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Sarala Kumari, Balmur, e 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, n. 7 (24 giugno 2017): 3129. http://dx.doi.org/10.18203/2320-1770.ijrcog20172947.
Testo completoAbstract (sommario):
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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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, n. 3 (31 dicembre 2021): 532–38. http://dx.doi.org/10.36911/pannmed.v16i3.1188.
Testo completoAbstract (sommario):
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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Sari, Ruri Maiseptya. "Faktor - Faktor yang Berhubungan dengan Tindakan Sectio Caesarea Di RS DKT". Jurnal Kebidanan Midwiferia 4, n. 2 (1 agosto 2019): 1. http://dx.doi.org/10.21070/mid.v4i2.2076.
Testo completoAbstract (sommario):
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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Lestari, Marlita Dewi, Kusuma Wijaya Ridi Putra e Dimyati Dimyati. "LEVEL OF ANXIETY OF PREGNANT MOTHER IN FACING SECTIO CAESAREA OPERATIONS IN DKT SIDOARJO HOSPITAL". Nurse and Health: Jurnal Keperawatan 8, n. 1 (25 maggio 2019): 23–27. http://dx.doi.org/10.36720/nhjk.v8i1.62.
Testo completoAbstract (sommario):
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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Novita, Nesi, Heni Sumastri e 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, n. 1 (30 giugno 2022): 37–43. http://dx.doi.org/10.36086/jpp.v17i1.1160.
Testo completoAbstract (sommario):
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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Ahamed, Dr Toufiqua, e Dr Khaleda Jahan. "Caesarean Delivery in a Tertiary Care Hospital; A One-Year Survey". Scholars Journal of Applied Medical Sciences 10, n. 11 (29 novembre 2022): 2036–41. http://dx.doi.org/10.36347/sjams.2022.v10i11.039.
Testo completoAbstract (sommario):
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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Cavallaro, Francesca L., Andrea B. Pembe, Oona Campbell, Claudia Hanson, Vandana Tripathi, Kerry LM Wong, Emma Radovich e Lenka Benova. "Caesarean section provision and readiness in Tanzania: analysis of cross-sectional surveys of women and health facilities over time". BMJ Open 8, n. 9 (settembre 2018): e024216. http://dx.doi.org/10.1136/bmjopen-2018-024216.
Testo completoAbstract (sommario):
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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Osegi, Nkencho, e Olakunle I. Makinde. "Towards optimizing caesarean section: a five-year review of caesarean sections at a Southern Nigeria hospital". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, n. 1 (26 dicembre 2019): 205. http://dx.doi.org/10.18203/2320-1770.ijrcog20196021.
Testo completoAbstract (sommario):
Background: Monitoring caesarean sections at hospital level is essential to reduce unnecessary caesarean sections while still ensuring adequate access to caesarean section. This study was conducted to determine the caesarean section rate and indications for caesarean section at the study centre and provide objective data for institutional interventions towards reducing unnecessary caesarean sections in the centre.Methods: A retrospective descriptive study of patients that had caesarean sections between 1st January 2013 and 31st December 2017 at the Federal Medical Centre, Yenagoa, Nigeria. Data were analyzed using Statistical Package for Social Sciences version 22.Results: There were 5,793 deliveries and 1,654 were by caesarean section. The average caesarean section rate was 28.6%. The leading indications for caesarean section were cephalopelvic disproportion (26.6%), previous cesarean section (18.2%), suspected fetal distress (11.2%), severe preeclampsia/eclampsia (7.9%), obstructed labour (6%), and breech presentation (5.9%).Conclusions: The 28.6% caesarean section rate in this study falls within a widely varied rate across Nigeria at hospital level but is comparable to rates within the south-south geopolitical zone of Nigeria. The leading indications for caesarean section are modifiable, thus there is room for institutional intervention to reduce unnecessary caesarean sections. Collaborative research between institutions is required to assess peculiar regional determinants of caesarean section towards developing suitable interventions to reduce unnecessary caesarean sections regionally.
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Nastiti, Aria Aulia, Mira Triharini, Ni Komang Ayu Santika, Yulis Setiya Dewi, Najla A. Barnawi e Hidayat Arifin. "Determinants of caesarean section delivery: a nationwide study in Indonesia". British Journal of Midwifery 30, n. 5 (2 maggio 2022): 282–89. http://dx.doi.org/10.12968/bjom.2022.30.5.282.
Testo completoAbstract (sommario):
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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Somani, Sonali S., Sunita Sudhir, Shashikant G. Somani e Bushra. "A study of intra-operative maternal morbidity after repeating caesarean section". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, n. 1 (25 dicembre 2017): 291. http://dx.doi.org/10.18203/2320-1770.ijrcog20175864.
Testo completoAbstract (sommario):
Background: Caesarean section (CS) is one of the most common obstetric procedures worldwide and an increased rate of caesarean section has been observed in recent studies. Maternal morbidities and mortality associated with repeat caesarean section is an important health problem. The present study aims at knowing the various intraoperative complications encountered during repeat caesarean sections. Objective was to study the incidence and type of surgical difficulties encountered in repeat cesarean sectionsMethods: It was a prospective observational study of 118 cases of repeat cesarean sections. Intra-operative findings of all cases were analyzed to know the difficulties encountered because of previous cesarean section.Results: In present study, out of total 118 cases of previous cesarean sections, 71 (60.17%) cases were of previous one caesarean section and 47(39.83%) were of previous two cesarean sections. Following intraoperative morbidities were encountered – adhesions (1 caesarean section vs 2 caesarean section – 40.85 vs 65.96% respectively) , thin lower uterine segment (1 caesarean section vs 2 caesarean section – 21.13 vs 36.17% respectively), advanced bladder(1 caesarean section vs 2 caesarean section – 15.49 vs 36.17 % respectively) , extension of uterine incision(1 caesarean section vs 2 caesarean section – 9.86 vs 19.15% respectively) , scar dehiscence(1 caesarean section vs 2 caesarean section –7.04 vs 31.91% respectively), excess blood loss (1 caesarean section vs 2 caesarean section –7.04 vs 19.15% respectively), 1 case of placenta accrete was found in previous 2 caesarean section 2.13%) which needed caesarean hysterectomy. uterine rupture and bladder injury seen in one patients of previous 2caesarean section. Time taken for surgery was more in repeat CS group Delivery.Conclusions: An increasing number of CS is accompanied by increased maternal morbidity. Intraoperative complication which increase the risk of morbidity are adhesion, placenta accreta. It is prudent to involve a senior experienced obstetrician in repeat cesarean section. The best way to reduce this is by reducing primary caesarean section rates. Patients with previous caesarean section should be considered as high risk and should be counseled for regular antenatal check-up and they should be given option of vaginal birth after CS whenever possible.
