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277 results for “caesarean section”
Fig. 1. N in Obtaining Oviparous Grass Snake, Natrix Natrix (Serpentes, Colubridae), Embryos At Early Developmental Stages By Caesarean Section
Fig. 1. N. natrix embryos at developmental stages A. 20. B. 22. C. 24. D. 25. E. 26. F. 27: av —auditory vesicle; cl —crystalline
Database and Syntax for Analysis of the Paper: "Effects of introducing the WHO Labour Care Guide on Caesarean section: a pragmatic, stepped-wedge, cluster randomized trial in India"
<p>The following files contains the information used to analyze the trial “Implementing the WHO Labour Care Guide to reduce the use of Caesarean section in four hospitals in India: a pragmatic, stepped wedge, cluster randomized pilot trial” in which it was hypothesized that the intervention would promote correct LCG use by these providers, changing their labour monitoring and management practices to align with WHO’s intrapartum recommendations. In turn, this could reduce overuse of Caesarean section, improve maternal and newborn outcomes, and enhance women’s care experiences. </p> <p>Two datafiles with extension “csv” are uploaded. The databased named “LCG Trial Women Database (transition period included).csv” is the database which contains the data of the recruited women in the trial. There is one row per women. The databased named “LCG Trial Neonates Database (transition period included).csv” is the database which contains the data of the neonates born from the recruited women. There is one row per neonate.</p> <p>The excel file “Data Dictionary LCG to Share.xlsx” is the data dictionary of the two databases. In the sheet named “Maternal Variables” a list and description of the variables included in the maternal database is included and, in the sheet, named “Neonatal Variables” a list and description of the variables included in the neonatal database is included.</p> <p>Three files of “R” extension and one “rmd” are included. The file named “RunningModelsFunctions.R” is the one use to run the models that are included in the analyses, the file named “2. Final Analysis LCG Trial.R” is the one in which the tables are prepared, and the file named “3. LCG Results Output Final.rmd” is used to export the tables with results. The R file named “funciones.tablas.R” is used in the analyses.</p>
Comparative observational study of gastric content in women scheduled for caesarean section or operative hysteroscopy: The ECHOCESAR study
<p class="MsoNoSpacing"><em><span>Objective:</span></em><span> There is a large literature concerning the estimation of gastric content in third-trimester pregnant women but their conclusions remain contradictory. Our objective was to compare gastric content in pr</span><span>egnant women and in non-pregnant ones using gastric ultrasound. </span></p> <p class="MsoNormal"><em><span>Design: </span></em><span>An observational two centres study was designed.</span></p> <p class="MsoNoSpacing"><em><span>Methods:</span></em><span> The antral cross-sectional area (CSA) in the semi-recumbent position (SRP), primary outcome, and in the right lateral position (RLD) were measured in pregnant women scheduled for a caesarean section (CS group) or non-pregnant women who underwent hysteroscopy (HS group) just before surgery. Perlas' score was also evaluated.</span></p> <p class="MsoNoSpacing"><em><span>Results:</span></em><span> One hundred and twenty-six patients were analysed, 61 patients in the CS group and 65 in the HS group. Antral CSA, measured in the SRP, was greater in the CS group than in the HS group (350 mm2 [236 - 415] vs 247 mm2 [180 - 318]; (P=0.001). This difference remained significant when the analysis was adjusted for fasting duration (P<0.001) or anxiety (P=0.001) or both (P<0.001). Among secondary outcomes, Perlas scores did not differ between groups (P=0.860). Concordance between antral CSA, categorised as corresponding to an empty or full stomach, and Perlas score was very poor.</span></p> <p class="MsoNoSpacing"><em><span>Conclusions: </span></em><span>Our results bring arguments to consider that individuals among pregnant women could have a delayed gastric emptying and support performing a gastric ultrasound in term pregnant patients prior to general anaesthesia.</span></p>
Opioid-free Analgesia for the Management of Acute Post-operative Pain Following Caesarean Section
ClinicalTrials.gov study NCT04539249. IPD Sharing: YES. Countries: 1. Publications: 11.
