Relevant bibliographies by topics / LSCS (lower segment Caesarean section)

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Academic literature on the topic 'LSCS (lower segment Caesarean section)'

Author: Grafiati
Published: 5 June 2025
Last updated: 16 July 2025

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Journal articles on the topic "LSCS (lower segment Caesarean section)"

1

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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Chavda, Dolly, Kamal Goswam, and Kavita Dudhrejiya. "A cross sectional study of 1000 lower segment cesarean section in obstetrics and gynecology department of P. D. U Medical College, Rajkot, Gujarat, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 4 (2017): 1186. http://dx.doi.org/10.18203/2320-1770.ijrcog20170916.

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Background: Though WHO recommends a rate of 10-15% caesarean section for a given hospital, there has been a rising trend worldwide. We estimated the recent incidence of caesarean section in Obstetrics and Gynecology Department, P.D.U. Medical College, Rajkot (Gujarat and correlated these rates with the socioeconomic, demographic, and health variables.Methods: We have studied 1000 cases of lower segment caesarean section (cross sectional study) at Obstetrics and Gynecology Department, P.D.U Medical College, Rajkot (Gujarat) to find out rate of caesarean section, common maternal and fetal indication and complications of lower segment caesarean section.Results: Caesarean section rate of the present study is 19.9%. Most common indication of LSCS was scarred uterus 39.9%.followed by fetal distress 19.1%, malpresentation 18.6%, and failed induction 7.3%. Maternal morbidities and mortalities in emergency LSCS in compare to elective LSCS. Analysis based on Robson’s ten-group showed that group 5 (Previous CS, single cephalic,>37 weeks) made the greatest contribution to total CS rate.Conclusions: Scientific advances, social and cultural changes, and medico legal considerations seem to be the main reasons for the increased acceptability of caesarean sections. The decision to perform a C-section delivery must be chosen carefully and should not be profit oriented. There is a possibility of keeping the rate to minimum by reducing number of primary caesarean sections, by proper counseling of the patients, proper monitoring and patience.
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Agrawal, Grishma P. "Primary lower segment caesarean section in multipara: materno-fetal outcomes." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 1 (2018): 279. http://dx.doi.org/10.18203/2320-1770.ijrcog20185439.

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Background: All-natural birth has a purpose and a plan; who would think of tearing open the chrysalis as the butterfly is emerging? Who would break the shell to pull the chick out?” ~ Marie Mongon. It is of particular interest, in light of increased incidence of abdominal delivery throughout the country and in the world, to judge the validity of this procedure when used for the first time in the multipara.Methods: All the cases of Primary caesarean delivery in multipara over a period of 18 months were studied with regards to the indication, associated risks factors, and perinatal morbidity and mortality. The primary objective of the study was to find out the status of primary Lower Segment Caesarean Section (LSCS) in multipara in tertiary care center.Results: The overall incidence of LSCS was 30.7%. The incidence of Primary LSCS in multipara was 23.4%. The most common indication of LSCS was Foetal Distress i.e. 40.8%. Almost all caesarean sections were done in Emergency (99.2%). 12.3% of patients underwent PPH intra-operatively with 0.7% patient requiring Obstetric hysterectomy. Majority of the neonates were admitted in NICU for Respiratory Distress (30%). Major cause of Post-operative morbidity was wound gape seen in 10.8% patients.Conclusions: The fact that a multipara has had one or more vaginal deliveries should be regarded as an optimistic historical fact, not as diagnostic criteria for spontaneous delivery of the pregnancy at hand. Hence a multiparous woman in labour requires the same attention as that of primigravida and may still require a caesarean section for safe delivery. Good antenatal and intrapartum care and early referral will help reduce the maternal and perinatal morbidity.
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Sailakshmi, M. P. A., and Vidhyadhare G. S. "Retrospective study of maternal and neonatal outcome in second stage lower segment caesarean section in a tertiary hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 12 (2020): 4924. http://dx.doi.org/10.18203/2320-1770.ijrcog20205222.