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Nur, Jinnatun, Rashida Khanom e Sumaya Akter. "Comparative Study on Planned repeat Caesarean Section and Unplanned Repeat Caesarean Section". Journal of Dhaka Medical College 24, n. 1 (7 settembre 2016): 57–61. http://dx.doi.org/10.3329/jdmc.v24i1.29565.
Testo completoAbstract (sommario):
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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Astiani, Astiani, Eha Sumantri, Rahmawati Rahmawati, Sainuddin Sainuddin e 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, n. 3 (30 settembre 2020): 94. http://dx.doi.org/10.33846/ghs50301.
Testo completoAbstract (sommario):
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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Jombo, Sunday, Chukwuma Ossai, Daniel Onwusulu, Samuel Ilikannu e Adeniyi Fagbemi. "Feto-maternal outcomes of caesarean delivery in Federal Medical Centre, Asaba: a two year review". African Health Sciences 22, n. 1 (29 aprile 2022): 172–9. http://dx.doi.org/10.4314/ahs.v22i1.22.
Testo completoAbstract (sommario):
Background: The upward trend of caesarean section and its associated morbidity/mortality especially in low and middle income areas makes regular appraisal of the procedure necessary.
Objective: To evaluate caesarean section; its rate, indications, and maternal and fetal outcomes in Asaba.
Methods: A retrospective study of all caesarean sections carried out at the obstetrics unit of the Federal Medical Centre, Asaba, between July 1, 2018 and June 31, 2020. Data was analyzed using SPSS version 20.
Results: There were 2778 deliveries during the period, out of which 705 had caesarean sections, giving an overall caesarean section rate of 25.4%.There were 456 (64.7%) emergency caesarean sections. The commonest indication for caesarean section was repeat caesarean section 196 (27.8%), while cephalo-pelvic disproportion 87 (12.3%) was the commonest indication for emergency caesarean section. Majority of the babies had low APGAR score at 1min and 5mins, 126 (27.6%) and 50 (11.0%) from emergency than elective caesarean section 16 (6.4%) and 5 (2.0%) at 1min and 5mins respectively (x2=17.963, P<0.001). There were 31 (4.2%) perinatal deaths out of which majority 28 (6.1%) were from emergency caesarean sections (x2=9.412 P=0.002). The commonest post-operative complication was postpartum anaemia (140 (19.9%) while caesarean section case fatality was 0.6%.
Conclusion: This study showed a caesarean section rate of 25.4% with repeat caesarean section and Cephalopelvic disproportion being the most common indication for elective and emergency caesarean section respectively. Emergency caesarean section accounted for most of the cases and is associated with a higher risk of maternal and perinatal morbidity and mortality.
Keywords: Caesarean section; caesarean section rate; maternal; fetal outcomes.
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Kothiyal, Shivani, Anjoo Agarwal, Vinita Das, Amita Pandey e 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, n. 9 (27 agosto 2018): 3748. http://dx.doi.org/10.18203/2320-1770.ijrcog20183788.
Testo completoAbstract (sommario):
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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Singh, Nidhi, e 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, n. 3 (27 febbraio 2020): 975. http://dx.doi.org/10.18203/2320-1770.ijrcog20200577.
Testo completoAbstract (sommario):
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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Sharma, Shuchi, Poojan Dogra, Reena Sharma e Suraj Bhardwaj. "Maternal and foetal outcome in second stage caesarean section: a prospective study". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, n. 4 (24 marzo 2021): 1644. http://dx.doi.org/10.18203/2320-1770.ijrcog20211151.
Testo completoAbstract (sommario):
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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Conze, Theresa, Andrzej Jurczak, Vanessa Fux, Piotr Socha, Axel Wehrend e Tomasz Janowski. "Survival and fertility of bitches undergoing caesarean section". Veterinary Record 186, n. 13 (3 ottobre 2019): 416. http://dx.doi.org/10.1136/vr.105123.
Testo completoAbstract (sommario):
BackgroundWith the increasing popularity of planned caesarean section, the need for knowledge regarding this surgery has become increasingly important. The reported death and survival rates for caesarean sections vary widely. Another important aspect is the fertility rate in subsequent oestrous after caesarean section. The aim of this study was to investigate the mortality and survival rate of bitches during caesarean section. Additionally, the fertility of bitches after caesarean sections was determined.MethodsCaesarean sections which were performed in the years 1997–2009 at two university clinics were evaluated retrospectively. A distinction was made between bitches in which a conservative caesarean section was performed and bitches with a caesarean section followed by an ovariohysterectomy.ResultsA total of 482 caesarean sections were included in the study. The overall mortality rate was 3.11 per cent, with 2.59 per cent during or after a conservative caesarean section and 4.19 per cent during or after caesarean section with ovariohysterectomy. The reason for ovariohysterectomy was the owner’s preference in 63 bitches (47.01 per cent); in 71 (52.98 per cent) bitches, ovariohysterectomy was performed due to a medical indication. The fertility rate after caesarean section was 100 per cent.ConclusionThe results show a high mortality rate during and after caesarean section. On the other hand, caesarean section does not seem to have a big impact on further fertility. Further studies are needed to investigate possible reduction of litter sizes and the suitability of caesarean section in subsequent pregnancies.
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Hoxha, Ilir, Alban Fejza, Mrika Aliu, Peter Jüni e David C. Goodman. "Health system factors and caesarean sections in Kosovo: a cross-sectional study". BMJ Open 9, n. 4 (aprile 2019): e026702. http://dx.doi.org/10.1136/bmjopen-2018-026702.
Testo completoAbstract (sommario):
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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Bano, Arjumand, e Aithagoni Srikavya. "The Study of Intra-Operative Difficulties in One Repeat Caesarean Section Compared with Two or More Caesarean Sections". Journal of Evolution of Medical and Dental Sciences 10, n. 33 (16 agosto 2021): 2745–48. http://dx.doi.org/10.14260/jemds/2021/560.
