objective: to evaluate, the efficacy of sub hypnotic doses of midazolam and propofol, in prophylactic control of postoperative nausea and vomiting, in parturients undergoing elective cesarean section under spinal anesthesia. materials and methods: in a double-blind, placebo-controlled, randomized trial, 114 asa physical status i-ii parturient undergoing elective cesarean section under spinal an...

BACKGROUND With cesarean section rates increasing worldwide, clarity regarding negative effects is essential. This study aimed to investigate the rate of subsequent stillbirth, miscarriage, and ectopic pregnancy following primary cesarean section, controlling for confounding by indication. METHODS AND FINDINGS We performed a population-based cohort study using Danish national registry data li...

1. Ngan Kee WD, Khaw KS, Tan PE, Ng FF, Karmakar MK: Placental transfer and fetal metabolic effects of phenylephrine and ephedrine during spinal anesthesia for cesarean delivery. ANESTHESIOLOGY 2009; 111:506 –12 2. Dyer RA, Reed AR, Van Dyk D, Arcache MJ, Hodges O, Lombard CJ, Greenwood J, James MF: Hemodynamic effects of ephedrine, phenylephrine, and the coadministration of phenylephrine with ...

BACKGROUND Although the impact of emergency procedures on the childbirth experience has been studied extensively, a possible association of childbirth experience with indications for emergency interventions has not been reported. OBJECTIVES To compare the impacts on childbirth experience of 'planned' delivery (elective cesarean section and vaginal delivery) versus 'unplanned' delivery (vacuum...

Pregnancy can be associated with significant risks for the mother and baby regardless of the presence of medical or obstetrical complications. In the presence of complications such as hypertension, multiple gestation, or prior cesarean delivery, the risks to the health of the mother and baby increase. Numerous studies, including two published in PLoS Medicine recently [1,2], have shown that ris...

Objective: To evaluate whether giving the recommended prophylactic course of dexamethasone before delivery reduces the occurrence of neonatal respiratory morbidities after elective cesarean delivery between 34 and 37 weeks. Methods: This randomized clinical trial recruited 130 women with singleton pregnancies between 34 and 37 weeks scheduled for elective cesarean delivery. They were randomized...