Caesarean section rates following pelvic fracture: A systematic review

Riehl, John T.

doi:10.1016/j.injury.2014.03.018

Cited by 30 publications

(25 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Among patients who had elective cesarean deliveries, physicians did not describe the reasons for contraindicated vaginal delivery. Riehl noted that cesarean was indicated more probably because of bad decision‐making (bias) by the obstetrician and patient than because of the threat of cephalopelvic disproportion caused by pelvic deformations after previous injury . In the present study, in cooperation with an orthopedic specialist, it was decided that a case of impending cephalopelvic disproportion in a deformed pelvic circle caused by an injury and a case of narrowed midpelvis caused by a tumor of the acetabulum remained contraindications for vaginal delivery.…”

Section: Discussionmentioning

confidence: 76%

“…Riehl 12 noted that cesarean was indicated more probably because of bad decision-making (bias) by the obstetrician and patient than because of the threat of cephalopelvic disproportion caused by pelvic deformations after previous injury. 12 In the present study, in cooperation with an orthopedic spe- asthma. 15 Children of mothers with asthma have a primarily higher risk of atopy, not only because of genetics but also because of epigenetic modifications of immunoregulatory and proinflammatory pathways.…”

Section: Discussionmentioning

confidence: 91%

See 1 more Smart Citation

Impact of introducing specific measures to reduce the frequency of cesarean delivery for non‐obstetric indications

Pšenková

Bucko

Braticak

et al. 2018

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 91%

Impact of introducing specific measures to reduce the frequency of cesarean delivery for non‐obstetric indications

Pšenková

Bucko

Braticak

et al. 2018

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…One question that could be raised is whether the impact of deterioration in reproductive health, which has been demonstrated both in males (19)(20)(21) and females (22)(23)(24) following pelvic ring injuries, has a greater effect on selfreported outcome for the latter. The rate of cesarean sections is increased in females who have suffered pelvic ring injuries, although the reasons for this are largely unknown (25). Hence, obstetric issues might influence reported outcome in younger females who have suffered a pelvic ring injury.…”

Section: Discussionmentioning

confidence: 99%

Patient-reported Outcome in Surgically Treated Pelvic Ring Injuries at 5 Years Post-surgery

et al. 2019

View full text Add to dashboard Cite

Background and Aims: Long-term prospective data on patient-reported outcome after surgical treatment of pelvic ring injuries are scarce. This study aimed at describing results at 5 years post-surgery using validated outcome measures. Patients and Methods: Patients admitted for surgical treatment of pelvic ring injuries were prospectively included and asked to report their outcome at 1, 2 and 5 years post-surgery using two patient-reported outcome measures: the generic Short-Form 36 and the condition-specific pelvic discomfort index. Data were evaluated using mixed-effects linear models. Results: There were 108 patients (68 males and 40 females), mean age 38 years. Injury type according to the AO/OTA-classification was B-type in 68 patients and C-type in 40 patients. No domain of the Short-Form 36 reached norm values at 5 years post-surgery. Females reported a worse outcome than males concerning general health ( p < 0.01) at 5 years. Recovery of physical function ( p < 0.01), mental health ( p = 0.04), and pain ( p = 0.01) was observed for males at 5 years compared to earlier assessments, while females on the contrary described more pain at this time-point ( p = 0.03). Mean pelvic discomfort index at 5 years was 27, indicating moderate residual pelvic discomfort overall. Males reported less pelvic discomfort than females at 5 years ( p = 0.02) and improved when compared to results at 2 years ( p = 0.02), while females did not. Influence of age, fracture type, and presence of associated injuries on patient-reported outcome was limited. Conclusion: Surgically treated pelvic ring injuries are associated with long-standing negative effects on patient-reported outcome. Males report a better outcome than females at 5 years post-surgery.

show abstract

“…W okresie rozrodczym kobiety po tak rozległym urazie stają przed dylematami dotyczącymi możliwości zajścia w ciążę, kontynuowania jej bezpiecznego dla siebie i dziecka oraz optymalnego czasu i sposobu rozwiązania [3,4]. Wyjątkowo rzadko położnik musi odpowiedzieć na takie pytania, co jest tym bardziej trudne, iż w piśmiennictwie znaleźć można głów-nie doniesienia na temat ciężarnych po przebytych urazach obręczy kostnej miednicy lub schorzeniach neurologicznych prowadzących do wyłączenia funkcji kończyn dolnych [3,4,5,6,7,8,9,10].…”