Testo completoAbstract (sommario):
BACKGROUND Most commonly done obstetric procedure globally is caesarean section. The incidence of C-section is continuously increasing because risk associated with vaginal delivery after caesarean, previous caesarean section is an important indication for Csection. The purpose of this study was to assess the difficulties during intra-operative period in women who undergo caesarean section repeatedly and also to study the comparison between difficulties with women with previous one caesarean section and women with previous 2 or more C-sections. METHODS It is a prospective observational study conducted on 150 women in the Department of Obstetrics & Gynaecology in Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar in women with history of previous caesarean sections (one or more). The women were divided into two groups - Group 1 - Those with previous one caesarean section and Group 2 - Those with previous two or more caesarean sections. RESULTS Out of 150 cases randomly selected and studied who had repeated caesarean section,90 had 1 previous lower segment caesarean section (LSCS), 60 had two or more caesarean sections, the highest number of caesarean sections were performed on women between the age group of 20 - 29 years. Out of these, some cases did not show intra-operative complications, some showed variety of intra-operative complications. Most common type of complications that they came across were adhesions (44 %) in 1 previous LSCS, 65 % in 2 or more LSCS. There were no cases of scar rupture, uterine rupture, bowel injury, caesarean hysterectomy in the study population, probable reason could be that cases were taken elective or taken with a short trial of labour with high level of intrapartum monitoring. CONCLUSIONS Higher incidence of intra-operative complication is seen in women with previous caesarean sections. KEY WORDS Repeat C - Section, Adhesions, Intra-operative Complications
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Darnal, Naveen, e Ganesh Dangal. "Maternal and Fetal Outcome in Emergency versus Elective Caesarean Section". Journal of Nepal Health Research Council 18, n. 2 (7 settembre 2020): 186–89. http://dx.doi.org/10.33314/jnhrc.v18i2.2093.
Testo completoAbstract (sommario):
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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Naeem, Ayesha, Ashba Anwer e Saadia Sajjad. "CAESAREAN SECTION". Professional Medical Journal 25, n. 09 (9 settembre 2018): 1338–41. http://dx.doi.org/10.29309/tpmj/18.4648.
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Bano, Saeeda, Myda Muzaffar, Masooma Zafar e Fareeha Yousaf. "CAESAREAN SECTION;". Professional Medical Journal 25, n. 07 (11 luglio 2018): 1078–82. http://dx.doi.org/10.29309/tpmj/18.4709.
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ALI, HABIBA SHARAF, NEELOFER SALEEM e FARAH AGHA. "CAESAREAN SECTION". Professional Medical Journal 17, n. 03 (10 settembre 2010): 505–11. http://dx.doi.org/10.29309/tpmj/2010.17.03.2857.
Testo completoAbstract (sommario):
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 e Saadia Sajjad. "CAESAREAN SECTION". Professional Medical Journal 25, n. 09 (10 settembre 2018): 1338–41. http://dx.doi.org/10.29309/tpmj/2018.25.09.101.
Testo completoAbstract (sommario):
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.
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Zacutti, A. "Caesarean Section". Journal of Obstetrics and Gynaecology 7, sup1 (gennaio 1986): S21. http://dx.doi.org/10.3109/01443618609089373.
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Atkinson, Stacey. "Caesarean section". Learning Disability Practice 18, n. 6 (29 giugno 2015): 13. http://dx.doi.org/10.7748/ldp.18.6.13.s15.
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Paterson-Brown, Sara, e Nicholas M. Fisk. "Caesarean section". Current Opinion in Obstetrics and Gynecology 9, n. 6 (dicembre 1997): 351–55. http://dx.doi.org/10.1097/00001703-199712000-00003.
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Trevathan, W. R., e K. R. Rosenberg. "Caesarean Section". Evolution, Medicine, and Public Health 2014, n. 1 (10 dicembre 2014): 164. http://dx.doi.org/10.1093/emph/eou031.
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Pradhan, P., S. Shrestha, P. K. Rajbhandari e G. Dangal. "Profile of Caesarean Section in Kirtipur Hospital". Nepal Journal of Obstetrics and Gynaecology 9, n. 2 (16 dicembre 2014): 51–54. http://dx.doi.org/10.3126/njog.v9i2.11763.
Testo completoAbstract (sommario):
Aims: This study was done to find out the incidence and outcome of caesarean sections done at Kirtipur Hospital. Methods: This was a retrospective study conducted from 1st January 2009 to 31st December 2013. Case files of 660 patients who underwent caesarean section for various indications were analyzed for incidence, indication of caesarean section, booking status, parity, and maternal and fetal outcomes. Results: Out of 1295 deliveries, 50.9% (n=660) had caesarean section. Most of the caesarean section was done for fetal distress (40.2%; n=265) and on account of previous history of caesarean section (13.5%; n=89). Majority of caesarean section (44.4%, n=293) was done in age group of 25-29 years. Among them, 65.9% (n=435) were nulliparous. There were 35.3% (n=563) booked cases. Emergency caesarean sections were performed in 62.4% (n=412) cases. Maternal morbidity was less (7.2%, n=48). Conclusions: The study showed high rate of caesarean section. The most common indication was fetal distress. Post-operative complications and fetal outcome were within acceptable range. DOI: http://dx.doi.org/10.3126/njog.v9i2.11763
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R, Srividhya, e Jhansi Rani K. "Caesarean Section Analysis of the Rate According to Robson Ten Group Classification". Journal of Evidence Based Medicine and Healthcare 8, n. 01 (4 gennaio 2021): 37–42. http://dx.doi.org/10.18410/jebmh/2021/8.
Testo completoAbstract (sommario):
BACKGROUND In current and subsequent births, Caesarean sections bear their own risks for maternal and perinatal morbidity and mortality. In contrast with vaginal delivery, Caesarean section has increased risk of blood transfusion, hysterectomy and death and the risk of uterine rupture, placenta accreta and placenta previa in future pregnancies is also increased. We wanted to analyse the Caesarean section rate using Robson ten group classification system & identify the leading groups contributing to high caesarean section rates using Robson ten group classification system. METHODS This observational descriptive study enrolled 11,090 women who underwent delivery, of whom 5117 (46.14 %) women delivered vaginally and 5973 (53.86 %) women delivered through Caesarean section. RESULTS Overall caesarean section percentage was 53.86 %. Major contributors for the CSR were Group 5, 2 and 1 in that order. CS rate in Group 5 and 1 is relatively increased. Ratio of relative size of Group 1 and 2 is 1:2 indicating a greater number of prelabour caesarean sections in nulliparous women. Caesarean section rate in Group 1 and 2 was 15.7 % and 20.1 % respectively. The main indications for caesarean sections being fetal distress, non-progressive labour and severe oligohydramnios / anamnios. Relative size of Group 1 and 5 was 47.3 % stating that most of the obstetric population was in Group 1 and 5. Caesarean section rate in Group 3 and Group 4 was relatively higher than expected; this may be due to our institute being a referral center. Group 5 contributed 45.7 % to overall caesarean section rate. CONCLUSIONS Standardisation of indication of Caesarean deliveries, regular audits and definite protocols in hospital will aid in decreasing the Caesarean section rate in hospital. KEYWORDS Kidney Size, Ultrasound Assessment, Age Groups
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Morang, Korobi, Lithingo Lotha e Kiran R. Konda. "Intraoperative surgical difficulties encountered during repeat caesarean section in a tertiary care centre in Northeast India". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, n. 11 (27 ottobre 2021): 4144. http://dx.doi.org/10.18203/2320-1770.ijrcog20214323.