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Background: Caesarean section at second stage are increasing and are associated with significant maternal morbidity. The overall caesarean section rates are also increasing from last two decades.Methods: A retrospective study conducted in Department of Obstetrics and Gynaecology, Raja Rajeswari Medical College and Hospital, Bangalore from January 2018 to July 2019. Second stage LSCS were analysed in terms of indications, intraoperative and post-operative complications, neonatal morbidity.Results: In our hospital during study period there were 2639 deliveries and total number of LSCS 1146 (43.42%) and caesarean section rate was 35-45% and second stage LSCS 60 (5.23%).Conclusions: Second stage LSCS associated with more number of maternal and neonatal morbidity. Adequate clinical exposure and appropriate training are essential for safe performance in second stage LSCS.
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Chaurasia, Vaishali, and Sushruta Shrivastava. "Record based analysis of indications and complications of 500 cases of lower segment cesarean sections at a tertiary care hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 2 (2019): 393. http://dx.doi.org/10.18203/2320-1770.ijrcog20190003.

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Background: The drastically increasing rate of caesarean section is a topic of constant worry and analysis throughout the world. In order to understand the degree to which caesarean section may be preventable, it is important to know why caesarean section are performed. This study is aimed to find out the rate of caesarean section at our institute, various indications of the procedure and complications related to them.Methods: This study was carried out retrospectively in the department of obstetrics and gynecology at Chirayu Medical College and Hospital, Bhopal. Study period was from January 2017 to December 2017. 500 cases of lower segment cesarean section were studied including both elective and emergency caesarean sections. Statistical analysis of age, parity, period of gestation, indications of LSCS and complications was done.Results: The rate of caesarean section came out to be 47.7%, which is far above recommended. Majority of patients (81.6%) were in 21-30 years age group; while the number of primary and repeat caesarean section were comparable (40.8% and 59.2%respectively). Commonest indication was previous LSCS (31.6%) followed by fetal distress (21.6%). Surgical site infection was present in 4.6% cases whereas, post-partum hemorrhage occurred in 5.8% cases. Three patients underwent obstetric hysterectomy and two cases of maternal mortality were reported among post LSCS patients.Conclusions: Increasing rates of caesarean section has contributed to maternal morbidity along with financial burden. Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit rate of caesarean section.
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Dodampahala, S. H., Lal Chandrasena, and Vasitha Abeysuriya. "Incisional herniae following lower segment caesarean section: A 20-year chart review." Sri Lanka Journal of Obstetrics and Gynaecology 45, no. 2 (2023): 80–83. http://dx.doi.org/10.4038/sljog.v45i2.8078.

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Introduction: The rates of caesarean delivery is increasing worldwide as well as in Sri Lanka. Incisional hernia is a known complication of abdominal surgery. To our knowledge there has been no study to assess the incidence of incisional hernia following caesarean section in Sri Lanka. This study was to assess the incidence of incisional hernia requiring surgical repair after lower segment caesarean section (LSCS) in a cohort during a 20-year period.Methods: This was a chart review based on tertiary care private sector hospital in Sri Lanka. Hernia repairs performed during 2002 to 2022 were identified. The data was retrieved from computer based data base and previous bed head tickets. The main inclusion criterion was a caesarean delivery from the 01st of January 2002 to 31st of December 2022 in women with no history of previous abdominal surgery. The cohort was assessed from their first caesarean delivery until 20 years in the inclusion period for an event of hernia repair. The following exclusion criteria for the hernia repairs were used: Diastasis rectiwithout hernia, hernia not in the caesarean incision, and no hernia. The study was approved by the Research and Ethical Committee of Nawaloka Hospital Sri Lanka. The patient records and the data-set were anonymized before analysis. No conflict of interest.Results: There were 2675 records retrieved. The mean age of the patients was 28±7.5 years. There were 10/2675 (0.37%) patients were found to incisional herniae following LSCS. The majority (7/10) of patients with incisional hernia had lower midline incisions for their LSCS. The average time duration of the occurrence of incisional hernia following a single LSCS was 19.5±2.3 months and it was 14.3±1.6 and 12.3±1.5 months for following second and third LSCS respectively. Majority of the incisional herniae were done as routine cases. Following the incisional hernia repair one patient had a recurrence after year.Conclusion: The overall incidence of having an incisional hernia requiring repair of a caesarean delivery was 0.37%. Most herniae appeared within the first two years and associated with the lower midline incisions.
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Anita Sharma, Himanshi Gangwal, Madhu Bhat, Nilesh Yadav, and Ekta Meena. "Vaginal delivery after previous one lower segment caesarean section at a tertiary care hospital." International Journal of Science and Research Archive 6, no. 2 (2022): 104–9. http://dx.doi.org/10.30574/ijsra.2022.6.2.0139.

