The authors made an analysis of archival material of 1577 case histories of the patients who were subjected to cesarean section operation at Tbilisi Experimental Maternity Hospital and at "The House of Health" during 1999-2000 years. The case histories were divided into two groups: 1474 patients made 1--main group which were subjected to the operation of cesarean section according to modified method offered by Professor A. Koridze, while 103 patients operated according to traditional method accepted at present time made the 11--control group. The authors made clinical-laboratory analysis of the investigated case histories and came to a conclusion that the use of the offered method of cesarean section operation in obstetric practice will give the possibility to decrease postoperation complications and, correspondingly, the introduction of the given method is completely justified.
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Best Pract Res Clin Anaesthesiol
September 2024
Department of Anesthesiology, University Hospital Basel, Basel, Switzerland.
The issue of obesity continues to reach new levels globally, affecting individuals across the age continuum. Obesity in pregnancy is associated with myriad comorbidities which may negatively impact the fetus, particularly dysfunctional labor and failure to progress ending in unplanned cesarean delivery. Neuraxial anesthesia represents the gold standard for cesarean delivery anesthesia and is increasingly beneficial for obese patients due to the risk of difficult airway.
View Article and Find Full Text PDFBest Pract Res Clin Anaesthesiol
September 2024
Department of Anesthesiology, University Hospital Leuven, Belgium.
Caesarean delivery is the most performed inpatient surgery worldwide, with rates expected to rise. Optimising maternal recovery benefits not only the mother, but also the newborn and society. Enhanced Recovery After Caesarean delivery (ERAC) protocols standardize the approach to perioperative management of patients in order to accelerate early postoperative maternal rehabilitation.
View Article and Find Full Text PDFBest Pract Res Clin Anaesthesiol
September 2024
K. Bicetre School of Medicine, Paris-Saclay University, Département d'Anesthésie, Hôpital Antoine Béclère - APHP.Université Paris-Saclay, 157 rue de la porte de Trivaux, 92140, CLAMART, France. Electronic address:
This article offers a comprehensive clinical update on best practices for neuraxial and general anesthesia in cesarean delivery, the most frequently performed major surgical procedure globally. Current evidence-based strategies to address common anesthetic challenges, such as maternal hypotension and intraoperative breakthrough pain, are discussed in detail. Practical approaches for optimizing maternal hemodynamic stability, including the use of vasopressors, fluid management and maternal positioning, are reviewed.
View Article and Find Full Text PDFBirth injury occurs when the delivery process is not appropriately attended, and the use of improper techniques or maneuvers while conducting the delivery. Cesarean delivery is considered safe as compared to vaginal for the breech presentation. However, this case reports a case of femur fracture of a newborn that occurred during an emergency cesarean section performed for breech presentation.
View Article and Find Full Text PDFFront Glob Womens Health
December 2024
College of Medicine and Health Sciences, Bahirdar University, Bahirdar, Ethiopia.
Background: Meconium is thick black-green fetal intestinal content starting from the early first trimester of gestation. Unfortunately, if it is released into the amniotic cavity due to any cause, it can be associated with neonatal mortality and morbidity.
Objective: To identify the factors associated with meconium-stained amniotic fluid among mothers undergoing emergency cesarean section in specialized hospitals cross-sectional study in south central Ethiopia from August 1, 2022, to 30, October 2022.
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