Testo completoAbstract (sommario):
Background: Caesarean section is the commonest obstetric operative procedure worldwide. The potential perioperative problems in repeat caesarean section include adhesions, increased blood loss, prolonged operative time, injuries to adjacent structures, hysterectomy etc. These increase with increase in caesarean section number.Methods: Hospital based observational study, conducted at Dept. of Obstetrics and Gynaecology, Assam Medical College, from July 2019 to June 2020 with the aim to study intraoperative difficulties encountered during repeat caesarean section. Cases were grouped into two main groups based on number of prior caesarean sections. A detailed history, clinical and intraoperative findings of all pregnant women undergoing repeat caesarean section were noted. Results were tabulated and analysed.Results: Out of 400 women with prior caesarean section who underwent repeat caesarean. 321 had 1 prior caesarean and rest had 2. Among the cases cephalopelvic disproportion was the commonest (43.25%) indication and obstructed labour was the least common (0.25%). Common complications were adhesions (38.25%), thinned lower uterine segment (27%), advance bladder (19.50%), uterine dehiscence (14.75%), excess blood loss (12.75%), extension of uterine incision (8.25%), uterine rupture (1%), placenta accrete (0.75%), and bladder injury (0.5%). Intraoperative complications like adhesions, uterine dehiscence, delivery and operating time were significantly higher in women with 2 prior caesarean section compared to 1 prior caesarean section (p<0.001).Conclusions: Women with caesarean scar are at high risk in subsequent pregnancies particularly in a country like India where antenatal care is often neglected. Best technique to reduce multiple potential complications of repeat caesarean section is to reduce the rates of primary and repeat caesarean sections whenever possible.
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Leno, Daniel W. A., Mamoudou E. Bah, Jerry C. Moumbagna, Tamba M. Millimouno, David Lamah, Alexandre Delamou e Telly Sy. "Evaluation of caesarean section practices according to Robson's 10-group classification at a level two maternity ward in Conakry, Guinea". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, n. 11 (23 ottobre 2019): 4468. http://dx.doi.org/10.18203/2320-1770.ijrcog20194877.
Testo completoAbstract (sommario):
Background: The frequency of caesarean sections (CS) increased dramatically in the world over the last twenty years. The objective of this study was to evaluate caesarean section practices based on Robson classification in an urban referral hospital in Conakry, GuineaMethods: We conducted a cross-sectional study of 2,266 birthing records collected at the maternity ward of the Coronthie Communal Medical Center in Conakry, from January 1st to December 31st 2016. We included in the study all women who had a caesarean section and whose medical records were complete. Robson's classification was used to classify women into 10 groups based on maternal and fetal characteristics. The relative size of each group, its gross caesarean section rate as well as its contribution to overall caesarean section rate and the main caesarean section indications were calculated.Results: In 2016, 769 caesarean sections were performed out of 2,266 deliveries, corresponding to a hospital section rate of 33.9%. Groups 5 (11.0%), 1 (4.8%), and 3 (4.3%) of the Robson classification were the most contributors to registered hospital caesarean section rate. The main indications for caesarean section were uterine scar in group 5 and acute fetal distress in groups 1 and 3.Conclusions: The systematic reference to the Robson classification could help to identify and avoid the relative indications of the caesarean section in urban Guinea. Besides, increasing induction of labor and strengthening providers’ capacities in emergency obstetric and newborn care services could contribute to reduce caesarean section rates in Guinea.
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Holmer, Hampus, Michael M. Kamara, Håkon Angell Bolkan, Alex van Duinen, Sulaiman Conteh, Fatu Forna, Binyam Hailu et al. "The rate and perioperative mortality of caesarean section in Sierra Leone". BMJ Global Health 4, n. 5 (settembre 2019): e001605. http://dx.doi.org/10.1136/bmjgh-2019-001605.
Testo completoAbstract (sommario):
IntroductionSierra Leone has the world’s highest maternal mortality, partly due to low access to caesarean section. Limited data are available to guide improvement. In this study, we aimed to analyse the rate and mortality of caesarean sections in the country.MethodsWe conducted a retrospective study of all caesarean sections and all reported in-facility maternal deaths in Sierra Leone in 2016. All facilities performing caesarean sections were visited. Data on in-facility maternal deaths were retrieved from the Maternal Death Surveillance and Response database. Caesarean section mortality was defined as in-facility perioperative mortality.ResultsIn 2016, there were 7357 caesarean sections in Sierra Leone. This yields a population rate of 2.9% of all live births, a 35% increase from 2012, with district rates ranging from 0.4% to 5.2%. The most common indications for surgery were obstructed labour (42%), hypertensive disorders (25%) and haemorrhage (22%). Ninety-nine deaths occurred during or after caesarean section, and the in-facility perioperative caesarean section mortality rate was 1.5% (median 0.7%, IQR 0–2.2). Haemorrhage was the leading cause of death (73%), and of those who died during or after surgery, 80% had general anaesthesia, 75% received blood transfusion and 22% had a uterine rupture diagnosed.ConclusionsThe caesarean section rate has increased rapidly in Sierra Leone, but the distribution remains uneven. Caesarean section mortality is high, but there is wide variation. More access to caesarean sections for maternal and neonatal complications is needed in underserved areas, and expansion should be coupled with efforts to limit late presentation, to offer assisted vaginal delivery when indicated and to ensure optimal perioperative care.
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Begum, Rowshan Ara, Naireen Sultana, Nahid Sultana, Amena Begum, Mohammad Emran Hossain e Sudhira Begum. "Clinical Study of 100cases of Caesarean Section in Tairunnessa Memorial Medical College & Hospital. Gazipur". Medicine Today 28, n. 2 (13 giugno 2017): 66–68. http://dx.doi.org/10.3329/medtoday.v28i2.32928.
Testo completoAbstract (sommario):
To find out the common indications of caesarean section and complications of this operation, both for mother and baby. This observational study was carried out on 100 cases of caesarean sections, who were operated in the Department of Obstetrics & Gynaecology, Tairunnessa Memorial Medical College & Hospital. Previous caesarean section and oligohydroamnios with fetal distress contribute the major causes of caesarean section. Contribute the major causes of caesarean section. Common complications are UTI, wound infection. Indications of caesarean section should be properly identified to decrease the unnecessary operation, which ultimately decrease indication of previous caesarean section. Maintenance of proper asepsis would avoid the complications of this operation.Medicine Today 2016 Vol.28(2): 66-68
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Nene, Deepti Kiran, Tushar Chandrakant Baheti e Vidyadhar B. Bangal. "Indications of primary caesarean section in multiparous women in patients of rural area of Western Maharashtra, India". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, n. 5 (28 aprile 2020): 1950. http://dx.doi.org/10.18203/2320-1770.ijrcog20201786.
