Background: Cesarean section rates have risen markedly worldwide. Considering the potential harm caused by this mode of delivery, and the general concern in reducing its incidence, it would be useful to individualize the risk of non-planned cesareans, and if there is any possibility, reduce that risk, and anesthesiologists should take part of this risk evaluation. In recent studies, many factor...

Rupture of uterus is a serious obstetric complication. Consequences can be more dangerous if it remains undiagnosed. Spontaneous rupture of a scarred uterus is an uncommon event but it is rare for it to be followed by vaginal delivery and to be diagnosed postpartum period is still rare. We report a case of spontaneous uterine rupture which was followed by a vaginal delivery which was diagnosed ...

OBJECTIVE This study was undertaken to identify the main causes of maternal mortality within a developed country to refocus and enhance the delivery of obstetric services. STUDY DESIGN From January 1, 1983, to December 31, 2000, 309 maternal deaths occurring in Bavaria were documented and classified in a prospective observational study. The data sources were the civil registry, confidential r...

OBJECTIVE To compare the risk profile of women receiving public and private obstetric care and to compare the rates of obstetric intervention among women at low risk in these groups. DESIGN Population based descriptive study. SETTING New South Wales, Australia. SUBJECTS All 171,157 women having a live baby during 1996 and 1997. INTERVENTIONS Epidural, augmentation or induction of labour...

OBJECTIVE To assess the association of oxytocin augmentation with obstetric anal sphincter injury among nulliparous women. DESIGN Population-based, case-control study. SETTING Primary and secondary teaching hospital serving a Norwegian region. POPULATION 15 476 nulliparous women with spontaneous start of labour, single cephalic presentation and gestation ≥37 weeks delivering vaginally bet...

One of the obstetric interventions introduced to address this issue is the cesarean – delivery. Cesarean delivery is defined as the birth of a fetus through incisions in the abdominal wall (laparotomy) and the uterine wall (hysterotomy) [Cunningham, 2001]. Historically, cesarean delivery was associated with a high complication rate, sometimes causing maternal death. In the era of modern medicin...

Emergency obstetric hysterectomy (EOH) is one of the life saving procedure performed in gravid uterus or immediate postabortal or postpartum period in cases of intractable hemorrhage due to uterine atony, rupture uterus, placental disorders, uterine perforation and septic abortion. The procedure is usually reserved for the situations where conservative measures fail to control hemorrhage. Obste...

BACKGROUND Skilled birth attendance from a trained health professional during labour and delivery can prevent up to 75% of maternal deaths. However, in low- and middle-income rural communities, lack of basic medical infrastructure and limited number of skilled birth attendants are significant barriers to timely obstetric care. Through analysis of self-reported data, this study aimed to assess t...

PURPOSE: To evaluate the obstetric and perinatal outcomes evolution of triplet pregnancies. METHODS: A prospective observational study was conducted in triplet pregnancies delivered over 16 years in a tertiary obstetric center with differentiated perinatal support. Evaluation of demographic factors, obstetric complications, gestational age at delivery, mode of delivery, birth weight and immedia...

INTRODUCTION Traditionally grandmultiparity has been considered to be an obstetric hazard both to the mother and foetus. Compounding factors are low socioeconomic status, poor female literacy and social deprivation. In developed populations with improved and optimal obstetric services, parity per se is no longer considered a significant risk for adverse obstetric and perinatal outcome. OBJECT...