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1

Jyothi, C., K. Swathi, A. Srujana, and G. Sharmila. "A comparative study of vaginal delivery and caesarean section in antepartum eclampsia at and beyond 34 weeks of gestation." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 9 (2023): 2820–26. http://dx.doi.org/10.18203/2320-1770.ijrcog20232745.

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Background: This study was done to compare maternal and fetal outcome in pregnancies after 34 weeks gestation complicated by antepartum eclampsia when terminated by caesarean section and by vaginal delivery. Methods: A comparative prospective study was done on 100 pregnant women with antepartum eclampsia at or beyond 34 weeks of gestational age from November 2019 to June 2021 at Gandhi Hospital, Secunderabad, Telangana. The patients were divided into two groups: CD group (who delivered by caesarean section) and VD group (who delivered by vaginal route). After history taking and examination, de
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Tanigaki, Shinji, Satoshi Takemori, Makoto Osaka, et al. "Caesarean Section of Multifetal Pregnancy." Surgery Journal 06, S 02 (2020): S92—S97. http://dx.doi.org/10.1055/s-0040-1712924.

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AbstractPlanned caesarean delivery (CD) did not significantly decrease or increase the risk of fetal or neonatal death or serious neonatal morbidity in twin pregnancy between 32 0/7 and 38 6/7 weeks of gestation, with the first twin in the vertex presentation. As prevalence rises for the second twin, emergency CD is necessary for delivery of the second twin after vaginal delivery of the first twin. Waiting after 38 weeks' gestation essentially requires close fetal and maternal surveillance to identify if those pregnancies may benefit to extend a gestational period. It is important to construct
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Agarwal, Manisha, Sweekrati Solanki, and Sumedha Sachau. "Vacuum-assisted caesarean delivery assessment of maternal & fetal outcome." Indian Journal of Obstetrics and Gynecology Research 10, no. 4 (2023): 415–20. http://dx.doi.org/10.18231/j.ijogr.2023.080.

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: The baby is delivered via incisions made in the mother's abdomen and uterus during a Caesarean delivery, sometimes known as a C-section. Whether medically necessary or elective, caesarean sections have increased sharply in recent decades all throughout the world, exceeding the WHO-recommended 10-15% rate. Every effort should be taken to give cesarean sections to women in need rather than aiming to achieve a target rate, according to a 2015 WHO statement. Therefore, we must investigate the strategies that can improve CD's maternal and neonatal health condition. This study compares the outcome
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Schaafsma, I., F. Hoogenboom, M. Visschedijk, J. Prins, and G. Dijkstra. "P339 Pregnant women with perianal Crohn’s Disease: suggestions for the improvement of the current guideline on delivery method." Journal of Crohn's and Colitis 15, Supplement_1 (2021): S364. http://dx.doi.org/10.1093/ecco-jcc/jjab076.463.

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Abstract Background Pregnant women with active perianal Crohn’s disease (CD), have an indication for a caesarean section according to the current ECCO guidelines. This advice is based on the assumption that vaginal delivery leads to exacerbation of perianal disease and to worsening of faecal continence. However, there is no strong evidence to support this. This study aims to examine the effects of delivery method on perianal disease progression and faecal incontinence in women with perianal CD Methods In this retrospective cohort study, 209 women were selected from a large IBD database within
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Simmanjit, Kaur, Taranya Chowdary Dandamudi, Kavya Suroju, Tanisha, and Bansal Priyanka. "Comparative Study of Vaginal Delivery and Caesarean Section in Antepartum Eclampsia after 32 Weeks of Gestation." International Journal of Pharmaceutical and Clinical Research 15, no. 4 (2023): 37–43. https://doi.org/10.5281/zenodo.12636790.

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<strong>Background and Objective:&nbsp;</strong>To assess the mode of pregnancy termination in patients with antepartum eclampsia after 32 weeks of gestation. To compare the maternal and perinatal morbidity and mortality between vaginal delivery and caesarean section in antepartum eclampsia after 32 weeks of gestation.&nbsp;<strong>Material &amp; Methods:&nbsp;&nbsp;</strong>This comparative study was conducted in 100 IPD Patients by dividing&nbsp;&nbsp; into two groups for comparative analysis. The first group&nbsp;&nbsp; consisted of patients whom conservative obstetric management &amp; deli
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Kumari, Priti, Sipra Singh, Salma Khatun, and Shashikar. "Comparative study of vaginal delivery and caesarean section in antepartum eclampsia at tertiary care hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 2 (2017): 457. http://dx.doi.org/10.18203/2320-1770.ijrcog20170007.

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Background: Eclampsia is characterized by the sudden onset of generalized tonic clonic seizures. Eclampsia is usually preceded by a history of the pre-eclampsia but rarely arises in a woman with minimally increased blood pressure and no proteinuria. Eclampsia most commonly occurs in the third trimester, though rarely eclampsia may occur before 20 wks in molar or multiple pregnancy. The aim of the study was to compare maternal and fetal outcome in antepartum eclampsia when terminated by vaginal delivery and caesarean section.Methods: 50 women with eclampsia attending emergency department OBG de
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Clarke, I., L. Heasman, and ME Symonds. "Influence of maternal dexamethasone administration on thermoregulation in lambs delivered by caesarean section." Journal of Endocrinology 156, no. 2 (1998): 307–14. http://dx.doi.org/10.1677/joe.0.1560307.

