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

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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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 teachi

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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 indica

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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

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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 (43.4

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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

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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 id

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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

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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 foet

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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

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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 co

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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

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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 primip

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Ganapathi, Trupthi, and Hemangi K. Chaudhari. "Ultrasonographic measurement of uterine lower segment scar thickness in cases of previous one caesarean section and obstetric outcome." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 11 (2018): 4454. http://dx.doi.org/10.18203/2320-1770.ijrcog20184488.

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Background: Vaginal birth after caesarean section (VBAC) has become an integral part of modern obstetrics with more than 1lakh VBACs achieved each year nationwide. Several studies have reported perinatal risks associated with failed trial of labour and uterine rupture in women attempting VBAC, due to concerns about these complications, the rate of VBAC deliveries has continued to fall in developed countries, with an inverse increase in Caesarean Sections (CS). To better assess the risk of uterine rupture, many authors have proposed sonographic measurement of scar or lower uterine segment (LUS)

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Sharma, Reena, and Poojan Dogra. "Indications and rate of caesarean delivery at tertiary care hospital: a retrospective study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 10 (2017): 4367. http://dx.doi.org/10.18203/2320-1770.ijrcog20174406.

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Background: Worldwide there has been an increase in the rate of caesarean delivery due to multiple factors. Objective of the study was to assess the prevalence and different indications of caesarean section in this institute.Methods: The aim of the study is to analyse the rates and indications of lower segment caesarean section (LSCS) in our institution. We conducted a retrospective study over a period of six months; 1st September 2016 to 1st March 2017 at SLBSGMC Mandi at Nerchowk. Total number of patients who delivered in our hospital during the defined study period was recorded and a statis

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Dalal, Monika, Smiti Nanda, Jagjit S. Dalal, et al. "Maternal and neonatal outcome in pregnancy with previous lower segment caesarean section undergoing trial of scar." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 9 (2021): 3434. http://dx.doi.org/10.18203/2320-1770.ijrcog20213465.

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Background: Women with previous LSCS often have to make a decision about mode of delivery of their second baby. As the rate of caesarean section is continuously increasing, vaginal birth after caesarean section (VBAC) is a good strategy to decrease caesarean rate. The present study was planned to assess the fetomaternal outcome in pregnancies with previous lower segment caesarean section undergoing trial of scar and to identify the factors, which can influence the outcome of trial of scar.Methods: This was a prospective observational study on 100 patients at a tertiary care institute. Pregnant

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Meena, Pragati, Seema Meena, Bharti Sharma, and Richa Chaudhary. "Comparative study on maternal morbidity in elective and emergency caeserean section at tertiary hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 9 (2023): 2700–2704. http://dx.doi.org/10.18203/2320-1770.ijrcog20232724.

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Background: The incidence of caesarean sections has significantly increased over the previous thirty years and nearly doubled in the current decade, because of more liberalisation of indications of caesarean sections. India’s caesarean section rates have surpassed the WHO cutoff point of 15%, raising serious public health issues. The prevalence of the C-section in India was 8.5% in NFHS-3 while data in NFHS-4 show that it has increased to 17.2%. Thus, almost 9% has increased over 10 years. Objective was to compare the maternal morbidity in elective and emergency caesarean section. Methods: Ins

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Priyanka, Bajpayee Minakshi, and Rani Sinha Abha. "Tranexamic acid to Reduce Blood Loss in Women at High Risk for Postpartum Hemorrhage undergoing Cesarean Section: A Randomized Controlled Trial." International Journal of Pharmaceutical and Clinical Research 15, no. 3 (2023): 1447–51. https://doi.org/10.5281/zenodo.12791004.

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<strong>Background</strong><strong>:</strong> One of the leading causes of maternal death worldwide is postpartum haemorrhage. Significant blood loss raises the risks associated with blood transfusions and, as a result, raises the possibility of needing urgent surgical operations like artery ligation or hysterectomy. In low- or middle-income nations in particular, it can also result in prolonged anaemia. This study goal was to find out whether tranexamic acid effectively and safely reduces blood loss during and after lower segment caesarean sections. <strong>Method</strong><strong>:<

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Dr., Chinmay Godbole. "Incidence of Perioperative Arrhythmias among females having Lower Segment Caesarean Section under Spinal Anaesthesia- A descriptive crosses sectional study." International Journal of Medical and Pharmaceutical Research 1, no. 1 (2020): 86–91. https://doi.org/10.5281/zenodo.7655685.