Testo completoAbstract (sommario):
Background: Caesarean section is commonly performed operation in women in last few decades and can be life saving for the child, the mother or both in certain cases. Primary caesarean section in the multipara means first caesarean section done in the patients who had previously delivered vaginally once or more. Aims and objectives of this study were to know the incidence and various indications of primary caesarean section in multipara.Methods: This was a prospective study of primary caesarean section in multipara women admitted at tertiary care hospital in western rural Maharashtra during the period of 6 months from January 2018 to June 2018. Multipara with pregnancy of >28 weeks gestation (gravida 2 and above), each of whom has had a previous vaginal delivery of >20 weeks gestation were included. Women with previous abortions and previous section were excluded.Results: Total no. of deliveries during this period were 4648.Total 1705 sections were performed during the same period. Thus, the incidence caesarean sections are 36.68%. Out of these sections 194 sections were performed in multipara for the first time, thus giving the incidence of 0.42% of total deliveries and 11.38% of total caesarean sections. Most common indication for caesarean section in multipara was malpresentation (19.6%) followed by foetal distress (16.49%) and severe pre-eclampsia (13.4%).Conclusions: Present study concludes that proper antenatal care should always be given to multipara even though there was history of previous vaginal deliveries.
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CHOUDRY, ABEERA, AFEERA AFSHEEN, Ayesha Malik, JAVERIA NAUSHEEN e Saima Masood. "RISING CAESAREAN SECTION RATE". Professional Medical Journal 17, n. 01 (10 marzo 2010): 78–83. http://dx.doi.org/10.29309/tpmj/2010.17.01.1989.
Testo completoAbstract (sommario):
Objective: Compare indications for caesarean section in Military Hospital Rawalpindi in the year 1999 with the year 2005, sixyears apart, with an aim to identify areas where caesarean section rates could be decreased. Study design: Prospective Survey of caesareansection using information provided by doctors/midwives entering data in labour ward /theater registers. Methods: The study was designed asa process evaluation. Indication for caesarean section, parity, previous caesarean section, emergency / elective, labour / pre labour, presenceof previous caesarean section scar, induced or spontaneous labour were noted. Data was plotted into 2 separate classifications and indicationscompared across the 2 years 1999 versus 2005. Statistical significance was calculated and value of <0.05 was considered significant. Results:Overall section rates rose from 16.9% to 34.6% which showed almost doubling of rates in a span of 6 years. The chief contributors to risingrates were as follows. Caesarean section rate rose from 132 (2.2%) to 355 (4.6%) for previous one Caesarean section (p<0.001), from 172(2.9%) to 383 (5% )for previous >1 caesarean (p<0.001), that for nullipara increased from 203 (3.3%) to 632 (8.3%), prelabour or induced labour(p<0.001) and for dystocia from 150(2.5%) to 490 (6.4%) which was again significant (p<0.001) . Increase in section rate for antepartumhaemorrhage, diabetes, previous infertility and intrauterine growth restriction was insignificant. Conclusion : A decrease in the number ofcaesarean sections may be achieved by reducing the number of primary caesarean section and/or encouraging more patients to take a trialof scar. A decrease in induction rates may also lead to lowering of caesarean section rates.
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Totka, Adrián, Martin Gábor, Martin Alföldi, Ivana Kunochová e Vladimír Ferianec. "Ultrasound guided vacuum aspiration treatment of caesarean scar ectopic pregnancy". Česká gynekologie 86, n. 3 (24 giugno 2021): 184–88. http://dx.doi.org/10.48095/cccg2021184.
Testo completoAbstract (sommario):
Summary: Objective: To describe the case of ectopic pregnancy in the scar after caesarean section and its successful treatment using the technique of sonographically controlled vacuum aspiration. Case report: The case of a 35-year-old patient with a history of two caesarean sections referred by a district gynecologist in the 6th week of pregnancy with suspected pathological localization of pregnancy in a scar after a previous caesarean section. The procedure for the diagnosis and treatment of ectopic pregnancy in the scar after previous caesarean sections has been successfully resolved using sonographically controlled vaginal vacuum aspiration. Conclusion: Caesarean scar pregnancy occurs as a complication of previous caesarean section or other uterine instrumental performances. The use of the sonographically controlled vacuum aspiration technique appears to be a successful method of treating pregnancy in a scar after a caesarean section.
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Ajoku, Elaine Somawina, e Justina Omoikhefe Alegbeleye. "Outcome of Vaginal Birth after Caesarean Section at a Tertiary Health Facility, Southern Nigeria". Scholars International Journal of Obstetrics and Gynecology 5, n. 3 (25 marzo 2022): 89–94. http://dx.doi.org/10.36348/sijog.2022.v05i03.005.
Testo completoAbstract (sommario):
Background: Caesarean section rate has been on the increase in the past few years. Previous caesarean sections are a major indication for caesarean sections. The risks associated with repeat caesarean sections have brought about the need to adopt vaginal birth after caesarean section (VBAC) as the preferred mode of delivery in a previously scarred uterus. Aims and Objectives: To determine the pregnancy outcome and complications of vaginal birth after caesarean section at the University of Port Harcourt Teaching Hospital. Materials and Methods: This was a retrospective descriptive study of 121 women with one previous caesarean section who presented at the labour ward of the University of Port Harcourt Teaching Hospital between January 1, 2010, and December 31, 2019. Data was obtained from the case notes, ward, and theatre registers, encoded into a spreadsheet, and analyzed using SPSS 22.0. The results are presented as means, rates and proportions. Associations between variables were assessed using students t-test and Pearson’s correlation. Statistical significance was considered at P<0.05. Results: There were 20,661 deliveries during the period under review. Of these, 175 had vaginal birth after caesarean section (VBAC). However, only 121 case notes were available for analysis. About one third, 44 (36.36%) of the women had previous successful VBAC and 5 (4.13%) had augmentation of labour. Perineal laceration was the most common complication 38 (31.4%). Majority of the babies 103 (85%) had APGAR scores > 7 in the first minute, while 10 (8.55%) were admitted in the Special Care Baby Unit. Maternal age, socioeconomic status, gestational age at delivery and birth weight were not significantly associated with the outcome of VBAC. Conclusion: Vaginal Birth after Caesarean Section is safe and should be recommended in carefully selected women with previous caesarean section, to reduce the morbidities associated with repeat caesarean sections.
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Shams Eldin, Hani, e Nicholas Oligbo. "Spontaneous Vaginal Delivery after Three Previous Caesarean Sections". Current Opinion in Gynecology and Obstetrics 1, n. 1 (27 dicembre 2018): 120–24. http://dx.doi.org/10.18314/cogo.v1i1.1318.
