BACKGROUND The association between epidural analgesia for labor and the risk of cesarean section for dystocia remains controversial The authors hypothesized that if epidural analgesia were an important factor in determining cesarean section rates, then obstetricians with higher rates of utilization of epidural analgesia for labor would have higher rates of cesarean section for dystocia. METHO...

OBJECTIVE The risk of perinatal death associated with labor after previous cesarean section appears higher than with a repeated cesarean section. On the other hand, repeated cesarean sections are associated with increased maternal morbidity and mortality from placental pathologic conditions (previa or accreta) on subsequent pregnancies. The study was undertaken to analyze the decision for a tri...

BACKGROUND The number of incoming expectant women who have previously experienced cesarean section has increased. This work sought to find the frequency and connections between vaginal deliveries, cesarean sections, and iterative cesarean sections from 2004 to 2008. MATERIAL/METHODS In all, 828 women with previous cesarean sections were included. From this group, 8282 vaginal deliveries were ...

abstract background: the fear of aspiration of gastric contents and its life‑threatening disadvantages in patients have encouraged many medical practitioners to follow conservative policies for clear fluid/liquid and solid intake from midnight to the time of surgery. these policies have been pursued more severely in case of pregnant women, leading the physicians to follow “nil per os” policy. t...

background: postoperative pain control after cesarean section (c/s) is important because inadequate postoperative pain control can result in a prolonged hospital stay. in this study, we compared postoperative somatic wound pain control between patients receiving tramadol and bupivacaine, infiltrated at the wound site. methods: in this randomized clinical trial, 98 patients, eligible for electiv...

conclusions higher ods score in females who had c/s showed that c/s could not protect the pelvic organ from pregnancy and delivery trauma. it seems that episiotomy has a protective effect during vd; it can reduce the severity of trauma in pelvic organs during childbearing. results in 30 consecutive females undergoing starr for the treatment of ods, who enrolled in this prospective study, 19 (63...

the quality of subarachnoid block can be improved by adding opioids to the local anesthetics. we compared the analgesic effects of different doses of intrathecal sufentanil added to lidocaine %5 for elective cesarean section. this study was a prospective, randomized, double-blind, controlled trial. 90 pregnant women with asa class i-ii, scheduled for elective cesarean section under spinal anest...

background: shivering is one of the common problems in spinal anesthesia. the objective of the present study was to evaluate the effect of intrathecal fentanyl (25 μg) on incidence and severity of intraoperative and postoperative shivering. methods: a double-blind randomized controlled study was conducted in eighty healthy women (asa physical status i) scheduled for elective cesarean section un...

background pain is a major problem in patients after cesarean and medication such as aromatherapy which is a complementary therapy, in which the essences of the plants oils are used to reduce such undesirable conditions. objectives in this study, the effect of aromatherapy using lavender (lavandula) essential oil on cesarean postoperative pain was assessed. materials and methods in a triple bli...