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Academic literature on the topic 'Elective LSCS (Lower segment Cesarean section)'
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Journal articles on the topic "Elective LSCS (Lower segment Cesarean section)"
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MUSSARAT, NAZIA, SAIMA QURASHI, and MAHNAZ ROOHI. "LOWER SEGMENT CESAREAN SECTION (LSCS);." Professional Medical Journal 20, no. 06 (2013): 916–23. http://dx.doi.org/10.29309/tpmj/2013.20.06.1737.
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Introduction: Caesarean section is one of the commonly performed surgical procedures in obstetric and is certainly one ofthe oldest operations in surgery. Recently there has been a dramatic rise in the caesarean section rate world wide especially in thedeveloped countries. As primary caesarean deliveries contributed most to the overall caesarean section rate (CSR). So this is clear thatprimary caesarean section is an important target for reduction because it leads to an increased risk for repeat caesarean delivery.Objectives: To have an overview of fetomaternal indications for LSCS at a teaching hospital And to review intra-operative and postoperativecomplications of LSCS at tertiary care centre. Material And Methods: All caesarean sections performed at Obstetrics andGynecology Unit Independent University Hospital Faisalabad from January 2009 to December 2010 were reviewed. Information wasobtained from operation theater and labor ward records. Results: During the study period 100 patients undergone caesarean section. Outof 100 patients, 58(58%) had emergency and 42(42%) had elective caesarean section. The leading maternal indications were previouscaesarean section 34 (34%), severe pre- eclampsia 6(6%),post date& failed induction of labor6 (6%), placenta previa 6(6%), and failureof progression of labor 5(5%), PROM3(3%), Pre-PROM3(3%)and cephalopelvic disproportion2 (2%).Major fetal indications include fetaldistress9 (9%), malpresentation 6(6%), cord prolapse 3(3%),IUGR 5(5%) and pregnancy complicated by multiple fetuses 7 (7%). Intraoperativesurgical and anesthetic complications were observed in very few patients. Nine babies had perinatal deaths in this study, 8belonged to emergency and only one baby died in elective group due to aspiration pneumonia. Conclusions: Majority of cesarean sectionare done in emergency situations and previous CS is the most frequent indication of cesarean section. The most effective mean to controlCS is the prevention of first caesarean section which could be achieved by adopting the policy of trial of vaginal birth after previous Csection,selective vaginal breech delivery and regular audit of C-section as well as early detection of at risk cases and proper referral intime is the key factor in decreasing the cesarean section rate and complications.
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Kalpana, P., and T. Praveena. "Maternal morbidity in emergency lower segment cesarean section." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 7 (2019): 2604. http://dx.doi.org/10.18203/2320-1770.ijrcog20192635.
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Background: With a steep fall in maternal mortality and morbidity and with much more liberalization of indications, the incidence of cesarean section rate has greatly increased over the last thirty years and almost doubled in the current decade. The objective of this study was to study incidence of maternal morbidity in emergency lower segment cesarean section.Methods: Hospital based prospective study was carried out among 200 women undergoing emergency lower segment cesarean section. Data relating to demographic characteristics, clinical characteristics, maternal and fetal indications, incidence of morbidity, and types of morbidities, Intra operative complications, and Post operative complications was noted down. Chi square and odds ratio was used for statistical analysis.Results: The incidence of LSCS was 24.21%. Incidence of emergency LSCS was 96.74%. 71% were having primary LSCS and 20.5% were booked cases. The most common maternal indication for emergency LSCS was pregnancy induced hypertension and eclampsia in 32.5% of the cases. The most common fetal indication for emergency LSCS was fetal distress in 60%. Incidence of morbidity was 35% and it was associated with booking status, parity and social class. Incidence of intraoperative complications was 23.5%. Majority (18.5%) developed febrile morbidity followed by wound sepsis in 12.5%, urinary tract infection in 8%, mastitis in 7.5%, respiratory tract infection in 7%, wound gaping in 4%, paralytic ileus in 3%, endometritis in 2.5%, postpartum hemorrhage in 1.5%, 2 cases of burst abdomen and one case of small bowel obstruction.Conclusions: Emergency LSCS was more common than elective LSCS and it was associated with booking status, parity and social class.
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Masood, Javeria, Zartaj Hayat, Nadia Ahmed, Robina Jabeen, Nazish Shifa, and Faiza Masud. "Comparison of Estimated Blood Loss between Tranexamic Acid and Control in Women Undergoing Elective Cesarean Section." Pakistan Journal of Medical and Health Sciences 17, no. 4 (2023): 288–90. http://dx.doi.org/10.53350/pjmhs2023174288.