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<strong>Background</strong>: The most frequent emergency or elective cases we encounter are lower segment caesarean sections (LSCS). In the majority of these cases, regional anaesthesia is used. Due to the altered physiology of pregnancy and anaesthesia, perioperative cardiac arrhythmias are frequent in these situations. Most of these arrhythmias are benign, which is significant. When under spinal anaesthesia, some arrhythmias, however, can result in a rapid vascular collapse and raise peri-partum morbidity and fatality rates. Although there are few case reports, the frequency of intraoperativ

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Shamrao Ramji Wakode and Sakshi Pramod Sharma. "Vaginal birth after multiple caesarean section: a case report from India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 5 (2023): 1513–15. http://dx.doi.org/10.18203/2320-1770.ijrcog20231255.

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Lower segment caesarean sections increase the possibility of maternal morbidity. Hence, since last few decades, initiative for trial of labor after caesarean delivery is being encouraged in selected cases. Accordingly, a 23-year-old fifth gravida, who had a history of previous three lower segment caesarean sections and one vaginal birth approached for delivery service and plan for her vaginal delivery was made after thorough examination and evaluation. A live female child of 3100 grams was delivered following episiotomy. In post-partum period, it was observed that uterus was involuted on abdom

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Omama Sumbul Islam, Hajra Hilal Ahmed, and Muhammad Jamaluddin. "Intra-Abdominal Gossypiboma found during Cholecystectomy, 12 years after Lower Segment Caesarean Section." ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE 24, no. 2 (2019): 115–18. http://dx.doi.org/10.58397/ashkmdc.v24i2.40.

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Retained Surgical Foreign Bodies (RSFBs) is an uncommon event in the surgical practice. Most of them occur after intra-abdominal and pelvic surgeries. They usually present within days after surgery but their incidental discovery after decades has also been reported.We present a case of a 44-year- old obese and diabetic female patient who presented with clinical and radiological findings of chronic calculus cholecystitis. She had past surgical history of Lower Segment Caesarean Section (LSCS) 12 years back, followed by a negative laparotomy. During her open cholecystectomy procedure, a hard mas

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Satani, Drumil Rasikbhai, Dhara Mukeshbhai Virsodiya, Mahipalsinh Jorsangbhai Chauhan, and Parthsinh Manubhai Parmar. "An Audit of Preterm Caesarean Sections at a Tertiary Care Centre in Gujarat." International Journal of Pharmaceutical and Clinical Research 16, no. 10 (2024): 631–36. https://doi.org/10.5281/zenodo.14038167.

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<strong>Introduction: </strong>Preterm Caesarean sections are performed when early delivery becomes necessary due to maternal or fetal complications, posing challenges for both maternal and neonatal outcomes. These procedures require careful clinical decision-making to balance the risks and benefits, aiming to prevent adverse outcomes like fetal distress, antepartum hemorrhage, or pre-existing maternal conditions. Auditing preterm Caesarean sections provides valuable insights into the indications, management strategies, and outcomes, helping optimize care in high-risk pregnancies. <s

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Abid, Komail, Rashid Iqbal, Syed Ali Raza Shah, and Sana Tariq. "Intravenous Ondansetron Efficacy in Preventing Post Spinal Shivering during Lower Segment Caesarean Section." Pakistan Armed Forces Medical Journal 73, no. 6 (2023): 1636–39. http://dx.doi.org/10.51253/pafmj.v73i6.6688.

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Objective: To determine IV Ondansetron efficacy in preventing post-spinal shivering during LSCS. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital, Rawalpindi Pakistan, from Sep 2018 to Mar 2019. Methodology: A total of 60 women undergoing LSCS under spinal anaesthesia were included. Group-A was given 8 mg/4 ml Ondansetron, while Group-B was given 4 ml Normal Saline 0.9% IV immediately before induction of spinal anaesthesia. Body temperature, level of sensory block, and shivering scores during the peri-operative perio

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Mushtaq, Javeria, Tayyiba Wasim, and Jamshaid Feroze. "A Case Report of Scar Endometrioma, A Rare Entity." Annals of King Edward Medical University 28, no. 2 (2022): 210–12. http://dx.doi.org/10.21649/akemu.v28i2.5101.

