Aims and Objectives:To study the intra-operative complications in repeat Cesarean sections. Methodology: This is a prospective observational study at Government Maternity Hospital, Tirupati randomly taking 200 women with repeat cesarean sections, excluding women with a history of other abdominal surgeries, intra operative complications were noted and the data is analysed using SPSS software. Results: Out of 200 cases 117 had one, 22 had two and 1case had three prior cesarean sections out of which 43% showed intra-operative complications, most common complications being adhesions (83.72%), thinned out lower uterine segment (37.2%), hemorrhage (10.9%), abnormal placentation (8.13%), extension of the uterine incision (6%), scar dehiscence (4.65%), bladder injury (1.2%). Conclusion: women undergoing repeat cesarean sections have a risk of increased morbidity due to increased intraoperative complications. To avoid this one should keep the cesarean section rate at reasonable limit with appropriate surgical techniques and to limit primary cesarean section rate.
Background: Umbilical cord is one of the fetal membranes. It is developed from the yolk sac. Umbilical cord is tubular structure. Approximate length of the cord is 50 cm. Umbilical cord around the neck is called as the nuchal cord. The aim of the study is to find out the incidence of umbilical cord around the neck at the time of delivery and its fetal outcomes.Methods: It is a retrospective observational study. This study was conducted in the department of obstetrics and gynecology at a tertiary care hospital over a period of 6 months (Feb-Jul 2020). Out of 542 patients, 388 were enrolled in this study after the inclusion and exclusion criteria, of which 101 were delivered with umbilical cord and the remaining were 287 patients in control group.Results: Present study showed 38.4% incidence of umbilical cord at the time of delivery. Incidence is more among the primigravida and it is statistically significant. Both intrapartum and postpartum risks are not related to umbilical cord around the neck. Mean length of the cord in patients delivered with cord around the neck is more when compared to the control group and has significant p value.Conclusions: This study concludes that the presence of umbilical cord, alone is not an indication for caesarean section. Umbilical cord with 3 loops was associated with increased operative delivery and low Apgar score, proper intrapartum surveillance and portogram leads to good fetal outcome.
Aims & Objectives 1. To study the prevalence and severity of anemia among urban and rural pregnant women aged above 18 years and beyond 12 weeks of amenorrhoea. 2. To compare the awareness and perception about anemia, social factors contributing to it and its health impacts in pregnancy between urban and rural pregnant women. Methods: An urban, rural based, crosssectional, comparative study was conducted among 100 urban and 100 rural pregnant women aged above 18 years and beyond 12weeks of amenorrhea. The data were collected by questionnaire to test their awareness and perception about anemia and its contributory social factors and analyzed using SPSS software. Results: The prevalence of anemia was 74% and 59% in rural and urban women respectively and this difference was found statistically significant. The severity was more among rural women compared to that of urban women and this difference was statistically significant. Awareness about causes and health impacts of anemia as well as perception of anemia was better among urban women compared to that of rural women. Conclusion: Prevalence and severity of anemia was more in rural mothers but the awareness and perception about it was better among urban mothers. It is recommended to improve their awareness and perception by intensive health education about anemia and its outcome. Public health education has to be a cornerstone for the successful national campaign to prevent, detect, evaluate, and treat anemia among pregnant women.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.