The Twin Birth Study: A Trial Comparing Planned Vaginal Birth to Elective Caesarean Section of Twins
ClinicalTrials.gov study NCT00187369. IPD Sharing: Not stated. Countries: 1. Publications: 7.
Timing of Planned Caesarean Section and Morbidity of the Newborn
ClinicalTrials.gov study NCT00835003. IPD Sharing: Not stated. Countries: 1. Publications: 2.
The Efficacy of Tranexamic Acid in Preventing Postpartum Haemorrhage After Caesarean Section
ClinicalTrials.gov study NCT04733157. IPD Sharing: NO. Countries: 1. Publications: 1.
Effect of Intra-abdominal Pressure to the Level of the Sensory Block at Caesarean Section Under Spinal Anesthesia
ClinicalTrials.gov study NCT02237092. IPD Sharing: NO. Countries: 1. Publications: 0.
Comparative observational study of gastric content in women scheduled for caesarean section or operative hysteroscopy: The ECHOCESAR study
Open the record for dataset details and reuse information.
Data from: Impact of caesarean section on mode of delivery, pregnancy-induced and pregnancy-associated disorders, and complications in the subsequent pregnancy in Germany
Objectives: To analyze the impact of caesarean section (CS) on mode of delivery, pregnancy-induced and pregnancy-associated disorders, as well as complications in the subsequent pregnancy within German gynecological practices. Methods: 1,801 women with CS and 1,801 matched women with vaginal delivery (VD) from the IMS Disease Analyzer database were included. The impact of previous CS on the mode of delivery and pregnancy-associated disorders as well as complications prior to or during birth in the subsequent pregnancy were analyzed. Cox regressions were used to determine the influence of CS with regard to these outcomes. Results: Medical abortion and single spontaneous delivery were significantly less frequent in women with a history of CS compared to VD (OR equal to 0.52 and 0.04 respectively), whereas CS after CS was the significantly more common mode of delivery (79.0% versus 9.3%, OR=36.47). Gestational hypertension without significant proteinuria, gestational hypertension with significant proteinuria, and polyhydramnios were more frequent in women with CS than in women with VD (OR equal to 6.80, 1.71, and 2.29). Hemorrhage and maternal care for known or suspected disproportion were more common in the CS group than in the VD group (OR equal to 1.34 and 3.75). Prolonged pregnancy, preterm labor, abnormalities arising from forces of labor, and perineal laceration during delivery were significantly less frequent in women with CS than in women with VD (OR between 0.32 and 0.75), whereas long labor was more common (OR=2.09). Conclusion: Women with CS were more likely to undergo further CS and to develop major pregnancy-associated diseases in the following pregnancy compared to women with VD.
A retrospective cohort study on effects of antenatal steroids on respiratory morbidity for term elective Caesarean sections in South Asian women
<p>Respiratory distress (RD) is higher among newborns born by caesarean section (CS) at term. RCOG recommend steroid administration for CS prior to 39 weeks. Evidence for effectiveness of steroids for neonatal RD at term is inconclusive. The racial differences are yet to be studied. </p> <p>A single center retrospective cohort study was conducted in Colombo, Sri Lanka form December 2016 to February 2019. All mothers delivered by CS between 37+0 and 38+6 weeks were included in the study. Mothers with severe maternal hypertension, severe fetal rhesus sensitization, evidence of intrauterine infection, multiple pregnancies and those who received steroids due to other indications at a prior gestation and were excluded. Cohort was subdivided according to administration of IM dexamethasone prior to CS. Primary outcomes measured were RD, admissions to neonatal intensive care unit (NICU) and special care baby unit (SCBU). Neonatal infections and maternal duration of hospital stay was recorded as secondary outcome measures. </p> <p>560 patients were included in the study. 23.2% of patients received antenatal corticosteroids. Incidence of RD, NICU admissions and SCBU admissions in the study cohort was 10%, 0.9%, 2.7% respectively. RR for developing RD in the steroid group compared to non-steroid group was 2.67 (1.64-4.35). NICU and SCBU admissions was needed by 4.6% in steroid group and 3.3% in non-steroid group without a significant difference (p=0.464). A significantly higher number of babies in the steroid group needed IV antibiotics. Average days the mothers were admitted in the hospital was 2.45 days (SD 1.424) for steroid group and 1.4 days (SD 0.856) for the non-steroid group (p < 0.001).</p> <p>There is a significant increase in the respiratory morbidity in the dexamethasone administered south Asian mothers at term prior to CS. However, this effect has no clinical significance since the admission to NICU and SCBU were not significantly different.</p>