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We have previously shown that lambs delivered by caesarean section 1 week prematurely become hypothermic due to reduced brown adipose tissue function in conjunction with low plasma concentrations of cortisol and thyroid hormones. The present study therefore aimed to determine whether maternal dexamethasone (a synthetic corticosteroid) administration could improve thermoregulation in premature lambs to the extent that they become similar to term lambs. Lambs were either delivered by caesarean section into a warm (30 degrees C; WD) or cool (15 degrees C; CD) ambient temperature at 140 days of ge
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Zhao, Jianlin, Nan Shan, Xiaochang Yang, et al. "Effect of second child intent on delivery mode after Chinese two child policy implementation: a cross sectional and prospective observational study of nulliparous women in Chongqing." BMJ Open 7, no. 12 (2017): e018823. http://dx.doi.org/10.1136/bmjopen-2017-018823.

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ObjectivesTo assess the influence of second child intent on the delivery preferences and final delivery modes of nulliparous women, particularly caesarean delivery on maternal request (CDMR), after implementation of China’s two child policy.DesignCross sectional and prospective observational study.SettingA tertiary teaching hospital in Chongqing, China.Participants1000 low risk nulliparous women were initially involved, and were divided into two groups based on their intent on having a second child. 814 women who completed all interviews were analysed.Main outcome measuresPreferred mode of del
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Singh, Swati, and Anil Kumar Malhotra. "A cross-sectional study on factors influencing caesarean section rates in a tertiary care hospital, Jhansi (Uttar Pradesh)." International Journal Of Community Medicine And Public Health 8, no. 9 (2021): 4404. http://dx.doi.org/10.18203/2394-6040.ijcmph20213544.

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Background: Worldwide rise in caesarean delivery (CD) rates during the last three decades has been a cause of alarm. The rates of such delivery have increased dramatically in recent years from 12% in 1990 to 24% in 2008. Tertiary care centers have high caesarean section rates but areas where health care facilities are not available may have maternal deaths due to lack of C-section facilities. The present study was conducted to determine the prevalence of caesarean section, to assess the association between caesarean section with socio-demographic determinants and maternal risk factors.Methods:
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Zhang, Jin-Wen, Ware Branch, Matthew Hoffman, et al. "In which groups of pregnant women can the caesarean delivery rate likely be reduced safely in the USA? A multicentre cross-sectional study." BMJ Open 8, no. 8 (2018): e021670. http://dx.doi.org/10.1136/bmjopen-2018-021670.

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ObjectivesTo identify obstetrical subgroups in which (1) the caesarean delivery (CD) rate may be reduced without compromising safety and (2) CD may be associated with better perinatal outcomes.DesignA multicentre cross-sectional study.Setting19 hospitals in the USA that participated in the Consortium on Safe Labor.Participants228 562 pregnant women in 2002–2008.Main outcome measuresMaternal and neonatal safety was measured using the individual Weighted Adverse Outcome Score.MethodsWomen were divided into 10 subgroups according to a modified Robson classification system. Generalised estimated e
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Walker, Melissa, Mara Sobel, Naveed Siddiqi, et al. "Implementation of enhanced recovery after surgery for caesarean delivery: a quality improvement initiative." BMJ Open Quality 14, no. 3 (2025): e003391. https://doi.org/10.1136/bmjoq-2025-003391.

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Background Enhanced recovery after caesarean delivery (ERAC) is a multidisciplinary, evidence-based bundle of interventions developed from Enhanced Recovery After Surgery principles, designed to improve patient outcomes, reduce complications and save healthcare resources. Despite these benefits, the implementation of ERAC within the Canadian healthcare context is unknown. In addition, previous ERAC studies typically excluded patients undergoing unplanned caesarean deliveries (CD). The objective of our study was to evaluate the results of a quality improvement initiative that implemented a comp
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E. Abbas, Tahani, Ishag Adam, Elhassan M. Elhassan, Imad Eldin M. Tag Eldin, and Mirgani Abdel Rahman. "Overuse of prophylactic antibiotics for elective caesarean delivery in Medani Hospital, Sudan." F1000Research 6 (July 25, 2017): 1225. http://dx.doi.org/10.12688/f1000research.11919.1.

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Background: Antibiotics for prophylaxis are widely used to reduce the risk of post-caesarean delivery infection. The dosage regimens are often inappropriate and may result in the appearance of drug-resistant organisms, which will increase the cost. Objectives: A cross-sectional study was conducted to investigate the prescribing patterns of prophylactic antibiotics for elective caesarean delivery (CD) at Medani Hospital, Sudan. Method: The medical records of women who underwent elective CD from April 2015 to June 2015 were reviewed retrospectively. Results: The main reasons for CD among these w
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Maso, Gianpaolo, Monica Piccoli, Marcella Montico, et al. "Interinstitutional Variation of Caesarean Delivery Rates According to Indications in Selected Obstetric Populations: A Prospective Multicenter Study." BioMed Research International 2013 (2013): 1–9. http://dx.doi.org/10.1155/2013/786563.

