Background Symptomatic anterior mediastinal mass in pregnancy is rare, and cesarean section for such patients poses a risk of cardiopulmonary collapse. Case presentation A 30-year-old woman at 40 weeks' gestation complained of breathlessness and cough, and she was not able to lie supine because of respiratory distress. Computed tomography scan revealed a large anterior-superior mediastinal ma...

Objective: To study the change in frequency of cesarean section, repeat cesarean section and the indications for repeated cesarean section after 10 years at a tertiary care center in Karachi. Methods: This study was conducted in the department of Obstetrics and Gynaecology, unit 1, Abbasi Shaheed Hospital. This retrospective analysis used departmental records to compare cesarean section rates f...

OBJECTIVE To assess the efficacy of single-dose antibiotic prophylaxis against postpartum endomyometritis in high-risk cesarean section patients. DESIGN Patients were administered one of three single-dose antibiotic regimens following umbilical cord clamping after cesarean section delivery. SETTING Prospective randomized trial at a university-based hospital. PATIENTS The study evaluated 2...

conclusion this study showed that early feeding decreased post cesarean gastrointestinal complications. results no mother experienced nausea, vomiting and illus. flatulence severity 4 and 12 hours after surgery was similar in both groups (p = 0.856, p = 0.392). however, flatulence severity 24, 36 and 48 hours after surgery, was less in the experimental group (p = 0.030, p = 0.016, p = 0.001). a...

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...

Objective: To determine the frequency of cesarean section and to analyze the indications, so as to introduce measures to control the cesarean section rate. Methodology: This descriptive study was conducted in obstetric and gynecology department of Isra university hospital Hyderabad Sindh from 1st Jan 2007 to 31st Dce 2007.In this study clinical record of all the patients who underwent cesarean ...

objectives we aimed to evaluate the association between obstetric conjugate diameter (ocd) measured by ultrasonography and the type of delivery, vaginally (v) or by cesarean (c) section. conclusion the us measurement of ocd might be an accurate method that almost always remains constant during late pregnancy; it is easy to measure and might be confidentially employed for predicting c-section, b...

BACKGROUND: Potentiating the effect of intrathecal local anesthetics by addition of intrathecal opiods for intra-abdominal surgeries is known. In this study by addition of fentanyl we tried to minimize the dose of bupivacaine, thereby reducing the side effects caused by higher doses of intrathecal bupivacaine in cesarean section. METHODS: Study was performed on 120 cesarean section parturients ...

a multimodal approach to postcesarean pain management may enhance analgesia and reduce side effects after surgery. we investigated postoperative pain in a double-blinded, randomized, single-dose comparison of the monoaminergic and µ-opioid agonist tramadol, 100 mg (group t) and piroxicam 20 mg (group p) given im alone- single dose in 150 patients who had elective cesarean delivery. all patients...