A young woman twenty-six weeks pregnant and dying from cancer lies heavily sedated and attached to a respirator. Is she competent to determine what life-prolonging measures should be taken, or to consent to an emergency cesarean section that may save her fetus but will probably shorten her life? A quadriplegic young man wishes to end his life and requests a court order granting immunity for the...

To assess the risks associated with the use of Kielland's forceps 2708 consecutive deliveries were studied prospectively and the neonatal outcome related to the mode of delivery. Of the 1191 primigravidas, 279 (23.4%) underwent instrumental delivery, of whom 65 (5.5%) were delivered with Kielland's forceps. There was no difference in early neonatal outcome (as judged by Apgar scores, intubation...

Objective To determine the decision-to-delivery interval (DDI) in emergency cesarean delivery and associated factors. Methods A total of 431 pregnant women who were indicated for emergency cesarean delivery were included. Clinical information and timing of process after decision until delivery and pregnancy outcomes were evaluated. Results Mean age was 30 years, and 59.4% were nulliparous. ...

CONTEXT Gastrointestinal problems are common after Cesarean section. During the past three decades, there has been an increasing trend in the use of herbal plants in the treatment of various medical conditions. AIMS This study aimed to compare the effects of cumin, peppermint with magnesium hydroxide (milk of magnesia; MOM) on gastrointestinal complications of Caesarean section. SETTINGS & ...

The study was undertaken to see the infection rate of wound following emergency caesarean section with and without the use of topical fusidic acid. The study was carried out at Himal Hospital from April 2006 to Jan. 2008. A total of 70 child bearing patients who underwent emergency caesarean sections were included. All of the patients were given absorbable subcuticular stitches. Out of the 70 p...

BACKGROUND The frequency of caesarean sections is increasing. Infection in operation wounds and/or underlying spaces and organs is a common complication. In Veileder I fødselshjelp [Clinical Guidelines in Obstetrics], 2008, antibiotic prophylaxis is recommended in the form of single dose ampicillin or first generation cephalosporins in connection with acute caesarean sections and under special ...

1. Mikhael H, Vadivelu N, Braveman F. Safety of spinal anesthesia in a patient with achondroplasia for cesarean section. Curr Drug Saf. 2011;6:130‐1. 2. İnan G, Yayla E, Taş Ü, Arık E, Günaydın Bs. Single Shot Spinal Anaesthesia for Caesarean Delivery of Two Achondroplasic Parturients. Turkish Journal of Anaesthesiology and Reanimation 2015:43.(4): 285‐7. 3. Samra T, Sharma S. Estimation of the...

BACKGROUND AND AIMS The American College of Obstetricians and Gynecologists (ACOG) committee on professional standards and the National Institute of Clinical Excellence (NICE) guidelines suggest that decision-to-delivery interval (DDI) and emergency cesarean section (CS) should not be more than 30 min, and a delay of more than75 min in the presence of maternal or fetal compromise can lead to po...

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...