Section: Wstępunclassified

Ciąża, poród i połóg u kobiety po przebytym w dzieciństwie rozległym urazie miednicy oraz obustronnej wysokiej amputacji kończyn dolnych – opis przypadku

Mikołajek-Bedner

Celewicz

Grzymała-Figura

et al. 2017

Pomeranian J Life Sci

View full text Add to dashboard Cite

Introduction:The aim of study was to analyze two pregnancies, deliveries and puerperal periods in a woman who had experienced bilateral lower limb amputation, pelvic bone fracture and severe injury of the urinary tract and reproductive organs. Case report: At the age of 4 she was the victim of a traffic accident, getting squashed by a trolley car, which caused crush wounds to both lower limbs and extensive perineal injury. Surgical intervention consisted of bilateral lower limb amputation at the level of the coxofemoral joint, and suturing of the torn vagina and rectum, with a temporary artificial anus formed from the sigmoid colon. Subsequent reconstructive surgery made spontaneous and well-controlled urination and defecation possible. The severe bodily injury experienced in the early life of the patient caused irreversible physical disability, accompanied, obviously, by psychological trauma. Despite this, at the age of 42, the patient decided to procreate. The first pregnancy was complicated by hyperthyroidism. Delivery by caesarean section was performed in the 31st week of gestation because of the premature rupture of membranes. Before delivery the patient was given a standard course of corticosteroids to accelerate foetal maturation. The second pregnancy was complicated not only by hyperthyroidism, but also by recurrent tachycardia and gestational diabetes mellitus. The patient received a standard dose of corticosteroids in the 32nd week of gestation. Caesarean section was performed in the 36th week of gestation because of spontaneous labour onset. During both pregnancies no neurologic abnormalities were found in the patient. She was able to asses foetal movements and uterine activity adequately, which made ambulatory perinatal care possible. The reconstructive surgery of the urinary and digestive tract that the patient underwent in her childhood was not only a strong risk factor for operative delivery complications, but also because changes in anatomy and the potential presence of adhesions could have affected the pregnancy course itself. Keywords: delivery; lower limbs amputation; pregnancy; traffic accident. ABSTRAKT Wstęp:Celem pracy było przedstawienie przebiegu ciąż, porodów i połogu u 42-letniej pacjentki, która w dzieciństwie przebyła obustronną wysoką amputację kończyn dolnych, złamanie kości miednicy oraz uszkodzenie układu moczowo-płciowego. Opis przypadku: Pacjentka w 4. r.ż. uległa wypadkowi tramwajowemu, doznając zmiażdżenia obu kończyn dolnych oraz rozległego urazu krocza. Dokonano wówczas obustronnej amputacji ud w stawach biodrowych. Rozerwaną pochwę i odbytnicę zaopatrzono chirurgiczne, wytworzono sztuczny odbyt na okrężnicy esowatej. Po licznych operacjach rekonstrukcyjnych pacjentka mogła samoistnie oddawać mocz i stolec, kontrolując potrzeby fizjologiczne. Pierwsza ciąża powikłana była nadczynnością tarczycy. Ciążę ukończono drogą cięcia cesarskiego w 31. tyg. z powodu przedwczesnego pęknięcia błon płodowych po przeprowadzeniu sterydoterapii. Kolejna ciąża pacjentki powikłana by...

show abstract

Caesarean section rates following pelvic fracture: A systematic review

Cited by 30 publications

References 11 publications

Impact of introducing specific measures to reduce the frequency of cesarean delivery for non‐obstetric indications

Impact of introducing specific measures to reduce the frequency of cesarean delivery for non‐obstetric indications

Patient-reported Outcome in Surgically Treated Pelvic Ring Injuries at 5 Years Post-surgery

Ciąża, poród i połóg u kobiety po przebytym w dzieciństwie rozległym urazie miednicy oraz obustronnej wysokiej amputacji kończyn dolnych – opis przypadku

Contact Info

Product

Resources

About