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Scar endometriosis is an uncommon entity. Its diagnosis is often delayed because it often resembles to several surgical conditions and dermatological diseases. It is almost always iatrogenic in origin. Here we are discussing a 38 old year old women who presented with scar endometriosis after Lower Segment Caesarean Section (LSCS).

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De, Devjani, Sonal Saxena, Geeta Mehta, Reena Yadav, and Renu Dutta. "Risk Factor Analysis and Microbial Etiology of Surgical Site Infections following Lower Segment Caesarean Section." International Journal of Antibiotics 2013 (September 1, 2013): 1–6. http://dx.doi.org/10.1155/2013/283025.

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Background. Lower segment caesarean section (LSCS) is a common mode of delivery now and surgical site infection is the second most common infectious complication in these patients. This study was planned with this background to have a comprehensive approach to SSI following LSCS. Methods. 500 consecutive patients undergoing LSCS, irrespective of indication, were studied. A questionnaire was developed to assess the risk factors associated with development of SSI. All patients were followed up from day one of surgery till discharge and then up till the postoperative day 30 after discharge. Resul

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Wani, Reena J., Kruti Doshi, Sumayya Ansari, and Mahin C. Bhatt. "Perioperative concerns and outcomes in obstetric patients undergoing lower segment caesarean section in the wake of the COVID-19 pandemic: a retrospective analysis." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no. 5 (2022): 1477. http://dx.doi.org/10.18203/2320-1770.ijrcog20221280.

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Background: In the current COVID-19 pandemic, pregnant women are considered high risk due to adverse maternal and foetal complications that are known to occur with antepartum viral infections. In addition to immunological changes in pregnancy that alter the response to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection, the disruption of routine antenatal services as a result of the pandemic has also adversely affected expectant mothers.Methods: We conducted this retrospective observational study as a comprehensive comparative analysis of the method of delivery in COVID pos

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T., Heera Shenoy, Remash K., and Sheela Shenoy T. "Determinants and outcomes of caesarean delivery: elective versus emergency in a tertiary care teaching institute in Kerala, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 10 (2019): 4000. http://dx.doi.org/10.18203/2320-1770.ijrcog20194370.

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Background: Globally, the caesarean delivery rate is rising continuously, making caesarean one of the most common surgical procedures. The purpose was to analyse the determinants and maternofoetal outcomes in elective versus emergency caesarean sections in a tertiary care centre.Methods: All women, who gave birth by Caesarean deliveries done over a period of 1 year (January 2018-December 2018), were studied in Travancore Medical College in Kerala, India. Indications of caesarean, whether emergency or elective, medical morbidities, Gestational age at decision, birthweights and extended hospital

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Kumar, Ajay, Anuj Singh, and V. B. Tripathi. "Previous caesarean scar rupture: mortality averted a case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 11 (2020): 4719. http://dx.doi.org/10.18203/2320-1770.ijrcog20204842.

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Uterine rupture at the site of a previous cesarean section scar is an uncommon but catastrophic complication of pregnancy by associated with significant foetal and maternal mortality and morbidity. A 31-year old woman, G6P3A2L1 with previous lower segment cesarian section (LSCS), booked case was admitted at 37 week of gestation with complaint of leaking per vaginal (P/V) in our tertiary care centre. Patient had spontaneous labor pain, which subsided after few contractions and sustained hemorrhagic shock with utero placental insufficiency due to previous LSCS scar rupture. Due diligence and exp

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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

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Kumari, Garima. "Caesarean scar endometriosis." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 11 (2021): 4331. http://dx.doi.org/10.18203/2320-1770.ijrcog20214356.

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Endometriosis is defined by the presence and growth of ectopic functional endometrial tissue outside the uterus. The symptoms are nonspecific, typically involving abdominal wall pain at the time of menstruation. It commonly follows obstetrical and gynecological surgeries. The diagnosis is frequently made only after excision of scar the diseased tissue. A case report of 34 year old female patient presenting with scar endometriosis 7 years after her last LSCS (lower segment caesarean section). The patient came with the complaint of supra pubic swelling since 6 months, which was growing slowly. H

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Karasala, Varalakshmi, Upendra Kumar, Archana Tripathi, and Mukesh Somvanshi. "Clinical evaluation of perfusion index (PI) as a predictor of post spinal hypotension in lower segment caesarean section (LSCS)." Indian Journal of Clinical Anaesthesia 9, no. 4 (2022): 445–49. http://dx.doi.org/10.18231/j.ijca.2022.090.

