi kriteria inklusi berjumlah 34 orang. Analisis data menggunakan uji statistik Mann-Whitney.
Hasil penelitian : Uji Mann-Whitney didapatkan ρ value sebesar 0,000 (ρ value ≤ 0,05), yang berarti ada pengaruh teknik benson relaxation terhadap intensitas nyeri pada Ibu post sectio caesarean di Rumah Sakit Umum Daerah Dr. H. M. Rabain Muara Enim, 2020.
ABSTRACT
Background : Sectio caesarean made quiet problems. The pain after Caesarean section are caused by tissue incision resulting discontinuity of tissue. Recently many methods being developed to address the problem of pain in clients with severe post Caesarean section, either by pharmacological approaches and non pharmacological. One way non pharmacological suitable to reduce pain intensity Clients post Caesarean section is Benson’s relaxation. Benson relaxation is a non pharmacological action that can reduce post-SC pain. Objective : this study was being done in order to know the effect of Benson Relaxation technique on pain intensity in post section caesarea women at Dr. H. M. Rabain Muara Enim hospital in 2020.
Methods : This study was a quasy experimental that used non equaivalent control group design. The sample were taken by using purposive sampling method. The sample of this research were 34 post sectio caesarea women in first day at Dr. H. M. Rabain Muara Enim hospital that met inclusion criteria. Statistical analysis test used Mann-Whitney.
Results : By using Mann-Whitney test obtained the significancy ρ value = 0,000 which meant there was a significant difference on intensity pain among post sectio caesarea women at Dr. H. M. Rabain Muara Enim hospital.
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Sarala Kumari, Balmur, und Guthi Visweswara Rao. „Study on factors influencing caesarean section delivery in urban field practice area of Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, India“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, Nr. 7 (24.06.2017): 3129. http://dx.doi.org/10.18203/2320-1770.ijrcog20172947.
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Background: Caesarean section is one of the most commonly performed major surgeries in obstetric practice intended to save the mother and child in turn reducing maternal and perinatal mortality. The steadily increasing global rate of caesarean section has become one of the most debated topics in maternity care. The objective of this study is to identify the factors influencing caesarean section delivery in the study area.Methods: This is a community based cross sectional study conducted among 66 women who underwent caesarean section in urban slum of field practice area of KIMS Nalgonda from January 2017 to February 2017. Information regarding socio demographic factors, indication of caesarean section, maternal and neonatal outcome was recorded in pre-designed pretested questionnaire.Results: The rate of caesarean section (CS) in this study was 55.9%. The commonest indication for elective caesarean was previous caesarean section (59.5%) and for emergence caesarean section the commonest indication was fetal distress (50%). 47.6% in elective group and 62.5% in emergency underwent caesarean section in government hospitals, 52.38% in elective group and 37.5% in emergency underwent caesarean section in private nursing homes.Conclusions: Elective caesarean sections are more common than emergency sections. Most of the caesarian sections were in the age group of 18-25 years, Hindus, BC community, house wives, who have studied up to intermediate and above, below poverty line group and in multigravida women. Common indication for elective CS was previous CS and for emergency CS was fetal distress.
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Lestari, Marlita Dewi, Kusuma Wijaya Ridi Putra und Dimyati Dimyati. „LEVEL OF ANXIETY OF PREGNANT MOTHER IN FACING SECTIO CAESAREA OPERATIONS IN DKT SIDOARJO HOSPITAL“. Nurse and Health: Jurnal Keperawatan 8, Nr. 1 (25.05.2019): 23–27. http://dx.doi.org/10.36720/nhjk.v8i1.62.
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Background: Mothers who undergo labor with sectio caesarea can experience anxiety because they have never experienced surgery or do not know about the actions to be taken.Objective: The study aimed to determine the maternal anxiety level of preoperative sectio caesarea in the Maternity Room of the DKT Hospital in Sidoarjo.Method: The research design used was descriptive method with cross sectional approach. The population in this study were patients who will undergo labor with sectio caesarea in the Maternity Room of the DKT Hospital in Sidoarjo. Sampling technique with accidental sampling. The instrument used was the Hamilton Rating Scale for Anxiety (HRS-A) which was adopted from the book Stress, Anxiety, and Depression Management (Hawari, 2004), which included 14 psychological symptoms of anxiety.Results: The results showed that the most anxiety level of preoperative sectio caesarean mothers was moderate anxiety as many as 25 people (50%).Conclusion: The anxiety level of mothers who will undergo Caesarean section surgery is moderate anxiety, so special care is needed by health workers. Handling that can be given in the form of health education about surgical procedures and post-surgical treatment. In addition, providing knowledge to the family so that they will continue to motivate mothers who will face the caesarean section surgery. Keywords: Level of anxiety, caesarean section surgery, labor.
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Sari, Ruri Maiseptya. „Faktor - Faktor yang Berhubungan dengan Tindakan Sectio Caesarea Di RS DKT“. Jurnal Kebidanan Midwiferia 4, Nr. 2 (01.08.2019): 1. http://dx.doi.org/10.21070/mid.v4i2.2076.
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The rate of labor with sectio caesarean still exceeds from WHO recommendations. The purpose of this study is to determine the Factors who associated with Sectio caesarea in RS DKT in 2017.This study used survey analytic approach with cross sectional design. Population in this study were all labor mother in RS DKT in 2017 with the amount of 1143 people. Sampling technique used proportional random sampling, obtained sample with the amount of 296 people with sample proportion labor mother with sectio caesarea with the amount of 229 people, and labor mother pervaginam 67 people.The results of the study were: (1) from 296 mothers giving birth at DKT Hospital in 2017 there were 77.4% of women giving birth with caesarean section delivery and 22.6% of vaginal delivery mothers, 14.2% of mothers giving birth with fetal distress and 85.6% not fetal distress, 26.7% of women giving birth with DKP / CPD and 73.3% of mothers who were not DKP, 93.6% of mothers gave birth with BPJS financing and 6.4% with general financing; (2) There is a significant relationship between fetal distress and mid-category caesarean section and having a mother with a fetal distress has a risk of 1,358 times for a caesarean section compared with a mother without fetal distress; (3) There is a significant relationship between DKP / CPD with mid-caesarean section and moderate category and women with DKP / CPD have a risk of 1,447 times for caesarean section compared to mothers without PHO; (4) There is no meaningful relationship between BPJS funding and sectio caesarea. It was suggested to health workers to provide services to patients as needed nad also to improve health promote to avoid caesarean section delivery especially in adult women, mother and also prospective mother, in order to better undertand that normla lanor has lower risk for mother wich has not a complications history in her pregnancy and childbirth.
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Naibaho, Risdiana Melinda. „FAKTOR-FAKTOR YANG MEMENGARUHI KECEMASAN IBU PRE OPERASI SECTIO CAESAREA (SC) DI RUMAH SAKIT UMUM DAERAH SIDIKALANG KABUPATEN DAIRI“. Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 16, Nr. 3 (31.12.2021): 532–38. http://dx.doi.org/10.36911/pannmed.v16i3.1188.
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Sectio caesarea is needed as an effort to deliver to save the mother and the fetus, althought at this time the trend of childbirth with sectio caesarea is increasing from year to year, however, every mother who is going to undergo labor with surgery always feels anxiety when facing sectio caesarea surgery.This type of research is a descriptive survey to describe the factor,s that influence the anxiety of pre caesarean section mothers.The population is pregnant women who will give birth by sectio caesarean surgery at the Hospital General Sidikalang Dairi Regency. Sampling with accidental sampling tehnique with a total sample of 55 preoperative caesarean section patiens was based on certain considerations made by the reseachers themselves, based on the average number of caesarean sectins in one year, as many as 1572 people, so that the average monthly number is 131 peple. The data collection tehnique was done through interviews using a questinnaire. The data obtained were analyzed by univariate, bivarriate with chi square p-value 95% ( ? = 0,05).The results of this study indicate that age (p-value = 0,003), education (p-value = 0,000),parity (p-value = 0,002),support (p-value = 0,000),trauma (p-value = 0,003),knowledge (p-value = 0,000),affect anxiety pre operative mother for section caesarea.Sugegestins for families to be given information about the secti caesarean action to be able to provide tigter support to increase confidence in preoperative mothers to increase maternal knowledge, to health workers, to be able to provide information and support to preoperative mothers to make mothers feel comfortable
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Nur, Jinnatun, Rashida Khanom und Sumaya Akter. „Comparative Study on Planned repeat Caesarean Section and Unplanned Repeat Caesarean Section“. Journal of Dhaka Medical College 24, Nr. 1 (07.09.2016): 57–61. http://dx.doi.org/10.3329/jdmc.v24i1.29565.