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Background: Tranexamic acid is being utilized related to uterotonic agents to treat hemorrhage post-delivery. Evidence suggests that tranexamic acid may reduce bleeding and resultant chances of postpartum hemorrhage. However, limited data is available on the prophylactic utilization of tranexamic acid in local women undergoing elective lower segment cesarean section. This study aimed to compare reduction in mean blood loss between control and tranexamic acid group during and after elective lower segment cesarean section. Methodology: This randomized controlled trial was done in a period of 6 months i.e. 17th December 2018 to 17th June 2019 in the Department of Gynecology and Obstetrics, FUI, Fauji Foundation Hospital, Rawalpindi. Sixty women were randomly equally allocated to Group A (tranexamic acid) and Group B (non-tranexamic acid). Patients were given tranexamic acid 1gm intravenous 15 minutes before skin incision. Hemoglobin and hematocrit levels were estimated on second post cesarean day (before discharge) as well to measure outcome i.e. estimated blood loss. Results: In tranexamic acid group, mean estimated blood loss following elective lower segment cesarean section found to be 301.66±64.97 ml while in non-tranexamic acid group it was 433.33±137.29 ml. The significant (P<0.05) difference was noted. Conclusion: The mean estimated blood loss reduced significantly in patients who were given tranexamic acid before elective lower segment cesarean section than those who were not given tranexamic acid. Keywords: Postpartum hemorrhage, tranexamic acid, elective lower segment cesarean section (E:-LSCS)
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Pooja, J. Patel, F. Chaudhari Ankur, and Rathod Shalini. "The Role of Intravenous Ondansetron in Reducing Postspinal Shivering in Elective Lower Segment Cesarean Sections." International Journal of Pharmaceutical and Clinical Research 15, no. 10 (2023): 06–10. https://doi.org/10.5281/zenodo.11243620.
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<strong>Introduction:</strong> Elective lower segment cesarean section (LSCS) performed under spinal anesthesia often leads to postoperative shivering, causing discomfort and potential complications. Intravenous ondansetron, known for its antiemetic properties, has shown promise in reducing shivering. In this study, we investigate the efficacy of ondansetron in preventing postspinal shivering during LSCS, aiming to enhance the perioperative experience for parturients. <strong>Material and Methods:</strong> This prospective interventional study assessed the efficacy of intravenous ondansetron in preventing postspinal shivering during elective lower segment cesarean sections (LSCS) under spinal anesthesia. One hundred pregnant patients were divided into two groups: ondansetron (Group S, n=50) and control (Group C, n=50). Group S received 4 mg of intravenous ondansetron preoperatively, while Group C did not receive preoperative medication. Shivering incidence, severity, and complications were recorded, and the Bedside Shivering Assessment Scale was used for assessment. Statistical analysis included Z-tests and Chi-square tests (P < 0.05). <strong>Results:</strong> This study included 100 subjects divided into two groups: Group S (n=50) receiving intravenous ondansetron for preventing postspinal shivering during cesarean sections, and Group C (n=50) as the control. Baseline characteristics were similar between groups (P > 0.05). Key surgical and physiological parameters showed no significant differences. However, Group S exhibited significantly reduced shivering severity (P = 0.001) and a lower incidence of nausea and vomiting (P = 0.001) compared to Group C. <strong>Conclusion:</strong> Intravenous Ondansetron demonstrates efficacy in reducing postspinal shivering and the incidence of nausea and vomiting during elective lower segment cesarean sections under spinal anesthesia, potentially improving the perioperative experience for parturients.
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Kuldeep, Rathod, Tailor Shruti, Bhatia Saral, and Prajapati Nilam. "To Study Indications and Feto-Maternal Outcome of Elective LSCS." International Journal of Pharmaceutical and Clinical Research 15, no. 10 (2023): 1224–27. https://doi.org/10.5281/zenodo.11287533.
