Cesarean delivery outcomes after a prolonged second stage of labor
95
Citation
17
Reference
10
Related Paper
Citation Trend
Keywords:
Hysterotomy
Cesarean delivery
OBJECTIVE To explore the result of the delivery after one hysterotomy. METHODS To analyze 435 gravidas in our hospital three years who deliver successfully after their husterotomy. RESULTS The persent of delivery after one hysterotomy is 6.44% in all the delivery while the placenta previa is 3.10% and the success of the usual delivery is 75.17%. CONCLUSIONS The periodicity of after one hysterotomy is increasing obviously. If a gravida had not any problems of usual delivery after one hysterotomy,we should let her deliver from the usual way again to decrease the periodicity of hysterotomy.
Hysterotomy
Cesarean delivery
Placenta previa
Cite
Citations (0)
Purpose: Hysterotomy extension at the time of cesarean section is frequent and associated with severe blood loss, risk of transfusion, and unplanned hysterectomy. Cesarean section during the second stage of labor is the most important riskfactor.Case report: We describe a case of a 35-year-old gravida 4 para 1 at 26+1 weeks gestation who underwent a repeat cesarean section. An unintentional hysterotomy extension led to severe blood loss. The patient was discharged on day 4 after the operation in stable condition.Conclusion: Hysterotomy extension is associated with higher maternal morbidity and mortality. Blunt expansion of the hysterotomy and a reverse breech extraction are associated with a lower uterine tear rate.
Hysterotomy
Uterine rupture
Accidental
Cite
Citations (0)
Objective To analyze the obstetric causes of uterus removal and relevant factors,and to explore the possibility of reducing hysterectomy. Methods The data on 18 obstetric patients who had undergone hysterotomy within 6 years in our hospital were retrospectively analyzed. Results The rate of hysterectomy for obstetric causes was significantly increased in multiparas, as compared with primiparas. Pacental factors and uterine inertia were the major cause of uterus removal.ConclusionsHysterectomy is an important procedure to control obstetric hemorrhage and save puerpera's life. But the surgical indications should be strictly controlled, prenatal care should be enhanced, and obstetric complications should be strictly prevented to lower cesarean section rate so that the incidence of obstetric hysterectomy can be reduced.
Key words:
Hysterotomy; Relevant factors; Massive obstetric hemorrhage
Hysterotomy
Uterine Inertia
Cite
Citations (0)
Hysterotomy
Cervical dilation
Cite
Citations (0)
The conclusion reached by Drs. W.M. Clow and A.C. Crompton (February 10, p. 321) that there is a substantial risk of uterine rupture in pregnancy after hysterotomy is reinforced by a case recently under my care. The patient, an unmarried 16-year-old, had had her 1st pregnancy terminated by abdominal hysterotomy at another hospital when she was 14 years of age. She was admitted to this hospital at 38 weeks' gestation (before the onset of labor) with signs and symptoms suggestive of intraabdominal hemorrhage. At laparotomy the upper end of the "classical" hysterotomy scar had ruptured completely and a portion of the underlying placenta was protruding through it. There was about 2 1/2 l of fluid and clotted blood in the peritoneal cavity. Caesarian supravaginal hysterectomy was performed and both mother and child survived, but the former required blood transfusions totaling 3 l. While fully agreeing with the authors' suggestion that hysterotomy should in general be eschewed unless sterilization is also performed, there may be circumstances in which hysterotomy is urgently indicated but sterilization is undesirable. In such cases, if the operation is performed after the 18th-20th week, the lower uterine segment is often sufficiently developed to permit evacuation through a transverse incision at this level. It would seem likely by analogy with classical and lower segment Casarean section incisions that the risk of uterine rupture in a subsequent pregnancy will be considerably reduced by this technique, which I now use whenever possible instead of the vertical upper segment incision usually employed for hysterotomy.
Hysterotomy
Uterine rupture
Cite
Citations (2)
Hysterotomy
Cesarean delivery
Cite
Citations (95)
We would like to thank the authors for taking a keen interest in our recently published RCT to examine the outcome of a single- versus double-layer hysterotomy closure at cesarean delivery using ultrasound to assess uterine scar thickness [1]. Our results suggest that the residual myometrium thickness (RMT) at least six months after surgery was significantly increased after double-layer closure compared with single-layer unlocked suturing of the low transverse uterine incision in women with primary or elective cesarean delivery.
Hysterotomy
Cesarean delivery
Closure (psychology)
Myometrium
Cite
Citations (0)
Hysterotomy
Cite
Citations (0)
Cesarean delivery
Cite
Citations (0)