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Repeat Caesarean section always carries more risk than first time caesarian delivery. In our country, antenatal care is always neglected. When this negligence occurs during subsequent pregnancy who had already goes on Caesarean section for the first pregnancy. In our study, we try to compare between the planned and unplanned repeat Caesarean section. The study was carried out at Mymensingh Medical College Hospital, Mymensingh and Amina Nursing Home at Charpara Mymensingh. This was a retrospective case control study, There were 100 patients in Group: A, (Planned repeat Caesarean section), Group B was also consisted with 100 patients (Unplanned repeat Caesarean section). Odd ratio was measured. Odd ratio between group; A and Group: B was 2.8. The two groups were compared by their age and independent t test was carried out. Group: A. Mean ± SD 25.76 ± 4.461Group: B. Mean ± SD = 26.12 ± 5.513. By pair independent t test: P value: .076ns. So we can conclude that regular antenatal Check up is mandatory for those whose 1st delivery was conducted by Caesarean section irrespective of age and economical status.J Dhaka Medical College, Vol. 24, No.1, April, 2015, Page 57-61
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S., Siwach, Lakra P., Sangwan V., Shivani, Kansal R. und Mahendru R. „To study the outcome of previous one cesarean pregnancies in a rural tertiary center of Haryana, India“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, Nr. 11 (28.10.2017): 5008. http://dx.doi.org/10.18203/2320-1770.ijrcog20175017.
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Background: Rising rates of caesarean section is a matter of great concern and TOLAC is an attractive alternative. Analysing outcome of previous one caesarean pregnancies will provide an insight for reducing the caesarean rates and formulating protocols and policies for TOLAC.Methods: A retrospective study of patients of previous one caesarean pregnancy was done from February 2015 to January 2016 and 3 groups were made, ERCS group, failed TOLAC group and successful TOLAC group. The rates of elective repeat caesarean, failed TOLAC, successful TOLAC, maternal complications, neonatal morbidity and mortality in all three groups were studied.Results: There were 5177 total deliveries with 488 (9.43%) previous one caesarean pregnancies. Out of 488 patients 161 (33%) underwent elective repeat caesarean and 327 (67%) underwent trial of labour. Out of 327 patients 234 (71.56%) had a successful TOLAC and 93 (28.44%) had failed TOLAC. Breech (23%) followed by foetal distress (20%) were the most common indications of previous caesarean. Commonest indication of elective repeat caesarean was short interval (33%) and that of failed TOLAC was foetal distress (38.7%) followed by failed induction (23.6%). There were 4 morbidly adherent placentas (0.82%), 1 scar rupture, 3 scar dehiscence, no maternal mortality and 10 neonatal deaths.Conclusions: Previous one caesarean section is not only a risk factor for repeat caesareans and complications like morbidly adherent placenta, uterine rupture but also a financial burden on health facilities. Encouraging the patients for trial of labour and emphasizing the usage of contraception is the need of the hour.
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Ahamed, Dr Toufiqua, und Dr Khaleda Jahan. „Caesarean Delivery in a Tertiary Care Hospital; A One-Year Survey“. Scholars Journal of Applied Medical Sciences 10, Nr. 11 (29.11.2022): 2036–41. http://dx.doi.org/10.36347/sjams.2022.v10i11.039.
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Background: Caesarean section (CS) rates are growing worldwide. It contributes to substantial maternal and perinatal morbidity and mortality. South Asian countries including Bangladesh have recorded substantial increases in caesarean section rates over the past decade. Prolonged labour and cervical dystocia, hypertensive disorder, malpresentation were also contributing factors for caesarean section. The World Health Organization (WHO) has recognized an ideal caesarean section (CS) rate for a nation of around 10-15%. In recent times the proportion of delivery conducted by caesarean section has improved. Objectives: The aim of this study is to assess A One-year survey of caesarean delivery in a tertiary care hospital. Methods: This is an observational study. The study used to be carried out in the admitted patient’s Department of Gynecology and Obstetrics, Dhaka Medical College Hospital, Dhaka, Bangladesh. In Bangladesh for the duration of the period from January 2007 to June 2008. Results: This study shows that the according to age of 250 Patients aged 20 to 40 years where, 96(38.4%) were 20-25 years, 108(43.32%) were 26-30 years, 33(13.2%) were 31-35 and 13(5.2%) were 36-40 years And according to Gestational age, 17(6.8%) were 30-35 years, 200(80.0%) were 36-40 years, and 33(13.2%) were 40+ years and according to outcome, improved were 243(90.00%) and death were 7(2.8%).Conclusions: Careful monitoring of the fetus and selecting patients for CS at all levels of health care services, and consciousness among general population about the difficulties of the caesarian sections would decrease the caesarian sections.
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Duro Gomez, Jorge. „Perinatal Outcomes After Undergoing External Cephalic Version“. International Journal of Gynecological and Obstetrical Research 9, Nr. 1 (15.05.2021): 7–11. http://dx.doi.org/10.31907/2309-4400.2021.09.02.
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: The external cephalic version (ECV) represents the standard for pregnancies at term with a non-cephalic presentation as it avoids planned caesareans. The aim of this study was to assess the caesarean rate and prognostic factors at birth after undergoing ECV, which was compared with scheduled caesareans for a non-cephalic presentation (SCG) and spontaneous cephalic presentations at birth (GG). No difference was observed between the caesarean rate of the ECV (n=65) and the GG (n=3711) groups (9.84% and 14.47%, respectively, p-value=0.30), and neither was found between the ECV group and both the GG and SCG (n=76) groups in the Apgar scores and postpartum pH, but for the five-minute Apgar score (9.98 and 9.84 in the ECV and SCG groups, respectively, p-value=0.04). This study provides further evidence for clinical practice regarding good perinatal outcomes after undergoing ECV. Further research is required to consistently prove the increase in the intrapartum caesarean rate after ECV that has been previously described in the literature, which has not been found in the present study. Keywords: External Cephalic Version, Breech Presentation, Caesarean Rate, Perinatal Outcomes, Apgar Score, Postpartum Ph.
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Darnal, Naveen, und Ganesh Dangal. „Maternal and Fetal Outcome in Emergency versus Elective Caesarean Section“. Journal of Nepal Health Research Council 18, Nr. 2 (07.09.2020): 186–89. http://dx.doi.org/10.33314/jnhrc.v18i2.2093.
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Background: Caesarean section is one of the most performed surgical procedures all over the world. It is associated with high morbidity and mortality as compared to vaginal delivery. The present study was carried out to evaluate the maternal and neonatal outcome and complications in two groups of pregnant women who underwent elective and emergency cesarean section, so that measures can be taken to reduce morbidity and mortality in near future.Methods: It was hospital based descriptive cross-sectional study carried out at Paropakar Maternity and Women’s Hospital from October to December 2018. There were 340 patients enrolled in the study 170 in elective and 170 in emergency caesareans selected randomly. Ethical approval was obtained from the Institutional Review Board and informed consent was taken from the patients and patients’ guardians. Data were collected daily from the Operation Theater. Results: The rate of caesarean section in the hospital was 30.7%. Proportion of emergency caesarean section was 1324 (74.4%) and elective caesarean section was 456 (25.6%). Emergency Caesarean section was more common in younger age group and in primigravida while elective Caesarean section was more common in advanced age group and in multigravida. The most common indication for emergency Caesarean section was Fetal Distress and the most common indication for elective Caesarean section was previous cesarean with refused vaginal delivery after cesarean section. The maternal outcome in terms of post-operative wound infection, (post-partum hemorrhage, urinary tract infection need for blood transfusion, fever and need for maternal intensive care unit admission was significantly (p- value <0.05) higher in emergency Caesarean section than in elective Caesarean section .The fetal outcome in terms of birth asphyxia, meconium stained liquor and need for Neonatal ICU admission were significantly (p – value <0.05) higher in emergency Caesarean section than in elective Caesarean section. Conclusions: Maternal and fetal complications were significantly higher in the emergency caesarean section as compared to elective caesarean section group.Keywords: Fetal outcome; emergency cesarean section; elective cesarean section; maternal outcome.
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Nastiti, Aria Aulia, Mira Triharini, Ni Komang Ayu Santika, Yulis Setiya Dewi, Najla A. Barnawi und Hidayat Arifin. „Determinants of caesarean section delivery: a nationwide study in Indonesia“. British Journal of Midwifery 30, Nr. 5 (02.05.2022): 282–89. http://dx.doi.org/10.12968/bjom.2022.30.5.282.
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Background The number of caesarean section deliveries among mothers in Indonesia has increased every year. Aim This study was conducted to identify the prevalence and determinants of caesarean section in Indonesia. Methods A cross-sectional design using the 2017 Indonesian Demographic Health Survey was conducted. A total of 12 789 mothers were recruited, and bivariate analysis and binary logistic regression were used. Results The determinants among women that were significant factors in performing caesarian section deliveries were maternal age >35 years, urban residence, high level of education, poorest wealth index, having more than four visits to antenatal care centres, close proximity to health facilities and first-time birth. Conclusions The rate of caesarean section deliveries in Indonesia was 17.7%. Monitoring and evaluation of the increasing number of caesarean sections without medical necessity and the severity of labour is needed.
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Astiani, Astiani, Eha Sumantri, Rahmawati Rahmawati, Sainuddin Sainuddin und Muhammad Saleh. „Hubungan Antara Penyulit Persalinan Dengan Kejadian Sectio Caesarea di Rumah Sakit Khusus Daerah Ibu Dan Anak Pertiwi Makassar“. GLOBAL HEALTH SCIENCE (GHS) 5, Nr. 3 (30.09.2020): 94. http://dx.doi.org/10.33846/ghs50301.
