Difficult Deliveries in Cesarean Section

Dalvi, Sujata

doi:10.1007/s13224-017-1052-x

Cited by 10 publications

(10 citation statements)

References 9 publications

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“…To prevent injuries of enormous stress to the fetus, breech delivery was most suitable. Studies have also suggested, that in cases where an inverted T-incision is not applicable, a vertical incision or a J- shaped incision are other options to consider [ 6 - 7 ]. Inverted T-incisions incidence has increased from 0.2% to 0.9%, with a remaining high risk to maternal health [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Are Deliveries by Inverted T-Incision on the Rise Due to Fibroids?: A Case Report

Almusalam¹,

Badawi²,

Bushaqer³

2022

Cureus

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Fibroids are a common finding among women in their reproductive years. In pregnancy, many are incidentally diagnosed and if they are large, they often require careful monitoring concerning their size, number, and location. This case presents a 27-year-old pregnant female with a 15 cm fibroid occupying the lower segment, who had delivered by a cesarean section. This was a complicated delivery conducted at the Bahrain Defence Force Royal Medical Services, requiring a high transverse incision, followed by an extended inverted T-incision. The baby was successfully delivered as breech after prior presenting in a transverse lie. In conclusion, in pregnant cases where large fibroids are obstructing the lower segment, performing a lower segment cesarean section (LSCS) followed by an inverted T-incision is the safest option. Deliveries by inverted T-incisions have increased throughout the years, and this could be explained by the recent favoring of performing cesarean myomectomies, in large obstructing fibroids. Nowadays, with advanced preparations, myomectomies during cesarean section are safely and frequently performed when the benefits outweigh the risks.

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Section: Discussionmentioning

confidence: 99%

Are Deliveries by Inverted T-Incision on the Rise Due to Fibroids?: A Case Report

Almusalam¹,

Badawi²,

Bushaqer³

2022

Cureus

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“…24 We found that pregnant women with fetal breech position (aOR = 2.39, 95% CI 1.20-4.75, P = 0.013) and transverse position (aOR = 2.89, 95% CI 1.08-7.70, P = 0.034) were more likely to have PPH than those with head position. A related study mentioned that breech position and transverse position are more likely to cause difficulty of fetal delivery during cesarean section compared with the head position, 25 which influences the contraction of the uterus and is probably the main reason for increasing the risk of PPH. In this study, we found no correlation between the type of scarred uterus and PPH (P = 0.74), indicating that our prediction model is suitable for all pregnant women with a scarred uterus, whether the scarred uterus is caused by hysteromyomectomy or cesarean section.…”

Section: Figurementioning

confidence: 99%

“…In addition to the cesarean section and myomectomy, the history of other intrauterine surgery, such as endometrial curettage, is a risk factor for PPH in some reports. 25 Intrauterine surgery may damage the endometrium and affect the placenta attachment and growth, which can lead to placenta previa or PAS 26,27 and contribute to the occurrence of PPH finally. In this study, it showed that the history of other intrauterine surgery was not significantly related to PPH (P = 0.437).…”

Section: Figurementioning

confidence: 99%

Nomogram to predict postpartum hemorrhage in cesarean delivery for women with scarred uterus: A retrospective cohort study in China

Chen

Zhang

Wang

et al. 2020

J of Obstet and Gynaecol

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Aim To develop nomograms predicting the risk of postpartum hemorrhage (PPH) in cesarean delivery for singleton pregnant women with a scarred uterus in the north of China. Methods A retrospective cohort study was conducted. Totally 3722 singleton pregnant women with a scarred uterus who underwent a cesarean delivery in a large teaching hospital of north China between January 2013 and December 2017 were enrolled. Nomograms, a kind of user‐friendly tool, were developed to predict PPH (blood loss ≥1000 mL or accompanied by signs or symptoms of hypovolemia within 24 h after the birth process) based on the model generated by logistic regression analysis. The discrimination and calibration of models were evaluated, and decision curve analysis was developed. Results Among 3722 enrolled women, 243 (6.53%) had PPH. There are six identified factors associated with PPH: maternal age, placental location, placenta previa, hypertensive disorders of pregnancy, fetal position and placenta accreta spectrum (PAS). The model achieved a good calibration (Hosmer‐Lemeshow test P value 0.77) and discrimination (area under curve c‐statistics 0.90, 95% confidence interval 0.86–0.93). Decision curve analysis showed the threshold probability by using our model is between 1.0% and 85.7%. A nomogram was developed accordingly. And another nomogram for women without placenta previa and PAS was also developed. Conclusion Two nomograms were first generated to predict PPH, respectively, for women with a scarred uterus and for women with a scarred uterus who do not have placenta previa or PAS. Placental location and fetal position were found to be closely related to PPH.

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“…It is a life-saving operation undertaken in situations when normal vaginal delivery of a baby has become difficult. It is an obstetrically practiced procedure which has become very commonly in use, and which is rising in popularity among women all over the world (Dalvi 2018; Chopra 2016). The increase, according to Byamugisha and Adroma (2020, p.1) is attributed to diverse issues relating to: "patient, institutional, care provider and societal factors."…”

Section: Introductionmentioning

confidence: 99%

Women’s Attitude Toward C-Section: Evidence from Bay Regional Hospital in Baidoa, Southwest State of Somalia

Jawaani¹,

Yakub

2022

ijmsdr

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Background: The general societal belief among Somali women is that anything other than normal vaginal delivery is riskier than could be imagined or anticipated, no matter the delay or prolongation of labor and related complications. This widely circulated perception has become a reason for many expectant mothers to either completely decline to consider c-section or suffer in prolonged labor that could be fatal to either the mother or the baby or both. Methods: This study follows several aspects of the triangulation method of research. It adheres to the case study approach by mixing qualitative and quantitative methods. It uses purposive sampling by selecting 19 women who delivered by c-section at Bay Regional Hospital, Baidoa, Southwest State of Somalia. Results: About 58% had believed c-section as ‘very risky’ or ‘risky’ prior to undergoing the procedure; after delivery 89.5% thought it was either ‘very safe’ or ‘safe’, while none of the respondents considered it to be ‘unsafe’ or ‘very unsafe’ anymore. Conclusion: Women’s perception of c-section changed dramatically after undergoing the procedure as compared to their belief before the surgery. It is also remarkable that they would not hesitate in their next delivery by c-section and that they would recommend it to other women in order to avoid fatal complications. Keywords: childbirth, health research, labor complications, medical health

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Difficult Deliveries in Cesarean Section

Cited by 10 publications

References 9 publications

Are Deliveries by Inverted T-Incision on the Rise Due to Fibroids?: A Case Report

Are Deliveries by Inverted T-Incision on the Rise Due to Fibroids?: A Case Report

Nomogram to predict postpartum hemorrhage in cesarean delivery for women with scarred uterus: A retrospective cohort study in China

Women’s Attitude Toward C-Section: Evidence from Bay Regional Hospital in Baidoa, Southwest State of Somalia

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