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The aim of the study was to identify which groups of women contribute to interinstitutional variation of caesarean delivery (CD) rates and which are the reasons for this variation. In this regard, 15,726 deliveries from 11 regional centers were evaluated using the 10-group classification system. Standardized indications for CD in each group were used. Spearman’s correlation coefficient was used to calculate (1) relationship between institutional CD rates and relative sizes/CD rates in each of the ten groups/centers; (2) correlation between institutional CD rates and indications for CD in each
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S. Adeniran, Abiodun, Olumuyiwa O. Ogunlaja, Idowu P. Ogunlaja, et al. "Pre-and-post-operative aversion among men whose partners had caesarean delivery in a patriarchal setting." Ghana Medical Journal 55, no. 4 (2021): 285–91. http://dx.doi.org/10.4314/gmj.v55i4.9.

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Objectives: The study evaluated pre and post-operative perception and aversion to caesarean delivery (CD) among men whose partners underwent the procedure.Design: A multicentre cross-sectional study.Setting: Two tertiary and two secondary health facilities.Participants: Men whose partners underwent CD at the study sites.Methods: Participants were recruited by purposive sampling, data collection was through interaction via an interviewer-administered questionnaire first immediately the decision for CD was made and thereafter on the third postoperative day. Men whose partners had vaginal deliver
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Nazarenko, L. G., and K. M. Nedorezov. "Optimization of clinical approach to women with a history of caesarean section." HEALTH OF WOMAN, no. 7(113) (September 30, 2016): 62–65. http://dx.doi.org/10.15574/hw.2016.113.62.

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The artikle presents study allowance reducing the frequency of cesarean delivery (CD) by implementing practices vaginal birth in women after caesarean section (VBAC), with improved functional test for status uterine scar. The objective: to determine the influence of the number VBAC the overall level of the CD, the opportunity to refine prognosis for success VBAC based functional evaluation of the uterus and fetal at full-term pregnancy. Patients and methods. Was held cohort study material for hospital of 2 lewel of perinatal care for 2008-2015., in terms of introducing VBAC practices, and (2)
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Dr., Geetanjali Tolia Chilkoti. "OXTR Gene Polymorphism and Plasma Oxytocin Levels for Predicting Chronic Pain in Caesarean Delivery." International Journal of Medical and Pharmaceutical Research 4, no. 4 (2023): 405–13. https://doi.org/10.5281/zenodo.8334124.

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<strong>Background: </strong>To explore the role of oxytoc in receptor gene (OXTR gene) polymorphism and plasma oxytocin levels in predicting the incidence of chronic persistent post-surgical pain (CPSP) following caesarean delivery (CD). <strong>Methods: </strong>This observational follow-up study was conducted following IEC-H approval, prospective CTRI registration and written informed consent from each participant.We included obstetric patients of ASA grade II or III undergoing CD under either SAB or GA and excluded if had chronic pain, neurological disorders or cognitive dysfunction. A bas
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Elbohoty, Shereen B., Ayman S. Dawood, Ahmed M. Abbas, and Adel E. Elgergawy. "The neonatal outcomes of Dexamethasone administration before scheduled cesarean delivery at term: a randomized clinical trial." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 3 (2020): 1222. http://dx.doi.org/10.18203/2320-1770.ijrcog20200904.

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Background: Caesarean delivery (CD) rates in developing countries are rising beyond the recommended rates of World health organization. Objective of this study was to evaluate whether Dexamethasone injections reduce neonatal incubation admissions when given before scheduled caesarean delivery (CD) at term or not.Methods: A double blinded, two armed, randomized clinical trial was conducted at Tanta University hospitals in the period from October 2017 to March 2019. Four hundred pregnant women admitted for scheduled CD with gestational age ≥37 weeks were included. Patients were randomized into s
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Reichman, Orna, Misgav Rottenstreich, Hen Y. Sela, et al. "Repeat low order caesarean delivery, risk factors for complications: A retrospective, longitudinal study." PLOS ONE 18, no. 2 (2023): e0276869. http://dx.doi.org/10.1371/journal.pone.0276869.

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One-third of cesarean deliveries (CDs) are repeat operations, of which the majority are low-order, second (CD2) and third (CD3). The study objectives were to identify risk factors for a complicated maternal CD among women undergoing a repeat low-order CD and to develop a predictive model for at-risk women. A retrospective longitudinal follow-up study was conducted in a single medical center, during 2005–2016. Women who underwent both CD2 and CD3 at the site were included. Those with placenta accreta or a caesarean hysterectomy were excluded. A composite complicated maternal CD was defined by e
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Al Khalaf, Sukainah Y., Alexander E. P. Heazell, Marius Kublickas, Karolina Kublickiene, and Ali S. Khashan. "Risk of Stillbirth After a Previous Caesarean Delivery: A Swedish Nationwide Cohort Study." Obstetrical & Gynecological Survey 80, no. 1 (2025): 17–19. https://doi.org/10.1097/01.ogx.0001097928.08277.dd.

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(Abstracted from BJOG 2024;131:1054–1061) The rate of cesarean delivery (CD) rose from 12% in 2000 to 21% in 2015. There may be as many as 6.2 million CDs performed each year without a specific medical indication.
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Shady, Nahla W., Hany F. Sallam, and Ahmed M. Abbas. "Placenta accreta and emergency cesarean delivery correlates to cervical length and transcervical placental thickness measurement." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 11 (2017): 4808. http://dx.doi.org/10.18203/2320-1770.ijrcog20174991.