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<strong>Objective: </strong>To study indications and feto-maternal outcome of Elective LSCS. <strong>Methods:</strong> A prospective observational study was conducted in Department of Obstetrics and Gynaecology enrolling 130 consenting subjects undergoing Elective Caesarean section over the period of 12 months. <strong>Results:</strong> In our study, majority of the subjects(77.69%) belonged to age group of 20-29 years. 46.84% of the study subjects underwent their elective Caesarean section after 38 weeks of gestation. In our study, 53.84% of subjects were primipara. Majority of the subjects(35.38%) underwent their elective Cesarean section for previous CS with negative consent for VBAC followed by 15.38% subjects for prev 2 lscs, 14.61% for cephalo-pelvic disproportion. 3% of subjects had developed maternal complications and 2.3% subjects had neonatal complications. <strong>Conclusion: </strong>As caesarean section being associated with maternal morbidity and neonatal outcome, decision for Elective Cesaerean section should be undertaken after considering all obstetric factors and medical conditions.
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Kaur, Hersimran, Sahil Garg, Madhav Choudhary, Ashita Rukmini, Neha Jha, and Pankaj Kumar. "Ondasetron and its effects on haemodynamics during LSCS under regional anaesthesia- A Randomized double blind controlled trial." Panacea Journal of Medical Sciences 14, no. 2 (2024): 350–55. http://dx.doi.org/10.18231/j.pjms.2024.062.
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Subarachnoid block (SAB) is also known as the method of choice of anaesthesia for lower segment caesarean section. The most common complications associated with it include hypotension and bradycardia. Ondansetron, now days is emerging as an effective alternative for the prevention of spinal induced hypotension in elective LSCS patients. Our aim was to analyse & study the effect of Ondansetron 6mg I.V. on hemodynamics in lower segment caesarean section (LSCS) under regional anaesthesia. Study was conducted on a total of 60 parturients divided into 2 groups (Group I & Group II) scheduled for elective lower segment cesarean sections under Subarachnoid block. Comparison of mean heart rate between the Group I and Group II was found to be statistically not significant (p&#62;0.05) at all the time intervals. The difference was found to be statistically significant (p=0.001), showing significantly higher intraoperative fluid requirement in Group II in comparison to Group I. We observed that ondansetron 6mg I.V. given as a premedication 15 minutes before the administration of SAB resulted in a lesser incidence of hypotension following SAB.
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Tahira Malik, Sadia Zahoor, and Sonia Zulfiqar. "OUTCOMES OF COMPARISON BETWEEN EMERGENCY VS ELECTIVE LOWER SEGMENT CESAREAN SECTION." Pakistan Postgraduate Medical Journal 30, no. 03 (2021): 111–13. http://dx.doi.org/10.51642/ppmj.v30i03.296.
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Objective; To compare emergency vs elective LSCS for their various outcomes. Study setting; Sheikh Zayed Hospital, Rahim Yar Khan Duration; 01-09-2018 to 28-02-2019 Methodology: This was a randomized controlled-trial, in which pregnant females irrespective of their duration of gestation, gravida and parity having age equal more than 20 years were included. The cases were subdivided into 2 equal groups. The cases in group A were operative for emergency C section surgery and those, who were in group B underwent elective surgery. These cases were then followed to look for various surgical outcomes. Results: In this study total 150 cases of C section were included with 75 in each group. The mean age of the group A and B was 28.87±4.43 vs 29.54±5.13 years and mean duration of gestation at presentation was 37.13±2.56 vs38.67±1.39 weeks. SSI was seen in 3 (5.33%) cases in emergency group vs 2 (2.66%) in elective group with p= 0.07. PPH was observed in 2 (2.66%) of the cases each with p= 1.0 and both hysterectomy and maternal mortality was observed in 1 (1.33%) cases each in emergency group with p= 0.81 each. Conclusion; Complications are rate are relatively higher in emergency as compared to elective C section and SSI is nearly significantly high in this group.
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Sebastian, Gisi, Seetesh Ghose, and P. Soundararajan. "Comparison of maternal and neonatal outcome in elective lower segment cesarean section done at 38 and 39 weeks." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 4 (2017): 1604. http://dx.doi.org/10.18203/2320-1770.ijrcog20171436.
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Background: Time to perform elective LSCS is a relevant issue related to mother and foetus. LSCS can be done from 37 weeks onwards because foetal lungs mature by then. But foetuses born at 37 weeks of gestation have more risk of developing respiratory problems, transient tachypnoea of new born, hypothermia, hypoglycaemia and NICU admission.The purpose of this study is to find out appropriate gestational age at which elective LSCS can be performed without adverse maternal and neonatal outcome.Methods: This is an observational comparative study done on 209 antenatal women who underwent elective caesarean section from December 2014 to January 2016.Patients were divided into two groups after taking consent. Maternal parameters like formation of lower uterine segment need for blood transfusion. Neonatal parameters like Apgar score, respiratory distress syndrome and NICU admission with indication and duration were analyzed by chi-square test. Gestational Age and Pre-Op Hb and Post-Op Hb were analyzed by independent ‘t’test.Results: In this study 55% of the pregnant women belong to 38 weeks,45% belongs to 39 weeks. The formation of lower uterine segment was statistically significant and the need for blood transfusion was slightly increased at 39 weeks. But there was no significant difference in Apgar score, Respiratory distress, NICU admission comparing both study groups.Conclusions: Elective caesarean section can be done safely at 38 weeks without affecting maternal and perinatal outcome.