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Aims & Objectives: To find out the predictors of spontaneous term vaginal birth after a previous one lower segment caesarean delivery. Materials & Methods: A prospective study was conducted in the Department of Obstetrics & Gynecology, SMS Medical College, and Jaipur from March 2015 to October 2016. 120 pregnant women with a history of one previous Lower segment caesarean section (LSCS) were enrolled in the study. Results: In our study, 60% cases had a successful Vaginal birth after caesarean section (VBAC) and 40% underwent a repeat emergency LSCS for failed trial of labour after caesarean section. Anterior position of cervix, cervical dilatation ≥ 3cm, effacement ≥ 60-70%, vertex position at or below the ischial spine at the time of admission in labour room were significant factor in favoring a successful VBAC. The incidence of scar dehiscence was 5.83%. There was no maternal or neonatal mortality. Conclusion: Trial of labour after caesarean section (TOLAC) can be given in selected cases with good monitoring of Fetal heart sound (FHS) and progress of labour under supervision of trained staff at a tertiary care hospital.
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Gurunule, Amit A., and Himangi S. Warke. "Maternal and foetal outcome in elective versus emergency caesarean sections." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 4 (2017): 1222. http://dx.doi.org/10.18203/2320-1770.ijrcog20170927.

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Background: Caesarean delivery is defined as the birth of the foetus through an incision in the abdominal wall (i.e. laparotomy) and the uterine wall (hysterotomy). The purpose was to analyze the maternal and foetal outcome in elective versus emergency caesarean sections retrospectively in a tertiary care centre and to analyze the indications of elective versus emergency caesarean sections.Methods: A retrospective observational study of the cases undergoing caesarean sections in KEM hospital, Mumbai, India was carried out during the period of September 2013 to September 2015. Maternal and foetal outcome was studied. The data was collected and analyzed from the maternal medical records. The neonatology records were also examined.Results: Out of the 600 selected patients, 300 patients in each group of elective and emergency caesarean section were studied. The usual indications of emergency caesarean sections were foetal distress, followed by meconium stained amniotic fluid (MSAF) and cephalopelvic disproportion (CPD). The most frequent indicator for elective lower segment caesarean section (LSCS) was patient with previous LSCS not willing for vaginal birth, followed by breech presentation and previous multiple LSCS. There was a significant difference seen in the occurrence of fever, urinary tract infections and wound infections in the two groups. These were more common in the emergency caesarean section group. Significant difference was also seen in the incidence of postpartum haemorrhage in the two groups, which was more in the elective caesarean section group.Conclusions: The maternal morbidity, intra operative and postoperative complications were more in the emergency LSCS group as compared to patients who underwent elective LSCS.
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Sinha, Madhulika, and Taruna Dua. "Assessing caesarean section trends in tertiary care using Robson’s ten group classification." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no. 6 (2022): 1703. http://dx.doi.org/10.18203/2320-1770.ijrcog20221443.

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Background: This study determined which clinical situations contributed to and led to caesarean delivery in tertiary care hospitals, using Robson’s classification approach, and to audit the rising prevalence of caesarean sections.Methods: This retrospective data collection study was conducted for 2 years at a tertiary care hospital. Mothers who gave birth between October 2017 and 2019 were included in the study. Using Robson’s method they were categorized into ten groups. In each of the ten categories, the caesarean delivery rates were calculated and analysed. The contribution of each category to the overall caesarean section rate and percentage was computed.Results: In our hospital, 384 of the 550 women who gave birth during the study period underwent a lower segment caesarean section (LSCS), with an overall C section rate of 69.8%. Group 5 (multiparous with prev 1 or more LSCS) contributed to the highest C-sections followed by group 2 (Primi who were induced or whose caesarean section was done without labour). Although groups 6, 7, 8, and 9 did not contribute significantly to overall C-sections, C section rates in this group of patients are approaching 100%. The primis who came in spontaneous labour had the least LSCS rate (29.47%).Conclusions: Women who have had a previous caesarean delivery and primigravidas who were induced or had LSCS without labour account for a growing percentage of caesarean deliveries. Public policies and awareness should be aimed at minimising LSCS, especially by lowering the number of elective CS in these women and supporting vaginal delivery.
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Bano, Arjumand, and Aithagoni Srikavya. "The Study of Intra-Operative Difficulties in One Repeat Caesarean Section Compared with Two or More Caesarean Sections." Journal of Evolution of Medical and Dental Sciences 10, no. 33 (2021): 2745–48. http://dx.doi.org/10.14260/jemds/2021/560.

