OBJECTIVE To determine the groups within the obstetric population contributing most substantially to the Caesarean section rate in five Canadian provinces. METHODS Hospital births from five participating provinces were grouped into Robson's 10 mutually exclusive and totally inclusive classification categories. The relative contribution of each group to the overall CS rate, relative size of gr...

BACKGROUND Clinical practice in Russia is set out in a series of centralized guidelines. However, many of these guidelines are not supported by evidence and, despite their existence, there is considerable unexplained variation in practice. This study examines the decision to recommend a Caesarean section, an intervention for which there is a solid evidence base, but whose use varies considerabl...

Cesarean section is without a doubt, the most gratifying surgery a large animal veterinarian has to do. Extracting a 50 to 70 kg living animal from a conscious standing cow is a great accomplishment. In fact, the c-section is now a routine procedure in countries where large calves has to be delivered. In Belgium, the mastering of the surgical technique and the positive outcome has led the owner...

A 23‐year‐old primigravida with prolonged labour presented for emergency caesarean section. Records of previous antenatal visits were not available and she did not give any history of previous medical/surgical illness. Physical examination and basic investigations were assessed and recorded to be normal by the seasoned junior resident anaesthesiologist who later administered her spinal anaesthe...

Background: The indications for cesarean sections have been undergoing a gradual change over the last few decades. Besides the obstetric causes, several other medical, social, ethical, economic and medico legal factors play a role in this rising trend of cesarean section. Initially it was performed mainly for maternal interest but recently the health of the fetus has played a significant role i...

UNLABELLED The management of cardiac arrest in pregnancy is an important task for the emergency physicians. The clinical outcome of mother or fetus will often depend on the successful resuscitation of the first few minutes. Furthermore, the resuscitation team leader should consider the necessity of emergency hysterotomy (cesarean delivery) as soon as a pregnant woman develops cardiac arrest. We...

UNLABELLED The present study evaluated patients with diagnosis of surgical site infection (SSI) following cesarean section and their controls to determinate risk factors and impact of antibiotic prophylaxis on this condition. METHODS All cesareans performed from January 2009 to December 2012 were evaluated for SSI, based on criteria established by CDC/NHSN. Control patients were determined af...

BACKGROUND Cesarean section has been identified as one of the commonest indication for blood transfusion in obstetric practice because it involves risk of major intra-operative blood loss. Different figures varying from less than 500 ml to more than 1000 ml have been quoted as estimated blood loss associated with caesarean section. There is also a wide variation in blood ordering practices for ...

Ogilvies syndrome describes an acute colonic pseudo-obstruction (ACPO) consisting of dilatation part or all the colon and rectum without intrinsic extrinsic mechanical obstruction. It often occurs in debilitated patients. Its pathophysiology is still poorly understood. Several theories have been incriminated: nervous, vascular, hormonal,medicinal,metabolic disorder, infectious…Since computed ...