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Asif, Fiza, Sobia Zafar, Tehmina Zafar, Tayyaba Majeed, and Zahid Mahmood. "Diagnostic Accuracy of Lower Uterine Segment Scar Thickness ≤1.6mm in Prediction of Scar Dehiscence in patients." Pakistan Journal of Medical and Health Sciences 15, no. 10 (2021): 2682–84. http://dx.doi.org/10.53350/pjmhs2115102682.
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Background: Cesarean section uterine scar dehiscence (CSD) is a rare but notable complication of Lower segment cesarean section (LSCS) surgery. The cause for a uterine scar dehiscence is based on the etiology behind the uterine scar defect or any event that would predispose the cesarean scar to dehisce. Globally accepted option for assessing the CS scar is transvaginal ultrasonography of the non-pregnant uterus. Objective: To determine the diagnostic accuracy of lower uterine segment scar thickness≤1.6mm in the prediction of scar dehiscence in patients with previous one LSCS who are undergoing repeat LSCS after trial of labour taking intraoperative findings as gold standard. Material and methods: This cross sectional study was conducted in Services Hospital, Lahore for 6 months. The Non probability consecutive sampling technique was used to include women with previous one LSCS at 36-38 weeks were asked to get their TVS done for scar thickness. Women with scar thickness≤1.6mm and scar thickness>1.6mm were identified. Their intraoperative findings of scar dehiscence were confirmed. All the data was entered and analyzed on SPSS version 20. Results: The mean age of patients was 29.87±6.07 years. The emergency LSCS was done in 599(49.1%) patients and elective LSCS was done in 621(50.9%) patients. The sensitivity, specificity & diagnostic accuracy of TVS was 98.31%, 99.05% & 98.69% respectively. Conclusion: According to our study results the TVS for uterine scar is a very useful and effective tool in the prediction of scar dehiscence in patients with previous one LSCS taking intraoperative findings as gold standard. Keywords: Transvaginal sonography, TVS, Uterine, Scar, dehiscence, LSCS, Intraoperative
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Jeyamani, B., and B. Sowmiya. "Post cesarean pregnancy and its outcome." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 12 (2021): 4397. http://dx.doi.org/10.18203/2320-1770.ijrcog20214445.
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Background: Though in recent years lower segment cesarian section (LSCS) procedure is the major reason for the reduction in the mortality rate for both mother and baby, inappropriate indications may affect the outcome of pregnancy. Thus, this study was done with the aim of assessing the prevalence of outcome of delivery among women who underwent caesarean section (CS) and to assess the factors associated with that outcome.Methods: This study was conducted with a sample of 98 pregnant mothers. After acquiring informed consent, those mothers who were indicated for CS (both elective and emergency) were enquired about the questionnaire containing two parts. Part one is about the history regarding previous birth and the next part is about age, parity, and outcome of current pregnancy (both mother and baby).Results: The mean age of the study participants is 27 years. Among the study participants, about half of them (51%) were in gravida one and 37 percent have one abortion. About four-fifths of the study participants (81%) were undergone elective LSCS. About one-fourth of the baby needs neonatal intensive care unit (NICU) admission and two percent have the complication of neonatal sepsis. The factors significantly associated with NICU admission of babies delivered after LSCS are more number of the previous history of abortions (p=0.004) and emergency LSCS (p=0.001) by using the chi-square test.Conclusions: The indication of previous LSCS for LSCS among pregnant mothers is in a rising trend that needs holistic commitment to reduce the prevalence of LSCS.
Book chapters on the topic "Elective LSCS (Lower segment Cesarean section)"
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Bakshi, S., J. Doctor, and R. Ambulkar. "Emergency Lower Segment Cesarean Section (LSCS)." In Objective Anaesthesia Review: A Comprehensive Textbook for the Examinees. Jaypee Brothers Medical Publishers (P) Ltd., 2013. http://dx.doi.org/10.5005/jp/books/11993_14.
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