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BACKGROUND Most commonly done obstetric procedure globally is caesarean section. The incidence of C-section is continuously increasing because risk associated with vaginal delivery after caesarean, previous caesarean section is an important indication for Csection. The purpose of this study was to assess the difficulties during intra-operative period in women who undergo caesarean section repeatedly and also to study the comparison between difficulties with women with previous one caesarean section and women with previous 2 or more C-sections. METHODS It is a prospective observational study conducted on 150 women in the Department of Obstetrics & Gynaecology in Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar in women with history of previous caesarean sections (one or more). The women were divided into two groups - Group 1 - Those with previous one caesarean section and Group 2 - Those with previous two or more caesarean sections. RESULTS Out of 150 cases randomly selected and studied who had repeated caesarean section,90 had 1 previous lower segment caesarean section (LSCS), 60 had two or more caesarean sections, the highest number of caesarean sections were performed on women between the age group of 20 - 29 years. Out of these, some cases did not show intra-operative complications, some showed variety of intra-operative complications. Most common type of complications that they came across were adhesions (44 %) in 1 previous LSCS, 65 % in 2 or more LSCS. There were no cases of scar rupture, uterine rupture, bowel injury, caesarean hysterectomy in the study population, probable reason could be that cases were taken elective or taken with a short trial of labour with high level of intrapartum monitoring. CONCLUSIONS Higher incidence of intra-operative complication is seen in women with previous caesarean sections. KEY WORDS Repeat C - Section, Adhesions, Intra-operative Complications
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Book chapters on the topic "LSCS (lower segment Caesarean section)"

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Jamale, P. B., and Resmy John Varghese. "Perfusion Index to Predict Hypotension Following Subarachnoid Block in Lower Segment Caesarean Section." In Advancements in Science and Technology for Healthcare, Agriculture, and Environmental Sustainability. CRC Press, 2024. http://dx.doi.org/10.1201/9781032708348-90.

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Patil, Supriya, Sanjay Kumar S. Patil, R. P. Patange, and Hamisol Sair Hanuy. "Fetomaternal Outcomes of Second-Stage Caesarean Section on Prevalence, Indications, and Implications for Obstetric Care." In Clinical and Comparative Research on Maternal Health. IGI Global, 2024. http://dx.doi.org/10.4018/979-8-3693-5941-9.ch011.

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During the second stage of labour, a “second-stage Caesarean section” (lower segment Caesarean section -LSCS)” is performed to help the mother and foetus. Understanding its prevalence, indications, and results helps make evidence-based clinical decisions. This study examines second-stage LSCS's influence on fetomaternal outcomes. Goals include studying second-stage LSCS, foetal and maternal outcomes, indication-outcome connections, and second-stage LSCS indications. Medical records from second-stage LSCS women were used in a retrospective cohort study. Regression, comparison, and descriptive statistics were used to study maternal and foetal outcomes and LSCS indications. Data shows that 15.2% of LSCS operations occurred in the second stage of labour. Maternal outcomes included 22.5 percent blood loss, 30 percent lengthier hospital stays, 18.8 percent surgical issues, and 11.3 percent mental damage. Apgar scores differed by the foetal outcome; 36.3% of newborns needed NICU admission, and RDS (26.3 percent). Fetal distress and failed labour progress (17.6%) were the main LSCS indicators (28.4 percent). In conclusion, second-stage LSCS is crucial to obstetric care because it affects maternal and foetal outcomes. The frequency of LSCS in the second stage emphasises the importance of close observation and swift decision-making. Fetal results emphasise the need for specialised neonatal care, whereas maternal outcomes emphasise the need for extended postoperative care and emotional support. LSCS indications affect mother and foetus outcomes, emphasising the importance of customised treatment and evidence-based decision-making in clinical settings.
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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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Chavan, Niranjan. "Difficult Lower Segment Caesarean Section." In Manual on Labour Room Protocols. Jaypee Brothers Medical Publishers (P) Ltd., 2018. http://dx.doi.org/10.5005/jp/books/13097_27.