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Background: Women should be informed that a planned caesarean section leads to a smaller reduction in perinatal mortality compared to a planned vaginal breech birth. Any decision to have a Caesarean section needs to be balanced with the potential adverse consequences that may result from this. Methods: This research used analytical survey method. The population in this study were all women who had been treated at the Makassar Regional Mother and Child Hospital for the period January - April 2019 totaling 259 people. The data analysis used was descriptive analysis with percentage, bivariate analysis with Chi- square test and Multivariate analysis with logistic regression. Result: There was a relationship between contraction abnormalities and caesarean section with p-value of 0.003, there was a relationship between birth path abnormalities and caesarean section, with p-value of 0.004, there was a relationship between fetal location abnormalities and caesarean section, with p-value of 0.003, and there was a relationship between placental abnormalities and caesarean section, with p-value of 0.002, the risk factors for labor with an occasional caesarean section with contraction abnormalities (OR adjusted: 5.024; 95% CI: 1.511- 16.710), placental abnormalities (adjusted OR: 3.996; 95% CI: 1,143- 13,970). Conclusion: Contraction abnormality variable is the most dominant variable associated with the incidence of caesarean section in RSKD for mothers and children pertiwi Makassar s is placental abnormalities because it has the largest OR value..
Keywords: complicated labor; sectio caesarea
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Cavallaro, Francesca L., Charles P. Kabore, Rachel Pearson, Ruth M. Blackburn, Soha Sobhy, Ana Pilar Betran, Carine Ronsmans und Alexandre Dumont. „Does hospital variation in intrapartum-related perinatal mortality among caesarean births reflect differences in quality of care? Cross-sectional study in 21 hospitals in Burkina Faso“. BMJ Open 12, Nr. 10 (Oktober 2022): e055241. http://dx.doi.org/10.1136/bmjopen-2021-055241.
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ObjectivesTo examine hospital variation in crude and risk-adjusted rates of intrapartum-related perinatal mortality among caesarean births.DesignSecondary analysis of data from the DECIDE (DECIsion for caesarean DElivery) cluster randomised trial postintervention phase.Setting21 district and regional hospitals in Burkina Faso.ParticipantsAll 5134 women giving birth by caesarean section in a 6-month period in 2016.Primary outcome measureIntrapartum-related perinatal mortality (fresh stillbirth or neonatal death within 24 hours of birth).ResultsAlmost 1 in 10 of 5134 women giving birth by caesarean experienced an intrapartum-related perinatal death. Crude mortality rates varied substantially from 21 to 189 per 1000 between hospitals. Variation was markedly reduced after adjusting for case mix differences (the median OR decreased from 1.9 (95% CI 1.5 to 2.5) to 1.3 (95% CI 1.2 to 1.7)). However, higher and more variable adjusted mortality persisted among hospitals performing fewer caesareans per month. Additionally, adjusting for caesarean care components did not further reduce variation (median OR=1.4 (95% CI 1.2 to 1.8)).ConclusionsThere is a high burden of intrapartum-related perinatal deaths among caesarean births in Burkina Faso and sub-Saharan Africa more widely. Variation in adjusted mortality rates indicates likely differences in quality of caesarean care between hospitals, particularly lower volume hospitals. Improving access to and quality of emergency obstetric and newborn care is an important priority for improving survival of babies at birth.Trial registration numberISRCTN48510263.
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Mata, Yumiati Padaka Reda, und Monica Kartini. „Efektivitas Massage untuk Menurunkan Nyeri pada Pasien Post Operasi Sectio Caesarea“. Jurnal Kesehatan 9, Nr. 2 (18.12.2020): 58. http://dx.doi.org/10.46815/jkanwvol8.v9i2.99.
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AbstractPain is one of the most common problem experienced by post caesarean section (SC) patients. Pain can lead to other impacts, such as decrease the comfort levels, impair patient mobilization, and interfere mother-baby bonding process. There are several nonpharmacological interventions to deal with pain, one of which is by doing massage, where there are several variations in the implementation of post SC maternal massage. The purpose of this literature review is to evaluate the literature on the effect of massage on decreasing intensity in post section caesarean mothers. Literature search is carried out electronically through google scholar pages, Cochrane, BMJ and Pubmed databases. The keywords used are massage, pain, caesarean, post SC, or post cesarean section. There are 11 research articles that discuss massage for decreasing maternal pain. The literature search results show that massage in post section caesarean mothers has an impact on decreasing the pain scale, providing comfort, and reducing stress. Massage is a safe and effective intervention performed in post caesarean section mothers. Keywords: massage; pain; post section caesarean AbstrakNyeri merupakan salah satu masalah utama yang dialami oleh ibu post section caesarea (SC). Nyeri dapat berdampak pada berbagai hal, diantaranya menurunnya tingkat kenyamanan pasien, mengganggu mobilisasi, dan menghambat dalam proses bonding ibu dan bayi. Terdapat beberapa intervensi nonfarmakologi untuk mengurangi nyeri, salah satunya adalah dengan massage. literature review ini bertujuan untuk mengevaluasi hasil-hasil penelitian tentang pengaruh massage dalam menurunkan intensitas nyeri pada ibu post SC. Penelusuran literatur dilakukan secara elektronik melalui google scholar, Cochrane, BMJ dan Pubmed. Kata kunci yang digunakan adalah massage, nyeri, post SC, dan post section caesarean. Terdapat 11 artikel penelitian mengenai massage untuk menurunkan nyeri maternal. Hasil penelusuran literatur menunjukkan bahwa massage pada ibu post SC bermanfaat dalam menurunkan skala nyeri, memberikan kenyamanan, dan mengurangi stress. Massage merupakan intervensi yang aman dan efektif dilaksanakan untuk ibu post SC. Kata kunci: massage; nyeri; post section caesarea
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Leenesa, Calvindra, und Roza Sriyanti. „HUBUNGAN ANTARA SKIN PREPARATION DENGAN INFEKSI LUKA OPERASI POST SECTIO CAESAREA DI RS ACHMAD MOCHTAR BUKITTINGGI“. JOURNAL OBGIN EMAS 2, Nr. 2 (28.11.2019): 67–73. http://dx.doi.org/10.25077/aoj.2.2.67-73.2018.
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Background : Surgical wound infection is a problem that is often found today in surgery. The Indonesian Ministry of Health reported that in 2011, 55.1% of surgical wound infections were found in government hospitals. This is in line with WHO data in 2010, where the sectio caesarean rate in Indonesia was recorded at 6%. Skin preparation can be used to prevent surgical wound infection by reducing the number of germs on the skin prior to incision.Objective : To see the relationship between skin preparation and post sectio caesarea surgical wound infection at Achmad Mochtar Bukittinggi Hospital.Methods : This study was an analytical study using a cross sectional study design by looking at the subject's medical records according to the time and place of the study. Samples were all medical records of mothers giving birth by sectio caesarea in the Obstetrics and Gynecology Section of Achmad Mochtar Bukittinggi Hospital in the period 1 January 2017 to 31 December 2017. Samples were taken from populations that met the inclusion and exclusion criteria. The sample was taken using simple random sampling technique which was taken from the medical records of Achmad Mochtar Hospital Bukittinggi. Statistical analysis to assess significance used the chi-square test.Results : The sectio caesarean group that carried out skin preparation without using chlorhexidine gluconate had the highest number (59.8%), with post sectio caesarean wound infection of 70.7%.Conclusion : There was a significant relationship between skin preparation and post sectio caesarean surgical wound infection (p <0.021) at Achmad Mochtar Bukittinggi Hospital.Keywords: Sectio caesarea, skin preparation, surgical wound infection
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Kothiyal, Shivani, Anjoo Agarwal, Vinita Das, Amita Pandey und Smriti Agarwal. „High rate of caesarean section in cases of intrauterine fetal demise in a low resource setting: Why?“ International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, Nr. 9 (27.08.2018): 3748. http://dx.doi.org/10.18203/2320-1770.ijrcog20183788.
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Background: Stillbirth as an obstetric complication is emotionally devastating for the women as well as the clinician and having a caesarean section for stillbirth is even more catastrophic. The aim of the present research was to study the indications of caesarean section in women with intrauterine fetal demise in a low resource setting.Methods: This was an observational study for assessing the indication of caesarean section among 222/ 550 stillbirths from June 2013 to May 2014 in a tertiary care teaching hospital of North India. 7024 births occurred in the institution over a period of 1 year out of which 550 were stillbirths. Stillbirths which weighed over 500 grams were included in the study. Details of women with intrauterine fetal demise in which caesarian section was done were noted and analyzed.Results: Out of 550 stillbirths, 222 women underwent caesarean section. Rate of caesarean section among women with stillbirth was 40.36%. Placenta previa (23.87%), Rupture uterus (22.1%), obstructed labour (10.8%), transverse lie (9.45%), failed induction (7.20%), massive abruption (5.86%), non-progress of labour (5.40%), eclampsia/pre-eclampsia related causes (4.95%), acute fetal distress (4.95%), were leading indications of caesarean sections. Out of 222 women, 162 (73%) women had anaemia (Hb <11g%). Severe anaemia (haemoglobin less then 7gm/dl) was present in 51 cases (23%).Conclusions: Caesarean section done for intrauterine death in present study were mostly inevitable. Reducing intrapartum stillbirths by improving essential obstetric services will ultimately result in reducing caesarean section rates in stillbirths in developing countries. Further studies are needed both in developing and developed countries to strategize the management of intrauterine dead fetus to prevent such high rate of caesarean section.