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Hypotension is a common complication, subsequently spinal anaesthesia in lower segment caesarean section, which can cause adverse maternal & foetal outcomes. A new decisive research area in obstetric anaesthesia is prevention & early treatment of spinal hypotension to improve maternal & foetal outcomes. A novel parameter, Perfusion index (PI) is tried during sub arachnoid block for predicting hypotension in lower segment caesarean section (LSCS). In this study, 60 parturient belonging to ASA status 1 or 2 with apparent pregnancies scheduled for elective LSCS received spinal anaesth

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Etiobhio, Osemudiamen S., Ismail Awadalla, Arwa Khadir, et al. "Vaginal Birth after Caesarean Section (VBAC): A Case Report on V-Back in Saudi Arabia." Scholars International Journal of Obstetrics and Gynecology 7, no. 04 (2024): 195–98. http://dx.doi.org/10.36348/sijog.2024.v07i04.008.

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Repeat caesarean sections increase the possibility of maternal morbidity. Worldwide, the need for a trial of labor after caesarean delivery is gaining more ground in selected cases. Here, we report a case of an unbooked 37-year-old multigravida, with a history of five (5) previous lower-segment caesarean sections who presented in spontaneous labor. A live male baby of 2900 grams was delivered following episiotomy. Post-partum, she was observed with normal findings and a serial follow-up ultrasound scan showed normal uterine contours and surrounding structures. As the evidence for the practice

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Prasad, Sangeeta G., and Preeti Malhotra. "Assessing the pros and cons of vaginal birth after caesarean relative to elective repeat caesarean section." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 4 (2020): 1350. http://dx.doi.org/10.18203/2320-1770.ijrcog20201085.

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Background: Recent years have witnessed a rise in rate of primary caesarean section (CS). No. of women reporting with a previous CS scar is also increasing. Judicious trial of labor in such patients can prevent repeat caesarean section. Aim of this study was to assessing the safety and success rate of vaginal birth after caesarean (VBAC) in selected cases of patients who have undergone previous lower segment CS (LSCS) is the main aim of this study.Methods: In this prospective observational study carried out in a tertiary care teaching hospital over a period of 1 year. 375 pregnant women with a

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Shrestha, Aashika, Junu Shrestha, and Sangeeta Devi Gurung. "Appraisal of caesarean section incidence and indications at manipal teaching hospital, Pokhara, Nepal." Asian Journal of Medical Sciences 12, no. 1 (2021): 50–54. http://dx.doi.org/10.3126/ajms.v12i1.30846.

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Background: Worldwide lower segment caesarean section (LSCS) is the most commonly performed obstetric operation. Though it’s a lifesaving procedure it is sometime associated with both short and long term risk which can extend many years beyond current delivery and affect health of mother, fetus and future pregnancy. Aims and Objective: The study aims to examine the incidence and indication of caesarean section at Manipal teaching hospital. Materials and Methods: A retrospective descriptive study of 2140 cases was carried out at a teaching hospital in Pokhara, Nepal. Data regarding

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Sharma, Neelam, and Anshul Jhanwar. "Study of incidence, trends and determinants of caesarean section in tertiary care hospital of Rajasthan, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 7 (2018): 2672. http://dx.doi.org/10.18203/2320-1770.ijrcog20182504.

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Background: Lower Segment Caesarean section (LSCS) is recommended when vaginal delivery might pose a risk to the mother or baby. Worldwide rise in LSCS rate during the last three decades, has been the cause of alarm and needs an in-depth study.Methods: It was a retrospective, observational study conducted in Obstetrics and Gynecology department of Jhalawar medical college, Jhalawar. Data were obtained from medical record database of patients admitted for deliveries from October 2017 to March 2018 over period of six months. The total number of patients delivered and the number of LSCS done were

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Gupta, Nidhi, and Renuka Sinha. "Intra-operative uterine scar condition and fetomaternal outcome in patients of previous lower segment caesarean section (LSCS) with scar tenderness." International Journal of Research in Medical Sciences 5, no. 11 (2017): 4911. http://dx.doi.org/10.18203/2320-6012.ijrms20174943.