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Background: The study aims to evaluate the effect of cervical length and the transcervical placental thickness measurement at 28-30 weeks gestation in predicting the risk of antepartum haemorrhage (APH) and emergency preterm caesarean delivery (CD) in women with placenta previa accreta.Methods: A prospective cohort study conducted at Aswan university hospital from June 2015 to April 2017 included one hundred and five cases diagnosed as placenta previa accreta by transvaginal ultrasound (TVS) between 28-30 weeks gestation were divided into three groups according to their cervical length which m
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Wadhwa, Rachna, Geetanjali T. Chilkoti, Prakriti Maurya, Medha Mohta, and Anju Gupta. "Subarachnoid block in parturients with mild COVID-19 disease for Caesarean delivery- A case series." Indian Journal of Clinical Anaesthesia 9, no. 4 (2022): 500–503. http://dx.doi.org/10.18231/j.ijca.2022.099.

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The obstetric population has been most vulnerable in this COVID-19 pandemic. We could not retrieve any study evaluating the safety and efficacy of anaesthetic techniques in parturients with COVID-19 undergoing caesarean delivery (CD) from South Asian Sub-continent. We, herein present the detailed clinical analysis and anaesthetic management of a case series of seven parturient with COVID-19 undergoing CD under subarachnoid block (SAB) in a tertiary care designated COVID hospital in the city of Delhi between June and December 2020. Herein, we report 7 parturients with mild COVID-19 disease unde
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Quibel, Thibaud, Patrick Rozenberg, Camille Bouyer, and Jean Bouyer. "Variation between hospital caesarean delivery rates when Robson’s classification is considered: An observational study from a French perinatal network." PLOS ONE 16, no. 8 (2021): e0251141. http://dx.doi.org/10.1371/journal.pone.0251141.

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Introduction WHO has recommended using Robson’s Ten Group Classification System (TGCS) to monitor and analyze CD rates. Its failure to take some maternal and organizational factors into account, however, could limit the interpretation of CD rate comparisons, because it may contribute to variations in hospital CD rates. Objective To study the contribution of maternal socioeconomic and clinical characteristics and hospital organizational factors to the variation in CD rates when using Robson’s ten-group classification system for CD rate comparisons. Methods This prospective, observational, popul
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Zewdu, Dereje, Temesgen Tantu, Fikretsion Degemu, and Mukerem Abdlwehab. "Association between the stage of labour during caesarean delivery with adverse maternal and neonatal outcomes among referred mothers to tertiary centres in resource-limited settings." BMJ Open 13, no. 11 (2023): e077265. http://dx.doi.org/10.1136/bmjopen-2023-077265.

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ObjectiveAlthough the caesarean delivery (CD) rate has substantially increased, little is known about its impacts when performed in the first and second stages of labour on fetomaternal outcomes, especially among referred mothers. Thus, this study aimed to investigate the association between CDs performed during the first and second stages of labour and poor maternal and neonatal outcomes among mothers referred to tertiary centres.SettingThis retrospective cohort study analysed medical records of mother–infant pairs from September 2020 to May 2023 in Southern Ethiopia.ParticipantsWe retrospect
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Adam, Ishag, Yasir Salih, and Hamdan Z. Hamdan. "Association of Maternal Anemia and Cesarean Delivery: A Systematic Review and Meta-Analysis." Journal of Clinical Medicine 12, no. 2 (2023): 490. http://dx.doi.org/10.3390/jcm12020490.

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Anaemia during pregnancy is associated with an increased incidence of caesarean delivery (CD). This study was conducted to explore the association between CD and maternal anaemia. The PubMed/MEDLINE, Cochrane, Google, Google Scholar and ScienceDirect databases were searched for relevant studies on this topic. The assessment and review were conducted with the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument. The studies were assessed using the modified Newcastle–Ottawa quality assessment scale. Data were collected in an Excel sheet, and the ‘meta’ package of
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Morshed, Hasan, Ismat Ara, and Atiqul Islam. "Cesarean Delivery Profile in a Military Hospital of Bangladesh- A Retrospective Study." Journal of the Bangladesh Society of Anaesthesiologists 29, no. 2 (2016): 39–44. http://dx.doi.org/10.3329/jbsa.v29i2.65955.

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Background: In recent years there have been substantial increases in the cesarean delivery [CD] rates in Bangladesh. Objectives:With this background, a study was undertaken to describe cesarean delivery rate, indication of cesarean delivery, health outcome of mother and newborn attributed to the procedre. Methods: This retrospective chart review study [the period from February 1, 2014 to January 31, 2015] was carried out at Military Hospital of Bangladesh with the approval of the Institutional Ethics Committee. CD rates were computed by several maternal and newborn characteristics including ma
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Singh, Ranju, Pooja Singh, Eashwar Neelakandan, Maitree Pandey, Manju Puri, and Sushma Nangia. "Anaesthetic management in COVID-19 parturients scheduled for caesarean delivery - a comparison with non-COVID-19 parturients." International Journal of Research in Medical Sciences 9, no. 12 (2021): 3495. http://dx.doi.org/10.18203/2320-6012.ijrms20214699.

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Background: Data regarding outcomes after anaesthesia in COVID-19 parturients is scanty. There is hardly any information about the length of hospital stay in COVID-19 parturients who undergo caesarean delivery (CD) as compared to non-COVID-19 parturients.Methods: An observational study of COVID-19 parturients undergoing CD was conducted. Age and CD indication matched non COVID-19 parturients were taken as controls. The length of hospital stay along with maternal and neonatal outcomes were studied.Results: A total of 45 COVID-19 parturients and an equal number of non-COVID-19 parturients were s
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Biala, Ademola, Geremias Rangel, and Letitia Samuel. "A Retrospective Chart Review Study Title of Project: Analysis of Caesarean Sections Using Robson 10-Group Classification System at the Georgetown Public Hospital Corporation, Georgetown, Guyana, South America." International Journal of Research and Review 9, no. 9 (2022): 334–38. http://dx.doi.org/10.52403/ijrr.20220936.