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Sharma, Shuchi, Poojan Dogra, Reena Sharma und Suraj Bhardwaj. „Maternal and foetal outcome in second stage caesarean section: a prospective study“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, Nr. 4 (24.03.2021): 1644. http://dx.doi.org/10.18203/2320-1770.ijrcog20211151.
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Background: Caesarean section is the most commonly performed abdominal operation in women all over the world. Caesarean sections during the second stage labour accounts for approximately one fourth of all primary caesareans. Caesarean section at full cervical dilatation is technically difficult and is associated with increased trauma to the lower uterine segment and adjacent structures, as well as increased haemorrhage and infection. Aims and objectives were to determine the indications, maternal and foetal morbidity associated with caesarean section in the second stage of labour.Methods: This prospective study included consecutive 50 cases of caesarean section deliveries conducted in second stage of labor for singleton live pregnancies at term. The data collected in the study was analyzed in terms of maternal demographics, indications of caesarean section, intra-operative and postoperative complications and neonatal outcomes.Results: In our series of 50 deliveries, arrest of descent of fetal head due to malposition was the most common indication of caesarean section accounting for 74% and average procedure time was 45-70 minutes. PPH (62%) was the most common complication. Bladder injury was found in 14% cases. Neonatal outcome variables like APGAR<3 at 5 minutes, respiratory distress and neonatal death were observed in 7, 26 and 2 deliveries respectively.Conclusions: Women undergoing cesarean section in second stage of labour are associated with increased maternal and fetal morbidity. They require special care and hence operation should ideally be performed and supervised by an experienced obstetrician. A proper judgement is required to take a decision for caesarean section at full cervical dilatation.
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Basak, Sankar Kumar, Zannatul Ferdosh, Rehena Begum und Nasim Iftekhar Mahmud. „Evaluation of Patients Satisfaction following Caesarean Section in a Secondary level District Hospital“. Bangladesh Journal of Obstetrics & Gynaecology 33, Nr. 2 (05.07.2020): 101–6. http://dx.doi.org/10.3329/bjog.v33i2.43560.
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Objective: To assess the level of satisfaction with caesarean delivery and to see the relationbetween different parameters and satisfaction.
Materials & Methods: This cross sectional study was done in the department of Obstetrics& Gynaecology of the District Sadar Hospital, Laxmipur during the period of 1st January to30th June 2017. A total of 423 post-caesarean women were included in the study. Thestructured questionnaires were used for the collection of data from the patients and the datawere processed and analyzed with the help of software SPSS.
Results: During the study period, among the 465 caesarean delivery 423 were enrolledfor the study. The mean age of the patients was 23.99±5.29 years and mean parity was1.22±1.27. Initial negative reaction to the decision of caesaren section was expressed by71.9% of the patients, 18.4% remained indifferent and 9.7% showed positive reaction. Themajor reasons of initial negative reaction were fear of death and dislike of caesareansection. The satisfaction following caesarean delivery was significantly associated withage, educational status and initial positive and negative reaction to the decision of caesareansection. Three hundred and fifty five (83.9%) women expressed their overall satisfactionfollowing caesarean section.
Conclusion: Most patients expressed their overall satisfaction to caesarean delivery.
Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 101-106
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Aiyer Kohli, Uttara, Sanjay Singh, Madhusudan Dey, Harpreet Kaur Bal und Atul Seth. „Antenatal risk factors in emergency caesarean sections done for fetal distress“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, Nr. 6 (25.05.2017): 2421. http://dx.doi.org/10.18203/2320-1770.ijrcog20172324.
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Background: Fetal distress is an important indication for emergency caesarean deliveries. The objective of this study is to identify the antenatal and intrapartum risk factors in emergency caesareans done for non-reassuring fetal status and compare with patients who underwent emergency caesareans for other indications.Methods: It was a retrospective study and data was collected from the labour room records of a tertiary care hospital. Patients undergoing emergency caesareans for fetal distress were the cases and the remaining emergency caesareans were the controls. Data was statistically analyzed.Results: There were 5184 deliveries during this period of which, 669 were emergency caesareans. 126 (18.83%) of these were due to fetal distress/ non-reassuring fetal status and 543 (81.17%) were for other indications. Caesarean due to fetal distress accounted for 2.43% of the total deliveries. There were more primigravidae (61.11% Vs 46.04%) in the fetal distress group (Odds Ratio 1.84, p=0.003). Intra uterine growth restriction (OR 5.44, p<0.0001) and antepartum haemorrhage mainly due to abruption (OR 11.19, p <0.0001) were other important antenatal risk factors. Those with neonates of birth weight between 1.5 to 2.0 kgs were more likely to undergo emergency caesarean for fetal distress (OR 1.78, p=0.0435). The risk of a lower APGAR was higher in the fetal distress group (12.59%). 28.34% neonates in this group required NICU admission.Conclusions: Primiparity, intrauterine growth restriction, antepartum hemorrhage and prematurity, have shown to significantly increase the risk of emergency cesareans due to non-reassuring fetal status. We need to improve antenatal care with a goal of early detection of the above risk factors for timely institution of appropriate intervention and thus contributing to a reduction of emergency caesareans due to fetal distress.
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Gandhi, Garima, und Kavita Chandnani. „Association between clinical diagnosis of foetal distress with umbilical artery acidaemia at birth in women undergoing caesarean section for foetal distress“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, Nr. 6 (28.05.2019): 2393. http://dx.doi.org/10.18203/2320-1770.ijrcog20192437.
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Background: The risks of maternal morbidity and mortality associated with a caesarean section may not be reasonably justified by the degree of neonatal compromise at birth associated with caesarean section done for clinically diagnosed foetal distress. The aim was to study the association of clinical diagnosis of non-reassuring foetal status with umbilical artery acidaemia at birth in women undergoing caesarean section for foetal distress and to evaluate outcomes in neonates born by caesarean section performed for foetal distress.Methods: Prospective observational study of all the women undergoing emergency caesarean section for foetal distress at a tertiary care teaching facility over 2 months. Criteria for diagnosis of foetal distress were thick meconium stained liquor only or foetal heart rate abnormality with or without meconium stained liquor. Testing for pH was done on arterial blood drawn from umbilical cord at the time of birth. Acidaemia was defined as cord blood pH less than 7.2. Severe acidaemia was defined as cord blood pH less than 7.0.Results: Cord blood pH was analysed in 110 caesareans done for foetal distress. Incidence of neonatal acidaemia at birth in study population was 53.6%.Conclusions: Much lower incidence of actual acidaemia and low Apgar scores in neonates born by caesarean section done for clinical diagnosis of foetal distress than previously reported indicate the need for more stringent criteria and more objective tests for diagnosis of foetal distress.
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Akter, Mst Jesmin, und Eliza Shirin. „The Outcome of Vaginal Birth After One Caesarean Section (VBAC)“. Journal of Bangladesh College of Physicians and Surgeons 39, Nr. 1 (25.11.2020): 36–45. http://dx.doi.org/10.3329/jbcps.v39i1.50448.
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Background: Caesarean section has become the most performed major operation in obstetrics. The increasing rate of primary caesareans section becomes high worldwide due to early detection of fetal and maternal complications. Repeated caesarean section is one of the major contributory factors for increasing this rate very significantly. Now a day, vaginal delivery of pregnant mothers with the history of previous one caesarean with non-recurrent cause was established. It has been shown that the outcome of trial of labor in past caesarean delivery is acceptable, effective and safe for both mother and fetus, if the women are properly selected.
Objective: The objectives of this study were to determine the outcomes of vaginal birth after caesarean section (VBAC) in case of previous one caesarean section to reduce the subsequence cesarean section with its complication.
Materials and Methods: It was a cross sectional study carried out in the Maternity Unite-1, Department of Gynecology & Obstetrics, Sir Salimullah Medical College and Mitford hospital, Dhaka, Bangladesh, held on January 2010 to December 2010. Out of total 380 admitted pregnant women who had previous one caesarean section, 50 pregnant women of 37-42 weeks of gestational age with the history of one caesarean delivery with alive baby were selected as study population following consecutive and purposive sampling method. Patients with spontaneous onset labor but preterm pregnancy with any contraindication or prior caesarean section due to recurrent causes, history of classical caesarean section, more than one caesarean section, multiple pregnancy, pregnancy with medical disorder were excluded in the study.
Results: Out of total 50 sampled pregnant women, vaginal delivery were done 16(32%) & emergency cesarean section were done 34(68%). According to the age group both vaginal & cesarean section 20- 30 years were predominant, which were 8(50%) and 17(50%) respectively. Regarding antenatal care 13(81.25%) of vaginal delivery cases were regular. On the other hand, only 10(29.41%) of cesarean section were regular in care. Fetal survival outcome in vaginal & caesarean were 14(87.5%) and 33(97.05%) respectively. Comparing the maternal complication maximum number of vaginal delivery group had no complications.