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Background: During past few years, there is increasing trend in trial of labor in cases of previous lower segment caesarian section (LSCS). It needs vigilant approach in identifying signs and symptoms of giving way of previous scar. This study is to see the intra-operative uterine scar condition and feto-maternal outcome in patients of previous LSCS with scar tenderness.Methods: This is a prospective study done in Safdarjung hospital, New Delhi. It includes 120 patients of previous lower segment caesarian section with scar tenderness operated as emergency cases over a period of one year. It ex

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Patel, Purvi, Mansi Shah, and Lata Parmar. "Effect of Physiotherapy Treatment in Early Postpartum Period after Lower Segment Caesarean Section (LSCS)." International Journal of Current Research and Review 13, no. 12 (2021): 155–59. http://dx.doi.org/10.31782/ijcrr.2021.131205.

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Amreen, Syeda Atufiyat, Lakshman Rathod, Anil Kumar Rathod, Namita Gupta, and Hidaytullah R. Bijapure. "A prospective observational study of maternal and perinatal outcome in previous one lower segment caesarean section in District Hospital, Karnataka." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 14, no. 8 (2025): 2614–18. https://doi.org/10.18203/2320-1770.ijrcog20252332.

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Background: Lower segment caesarean section (LSCS) is defined as extraction of baby through an incision made in lower segment through trans peritoneal approach. CS is performed only when circumstances demand it, as it is not a simple procedure and may be associated with various complications. It has been found that maternal mortality associated with CS can be three times that of normal vaginal delivery. Methods: A prospective observational study which considered pregnant women admitted in MCH, District Hospital, Vijayapura who underwent one LSCS who were further assessed by taking history and

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Gunturu, Nagajyothi, D. Shivani, and P. Sravanthi. "Study of the efficacy of tranexamic acid in reducing blood loss after child birth." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 5 (2021): 1863. http://dx.doi.org/10.18203/2320-1770.ijrcog20211502.

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Background: The aim was to study the efficacy of tranexamic acid in reducing blood loss after childbirth in normal vaginal delivery and LSCS.Methods: 200 pregnant women divided into two groups group 1 and group 2, 100 women undergoing LSCS and 100 women undergoing vaginal delivery. Study group will be given 1 g iv tranexamic acid along with active management of third stage of labor and control subjects will be given only active management of third stage. Clinical observations and laboratory examinations, measurement of blood loss were measured.Results: Distribution with respect to indication o

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Sharma, Shanta, and Indra Dhakal. "Cesarean Vs Vaginal Delivery : An Institutional Experience." Journal of Nepal Medical Association 56, no. 209 (2018): 535–39. http://dx.doi.org/10.31729/jnma.3467.

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 Introduction: According to the WHO, 15% of deliveries have precise indication for cesarean section where it is mandatory for the preservation of maternal and/or fetal health. Increasing rates of Lower Segment Caesarean Sections puts foreword various question that, whether a LSCS need to be reflected as a normal delivery in this twenty first century. There are conflicting reports regarding the safety of caesarean sections. While a significant number of cesarean delivery are performed for obstetrical indications, some are simply due to maternal request and may incur several risks for the

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., Veeramma, and Puneeta Mahajan. "Maternal outcomes in patients with previous one lower segment caesarean section undergoing trial of labour: prospective observational study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 5 (2018): 1822. http://dx.doi.org/10.18203/2320-1770.ijrcog20181910.

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Background: The incidence of caesarean section is on the rise and has increased 2-3 folds from the initial rate of 10% during the last decade. The objective of the present study was to compare maternal outcomes in successful and failed trial of labour in women with previous one LSCS.Methods: This prospective observational study was carried out in Department of obstetrics & Gynaecology, Sanjay Gandhi memorial Hospital, New Delhi during 2015-2016 and included 150 gravid women with previous LSCS. The study was undertaken during March 2015 to May 2016. The ethical committee approval for the st

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Santwana, Kumari, Kumar Anuj, and Sinha Anupama. "A Hospital-Based Study to Assess the Clinical Evaluation of Perfusion Index (PI) as a Predictor of Post Spinal Hypotension in Lower Segment Caesarean Section (LSCS)." International Journal of Current Pharmaceutical Review and Research 16, no. 04 (2024): 758–61. https://doi.org/10.5281/zenodo.12804647.