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Background: The WHO recommends a cesarean delivery rate (CDR) of less than 15%. The CDR at GPHC increased from 17.8% in 2010 to a peak of 26.1% in 2019, nearly twice the WHO recommendation. The purpose of this study is to analyze trends of and the CDR using Robson 10-group classification system (R-TGCS) at a tertiary facility in Guyana (Georgetown Public Hospital Corporation). Methods: This study is a facility based, one-year retrospective chart review of patients who had cesarean deliveries (CDs) between January 1st, 2019 and December 31st, 2019. Pertinent information including maternal age,
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Bjellmo, Solveig, Guro L. Andersen, Sissel Hjelle, et al. "Does caesarean delivery in the first pregnancy increase the risk for adverse outcome in the second? A registry-based cohort study on first and second singleton births in Norway." BMJ Open 10, no. 8 (2020): e037717. http://dx.doi.org/10.1136/bmjopen-2020-037717.

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ObjectiveTo explore if newborns in the second pregnancy following a previous caesarean delivery (CD) have higher risk of perinatal mortality or cerebral palsy than newborns in pregnancies following a previous vaginal delivery (VD).DesignCohort study with information from the Medical Birth Registry of Norway and the Cerebral Palsy Registry of Norway.SettingBirths in Norway.Participants294 598 women with their first and second singleton delivery during 1996–2015.Main outcome measuresStillbirth, perinatal mortality, neonatal mortality and cerebral palsy.ResultsAmong 294 598 included women, 42 962
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Priya, T. K., D. Singla, P. Talawar, R. S. Sharma, S. Goyal, and G. Purohit. "Comparative Efficacy of Quadratus Lumborum Type-II and Erector Spinae Plane Block in Patients Undergoing Caesarean Section Under Spinal Anesthesia: A Randomized Controlled Trial." Obstetric Anesthesia Digest 43, no. 4 (2023): 214. http://dx.doi.org/10.1097/01.aoa.0000990504.32612.7c.

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(Int J Obstet Anesth. 2023;53:103614) Pain following cesarean delivery (CD) is associated with other adverse maternal effects, so it is important to manage and minimize this occurrence. Regional techniques such as quadratus lumborum (QL) blocks and erector spinae plane blocks (ESPB) are used in postsurgical patients, yet no studies to date compare the efficacy of the 2 methods following CD. This study aimed to compare the efficacy of postcesarean analgesia using QL block type-II (QLB‐II) with ESPB following CD.
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Govardhanam, V., P. Tandon, and V. huang. "A181 CAUSES FOR C-SECTION IN IBD PATIENTS: A RETROSPECTIVE REVIEW." Journal of the Canadian Association of Gastroenterology 4, Supplement_1 (2021): 195–96. http://dx.doi.org/10.1093/jcag/gwab002.179.

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Abstract Background Inflammatory bowel disease (IBD) is a group of chronic inflammatory conditions including ulcerative colitis (UC), Crohn’s disease (CD) or IBD-unclassified. Current expert guidelines recommend only two IBD-related reasons to consider C-section: perianal CD and ileal pouch-anal anastomosis (IPAA) history. However, the incidence of C section among IBD patients is higher than the non-IBD patients. There is a sparsity of literature on what other factors influence the decision to perform caesarean delivery among IBD patients. Aims To investigate IBD-related and non-IBD related re
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Vallejo, Manuel C., Talora L. Steen, Benjamin T. Cobb, et al. "Efficacy of the Bilateral Ilioinguinal-Iliohypogastric Block with Intrathecal Morphine for Postoperative Cesarean Delivery Analgesia." Scientific World Journal 2012 (2012): 1–6. http://dx.doi.org/10.1100/2012/107316.

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The ilioinguinal-iliohypogastric (IIIH) block is frequently used as multimodal analgesia for lower abdominal surgeries. The aim of this study is to compare the efficacy of IIIH block using ultrasound visualization for reducing postoperative pain after caesarean delivery (CD) in patients receiving intrathecal morphine (ITM) under spinal anesthesia. Participants were randomly assigned to 1 of 3 treatment groups for the bilateral IIIH block: Group A = 10 mL of 0.5% bupivacaine, Group B = 10 mL of 0.5% bupivacaine on one side and 10 mL of a normal saline (NSS) placebo block on the opposite side, a
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Harnett, C., J. Connors, S. Kelly, T. Tan, and R. Howle. "Evaluation of the “Sip Til Send” Regimen Before Elective Caesarean Delivery Using Bedside Gastric Ultrasound: A Paired Cohort Pragmatic Study." Obstetric Anesthesia Digest 44, no. 3 (2024): 131–32. http://dx.doi.org/10.1097/01.aoa.0001026536.24181.06.