Conclusion: It has been seen in this study that good antenatal care is of paramount importance and was associated with higer rate of vaginal delivery is pregnancy with history of one caesarean section. In this series the post Partum hemorrhage was higher in vaginal delivery group and wound infection rate was high in caesarean group.
J Bangladesh Coll Phys Surg 2021; 39(1): 36-45
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Friebert, Stuart. „Caesarean“. Missouri Review 12, Nr. 2 (1989): 169. http://dx.doi.org/10.1353/mis.1989.0102.
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Nimi, Tazi, Diogo Costa, Paulo Campos und Henrique Barros. „Sociodemographic Determinants of Caesarean Delivery in the Largest Public Maternity Hospital in Angola“. Acta Médica Portuguesa 32, Nr. 6 (28.06.2019): 434. http://dx.doi.org/10.20344/amp.10409.
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Introduction: This study aimed to describe demographic, socioeconomic and pregnancy-related characteristics associated with a caesarean delivery in Luanda.Material and Methods: We conducted a cross-sectional study which included 995 puerperal women and who were assessed between December 2012 and February 2013 at Lucrécia Paím maternity hospital in Luanda, Angola. Data was collected using a structured questionnaire administered by trained interviewers. Logistic regression models were fitted to estimate the magnitude of associations (odds ratios—95% confidence intervals) between the type of delivery and variables showing a significant association in the bivariate analysis.Results: The prevalence of caesarean section was 44%. Women with caesarean delivery were less educated, resided more often in a periurban area and were more likely to disclose lower family income when compared with women who had vaginal delivery. Living in a periurban area was significantly associated with a caesarean delivery regardless of all covariates considered, for primiparous women (adjusted odds ratios, 95% confidence intervals = 2.14, 1.27 – 3.62) and for multiparous women (1.78, 1.26 – 2.51). Among multiparous women, a lower family income was also significantly associated with caesarean delivery. Hypertensive disorders during the current pregnancy were associated with a caesarean delivery in the multivariate models fitted for primiparous (3.96, 1.57 – 9.98) and for multiparous women (1.68, 1.03 – 2.74).Discussion: The associations between low socioeconomic position and high risk of caesarean delivery demonstrated in this study are consistent results in previous researches curried out in African contexts. The poorer and less educated women, who live far from health facilities, have few antenatal care visits and often arrive with complicated conditions, justifying a caesarean delivery. Lack of qualified human and material resources to manage emergencies in peripheral health centers and delaying in the reference system also leads to an increase in the number of caesareans performed in this particular maternity hospital.Conclusion: Sociodemographic differences were observed according to the type of delivery. Cesarean section was more prevalent among women with lower income and residents in periurban areas.
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Astuti, Puji, Aldiga Rienarti Abidin und Ahmad Satria Efendi. „ANALISIS PENGAMBILAN KEPUTUSAN UNTUK TINDAKAN SECTIO CAESAREA PADA IBU HAMIL DI RUMAH SAKIT SYAFIRA PEKANBARU“. Media Kesmas (Public Health Media) 1, Nr. 2 (12.12.2021): 516–24. http://dx.doi.org/10.25311/kesmas.vol1.iss2.74.
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Setiap orang atau pasien dalam pengambilan keputusan untuk melakukan tindakan Sectio Caesarea tentu berdeda-beda, banyak alasan yang melatar belakangi keputusan tersebut dimulai dari indikasi media maupun tanpa indikasi medis sekalipun. Secara umum pengambilan keputusan merupakan pendekatan yang digunakan dalam proses pengambilan keputusan atau proses memilih tindakan sebagai cara pemecahan masalah. Agar individu mecapai hasil yang maksimal maka proses pengambilan keputusan harus rasional. Adapun jumlah ibu hamil yang memutuskan untuk melakukan tindakan sectio Caesarea Di Rumah Sakit Syafira tahun 2017 sebanyak 560, tahun 2018 sebanyak 1415, dan tahun 2019 sebanyak 1694. Penelitian ini bertujuan untuk mengetahui peran Pengetahuan, Sosial Ekonomi, Estetika dan Keluarga. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif. Lokasi dan waktu penelitian adalah di Rumah Sakit Syafira Pekanbaru pada Bulan Januari sampai Juli 2020. Subjek penelitian ini adalah Ibu Hamil dan Dokter Spesialis Obgyn yang berjumlah 6 Informan. Metode pengambilan data diperoleh dari hasil wawancara mendalam. Berdasarkan penelitian ini diperoleh kesimpulan bahwa Ibu Hamil yang memutuskan untuk melakukan tindakan Sectio Caesarea memiliki pengetahuan yang sangat baik, Memiliki status Sosial Ekonomi yang cukup tinggi, Estetika menjadi salah satu aspek yang dipertimbangkan ibu hamil terhadap pengambilan keputusan tindakan Sectio Caesarea, dan persetujuan keluarga merupakan aspek yang paling penting terhadap pengambilan keputusan Tindakan Sectio Caesarea Every person or patient in deciding to perform the Sectio Caesarea certainly varies, many reasons behind the decision begin with media indication or even without medical indication. In general, decision-making is an approach used in the decision-making process or the process of choosing as a way of problem-solving. For an individual to achieve maximum results, the decision-making process must be rational. As for the pregnant women who decided to perform Caesarean sectio measures at Syafira Hospital in 2017 was 560, in 2018 as many as 1415, and 1694 in 2019. This study aimed to determine the role of Knowledge, Socioeconomic Economics, Aesthetics, and Family. This type of research is a descriptive study with a qualitative approach. The location and time of the study were at Pekanbaru Syafira Hospital from January to July 2020. The subjects of this study were Pregnant Women and Obgyn Specialists, totaling 6 Informants. The data collection method was obtained from in-depth interviews. Based on this study, it was concluded that pregnant women who decide to take action on Caesarean Sectio have very good knowledge and high socioeconomic status. Aesthetics is one of the aspects considered by pregnant women for decision making on Caesarean Sectio action, and family approval is the most important aspect in the decision making of the Caesarean Sectio Action
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Ningrum, Ema Wahyu, Dwi Novitasari und Murniati Murniati. „Cutaneous stimulation of slow stroke back massage to reduce the pain of sectio caesarea“. MEDISAINS 17, Nr. 1 (25.07.2019): 12. http://dx.doi.org/10.30595/medisains.v17i1.4549.
Annotation:
Background: Labor with sectio caesarea may result to an impact after surgery, namely pain. The pain reduction technique that can be done is cutaneous stimulation of Slow Stroke Back Massage.Objective: This study aims to determine cutaneous stimulation of Slow Stroke Back Massage towards pain in post sectio caesarean patientsMethods: This study used Pre Experimental Design with the One-Group Pretest-Posttest Design approach. The samples studied were 20 patients of post SC surgery by consecutive sampling technique. The instrument used a VAS scale observation sheet. The research data were analyzed through Wilcoxon test.Results: The results showed that the average pain intensity before the intervention was 6.10, the average intensity of pain after the intervention implemented reached 3.90, there was a difference of pain intensity in post sectio caesarean patients before and after cutaneous stimulation technique of Slow Stroke Back Massage (p-value = 0.001)Conclusion: there is an effect of cutaneous stimulation of Slow Stroke Back Massage on pain in post sectio caesarean patients.
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Amir, Mumtahena, Salma Rouf und Saleha Begum Chowdhury. „Catastrophic Maternal Complications of Morbidly Adherent Placenta in Patients with History of Previous Caesarean Delivery“. Bangladesh Journal of Obstetrics & Gynaecology 33, Nr. 2 (05.07.2020): 96–100. http://dx.doi.org/10.3329/bjog.v33i2.43555.
Annotation:
Objective:The study is aimed to describe the grave maternal outcomes encountered inpatients having morbidly adherent placenta along with history of previous caesarean section.
Materials and Methods: This was a cross-sectional study from September 2014 to August2015. All the patients attended in the in-patient department of obstetrics & gynaecology inDMCH during the study period having morbid adhesion of placenta (diagnosed antenatallyby USG or diagnosed preoperatively) along with history of previous caesarean section.
Result: Total 10,805 obstetric patients delivered during the study period, of which 6,337patients had caesarean sections. Out of them 37 pregnant patients were found to havemorbid adhesion of placenta along with history of previous C/S. The incidence is 1 in 292deliveries. All of the 37 patients needed hysterectomy for intractable per operativehaemorrhage. All the patients needed transfusion of more than 04 units of blood. Nineteenpatients needed ICU supports Ten (27%) patients died. Other grave complications werehypovolemic shock (19 patients), bladder injury (16patients), renal failure (07 patients),multiorgan failure (07 patients) and DIC (06 patients).
Conclusion: All the patients of morbidity adherant placenta with previous Caesarean Sectionneeded caesarian hysterectomy and ten patients died.
Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 96-100
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Alterman, Neora, Jennifer J. Kurinczuk und Maria A. Quigley. „Caesarean section and severe upper and lower respiratory tract infections during infancy: Evidence from two UK cohorts“. PLOS ONE 16, Nr. 2 (16.02.2021): e0246832. http://dx.doi.org/10.1371/journal.pone.0246832.
