Cesarean Section At Full Cervical Dilatation: When Is It Troubling For Newborn?

Caesarean section at full cervical dilatation.

BACKGROUND Caesarean section at full cervical dilatation has many implications for maternal and neonatal morbidity as well as subsequent pregnancy outcomes. However, increasing trends are reported internationally for second-stage caesarean delivery. OBJECTIVES To review the rate and indication for a caesarean section at full dilatation over a 5-year period at a tertiary referral obstetric cen...

epidural tramadol, is it a good option for cesarean section?

Epidural Tramadol, is it a Good Option for Cesarean Section?

I read the article entitled " The Maternal and Neonatal Effects of Adding Tramadol to 2% Lidocaine in Epidural Anesthesia for Cesarean Section " (1). The authors demonstrated that tramadol 50 mg or 100 mg associated to lidocaine is appropriate for this surgery and also improve sensory and motor blockade effects without any increase in complications. However some important reflections and some m...

Randomized controlled trial of elevation of the fetal head with a fetal pillow during cesarean delivery at full cervical dilatation.

OBJECTIVE To evaluate whether use of the Fetal Pillow (Safe Obstetric Systems, Shenfield, UK) affects maternal and fetal morbidity in cesarean delivery at full cervical dilatation. METHODS A randomized controlled trial was conducted at two teaching hospitals in West Bengal, India, between April 1, 2013, and March 31, 2014. Women undergoing cesarean delivery at full dilatation were enrolled an...

Galactosemia: when is it a newborn screening emergency?

Classic galactosemia is an autosomal recessive disorder of carbohydrate metabolism, due to a severe deficiency of the enzyme, galactose-1-phosphate uridyltransferase (GALT), that catalyzes the conversion of galactose-1-phosphate and uridine diphosphate glucose (UDPglucose) to uridine diphosphate galactose (UDPgalactose) and glucose-1-phosphate. Upon consumption of lactose in the neonatal period...