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Patange, R. P., Sanjay Kumar S. Patil, N. S. Kshirsagar, and Taufikin Arslan Bawi. "Maternal and Fetal Outcome Comparison of Labor Induction With Foley's Catheter and Cervical Ripening Balloon Following Previous Cesarean Section." In Clinical and Comparative Research on Maternal Health. IGI Global, 2024. http://dx.doi.org/10.4018/979-8-3693-5941-9.ch010.

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The rising number of caesarean sections, especially among women who have had one prior surgery (LSCS), has sparked questions over the effectiveness and safety of labour induction techniques. In women having one prior LSCS, this research aimed to examine the results for the mother and foetus after labour induction using Foley's catheter and “Cervical Ripening Balloon (CRB)”. Five hundred pregnant women with a history of one previous LSCS, a gestational age between 37 and 42 weeks, and a favorable Bishop score of less than or equal to four were enrolled in this prospective observational research. Two sets of patients were established: 250 had labour induction via Foley's catheter, and another 250 underwent it via CRB. The effectiveness of labour induction, uterine hyperstimulation, post-induction caesarean section, and maternal complications were among the maternal and foetal outcomes evaluated. The prevalence of foetal distress, the Apgar scores at one and five minutes, and neonatal problems were all considered foetal outcomes. Compared to the Foley group, the CRB group showed significantly higher labour induction efficacy (78.0% vs. 62.0%, p < 0.001) and a reduced incidence of uterine hyperstimulation (11.2% vs. 18.0%, p = 0.045). Although there was no significant difference in the rate of post-induction caesarean sections, there was a trend in the CRB group towards fewer caesarean sections (7.6% vs. 12.0%, p = 0.132). There were comparable maternal problems in each group (p = 0.287). The CRB group had lower rates of foetal distress (8.8% vs. 15.2%, p = 0.021), and their newborns scored higher on the Apgar scale at 1 and 5 minutes (p < 0.001 and p = 0.007, respectively). Complications throughout infancy were similar (p = 0.165). In summary, CRB showed superiority regarding foetal distress incidence, uterine hyperstimulation risk, and efficacy for inducing labour. The CRB group showed trends indicating a lower rate of caesarean sections while maintaining maternal safety. The results are consistent with earlier studies, suggesting that CRB is the better technique for inducing labour in women who have had one previous LSCS. Future research should include larger trials, long-term outcomes, cost-effectiveness, and patient preferences to improve this population's current understanding of labor induction.
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Agarwal, Neha, and Anupam Lahiri. "Determining the Role of Prophylactic Tranexamic Acid in Reducing Blood Loss during and after Lower Segment Caesarean Section." In New Frontiers in Medicine and Medical Research Vol. 6. Book Publisher International (a part of SCIENCEDOMAIN International), 2021. http://dx.doi.org/10.9734/bpi/nfmmr/v6/11514d.

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Conference papers on the topic "LSCS (lower segment Caesarean section)"

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Jadhav, Raju. "#36501 Anaesthetic management of a parturient with idiopathic pulmonary artery hypertension (IPAH) posted for lower segment caesarean section (LSCS) – A case report." In ESRA Abstracts, 40th Annual ESRA Congress, 6–9 September 2023. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/rapm-2023-esra.447.

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Joshi, R., N. Latha, J. Ramesh, G. Yachendra, and R. Jeevan. "B422 A comparison of spinal anesthesia characteristics between hyperbaric ropivacaine and hyperbaric bupivacaine in subarachnoid block for lower segment caesarean section: a prospective randomised study." In ESRA Abstracts, 39th Annual ESRA Congress, 22–25 June 2022. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/rapm-2022-esra.498.

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