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(Eur J Anaesthesiol. 2024;41(2):129–135. doi: 10.1097/EJA.0000000000001926) Preoperative fasting is commonly recommended to prevent the risk of pulmonary aspiration of gastric contents during anesthesia. The European Society of Anaesthesiology and Intensive Care (ESAIC) advises fasting for 6 hours for solids and 2 hours for liquids prior to surgery (eg, caesarean delivery, CD). However, a long fasting period can impart both maternal and neonatal risk. As such, the liberal drinking “Sip Til Send” protocol has been widely used in the United Kingdom and Ireland with no associated pulmonary aspira
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Baghirzada, L., A. Walker, HC Yu, and R. Endersby. "The Analgesic Effect of Transversalis Fascia Plane Block After Caesarean Section Under Spinal Anaesthesia With Intrathecal Morphine: A Randomized Controlled Trial." Obstetric Anesthesia Digest 44, no. 3 (2024): 173–74. http://dx.doi.org/10.1097/01.aoa.0001026716.14796.d1.

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(Anaesthesia. 2024;79(1):63–70. doi: 10.1111/anae.16173) The necessary use of anesthesia during a cesarean delivery (CD) carries side effects including nausea, sedation, itchiness, and respiratory depression. An intrathecal administration of morphine before the CD can be paired with an ultrasound-guided interfacial truncal plane block to hypothetically reduce the risk of symptoms, especially postoperative pain. During the use of a transversalis fascia block, the T12 and L1 spinal nerves are anesthetized. Researchers within this study specifically sought to understand the reducing effects on op
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Singh, N., V. Anandan, and S. R. Ahmad. "Effect of Dexmedetomidine as an Adjuvant in Quadratus Lumborum Block in Patient Undergoing Caesarean Section: A Randomized Controlled Study." Obstetric Anesthesia Digest 44, no. 1 (2024): 54–55. http://dx.doi.org/10.1097/01.aoa.0001005492.26516.a9.

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(J Clin Anesth. 2022:81:110892) Pain must be managed properly in surgical patients, especially those undergoing cesarean delivery (CD). Regional nerve blocks are used to relieve pain in postoperative patients as a part of multimodal analgesia. Ultrasound-guided blocks employed for abdominal surgeries include the transverse abdominis plane block and the quadratus lumborum (QL) block.
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Thomas, Mareena. "Abstract No.: ABS2092: Study of perioperative modified early obstetric warning scores among pregnancy Induced hypertensive patients posted for caesarean deliveries." Indian Journal of Anaesthesia 66, Suppl 1 (2022): S16—S17. http://dx.doi.org/10.4103/0019-5049.340735.

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Background &amp; Aims: This study was aimed at identifying the usefulness of Modified Early Obstetric Warning Score (MEOWS) in predicting perioperative maternal outcome in patients with pregnancy induced hypertension (PIH) presenting for caesarean delivery (CD). Methods: A prospective observational study was conducted in a tertiary hospital in New Delhi, after approval by the institutional ethics committee. Data was collected using a predesigned proforma just before and 24 hours after CD, based on which the preoperative and postoperative MEOWS were determined. The mean of preoperative and post
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Gruber, Teresa Mira, Laura Ortlieb, Wolfgang Henrich, and Sylvia Mechsner. "Women with Endometriosis—Who Is at Risk for Complications Associated with Pregnancy and Childbirth? A Retrospective Case–Control Study." Journal of Clinical Medicine 13, no. 2 (2024): 414. http://dx.doi.org/10.3390/jcm13020414.

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Women with endometriosis (EM), particularly the manifestations of adenomyosis (AM) and deep infiltrating endometriosis (DIE), suffer from pain and sterility. DIE also appears with several specific obstetric complications. To determine the risk profile, we designed a retrospective case–control study. Primary outcomes were defined as the risk of preterm birth and caesarean delivery (CD). Primiparous singleton pregnancies in women with DIE were compared with controls without EM. We matched for mode of conception and maternal age. A total of 41 women diagnosed with DIE and 164 controls were recrui
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Abdeltawab, Ahmed Mohamed, Somaya Azmy Abo-Elkhair, Mahmoud Salah Radi, and Ahmed Mohamed Abo-Al Ataa. "Quadratus Lumborum Block versus Transversus Abdominis Plane Block for Analgesia after Caesarean Section." Scientific Journal of Medical Scholar 2, no. 3 (2023): 88–95. http://dx.doi.org/10.55675/sjms.v2i3.57.

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Background and Aim: Effective postoperative analgesia after caesarean section is crucial for early ambulation and quality of life. Quadratus lumborum (QL) block is gaining wide acceptance for pain control after lower abdominal surgery. The current work aimed to compare between transversus abdominis plane (TAP) block and Quadratus Lumborum Block (QLB) in patients undergoing elective cesarean delivery (CD) under spinal anesthesia.&#x0D; Patients and Methods: The study included 200 patients who were divided randomly into two equal groups according to the type of anesthetic blocks (Ultrasound guid
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Ansari, Neelam, Aneela ,. Habib, Shakira Perveen, Sana ,. Shameer, Saima Ali, and Sarah Kazi. "Factors Associated with Vaginal Birth after Previous C-Section in Pregnant Women." Pakistan Journal of Medical and Health Sciences 16, no. 4 (2022): 564–67. http://dx.doi.org/10.53350/pjmhs22164564.