Annotation:
Background Several studies have reported that birth by caesarean section is associated with increased risk of lower respiratory tract infections in the child, but it is unclear whether this applies to any caesarean section or specifically to planned caesareans. Furthermore, although infections of the upper respiratory tract are very common during childhood, there is a scarcity of studies examining whether caesarean is also a risk factor for this site of infection. Methods We obtained data from two UK cohorts: the Millennium Cohort Study (MCS) and linked administrative datasets of the population of Wales through the Secure Anonymised Information Linkage (SAIL) databank. The study focused on term-born singleton infants and included 15,580 infants born 2000–2002 (MCS) and 392,145 infants born 2002–2016 (SAIL). We used information about mode of birth (vaginal delivery, assisted vaginal delivery, planned caesarean and emergency caesarean) from maternal report in the MCS and from hospital birth records in SAIL. Unplanned hospital admission for lower respiratory tract infection (LRTI) was ascertained from maternal report in the MCS and from hospital record ICD codes in SAIL. Information about admissions for upper respiratory tract infection (URTI) was available from SAIL only. Cox regression was used to estimate hazard ratios for each outcome and cohort separately while accounting for a wide range of confounders. Gestational age at birth was further examined as a potential added, indirect risk of planned caesarean birth due to the early delivery. Findings The rate of hospital admission for LRTI was 4.6 per 100 child years in the MCS and 5.9 per 100 child years in SAIL. Emergency caesarean was not associated with LRTI admission during infancy in either cohort. In the MCS, planned caesarean was associated with a hazard ratio of 1.39 (95% CI 1.03, 1.87) which further increased to 1.65 (95% CI 1.24, 2.19) when gestational age was not adjusted for. In SAIL, the adjusted hazard ratio was 1.10 (95% CI 1.05, 1.15), which increased to 1.17 (95% CI 1.12, 1.22) when gestational age was not adjusted for. The rate of hospital admission for URTI was 5.9 per 100 child years in SAIL. Following adjustments, emergency caesarean was found to have a hazard ratio of 1.09 (95% CI 1.05, 1.14) for hospital admission for URTI. Planned caesarean was associated with a hazard ratio of 1.11 (95% CI 1.06, 1.16) which increased to 1.17 (95% CI 1.12, 1.22) when gestational age was not adjusted for. Conclusions The risk of severe LRTIs during infancy is moderately elevated in infants born by planned caesarean compared to those born vaginally. Infants born by any type of caesarean may also be at a small increased risk of severe URTIs. The estimated effect sizes are stronger if including the indirect effect arising from planning the caesarean birth for an earlier gestation than would have occurred spontaneously. Further studies are needed to confirm these results.
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Yuliana, Yuliana, und Nikmatur Rohma. „Hubungan Pengetahuan dan Sikap Tenaga Kesehatan dengan Perilaku pemberian Teknik Relaksasi dan Teknik Distraksi pada Nyeri Pasien Pasca Operasi Sectio Caesarea di Rumah Sakit Baiturrahim“. Jurnal Akademika Baiturrahim Jambi 10, Nr. 2 (18.09.2021): 359. http://dx.doi.org/10.36565/jab.v10i2.356.
Annotation:
Sectio caesaria surgery can cause changes in the continuity of body tissues and the aftereffect of delivery of a caesarean section is that the patient will feel pain after 2 hours of operation to 3 days and the pain feels hot in the incision scar. Efforts to reduce pain intensity are using non-pharmacological pain management, namely distraction and relaxation techniques. This study used cross sectional approach by using description correlation design which conducted at Baiturrahim hospital Jambi city, sample were health personnel (Nurse and Midwife), the sampling technique used total sampling. The collecting of data used a questionnaire by using Chi-Square test. The findings indicated that from 21 respondents 13 (61.9%) respondents have sufficient knowledge of health personnel, 14 (71.4%) respondents have Positive attitude of health personnel, 20 (95.2%) respondents have good health personnel behavior in giving distraction and relaxation techniques to pain patients. From the result of chi square test indicated that score p-value 0.381 so that the null hypothesis is accepted, namely there is no correlation between knowledge of health personnel with the behavior of giving distraction and relaxation techniques in postoperative pain patients with sectio caesarea at Baiturrahim hospital. It is expected to Baiturrahim hospital in order to increase services in providing non-pharmacological techniques to reduce pain intensity in post-caesarean section patients
32
Matei, Alexandra, Mihai Cornel Dimitriu, George Alexandru Roșu, Cristian George Furău und Crîngu Antoniu Ionescu. „Investigating Caesarean Section Practice among Teenage Romanian Mothers Using Modified Robson Ten Group Classification System“. International Journal of Environmental Research and Public Health 18, Nr. 20 (13.10.2021): 10727. http://dx.doi.org/10.3390/ijerph182010727.
Annotation:
The Robson ten-group classification system is a recognized effective method of assessing caesarean rate. It is based on dividing patients into ten mutually exclusive groups, focusing on six maternal and newborn variables (parity, gestational age, plurality, foetal presentation, previous caesarean, and mode of labour onset). The aim of our analysis was twofold: first, to present the implementation of Robson classification in a pregnant teenage population; and second, to identify the indications for CS in the adolescent population. This study was designed as a one-year prospective analysis and considered all women younger than 20 years of age who delivered in a tertiary care hospital. Before discharge, women who had caesarean delivery responded to a questionnaire regarding their education, prenatal surveillance, and obstetrical history. Caesarean sections accounted for 47.01% of all births. A proportion of 24.57% of the participants had at least one previous caesarean section. Group 10 (all women with a single cephalic preterm pregnancy) was second most often identified among women in middle adolescence (14.03%); 32.20% of the participants in late adolescence were in group 5 (multiparas with a scarred uterus, single cephalic term pregnancy). Differences between the two age groups were not statistically different (p = 0.96). Abnormal cardiotocographic findings (38.23%), the arrest of descent (19.11%) and arrest of dilation (19.11%), were the most frequent indications for caesareans in Robson group 1. Neonates from mothers in Robson groups 8 (women with a multiple pregnancy) and 7 (multiparas single breech pregnancy) had the most unfavourable outcomes regarding gestational age at delivery and admission to the intensive care unit. We concluded that future focus on obstetrical management is mandatory in Robson groups 7 and 8. Adolescents in Robson group 1 (nulliparas, single cephalic term pregnancy, spontaneous labour) are the primary beneficiaries of strategies to reduce caesarean sections rates.
33
Ferdousy, R., S. Yeasmin und R. Parveen. „Evaluation of 200 Cases of Caesarean Section to Find Out Post Operative Urinary Tract Infection“. Journal of Medical Science & Research 28, Number 1 (01.01.2018): 16–20. http://dx.doi.org/10.47648/jmsr.2018.v2801.03.
Annotation:
The incidence of caesarian section varies from hospital to hospital and from communii), to community. Endometritis, post surgical infection, mastitis, genital tract infection, perineal cellulites, respiratory complication from anaesthesia, retained product of conception, urinary tract infection and septic pelvic phlebitis are the post partum infection. To find out urinary tract infection in caesarean section. This prospective cohort study was conducted in the Department of Gynae and Obstetrics, Holy Family Red Crescent Medical College Hospital from August 2003 to January 2004 over a period of six months. Two hundred pregnant patients age between 15 to 42 years, both primi & multipary, pre term, term and post term cases were included in this study. Patients having fever prior to caesarean section were excluded from this study. Out of 200 caesarean section cases history of previous caesarean section (33.5%), Fetal distress (31%), preeclampsia (9.5%), cephalopelvic disproportion (8%), placenta praevia (6.5%) obstructed labour (4.5%), bad obstetric history (3.5%), early rupture of membrane (3.5%). Term delivery was 77%, preterm was 16.5% and post term was 6.5% in this study. 43.0% cases was primi para and 56.5% was multipara. 22 (11.0%) cases of study population had a history of UTI during pregnancy and only 29 (14.5%) cases developed urinary tract infection. Out of 29 cases only 3 (13.6) cases had a history of urinary tract infection during pregnancy. But there was no wound infection after caesarean section in this study. Urinary tract infection is probably due to improper aseptic precaution during catheterization. Organism isolated from urine were pseudomonas (44.8%), Klebsilla (24.1 %), E.coli (20.7%), proteus (10.3%). In this study, 29 (14.5%) cases developed UTI following caesarean section and only 3 03.6%) cases had a history of UTI during pregnancy.
34
Rajan, Elizabeth, und Sabitha Nayak. „EFFECTIVENESS OF SELF INSTRUCTIONAL MODULE ON KNOWLEDGE OF POST OPERATIVE SELF CARE FOR MOTHERS UNDERGOING ELECTIVE CAESAREAN SECTION IN SELECTED HOSPITALS, MANGALORE“. Journal of Health and Allied Sciences NU 04, Nr. 04 (Dezember 2014): 039–41. http://dx.doi.org/10.1055/s-0040-1703829.