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AbstractAim: The aim of the present study was to assess the clinical evaluation of perfusion index (PI) as a predictor ofpost spinal hypotension in lower segment caesarean section (LSCS).Methods: The present study was conducted in the Department of Obstetrics and Gynecology, JLNMCH,Bhagalpur, Bihar, India for one year. Informed & written consent was obtained from every parturient who camefor caesarean section. A total of 50 subjects were analyzed.Results: Out of 7 parturient had high standard PI (PI>3.5), 6 parturient foster hypotension, though out of 43parturient had low pattern PI (PI

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Malik, Adiba, Kamrun Nessa, Yasmin Ara Begum, et al. "Incidence and indications of LSCS among Doctors Community of Chattogram." Chattagram Maa-O-Shishu Hospital Medical College Journal 20, no. 2 (2021): 37–40. http://dx.doi.org/10.3329/cmoshmcj.v20i2.56471.

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Background: Lower segment caesarean section (LSCS) is a surgical intervention, which is carried out to ensure the safety of mother and baby when vaginal delivery is not possible or when danger to mother and baby would be greater with vaginal delivery. This study is designed to identify indication of LSCS and detect complications if any among the respondents. Materials and methods: Cross sectional descriptive study where 95 female doctors of Chattogram were selected by convenient sampling without knowing their mode of delivery and if it is LSCS then indication of LSCS , maternal and neona

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Khaniya, Bishal. "Fetomaternal Outcome in Second Stage Caesarean Section." Nepalese Medical Journal 3, no. 1 (2020): 279–81. http://dx.doi.org/10.3126/nmj.v3i1.28923.

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Introduction: Second stage caesarean section is usually associated with the deeply engaged head, less liquor, and thinned out the lower uterine segment. This can lead to a high risk of maternal morbidities like an extension of the lower uterine segment incision, uterine atony, and injury to urinary bladder as well as neonatal morbidities such as birth asphyxia, NICU admission, and meconium aspiration syndrome. This study aims to observe the maternal and neonatal outcomes of caesarean delivery performed in the second stage of labor. Materials and Methods: This was a retrospective study of

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Dr., Varsha. S. Powade. "Study of Trial of Labour after Caesarean Section (TOLAC)." International Journal of Medical and Pharmaceutical Research 4, no. 2 (2023): 547–54. https://doi.org/10.5281/zenodo.7874455.

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<strong>Introduction</strong>: Caesarean section is one of the most commonly performed major surgical procedures. Worldwide increase in caesarean section (CS) rate during the last three decades has been the cause for concern. As ours is a tertiary health care centre catering around 20,000 deliveries per year and patients with previous caesarean scar get referred from surrounding primary health centers in huge number. In order to reduce c-section rates, TOLAC are conducted as per departmental standard operative procedures and WHO standards. Objective: To study incidence of trial of labour after

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Borse, Dhananajay, Binay Mitra, and Aparna Sharma. "Previous two lower segment caesarean section with placenta previa and placenta accreta woman with COVID-19 suspect: case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 10 (2020): 4311. http://dx.doi.org/10.18203/2320-1770.ijrcog20204332.

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A pregnant woman with gravida 3, para 2, living 2 and gestational age of 37 weeks and 3 days was referred to a zonal hospital as previous two lower segment caesarean section (LSCS) term pregnancy with placenta previa for safe confinement with complaints of dry cough. She was admitted with a diagnosis of COVID-19 suspect. During her hospitalization, oxygen (O2) saturation was normal. On investigations her counts were normal. Patient was planned for elective LSCS. COVID-19 test i.e. real time-polymerase chain reaction (RTPCR) report was suspect and asked for repeat sampling. During elective LSCS

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Subedi, Nilam, Asmita Ghimire, Asmita Shrestha, and Padam Raj Pant. "Caesarean myomectomy: How safe it is? A retrospective analysis." Grande Medical Journal 4, no. 1 (2024): 24–27. https://doi.org/10.3126/gmj.v4i1.79361.