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Introduction: The cesarean delivery (CD) rate has increased significantly over recent decades. It is estimated that almost a third of women have delivered by CD worldwide. In most countries, the caesarean section rate (CSR) has exceeded the level of 10–15% recommended by the World Health Organization (WHO). In different areas of Pakistan current CSR was 16–20%, approximately. Objective: To determine the frequency of successful vaginal birth after previous cesarean section (VBAC) and factors associated with failed VBAC and fetomaternal outcome after trial of labour after cesarean section (TOLAC
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Ansari, Neelam, Aneela Habib, Shakira Perveen, Sana Shameer, Saima Ali, and Sarah Kazi. "Factors Associated with Vaginal Birth after Previous C-Section in Pregnant Women." Pakistan Journal of Medical and Health Sciences 16, no. 4 (2022): 800–803. http://dx.doi.org/10.53350/pjmhs22164800.

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Introduction: The cesarean delivery (CD) rate has increased significantly over recent decades. It is estimated that almost a third of women have delivered by CD worldwide. In most countries, the caesarean section rate (CSR) has exceeded the level of 10–15% recommended by the World Health Organization (WHO). In different areas of Pakistan current CSR was 16–20%, approximately. Objective: To determine the frequency of successful vaginal birth after previous cesarean section (VBAC) and factors associated with failed VBAC and fetomaternal outcome after trial of labour after cesarean section (TOLAC
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Matsuzaki, Hirotaka, Shinya Matsuzaki, Yutaka Ueda, et al. "Obesity and asthma during pregnancy: a systematic review and meta-analysis." European Respiratory Review 34, no. 176 (2025): 240259. https://doi.org/10.1183/16000617.0259-2024.

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Objective To assess the effect of obesity on the prevalence of asthma, obstetric outcomes and delivery outcomes in pregnant women with asthma. Methods A comprehensive systematic review and meta-analysis were conducted up to 31 March 2024, using four public search engines. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, both quantitative and qualitative data were collected and analysed. Results We included 11 studies from 2006 to 2022 involving 77 611 386 pregnant patients (3.1% had asthma). Obesity increased the odds of asthma (n=2; OR 2.42, 95% CI
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Honda, Michiko, Manabu Yamada, Toshio Kumasaka, Taiki Samejima, Hirohisa Satoh, and Mitsuhiro Sugimoto. "Recurrence of Ovarian Cancer with Placental Metastasis: A Case Report." Case Reports in Oncology 10, no. 3 (2017): 824–31. http://dx.doi.org/10.1159/000479959.

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A 39-year-old primiparous Japanese female was admitted to the obstetrical emergency department of our hospital because of respiratory distress resulting from a large amount of pleural effusion, soon after a caesarean delivery (CD) at another hospital. While she was undergoing the CD, a giant ovarian tumour was identified. However, the tumour could not be removed at that facility and she was transferred to our hospital. Three days after the CD, a left salpingo-oophorectomy was performed with the purpose of controlling pleural and peritoneal effusions. Based on her past treatment history and the
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Quibel, Thibaud, Norbert Winer, Laurence Bussières, et al. "Impact of COVID-19-Related Lockdown on Delivery and Perinatal Outcomes: A Retrospective Cohort Study." Journal of Clinical Medicine 11, no. 3 (2022): 756. http://dx.doi.org/10.3390/jcm11030756.

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Objective: The magnitude and direction of effects on pregnancy outcomes of the lockdown imposed during COVID-19 have been uncertain and debated. Therefore, we aimed to quantify delivery and perinatal outcomes during the first nationwide lockdown due to the COVID-19 pandemic compared with the same durations of time for the pre- and post-lockdown periods. Study design: This was a retrospective cohort study of six university hospital maternity units distributed across France, each of which serves as the obstetric care referral unit within its respective perinatal network. Maternal and perinatal o
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Gudu, Wondimu, Zekarias Taye Sisay, Mekitie Wondafrash, and Abraham Fessehaye Sium. "Cesarean delivery surgical techniques in Africa: A survey study from Ethiopia." PLOS ONE 18, no. 10 (2023): e0292382. http://dx.doi.org/10.1371/journal.pone.0292382.

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Objective To describe the surgical techniques of Caesarean delivery (CD) practiced by Ethiopian Obstetricians and Gynecologists. Methods A descriptive survey study was conducted in Ethiopia from March 1, 2021 to April 30, 2021. Members of the Ethiopian Society of Obstetrician and Gynecologists were randomly selected and their Cesarean delivery surgical techniques were explored. Data were analyzed using IBM SPSS statistics 22. Simple descriptive analysis were employed and frequencies and percentage were calculated to present the data. Results A total of 258 obstetricians and Gynecologists pract
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Shipika. "Comparison of Single Dose versus Multiple Doses of Antibiotic Prophylaxis in Elective and Emergency Caesarean Section." International Journal of Toxicological and Pharmacological Research 13, no. 9 (2023): 200–205. https://doi.org/10.5281/zenodo.11081876.

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<strong>Background:</strong>&nbsp;Infectious complications after caesarean delivery (CD) are a substantial cause of maternal morbidity, increase in hospital stay and treatment cost. The spectrum of these complications&rsquo; spreads from fever, wound infection, endometritis, urinary tract infection, and some serious complications like pelvic abscess, septic shock and septic pelvic vein thrombophlebitis. To prevent these prophylactic antibiotics have been used however the use of antibiotics should be judicious. Aim was to compare the efficacy of single dose versus multiple doses of antibiotics
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Singh, Ranju, Kavita Yadav, and Pooja Singh. "Efficacy of analgesia using ilioinguinal–iliohypogastric (IIIH) nerve block, transversus abdominis plane (TAP) block and diclofenac after caesarean delivery under spinal anaesthesia: A non-randomised clinical trial." Indian Journal of Anaesthesia 67, no. 7 (2023): 638–43. http://dx.doi.org/10.4103/ija.ija_746_22.

