INTRODUCTION Perinatal mortality rates have come down in cesarean sections, but fetal morbidity is still high in comparison to vaginal delivery and the complications are more commonly seen in emergency than in elective cesarean sections. The objective of the study was to compare the fetal outcome and the indications in elective versus emergency cesarean section performed in a tertiary maternity...

OBJECTIVE We sought to determine the factors associated with selection of rotational instrumental vs cesarean delivery to manage persistent fetal malposition, and to assess differences in adverse neonatal and maternal outcomes following delivery by rotational instruments vs cesarean delivery. STUDY DESIGN We conducted a retrospective cohort study over a 5-year period in a tertiary United King...

Background: Painless delivery using IV sedation is a method in which the pain and anxiety delivery process will be reduced by IV injection of analgesic and sedative drugs to the mother. In this method the health of neonate is taken into account. Neonate’s health can be measured by Apgar score system. This research was carried out to study Apgar score of the minutes 5 and 10 in neonates born...

OBJECTIVES To determine the net health consequences, costs, and cost-effectiveness of alternative delivery strategies for HIV-infected pregnant women with detectable HIV RNA in the USA. DESIGN Cost-effectiveness analysis using a probabilistic decision model. METHODS The model compared two strategies: elective Cesarean section and vaginal delivery. Data for HIV transmission rate, maternal de...

OBJECTIVE To compare the infectious complication rates from cesarean delivery of human immunodeficiency virus (HIV)-infected women and HIV-negative women. MATERIALS AND METHODS A retrospective analysis was performed on data derived from HIV-infected women and HIV-negative women, who underwent cesarean delivery at two teaching hospitals. Main outcome measures were infectious postoperative morb...

BACKGROUND The optimal management of leiomyomas during cesarean delivery is unclear. OBJECTIVES To assess the safety of myomectomy performed during cesarean delivery. SEARCH STRATEGY PubMed, MEDLINE, EMBASE, and Cochrane Library were searched to identify potentially relevant studies published prior to June 30, 2012. SELECTION CRITERIA Case-control study comparing myomectomy with no myomec...

Introduction: A growing number of children around the world are being born by surgical delivery, or cesarean section. Concerns about the steep increase in cesarean deliveries have been raised because of the possibility that surgical delivery is associated with greater maternal and infant mortality and morbidity than vaginal delivery. The purpose of the present study was to determine Prevalence ...

OBJECTIVE To estimate the maternal and perinatal morbidity associated with cesarean delivery involving the upper uterine segment compared with that of low transverse cesarean delivery. METHODS A 19-year review of a perinatal database and the relevant charts was used to determine the maternal and perinatal morbidity associated with low transverse cesarean, classic cesarean, and inverted "T" ce...

BACKGROUND After cesarean delivery, analgesia is often incomplete and a multimodal approach to analgesia is necessary. Transverse abdominal plane (TAP) block has been advocated in this setting, yet no systematic description of the ultrasound anatomy in pregnant women exists in the literature. Therefore, we aimed to describe the sonographical features of relevant structures in pregnant women bef...