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BackgroundLeiomyoma uterus not only causes menorrhagia, pain abdomen but also complicates pregnancy in various ways. The objectives of present analysis were to investigate the outcome in cases of pregnancy complicated by fibroids undergoing lower segment cesarean section (LSCS) in Grande International Hospital, Kathmandu Nepal. MethodFourteen cases of leiomyoma with pregnancy underwent LSCS with myomectomy following the delivery of the baby. The suturing of the uterus was done using vicryl no 1 and vicryl no 1 ‘0’ for closing the dead space after myomectomy. Continuous oxytocin infusion was gi

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Saba, Ghaffari, and Rahman Khatibur. "A Hospital Based Observational Assessment of the Role of Perfusion Index (PI) as a Predictor of Post Spinal Hypotension in Lower Segment Caesarean Section (LSCS)." International Journal of Current Pharmaceutical Review and Research 16, no. 05 (2024): 263–66. https://doi.org/10.5281/zenodo.12785824.

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AbstractAim: The aim of the present study was to assess the clinical evaluation of perfusion index (PI) as a predictor ofpost spinal hypotension in lower segment caesarean section (LSCS).Methods: The present study was conducted in the Department of Obstetrics and Gynecology, Gauri Devi Instituteof Medical Science & Hospital, Durgapur, West Bengal, India. Informed & written consent was obtained fromevery parturient who came for caesarean section. A total of 50 subjects were analyzed.Results: Out of 7 parturient had high standard PI (PI>3.5), 6 parturient foster hypotension, though ou

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Mac Sweeney, Claire, Paula Connolly, Adrian B. Brady, and Áine Cafferkey. "Anaesthetic management of a parturient with hereditary haemorrhagic telangiectasia (HHT) and pulmonary haemorrhage requiring urgent caesarean section." BMJ Case Reports 13, no. 1 (2020): e231120. http://dx.doi.org/10.1136/bcr-2019-231120.

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A 25-year-old gravida 3 para 3 with a history of hereditary haemorrhagic telangiectasia (HHT) and embolised pulmonary arteriovenous malformations (PAVMs) was admitted at 36 weeks gestation with haemoptysis, epistaxis and CT evidence of recent alveolar haemorrhage. An urgent caesarean section was planned. Both previous pregnancies had been delivered by elective lower segment caesarean section (LSCS) under subarachnoid block (SAB) at term. Preanaesthetic planning involved consultation with our tertiary maternity referral centre, the national HHT centre and our tertiary adult referral centre, whi

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Devalla, Aditya Rameshbabu, Sanjot S. Ninave, and Amol P. Singam. "To Compare the Incidence of Post-Dural Puncture Headache Using 25G Quincke and 25G Whitacre Spinal Needles in Patients Undergoing Lower Segment Caesarean Section." Journal of Evolution of Medical and Dental Sciences 10, no. 14 (2021): 1014–19. http://dx.doi.org/10.14260/jemds/2021/217.

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BACKGROUND Spinal anaesthesia is the first preference of anaesthesia in obstetric surgery. Post dural puncture headache (PDPH) is more common after C-section in young parturients. In the present world which is developing and fast-paced, brisk recovery along with minimal side effects & importantly early ambulation are now the need of the hour. This headache is more worrying to the mother who is required to tend to the newborn baby. This study compared the incidence of PDPH subsequent to subarachnoid blockade for lower segment Caesarean section (LSCS) 25G Whitacre & 25G Quincke needles.

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Paudel, Bandana, Sanjay Gautam, Sumitra Paudel, and Shailesh Poudyal. "Incidence of hypotension in lower segment Caesarean section - a comparison of intrathecal Fentanyl- Bupivacaine combination with Bupivacaine alone." Birat Journal of Health Sciences 9, no. 1 (2024): 98–103. http://dx.doi.org/10.62065/bjhs548.

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Introduction: After subarachnoid block with conventional heavy Bupivacaine, hypotension is the most common complication and is caused by decrease in systemic vascular resistance and/or cardiac output. Even with standard doses of the drug for parturient, there are evidences of severe hypotension and other complications despite adequate analgesia and anaesthesia. Adjuvants are used to enhance the quality of blocks with less complications. Objectives: It was to evaluate the effectiveness of combining bupivacaine and fentanyl for spinal anesthesia during lower segment Caesarean section (LSCS) as o

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