Annotation:
AbstractThe study was conducted on Effectiveness of self instructional module on knowledge of post operative self care for mothers undergoing elective caesarean section in selected hospitals, Mangalore. The research design was a one group pre test post test design which was a pre experimental research design. 40 mothers undergoing elective caesarean section by purposive sampling.The pretest knowledge questionnaire was administered to the mothers two days prior to caesarean section, followed by a self instructional module on post operative self care. Post test was conducted after 5 days using the same tool. The collected data were analyzed using descriptive and inferential statistics. The mean knowledge score was 14.98 whereas maximum possible score was 30. Among the 11 areas, the mean percentage knowledge score in the area of caesarean section and self care was 77.50% bladder and bowel care was 60% breast feeding was 58.40% diet was 52.50% pain management was 47.50% post operative complications and home care was 46% baby care was 44.33% early ambulation and exercise was 44% perineal hygiene was 41% wound care was 40.67% and deep breathing and coughing was 40.67%.The 't' value showed significant in the post test ('t' calculated value of pretest and post test knowledge scores = 18.000, p<0.001) which showed that self-instructional module was effective in improving the knowledge of mothers on post operative self care after caesarian section.There was significant association between the level of knowledge and demographic variables namely age parity, education, occupation, monthly income, exposure to health awareness and history of caesarean section.
35
Meredith, Dawn, und Kevin Hugill. „‘Once a caesarean, always a caesarean’? Challenging perceptions around vaginal birth after caesarean“. British Journal of Midwifery 24, Nr. 9 (02.09.2016): 616–23. http://dx.doi.org/10.12968/bjom.2016.24.9.616.
36
Rahmatika, Vina, Musa Ghufron, Nenny Triastuti und Syaiful Rochman. „Hubungan Pemberian Anestesi Regional Dengan Kelancaran ASI Pada Ibu Post Partum Sectio Caesarea Di Rumah Sakit Muhammadiyah Gresik“. MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan 7, Nr. 2 (21.12.2020): 42. http://dx.doi.org/10.26714/magnamed.7.2.2020.42-48.
Annotation:
Background: The birth rate by caesarean section method is getting higher. Risk data for 2013 shows the method of birth with the operation method of 9.8 percent of the total 49,603 births during 2010 to 2013. Being in practice the mother must be given anesthetic before the surgery begins. This anesthesia will later affect the pain that will occur after SC. Purpose: The purpose of this study was to determine the correlation between regional anesthetic drugs and the smoothness of breast milk in women born in sectio caesarea at Muhammadiyah Gresik Hospital. Method: Method with Cross Sectional approach. The population in this study mothers who gave birth in a caesarean section at Muhammadiyah Hospital Gresik in December 2019 to January 2020. The sampling technique in this study is probability / random simple sampling. The sample in this study was a portion of mothers who gave birth in a caesarean section at Muhammadiyah Gresik Hospital. The instrument used was primary data collection in the form of questionnaires and secondary data in the form of patient medical records. Result: The data obtained in this study were processed using spearman correlation statistics. From the statistical test the Correlation coefficient value was 0.807, and obtained P-Value equal to 0,000 this value is less than 0.05. Conclusion: The conclusion of this study is that there is a correlation between the administration of a regional anesthetics and the smoothness of breast milk in mothers of post partum caesarea at Muhammadiyah Gresik Hospital.
37
Cerbinskaite, Aiste, Sarah Malone, Jennifer McDermott und Andrew D. Loughney. „Emergency Caesarean Section: Influences on the Decision-to-Delivery Interval“. Journal of Pregnancy 2011 (2011): 1–6. http://dx.doi.org/10.1155/2011/640379.
Annotation:
RCOG/NICE guidelines recommend that, for fetal compromise in labour, delivery should be accomplished ideally within 30 minutes. In this study, we investigated the factors which affect the decision-to-delivery (DD) intervals for emergency caesareans. To achieve this, prospective data were collected for all grade 1 and 2 caesareans performed on a busy labour ward over 12 months. We found that the ratio of labouring women to midwives had a significant effect on the DD intervals, which were significantly prolonged when 1 : 1 care was not provided (). The observed effect resulted exclusively from a prolonged transfer time to theatre. General anesthesia use shortened the DD interval for grade 1 caesareans () and was more likely to be used during the day shift (). We conclude that midwifery staffing levels and the form of anaesthesia employed influence on DD intervals for the most urgent caesarean sections.
38
Naeem, Ayesha, Ashba Anwer und Saadia Sajjad. „CAESAREAN SECTION“. Professional Medical Journal 25, Nr. 09 (09.09.2018): 1338–41. http://dx.doi.org/10.29309/tpmj/18.4648.
39
Bano, Saeeda, Myda Muzaffar, Masooma Zafar und Fareeha Yousaf. „CAESAREAN SECTION;“. Professional Medical Journal 25, Nr. 07 (11.07.2018): 1078–82. http://dx.doi.org/10.29309/tpmj/18.4709.
40
ALI, HABIBA SHARAF, NEELOFER SALEEM und FARAH AGHA. „CAESAREAN SECTION“. Professional Medical Journal 17, Nr. 03 (10.09.2010): 505–11. http://dx.doi.org/10.29309/tpmj/2010.17.03.2857.
Annotation:
Objective: To determine what surgical techniques are used by obstetricians in Pakistan for caesarean section operations and to compare it with the recommendation, proposal and guidelines of Royal College of Obstetrician and Gynecologist (RCOG) and Cochrane Reviews. Methods: A questionnaire was set up regarding surgical technique used during caesarean section and one hundred obstetricians were part of study. Setting: Hospitals in two large cities of Pakistan i.e. Karachi and Rawalpindi were requested to fill them. Period: Jan 2009 to June 2009. Result: Substantial and remarkable and difference noted in the practice of caesarean section among the obstetricians. Certain practices and procedures performed by our obstetrician are same as proved to be beneficial and valuable based on evidence and recommended by the RCOG and Cochrane Data on pregnancy. Conclusion: We observed that our obstetricians follow different surgical techniques for performing caesarean section. Some of the techniques follow recommendations by RCOG and provide to effective and beneficial by cochrane data.
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Naeem, Ayesha, Ashba Anwer und Saadia Sajjad. „CAESAREAN SECTION“. Professional Medical Journal 25, Nr. 09 (10.09.2018): 1338–41. http://dx.doi.org/10.29309/tpmj/2018.25.09.101.
Annotation:
Background: All over the world the rate of caesarean section is increasing dayby day due to multiple factors and Pakistan is no exception to it. According to World HealthOrganization (WHO) the rate of caesarean section varies from 5% to 15%. This rate of C-sectionis acceptable to WHO and is considered as justifiable which differs from country to country dueto diverse socio economic conditions, literacy rate, medico legal issues as well as availabilitiesof health care facilities to patients and especially antenatal facilities. Objectives: To analyzethe rate and indications of caesarean section in primigravida. Study Design: Descriptive study.Setting: Government Sardar Begum Hospital Sialkot. Period: 1st January 2017 to 31st December2017. Materials and Methods: Inclusion and exclusion criteria were made and all patients whichunderwent caesarean section were included in the study and all patients delivered vaginally wereexcluded from the study. A proforma was designed specially to record the different parameters/information of patients and indications of c-section. Data was analyzed using SPSS version 22.Results: Total caesarean section rate was 40 %, out of which 30.87% were Primigravida and69.13% were multigravida. Failure to progress was the most common indication and only in0.47% patients, obstructed labour was an indication of C-section. Conclusion: In primigravidawomen the prevalence of Caesarean Section is increased which also lead to enhance repeatcaesarean section chances and it is not free of risk. It is risk factor for placenta pervia, further,repeat caesarean section adherent morbidly placenta which increased the chances of hugePPH and acute maternal morbidity and mortality.
42
Zacutti, A. „Caesarean Section“. Journal of Obstetrics and Gynaecology 7, sup1 (Januar 1986): S21. http://dx.doi.org/10.3109/01443618609089373.
43
Atkinson, Stacey. „Caesarean section“. Learning Disability Practice 18, Nr. 6 (29.06.2015): 13. http://dx.doi.org/10.7748/ldp.18.6.13.s15.
44
Paterson-Brown, Sara, und Nicholas M. Fisk. „Caesarean section“. Current Opinion in Obstetrics and Gynecology 9, Nr. 6 (Dezember 1997): 351–55. http://dx.doi.org/10.1097/00001703-199712000-00003.
45
Kwawukume, E. Yao. „Caesarean Myomectomy“. African Journal of Reproductive Health 6, Nr. 3 (Dezember 2002): 38. http://dx.doi.org/10.2307/3583255.
46
Trevathan, W. R., und K. R. Rosenberg. „Caesarean Section“. Evolution, Medicine, and Public Health 2014, Nr. 1 (10.12.2014): 164. http://dx.doi.org/10.1093/emph/eou031.
47
SANTOSO, AGUS IMAN. „The PENGARUH MOBILISASI DINI TERHADAP PERUBAHAN TINGKAT YERI PADA PASIEN POST OPERASI SECTIO CAESAREA DI RUANG OBGYN RSUD DR SAIFUL ANWAR MALANG“. Jurnal Ilmiah Kesehatan Media Husada 11, Nr. 1 (26.04.2022): 97–104. http://dx.doi.org/10.33475/jikmh.v11i1.280.