Testo completoAbstract (sommario):
Women with one previous caesarean section have 0.05% risk of uterine rupture, with two caesarean sections the risk increase to 1.36%. We could not find data on the risk of uterine rupture after three caesarean sections. Elective caesarean section is therefore offered to these women by their clinical professionals to eliminate the risk. However, we report a case of spontaneous vaginal delivery with an intact uterine scar in a woman with a previous three caesarean sections to show the possibility of vaginal birth in patients with repeated caesarean section. A 32-year-old female in her 4th pregnancy with previous three caesarean section 1st two emergencies and 3rd elective (Gravida 4, para 3) presented to the delivery suite in spontaneous labour at 39 weeks and 3 days with vaginal bleeding. Emergency call gone off and patient was transferred immediately to theatre, during transfer she pushed down while she was on the wheel chair and the baby head found to be delivered vaginally. A live healthy baby girl weighing 2590 g was delivered. The patient had Postpartum bleeding of 500 ml and 2nd degree perineal and labial tears; the patient was discharged home fit and well on day one postpartum. Repeated caesarean section increases maternal mortality and morbidity. Vaginal birth after repeated previous caesarean sections could still be an option in selected cases as safe vaginal delivery has been reported.
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R., Sudha, e Anjali R. "Study of the indications for caesarean sections between 20 and 28 weeks of gestation". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, n. 3 (19 febbraio 2017): 787. http://dx.doi.org/10.18203/2320-1770.ijrcog20170440.
Testo completoAbstract (sommario):
Background: Major change in the practice of obstetrics over the past century is progressive increase in the frequency of caesarean delivery and recent scientific information show improved survival or decreased morbidity for the neonate when caesarean delivery is performed for extreme prematurity. This study was done to determine the caesarean section rate for sections done between 20 and 28 weeks of gestation and to analyze the indications for such sections.Methods: Institutional based retrospective observational study done in the Obstetrics and Gynaecology Department, Cheluvamba Hospital, MMC&RI, Mysore, Karnataka, India. Caesarean sections done over 5 years from January 1st 2010 till December 31st 2014 are considered for the study. The total number of Caesarean sections done for gestational age between 20 and 28 weeks are noted. The data obtained is analyzed for the indications at the respective gestational ages.Results: Frequency of caesarean section at gestational age between 20 and 28 weeks is seen to be <1%. Out of total 15,906 LSCS cases, 97 (0.6%) patients under went caesarean section between 20 and 28 weeks of gestation. Of the 97 cases, 54 cases (55.67%) were operated at 28 weeks, 17 cases (17.52%) at 26 weeks, 20 cases (20.61%) at 24 weeks, 4 cases (4.12%) at 22 weeks and 2 cases (2.06%) at 20 weeks of gestation. APH in 33 (34.0%), pre-ecclampsia and ecclampsia in 30 (30.9%) cases are found to be the indications for delivery in 61 cases (64.9%). The indications for caesarean sections in 44 (45.3%) cases were previous caesarean section associated with or without pre-ecclampsia and APH as contributory factors.Conclusions: Caesarean section rate for gestational age between 20 and 28 weeks’ gestational age is <1% and there is decreasing trend. Previous caesarean section, APH, ecclampsia and pre-ecclampsia with their complications are the common indications for such sections. The decision to perform first caesarean section and the indication for it is of prime importance.
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Rami, Bijal D., Somika Kaul, Asha Sailor e Shahna Jindani. "A study of caesarean section at full cervical dilatation". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, n. 4 (25 marzo 2020): 1672. http://dx.doi.org/10.18203/2320-1770.ijrcog20201242.
Testo completoAbstract (sommario):
Background: Caesarean sections performed in the second stage of labour are difficult and have many implications on both mother and baby. This study was conducted to analyse fetal and maternal outcome in case of caesarean section at full cervical dilatation.Methods: This prospective study was conducted at one of tertiary care teaching institute for period of 1st August 2019 to 31st January 2020. It includes all women delivered by caesarean section at full cervical dilatation at study institute during study period. Cases were looked for parity, maternal age, gestational age, baby birth weight, indication of cesarean section and associated factors.Results: Out of total 3657 deliveries 1690 were delivered by caesarean section, out of which 65 (3.8%) caesarean sections were conducted at full cervical dilation. The most common indication of caesarean section was deep transverse arrest in 66.15% of cases. The maximum number of cases (69.23%) were seen between the age group of 20 to 25 years. Majority of second stage cesarean section (70.77%) were performed in primi gravida. 80% of caesarean sections at full cervical dilatation were performed after 37 weeks of gestation. 15.38% of patients had anemia, 20% had hypertension, 4.61% had history of previous caesarean section. Baby weight at time of birth was 2.5 to 3.5 kg in 67.70% of cases. 15.38% of patients required blood transfusion.Conclusions: A skilled obstetrician is required to take timely and proper decision in such cases and also to conduct cesarean section at second stage of labour.
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Abdul Aziz, Fasiha T., e Sushma R. Bhoosreddy. "Robson ten groups classification system for caesarean section audit: are our operation theatre registers RTGC enabled?" International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, n. 9 (26 agosto 2019): 3675. http://dx.doi.org/10.18203/2320-1770.ijrcog20193796.
Testo completoAbstract (sommario):
Background: Rising caesarean section rate is a global problem. Robson ten groups classification (RTGC) system of audit has been recommended as the first step towards planning strategies to reduce caesarean section rate. Getting data for this audit is often difficult. If operation theatre (OT) registers are maintained properly this would become easy. The study proposes to know if enough information is available in the operation theatre registers to get caesarean section data for ten groups of Robson classification system. To suggest changes in OT register format for future convenience.Methods: We studied data from 100 consecutive caesarean section entries in OT registers from two medical college institutions to know if the information recorded is adequate to classify these 100 caesarean sections into ten groups given by Robson. Last 100 caesarean section entries into the OT register during the period 1st April 2018 till 31st March 2019 were studied.Results: Presentation of the foetus was the only factor which could be clearly known for all 100 cases. Labour onset whether spontaneous or induced was the least recorded observation in traditional operation theatre registers. The next information which was commonly not recorded was the labour status (woman in labour or not in labour) at the time of caesarean section.Conclusions: For Robson’s classification of caesarean sections to become useful tool to guide strategies in reducing caesarean sections we need to modify format of our OT registers. Traditional OT registers do not provide enough information to categorize caesarean section cases into Robson ten groups. Missing information makes caesarean section audit imperfect or impossible. We suggest a format for it to be incorporated into the operation theatre registers of centres providing maternity services.