A pre-post implementation survey of a multi-component intervention to improve informed consent for caesarean section in Southern Malawi
<p>Objective Surgical informed consent is essential prior to caesarean section, but potentially compromised by insufficient communication. We assessed the association between a multi-component intervention and women's recollection of information pertaining to informed consent for caesarean section in a low-resource setting, thereby contributing to respectful maternity care. Design Pre-post implementation survey, conducted from January to June 2018, surveying women prior to discharge. Setting Rural 150-bed mission hospital in Southern Malawi. Participants A total of 160 postoperative women were included: 80 pre- and 80 post-implementation. Intervention Based on observed deficiencies and input from local stakeholders a multi-component intervention was developed, consisting of a standardised checklist, wall poster with a six-step guide and on-the-job communication training for health workers. Primary and secondary outcome measures Individual components of informed consent were: indication, explanation of procedure, common complications, implications for future pregnancies and verbal enquiry of consent, which were compared pre- and post-intervention using χ2 test. Generalized linear models were used to analyse incompleteness scores and recollection of the informed consent process. Results The proportion of women who recollected being informed about procedure-related risks increased from 25/80 to 47/80 (OR 3.13 [95% Confidence Interval 1.64-6.00]). Recollection of an explanation of the procedure changed from 44/80 to 55/80 (OR 1.80[0.94-3.44]), implications for future pregnancy from 25/80 to 47/80 (1.69[0.89-3.20]) and of consent enquiry from 67/80 to 73/80 (OR 2.02 [0.73-5.37]). After controlling for other variables, incompleteness scores post-intervention were 26% lower (Exp(β)=0.74; 95% CI 0.57 – 0.96). Recollection of common complications increased by 29% (Exp(β)=1.29; 95% CI 1.01 – 1.64). Recollection of the correct indication did not differ significantly. Conclusion Recollection of informed consent for caesarean section changed significantly in the post-intervention group. Obtaining informed consent for caesarean section is one of the essential components of respectful maternity care.</p>
Topical Tranexamic Acid in Caesarean Section
ClinicalTrials.gov study NCT02492087. IPD Sharing: Not stated. Countries: 1. Publications: 16.
Early Initiation of Oral Feeding Versus Traditional Feeding Post Caesarean Section
ClinicalTrials.gov study NCT06539117. IPD Sharing: NO. Countries: 1. Publications: 0.
Post Caesarean-Section Pain Control Regimens: Oral Regimen With and Without Transversus Abdominis Plane Block
ClinicalTrials.gov study NCT01982929. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Impact of Preoperative Bathing on Post Caesarean Section Surgical Site Infection
ClinicalTrials.gov study NCT03544710. IPD Sharing: UNDECIDED. Countries: 1. Publications: 2.
An Evaluation of a Liberal Hydration Regimen Before Elective Caesarean Section Using Beside Gastric Ultrasound
ClinicalTrials.gov study NCT05783427. IPD Sharing: UNDECIDED. Countries: 1. Publications: 1.
Assessing the Stability of Uterine Scar Tissue in Women With Previous History of Caesarean Section Using Multimodal Analyses of the Lower Uterine Segment Including Quantitative Sonography
ClinicalTrials.gov study NCT02827591. IPD Sharing: NO. Countries: 1. Publications: 2.
Acupuncture for Pain Control After Elective Caesarean Section
ClinicalTrials.gov study NCT02364167. IPD Sharing: Not stated. Countries: 1. Publications: 3.
THUMB: Multi-centre Cluster Trial for Caesarean Section Haemorrhage
ClinicalTrials.gov study NCT07005349. IPD Sharing: YES. Countries: 0. Publications: 8.
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