splenic rupture during pregnancy is considered a catastrophic condition associated with high maternal and fetal mortality and morbidity. herein, we report a case of severe preeclampsia that underwent cesarean delivery with subsequent spontaneous splenic rupture. a 21-year-old primigravid woman was transferred to our center due to severe preeclampsia that underwent cesarean delivery because of u...

Cardiac physiologic changes during pregnancy may cause risky delivery in patients with congenital cardiac anomalies. In this case, we present the anesthesia management emergency cesarean section a pregnant woman c-TGA who develop tamponade and sudden death risk due to pericardial effusion.

OBJECTIVE To investigate factors influencing skin incision-to-delivery time (including sub-divisions thereof) and the effect of these surgical intervals on immediate neonatal outcome. METHODS A prospective cohort analysis was conducted of all women undergoing cesarean delivery at Tygerberg Hospital, Cape Town, South Africa, from May 24 to November 2, 2010. Three surgical intervals were evalua...

Half MAC (minimal alveolar concentration) of volatile anesthetics has been commonly used with nitrous oxide for cesarean section which could occur intraoperative awareness. Over half MAC or more than 1% sevoflurane was studied on 65 parturients who came for either elective or emergency operations. The patient characteristics were age 31.00+/-5.67(21-41) years, BW 72.37+/-10.51 (52.6-117) kg, an...

introduction: nowadays, spinal anesthesia is associated with few complications in many surgical practices especially the elective caesarean which is taken as a suitable replacement for general anesthesia. different drugs are used for spinal anesthesia. this study aims to compare lidocaine 5% in combination with meperidine 5% plus lidocaine 5% for spinal anesthesia in non-emergency cesarean pati...

OBJECTIVE To document surgical procedures performed in British Columbia between 1996 and 2001 at rural hospital sites with no resident specialist surgeons and to define the scope of practice of general practitioner (GP)-surgeons at these small-volume surgical sites. METHODS We obtained data from published information available in the medical directories for British Columbia and from the Popul...

Cesarean delivery is the most commonly performed surgical procedure in the United States, and cesarean rates are increasing. Working with 2009 data from 593 US hospitals nationwide, we found that cesarean rates varied tenfold across hospitals, from 7.1 percent to 69.9 percent. Even for women with lower-risk pregnancies, in which more limited variation might be expected, cesarean rates varied fi...

OBJECTIVE To compare the effectiveness of sublingual misoprostol administered immediately after delivery of the neonate at cesarean section, with intravenous oxytocin infusion in prevention of uterine atony and thereby reducing blood loss at cesarean section. METHODS One hundred women with singleton term pregnancy undergoing elective or emergency lower segment cesarean section under spinal an...

OBJECTIVE To measure the rate of wound infection after cesarean section and assess risk factors for such infection. METHODS A prospective surveillance was conducted at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, during the period January 2000 through to December 2000. This included a total of 754 cesarean sections. The following risk factors, which were studied included,...