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Hassan, Chrifi, Assarag Bouchra, Boudallaa Ikram, Bititi Abderrahmane Amine e Soulaymani Abdelmajid. "CAESAREAN SECTION RATES AT THE HOSPITAL MATERNITY: A CASE STUDY IN MOROCCO USING THE ROBSON CLASSIFICATION SYSTEM". International Journal of Advanced Research 10, n. 05 (31 maggio 2022): 497–506. http://dx.doi.org/10.21474/ijar01/14732.
Testo completoAbstract (sommario):
Caesarean section rates continue to rise worldwide, although the reasons appear to be multiple and complex. To better understand and control the phenomenon, many countries have started to use the 10-group classification of Caesarean sections, also known as the Robson classification. This classification will monitor and compare standardized, reliable, consistent, and indication-oriented Cesarean section rates. As part of a quality improvement initiative aimed at rationalizing Caesarean section rates, our descriptive and retrospective study was conducted on a population of parturients who had given birth by Caesarean section at the maternity ward of the CheikhKhalifa Hospital in Casablanca. Our study was conducted over ten months. We listed all Caesarean deliveries and classified them into ten groups (Robsons classification) to identify the contribution of each group to the overall Caesarean rate and to explain potential discrepancies, the analysis of which enabled us to propose recommendations. Our study involved 890 cases, 541 of which required a Caesarean section, a rate of 61%, which is higher than the rate recommended by the WHO (15%) and the national rate (21%). This classification system allowed us to identify group 10 as the most contributing to the overall Caesarean section rate (43.4%). This group included singleton pregnancies with the cephalic presentation, gestational age < 37 weeks, and a scarred uterus. This groups relative size and Caesarean section rate were 68% and 63%, respectively. Caesarean section is a non-negligible surgical procedure with both maternal and neonatal risks. Robsons classification helps to ensure that women who need Caesarean sections receive them.
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Adjoby, Cassou R., Soh V. Koffi, Ibrahima S. Balde, Denis Effoh, Eleonore Gbary Lagaud, Aya V. Angoi, Nawa M. Mamy, Ngolo A. Soro e Zingbe Soumahoro. "Epidemio-clinical study of the first iterative cesarean in the gynecology-obstetric service at the teaching hospital of Cocody". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, n. 6 (27 maggio 2020): 2576. http://dx.doi.org/10.18203/2320-1770.ijrcog20202350.
Testo completoAbstract (sommario):
Background: The iterative caesarean section, is a caesarean section that is performed on a uterus already healed, therefore for fear of maternal and perinatal risks, is recognized as one of the main causes of the inflation of caesarean section in the world. One in three caesarean sections is performed because of a scar uterus. Objective of this study was to analyse the epidemiological and clinical factors of iterative caesarean sections in the gynecology-obstetrics department at the Teaching Hospital of Cocody (Abidjan).Methods: This was a retrospective and descriptive study conducted from June 1st, 2018 to May 31st, 2019, including 349 iterative caesarean section cases.Results: The first iterative C-section accounted for 16.1% of the C-section indications during the study period. The average age of the patients was 30 years. Nearly half of the patients practiced in the informal sector 47.9%, were uneducated in 38.1% of cases and lived with a partner in 73.1% of cases. The majority of patients in this series 75.1% performed at least 4 ANCs. Patients were followed by prenatal visits in 61% of cases by midwives and in 8.6% of cases had an inter-reproductive space of less than 18 months. This study patients were evacuated in 46.4% of cases. Acute fetal distress was the first indication of first iterative caesarean section with 20.3% of cases. Emergency caesarean sections accounted for 84.4% of the cases in this series. Authors found maternal death 0.3% and 6.7% perinatal mortality.Conclusions: The iterative caesarean section is a caesarean section likely to cause difficulties and complications per- operative. Although in constant improvement the prognosis of the mother-child couple still remains a problem in this context, prenatal monitoring should be the prerogative of obstetrician gynecologists.
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Ishan-Khojaeva, F. R. "Peculiarities of Abdominal Delivery of Preterm Labor in the 3rd Level Hospital in Dushanbe City". Doctor.Ru 21, n. 5 (2022): 62–66. http://dx.doi.org/10.31550/1727-2378-2022-21-5-62-66.
Testo completoAbstract (sommario):
Study Objective: To assess the impact of caesarean section rate on perinatal outcomes of preterm birth (PB) in a level 3 hospital based on the caesarean section efficiency ratio. Study Design: Retrospective group study. Materials and Мethods. An analysis was made of the PB histories of women delivered by caesarean section in 2021 at the State Institution “Scientific Research Institute of Obstetrics, Gynecology and Perinatology” of the Ministry of Health and Social Protection of the Population of the Republic of Tajikistan, as well as data from annual reports for the city of Dushanbe and for the institution. Study Results. In a level 3 hospital, every third delivery is by caesarean section. It has been shown that the proportion of perinatal mortality (PM) in PD is 5.5 times higher than in urgent delivery: 84.6 vs. 15.4%. In extremely early PD (EEPB) by caesarean section, the proportion of PM was statistically significantly higher than the proportion of neonatal survival: 95 ± 4.9% vs. 5 ± 4.9% (р < 0,001). The efficiency ratio of caesarean section in the 3rd level hospital is low (0.3) due to the high relative contribution of caesarean sections for EEPD and EPB to the total number of cesarean sections and the prevalence of PM over neonatal survival for EEPB and EPB. Conclusion. The search for reserves to reduce the frequency of caesarean section in group 10 on the М. Robson scale should be carried out among patients with EEPB and EPB. Keywords: preterm birth, caesarean section, Robson score, caesarean section efficiency ratio.
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Reddy, Ke Manga, Lakshmi Sailaja P., Shiva Charana Kodimala, Poojitha Pathakamudi e Kalpana Betha. "Prevalence and determinants of caesarean section in a rural tertiary teaching hospital: a 6-year retrospective study". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, n. 2 (25 gennaio 2019): 560. http://dx.doi.org/10.18203/2320-1770.ijrcog20190284.
Testo completoAbstract (sommario):
Background: Caesarean section is the most commonly performed surgery in obstetrics and there is a rise in caesarean section rates in recent times. This study was undertaken to know the changing trends in caesarean section rate in a rural hospital and to examine the indications contributing to it. The objective of the present study was to know the prevalence and changing trends in caesarean section over the last 6 years (April 2012-March 2018).Methods: Demographic data for all the deliveries, mode of delivery and indications of caesarean sections performed from April 2012 to March 2018 that occurred at MIMS were collected in a retrospective manner.Results: Among a total of 12,522 women delivered during the study period of 6 years, 44.93%, 48.49%, 48.41%, 50.9%, 45.48% and 49.62% were delivered by caesarean section during 2012-2013, 2013-2014, 2014-2015, 2015-2016, 2016-2017 and 2017-2018 respectively. Increase in repeat caesarean section is the primary reason for these increased rates followed by fetal distress. There is a rise in the repeat caesarean section from 44.36% in 2012-2013 to 55.67% in 2016-2017 and 47% in 2017-2018. Whereas primary caesarean section rate reduced from 55.63% in 2012-2013 to 44.32% in 2016-2017 and 53% in 2017-2018.Conclusions: As repeat caesarean section and fetal distress are the most common causes of caesarean section we need to address these to bring down the caesarean section rate.