Annotation:
ABSTRAK
Sectio caesarea menyebabkan nyeri. Mobilisasi meminimalkan nyeri. Tujuan penelitian, mengetahui pengaruh mobilisasi dini terhadap perub ahan tingkat nyeri pada pasien post operasi sectio caesarea di Ruang Obgyn RSUD DR Saiful Anwar Malang. Jenis penelitian Pre-Post tes Only Control Group Design, purposive sampling, 30 responden,15 kelompok perlakuan, 15 kontrol, ada 2 intervensi. Analisa menggunakan uji wilcoxon. Hasil, ada pengaruh mobilisasi dini terhadap perubahan tingkat nyeri pada pasien post operasi sectio caesarea perlakuan dan kontrol, perlakuan intervensi 1 (p<0.05) hasil p = 0.001, intervensi 2 (p<0.05) hasil p = 0.000, kontrol intervensi 1 (p<0.05) hasil p = 0.000, intervensi 2 (p<0.05) hasil p = 0.000. Uji beda pengaruh (Mann Whitney) mobilisasi dini terhadap penurunan skala nyeri, perlakuan dan kontrol, intervensi 1 (p<0.05) hasil p = 0.045 intervensi 2 (p<0.05) hasil p = 0.026. Kesimpulan kelompok perlakuan lebih bisa menurunkan skala nyeri lebih banyak di bandingkan dengan kelompok kontrol.
Kata kunci : Mobilisasi Dini, Tingkat Nyeri, Post Operasi Sectio Caesarea
ABSTRACT
Sectio caesarea causes pain, Mobilization minimize pain. The research objective was to determine the effect of early mobilization on changes in the level of pain in postoperative sectio caesarean patients in the Obgyn Room of DR Saiful Anwar Malang Hospital. Research is Pre-Post test Only Control Group Design, purposive sampling, 30 respondents, 15 treatment, 15 in the control, there are 2 interventions. Analysis using Wilcoxon test. The results of the study, there was the effect of early mobilization on changes in the level of pain in postoperative sectio caesarean patients in the treatment and the control intervention 1 (p <0.05), the result of p = 0.001, intervention 2 (p <0.05) result was p = 0.000 and control intervention 1 (p <0.05) result p = 0.000, intervention2 (p <0.05) result p = 0.000. As for the difference test effect (Mann Whitney) early mobilization on pain scale reduction, treatment and control , intervention 1 (p <0.05) p = 0.045 and intervention 2 (p <0.05) p = 0.026. The conclusion is that the treatment group respondents can reduce the pain scale more than the control group
Keywords: Early Mobilization, Pain Level, Post Caesarean Section Operation
48
SANTOSO, AGUS IMAN. „The PENGARUH MOBILISASI DINI TERHADAP PERUBAHAN TINGKAT YERI PADA PASIEN POST OPERASI SECTIO CAESAREA DI RUANG OBGYN RSUD DR SAIFUL ANWAR MALANG“. Jurnal Ilmiah Kesehatan Media Husada 11, Nr. 1 (26.04.2022): 97–104. http://dx.doi.org/10.33475/jikmh.v11i1.280.
Annotation:
ABSTRAK
Sectio caesarea menyebabkan nyeri. Mobilisasi meminimalkan nyeri. Tujuan penelitian, mengetahui pengaruh mobilisasi dini terhadap perub ahan tingkat nyeri pada pasien post operasi sectio caesarea di Ruang Obgyn RSUD DR Saiful Anwar Malang. Jenis penelitian Pre-Post tes Only Control Group Design, purposive sampling, 30 responden,15 kelompok perlakuan, 15 kontrol, ada 2 intervensi. Analisa menggunakan uji wilcoxon. Hasil, ada pengaruh mobilisasi dini terhadap perubahan tingkat nyeri pada pasien post operasi sectio caesarea perlakuan dan kontrol, perlakuan intervensi 1 (p<0.05) hasil p = 0.001, intervensi 2 (p<0.05) hasil p = 0.000, kontrol intervensi 1 (p<0.05) hasil p = 0.000, intervensi 2 (p<0.05) hasil p = 0.000. Uji beda pengaruh (Mann Whitney) mobilisasi dini terhadap penurunan skala nyeri, perlakuan dan kontrol, intervensi 1 (p<0.05) hasil p = 0.045 intervensi 2 (p<0.05) hasil p = 0.026. Kesimpulan kelompok perlakuan lebih bisa menurunkan skala nyeri lebih banyak di bandingkan dengan kelompok kontrol.
Kata kunci : Mobilisasi Dini, Tingkat Nyeri, Post Operasi Sectio Caesarea
ABSTRACT
Sectio caesarea causes pain, Mobilization minimize pain. The research objective was to determine the effect of early mobilization on changes in the level of pain in postoperative sectio caesarean patients in the Obgyn Room of DR Saiful Anwar Malang Hospital. Research is Pre-Post test Only Control Group Design, purposive sampling, 30 respondents, 15 treatment, 15 in the control, there are 2 interventions. Analysis using Wilcoxon test. The results of the study, there was the effect of early mobilization on changes in the level of pain in postoperative sectio caesarean patients in the treatment and the control intervention 1 (p <0.05), the result of p = 0.001, intervention 2 (p <0.05) result was p = 0.000 and control intervention 1 (p <0.05) result p = 0.000, intervention2 (p <0.05) result p = 0.000. As for the difference test effect (Mann Whitney) early mobilization on pain scale reduction, treatment and control , intervention 1 (p <0.05) p = 0.045 and intervention 2 (p <0.05) p = 0.026. The conclusion is that the treatment group respondents can reduce the pain scale more than the control group
Keywords: Early Mobilization, Pain Level, Post Caesarean Section Operation
49
Ninama, Shilpa N., Tejas A. Shah und Mayur R. Gandhi. „Prospective study on outcome of post-partum intrauterine contraceptive device insertion at tertiary level rural health institute of Gujarat, India“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, Nr. 6 (28.05.2019): 2275. http://dx.doi.org/10.18203/2320-1770.ijrcog20192417.
Annotation:
Background: This study was conducted to evaluate the acceptance, safety, efficacy, complications and expulsion rate of post-partum intrauterine contraceptive device (PPIUCD) insertion among post-partum pregnant women in a rural tertiary care center. Objective of this study was assessment of the efficacy and safety of post-partum IUCD insertion. Comparing the complications and client satisfaction in both groups (intra caesarean insertion versus vaginal route of insertion).Methods: This is a prospective study conducted at one of the rural tertiary care teaching institution. A total of 150 patients with caesarean or vaginal deliveries had PPIUCD insertions and they were followed up for a period of one year. The outcome measures analyzed were menstrual irregularities, vaginal discharge, pelvic infection and perforation and efficacy measures - failure, expulsion and removal. Data are expressed in frequency and percentage. Chi square test was used for comparison and P value <0.05 was considered significant.Results: The study shows that PPIUCD is an effective intervention in both caesarean and vaginal delivery with non-significant differences in safety and efficacy depending on the route of insertion. There was no case of perforation and no significant risk of infection in either caesareans or delivery. Spontaneous expulsion occurred in two cases inserted by vaginal route. Missing string incidence is high in the caesarean group compared to vaginal insertion.Conclusions: PPIUCD is a safe, effective and long term reversible method of contraception and should be encouraged by public awareness and community acceptance.
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Ravit, Marion, Martine Audibert, Valéry Ridde, Myriam de Loenzien, Clémence Schantz und Alexandre Dumont. „Removing user fees to improve access to caesarean delivery: a quasi-experimental evaluation in western Africa“. BMJ Global Health 3, Nr. 1 (Januar 2018): e000558. http://dx.doi.org/10.1136/bmjgh-2017-000558.
Annotation:
IntroductionMali and Benin introduced a user fee exemption policy focused on caesarean sections in 2005 and 2009, respectively. The objective of this study is to assess the impact of this policy on service utilisation and neonatal outcomes. We focus specifically on whether the policy differentially impacts women by education level, zone of residence and wealth quintile of the household.MethodsWe use a difference-in-differences approach using two other western African countries with no fee exemption policies as the comparison group (Cameroon and Nigeria). Data were extracted from Demographic and Health Surveys over four periods between the early 1990s and the early 2000s. We assess the impact of the policy on three outcomes: caesarean delivery, facility-based delivery and neonatal mortality.ResultsWe analyse 99 800 childbirths. The free caesarean policy had a positive impact on caesarean section rates (adjusted OR=1.36 (95% CI 1.11 to 1.66; P≤0.01), particularly in non-educated women (adjusted OR=2.71; 95% CI 1.70 to 4.32; P≤0.001), those living in rural areas (adjusted OR=2.02; 95% CI 1.48 to 2.76; P≤0.001) and women in the middle-class wealth index (adjusted OR=3.88; 95% CI 1.77 to 4.72; P≤0.001). The policy contributes to the increase in the proportion of facility-based delivery (adjusted OR=1.68; 95% CI 1.48 to 1.89; P≤0.001) and may also contribute to the decrease of neonatal mortality (adjusted OR=0.70; 95% CI 0.58 to 0.85; P≤0.001).ConclusionThis study is the first to evaluate the impact of a user fee exemption policy focused on caesarean sections on maternal and child health outcomes with robust methods. It provides evidence that eliminating fees for caesareans benefits both women and neonates in sub-Saharan countries.