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Background and Aims: Our aim was to assess the efficacy of analgesia using ilioinguinal–iliohypogastric (IIIH) nerve block, transversus abdominis plane (TAP) block and diclofenac after caesarean delivery (CD) under spinal anaesthesia (SA).] Methods: A total of 457 healthy parturients undergoing CD under SA were included in this prospective, observational study. Groups differed in the postoperative analgesic strategies received by the parturient at the end of surgery: group D (n = 148) received intramuscular diclofenac sodium, group I (n = 153) received bilateral IIIH block with bupivacaine plu
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Om, Prakash, Kumar Sinha Anil, and Kumar Bijoy. "Effect of Preload with Colloid Vs Crystalloid in Prevention of Oxytocin Induced Hypotension in Caesarean Section by Phenylephrine; A Comparative Study." International Journal of Pharmaceutical and Clinical Research 16, no. 6 (2024): 892–95. https://doi.org/10.5281/zenodo.12738174.

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<strong>Background:</strong>&nbsp;One of the leading causes of maternal mortality with uterine atony is Postpartum haemorrhage (PPH) and can be reduced by proper use of uterotonic agents like oxytocin which is most commonly used. Approximately 80% of the patients suffers Spinal-induced hypotension (SIH) for cesarean delivery (CD) and is a frequently encountered problem. Postpartum haemorrhage (PPH) is one of the leading causes of maternal mortality with uterine atony in about 50% cases. There are many approaches to prevent hypotension but no single approach has been shown as the gold standard,
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Sanganee, U., K. Jansen, N. Lucas, and M. Van de Velde. "The Role of Supraglottic Airway Devices for Cesarean Section Under General Anaesthesia. A Scoping Literature Review With a Proposed Algorithm for the Appropriate Use of Supraglottic Airway Devices for Caesarean Sections." Obstetric Anesthesia Digest 45, no. 2 (2025): 110–12. https://doi.org/10.1097/01.aoa.0001113204.36421.9e.

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(Eur J Anaesthesiol. 2024;41(9):668–676. doi: 10.1097/EJA.0000000000002024) Managing airways may pose special challenges during pregnancy, as physiological changes such as decreased functional residual capacity and increased oxygen consumption can present dangers of rapid hypoxemia. In addition, pregnancy increases the risk of aspiration, and airway soft tissue may become increased due to edema or fat deposition. General anesthesia (GA) in an obstetric setting is often avoided due in part to these risks, though it is sometimes necessary in emergency situations and during cesarean delivery (CD)
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Burgess, C., C. Schnier, I. Chalmers, et al. "OP19 Perinatal factors do not affect paediatric inflammatory bowel disease risk: A Scottish Nationwide Cohort study using administrative health data 1981–2017." Journal of Crohn's and Colitis 14, Supplement_1 (2020): S016. http://dx.doi.org/10.1093/ecco-jcc/jjz203.018.

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Abstract Background The incidence of paediatric-onset inflammatory bowel disease (PIBD) continues to rise, with genetic-environmental interactions expected to play a vital role. Given gestation and infancy are sensitive periods for environmental change, we aimed to determine whether a mode of delivery, gestational age or type of infant feeding contribute to the development of PIBD in a nationwide cohort of high-risk Scottish children using administrative health data research methodology. Methods All children born in Scotland 1981–2017 were identified within the Scottish Morbidity Record matern
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L., Girish B., Shraddha S. G., and Dwarakanath L. "Safety and effectiveness of tranexamic acid in reduction of post-partum hemorrhage in patients undergoing caesarean section in tertiary care hospital of Southern India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no. 2 (2022): 513. http://dx.doi.org/10.18203/2320-1770.ijrcog20220180.

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Background: Obstetric haemorrhage is a leading cause of premature maternal mortality, accounting for at least 100,000 deaths each year worldwide. Tranexamic acid has been shown to reduce uterine blood loss in non-surgical aspect. The aim of the study is to evaluate the safety and effectiveness of TXA in prevention of post-partum hemorrhage in patients undergoing caesarean delivery and to compare the secondary clinical outcomes.Methods: In this prospective observational cross-sectional study, 50 pregnant women undergoing CD were selected in random pattern and divided into control and study grou
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Jayasundara, Sajith, Malik Goonewardene, and Lanka Dassanayake. "The association between maternal intra-abdominal pressure and hypertension in pregnancy." PLOS ONE 18, no. 10 (2023): e0284230. http://dx.doi.org/10.1371/journal.pone.0284230.

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Introduction Pregnancy leads to a state of chronically increased intra‐abdominal pressure (IAP) caused by a growing fetus, fluid, and tissue. Increased intra-abdominal pressure is leading to state of Intra-Abdominal Hypertension (IAH) and Abdominal Compartment Syndrome. Clinical features and risk factors of preeclampsia is comparable to abdominal compartment syndrome. IAP may be associated with the hypertension in pregnancy (HIP). Objectives The study aimed to determine the antepartum and postpartum IAP levels in women undergoing caesarean delivery (CD) and association between hypertension in
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