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Alfiyana Yuliasari, M. Sapoan Hadi e Tries Yuliastuti. "ANALISIS SPASIAL PERSALINAN DENGAN SEKSIO SESAREA DI INDONESIA SEBAGAI UPAYA MENURUNKAN KEMATIAN MATERNAL". WOMB Midwifery Journal 1, n. 1 (30 giugno 2022): 27–33. http://dx.doi.org/10.54832/wombmidj.v1i1.14.
Testo completoAbstract (sommario):
Caesarean section is one of medical intervention in reducing maternal mortality rate (MMR) and infant mortality rate (IMR). However, the increasing number of caesarean sections did not affect the decrease in MMR and IMR. Some of the complications associated with caesarean section include endometriosis, postpartum haemorrhage, cystitis, and asphyxia. This study aims to describes the incident of caesarean section in Indonesia. The research method of this study is descriptive quantitative and ecological research design (place) with spatial data analysis from the 2017 IDHS data using Quantum GIS 3.4 software application. Population and sample of this study is all the pregnant women who gave birth in the cesarean section in 2012-2016 from all provinces in Indonesia are 2.648 people. Of all provinces in Indonesia, DKI Jakarta and Bali are the provinces with the highest incidence of caesarean section with of the proportion more than 30%. The majority of caesarean section incident increased in the two big cities due to several factors such as age and education. Overall, caesarean section is influenced by many factors. To decrease the high intervention of caesarean section, intervention efforts are needed on risk factors that can influence decision making for caesarean section.
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Satish, Sridevi H., Suyash Gandi, Aruna M. Biradar, Sangamesh S. Mathapati e Sinigdha Snehi. "Trends of Caesarean Delivery in a Tertiary Care Hospital in North Karnataka". Journal of Evolution of Medical and Dental Sciences 10, n. 18 (3 maggio 2021): 1319–23. http://dx.doi.org/10.14260/jemds/2021/278.
Testo completoAbstract (sommario):
BACKGROUND The drastically increasing rate of Caesarean section (CS) is a topic of constant worry and analysis throughout the world. In order to understand the degree to which Caesarean section may be preventable, it is important to know why Caesarean sections are performed. Due to nonexistence of any standard classification for indications of Caesarean section, indications for the same vary among institutions. We wanted to evaluate the rates and predictors of Caesarean section among institutional deliveries in a tertiary care hospital in an economically backward rural area. METHODS This was a cross-sectional prospective study. Pregnant women who underwent Caesarean section (CS) between June 2019 and December 2019 at BLDE (DU) Shri. B. M. Patil Medical College Hospital and Research Centre, Vijayapur, Karnataka, were recruited for the study. Demographic and obstetric data including indications of Caesarean section and pregnancy outcomes were collected and analysed. RESULTS The mean age of the study participants was 24.62 + / - 3.77 years. The study patients were multigravidas, majority delivered at term. The mean gestational age was 38.09 + / - 2.023. The common indications were previous CS (33.1 %), cephalopelvic disproportion (16.9 %), hypertensive disorders of pregnancy (6.7 %) and maternal request (3.4 %). Post-delivery, majority of the babies (78.92 %) were stable and were on mother’s side. CONCLUSIONS Previous caesarean section is the leading cause of Caesarean section in modern era. Hence reduction in primary caesarean section can reduce the rate of over all Caesarean section rate. Clinical, judgmental skills of the obstetrician, legal issues and the patient demands all contribute in the increasing trends of Caesarean section. Hence proper training, obstetric audit, and counselling of the patient party helps in changing the trends of increasing caesarean rate. KEY WORDS Caesarean Section, Indications for Caesarean Section, Maternal Morbidity
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Agrawal, Sonal, e Vimal K. Agarwal. "Maternal and fetal outcome in emergency versus elective caesarean section". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, n. 12 (26 novembre 2018): 4845. http://dx.doi.org/10.18203/2320-1770.ijrcog20184926.
Testo completoAbstract (sommario):
Background: Caesarean section preferred as an emergency or elective procedure are entirely different entities according to measures taken, facilities and skilled staff available and preparation done. It has been shown that risk of surgical complications is greater with emergency compared with elective caesarean section.Methods: Present study is a retrospective study, designed to evaluate maternal and fetal outcomes in elective versus emergency caesarean section performed at our hospital from January 2016 to December 2016.Results: Out of 2156 caesarean, 1628 were emergency and 528 were elective caesarean section. In our study overall intra operative complications were 11.08% which was mainly contributed to emergency group.Conclusions: The elective caesarean section shows less maternal and perinatal complications as compared to emergency caesarean sections. Increasing incidence of emergency caesarean section can be reduced by encouraging all pregnant females to visit antenatal clinics.
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Mahindra, Muhammad Pradhiki, Mahendra Tri Arif Sampurna, Muhammad Pradhika Mapindra, Apriska Mega Sutowo Putri, Aries Krisbiyantoro e Rozi Aditya Aryananda. "Factors affecting elective cesarean section in women with multiple pregnancy in Caruban, Indonesia". F1000Research 9 (14 marzo 2022): 1481. http://dx.doi.org/10.12688/f1000research.27292.2.
Testo completoAbstract (sommario):
Background: Caesarean sections have become the most popular method for delivering twin babies because of the safety concerns associated with a natural birth. This study aims to identify the maternal characteristics and obstetric parameters that serve as risk factors influencing caesarean delivery in twin pregnancies by comparing women delivering via caesarean section and vaginal birth. Methods: A retrospective chart review design was used to analyse 47 women with multiple pregnancies from the medical records at a primary referral hospital in East Java, Indonesia. Women delivering vaginally were then compared with women who underwent a caesarean section to identify any differences between the groups. Results: In our study, more women delivered by caesarean section than by vaginal birth. Women were more likely to undergo a caesarean section if they had a previous history of undergoing a caesarean section. Similar to previous studies, we found that foetal malpresentation significantly increase the risk of caesarean delivery, while labour augmentation decrease the likelihood of caesarean section. There was also a significant difference in maternal age between groups. Conclusions: The percentage of multiple pregnancies delivered via caesarean section is quite high. Other larger cohort study are warranted, since many factors were involved in the decision of caesarean section.