Caesarean section: Techniques and complications

Simm, Andrew; Ramoutar, P

doi:10.1016/j.curobgyn.2004.12.003

Cited by 8 publications

(8 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Surgery was performed by experienced residents and consultants according to standardized protocol [ 9 ] and placenta were delivered by controlled cord traction except where this was difficult and manual removal performed. Blood loss was estimated by counting the number of soaked abdominal packs, gauzes, measurement of blood volume in the vagina after caesarean section and visual estimation of blood staining of the theatre bedspread.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of blood reservation and use for caesarean sections in a tertiary maternity unit in south western Nigeria

Akinola

Fabamwo

Tayo

et al. 2010

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundHaemorrhage from obstetric causes is the most common cause of maternal mortality in the developing world. Prevention of mortality from haemorrhage will necessarily involve prompt blood transfusions among other life saving measures. There are however limited stocks of fresh or stored blood in many health care facilities in Sub Saharan Africa. Caesarean section has been identified as a common indication for blood transfusion in obstetrics practice and its performance is often delayed by non availability of blood in our centre. An evaluation of blood reservation and use at caesarean sections in a tertiary maternity unit in Lagos, south western Nigeria should therefore assist in formulating the most rational blood transfusion policies.MethodsCase records of 327 patients who had elective and emergency caesarian sections at the Lagos State University Teaching Hospital between 1st October and 31st December 2007 were reviewed. Data pertaining to age, parity, booking status, type and indication for Caesarean section, pre- and post-operative packed cell volume, blood loss at surgery, units of blood reserved in the blood bank, unit(s) of blood transfused and duration of hospital stay was extracted and the data analysed.ResultsThere were 1056 deliveries out of which 327 (31%) were by Caesarean section. During the study period, a total of 654 units of blood were reserved in the blood bank and subsequently made available in theatre. Out of this number, only 89 (13.6%) were transfused to 41 patients. Amongst those transfused, twenty-six (54%) were booked and 31 (75.6%) had primary caesarian section. About 81% of those transfused had emergency caesarean section. The most common indication for surgery among those transfused were placenta praevia (9 patients with 21 units of blood) and cephalo-pelvic disproportion (8 patients with 13 units).ConclusionEven though a large number of units of blood was reserved and made available in the theatre at the time of operation, majority of the patients operated did not need blood transfusion. Provision of a mini- blood bank within the obstetric unit and careful patient categorization will ensure timely availability of blood for surgery without necessarily tying down stock in the central blood bank.

show abstract

Section: Methodsmentioning

confidence: 99%

Evaluation of blood reservation and use for caesarean sections in a tertiary maternity unit in south western Nigeria

Akinola

Fabamwo

Tayo

et al. 2010

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…However, early history of this procedure is of dubious accuracy. Indeed, the commonly held belief that Julius Caesar himself was delivered this way is unlikely to be true [20]. To enable clear communication between healthcare professionals, four categories of urgency (Table 1) Almost a quarter of deliveries in the UK are performed by caesarian section [22].…”

Section: Caesarian Sectionmentioning

confidence: 99%

“…To enable clear communication between healthcare professionals, four categories of urgency (Table 1) Almost a quarter of deliveries in the UK are performed by caesarian section [22]. The procedure itself has changed little over the years, although evidence based refinements have resulted in reduced morbidity, and further research continues to trying to adapt techniques for safety further improvement [20]. One of the main complications of caesarian section is hemorrhage.…”

Section: Caesarian Sectionmentioning

confidence: 99%

Application of Decision Tree Algorithm for Data Mining in Healthcare Operations: A Case Study

SoleimanianGharehchopogh¹,

Mohammadi²,

Hakimi³

2012

IJCA

View full text Add to dashboard Cite

By means of data mining techniques, we can exploit furtive and precious information through medicine data bases. Because of huge amount of this information, study and analyses are too difficult. We want some methods to exploring through data and extract valuable information which can be used in the future similar cases. One of these cases is accouchement. The mechanism of accouchement is a natural and spontaneous process without the need to any intervention. In some conditions, maybe mother, baby or both of them are in hazard and need help and support. This help is provided by Caesarian Section which saves mother and baby. Nevertheless, we need to know when we should use surgery. This study explains utilization of medical data mining in determination of medical operation methods. We render this with accumulating 80 pregnant women information. The results show that decision tree algorithm designed for this case study generates correct prediction for more than 86.25% tests cases

show abstract

“…There is no consensus on the best technique for the repair of umbilical hernia and thus various surgical techniques such as primary suture, Mayo repair, mesh repair, and laparoscopic surgery have been used for the treatment of this surgical condition 2. Cesarean delivery has been practiced over the centuries, but only relatively recently has it became such a safe procedure that women are requesting that it be used to deliver their baby in the absence of any other indication 3. The combination of umbilical hernia repair with gynecologic surgery or cesarean delivery is virtually undocumented except for a case report from 19874 and another report of 8 patients having inguinal and umbilical hernia repaired during cesarean delivery 5.…”

mentioning

confidence: 99%

Paraumbilical hernia repair during cesarean delivery

Ghnnam

Helal

Fawzy

et al. 2009

Annals of Saudi Medicine

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES:Pregnant women with paraumbilical hernia usually postpone hernia repair until after delivery, but some patients request that it be done during cesarean delivery. Therefore, we evaluated the outcome of combined cesarean delivery and paraumbilical hernia repair in a prospective study at a tertiary referral university hospital.PATIENTS AND METHODS:In a prospective study, we compared the outcome of 48 patients undergoing cesarean delivery combined with paraumbilical hernia repair versus 100 low-risk patients undergoing cesarean delivery alone. The main outcome measures were operation time, blood loss, severity of pain, peripartum complications, hospital stay, hernia recurrence, and patient satisfaction.RESULTS:The combined procedure took significantly longer than cesarean delivery alone (75.2 minutes versus 60.5 minutes, P<.001)). There were no major complications. Wound infection occurred in 6 patients (4.1%). Hospital stay did not differ significantly from those of controls. Pain at the hernia site repair occurred in two patients, and one hernia recurred in the hernia repair group during a mean follow-up period of 22 months (range, 6-36 months). All hernia patients reported that they preferred the combined operation.CONCLUSIONS:Combined cesarean delivery and paraumbilical hernia repair had the advantage of a single incision, single anesthesia, and a single hospital stay while avoiding re-hospitalization for a separate hernia repair. Our results indicate that the combination approach is safe, effective, and well accepted.

show abstract

Caesarean section: Techniques and complications

Cited by 8 publications

References 1 publication

Evaluation of blood reservation and use for caesarean sections in a tertiary maternity unit in south western Nigeria

Evaluation of blood reservation and use for caesarean sections in a tertiary maternity unit in south western Nigeria

Application of Decision Tree Algorithm for Data Mining in Healthcare Operations: A Case Study

Paraumbilical hernia repair during cesarean delivery

Contact Info

Product

Resources

About