BACKGROUND: Spinal anesthesia for cesarean delivery may cause severe maternal hypotension and a decrease in cardiac output. Compared to assessment of cardiac output via a pulmonary artery catheter, the FloTrac/Vigileo system may offer a less invasive technique. The aim of this study was to evaluate cardiac output and other hemodynamic measurements made using the FloTrac/Vigileo system in patien...

In order to reduce the cesarean-delivery rate, more and more pregnant women are offered trials of labor (TOL) after their previous cesarean sections. TOL and elective repeat cesarean section (ERCS) have different risks and benefits. We constructed a decision analysis to explore this issue. Probabilities were derived from literature reviews. Health state utilities were derived from the authors' ...

The vasovagal response is characterized by an inappropriate combination of bradycardia and paradoxical vasodilation. During a general or neuraxial anesthesia-induced sympathectomy, a sudden vagal activation and/or an acute reduction in sympathetic tone can cause serious vasovagal responses. Neuraxial anesthesia for Cesarean section may trigger vasovagal response, due to multiple risk factors; h...

condition of mother and infant at cesarean section. Anesth Analg 1969; 48:986–93 8. Clark RB, Thompson DS, Thompson CH: Prevention of spinal hypotension associated with cesarean section. ANESTHESIOLOGY 1976; 45:670–4 9. Russell IF: Effect of posture during the induction of subarachnoid analgesia for caesarean section. Right v left lateral. Br J Anaesth 1987; 59:342–6 10. Norris MC: Hypotension ...

Among obstetric techniques, cesarean section seemed to represent a well-defined procedure and significant advances in this intervention were considered to be unlikely. However, obstetric surgery has recently undergone many improvements. In 1972, Joel-Cohen presented a new method for transverse incision of the abdomen. This method, with some modifications, was integrated into the Misgav-Ladach c...

background: there is evidence that electrocardiographic (ecg) changes occur during elective cesarean section in parturients. these changes, mostly in the form of st-segment depression, have been noted in either regional anesthesia or general anesthesia. we performed this study to compare hemodynamic variables and electrocardiographic changes suggestive of myocardial ischemia following administr...

We present here a case of vasa previa in a multipara, diagnosed at the time of her late second trimester ultrasonogram. The patient subsequently underwent an elective cesarean section after 37 weeks gestation, giving birth to a healthy child with an uneventful post-partum, neonatal and infant course. At the time of cesarean section, the incision was gradually deepened in layers through the myom...

Hypotheses that might explain urinary incontinence during pregnancy and after childbirth have been examined. The prevalence of urinary incontinence reaches a maximum during pregnancy and decreases after childbirth. Cesarean delivery is associated with lower rates of stress incontinence than vaginal delivery. Women delivered by cesarean section differ from women who had a vaginal delivery throug...

background: the administration of opioids before induction of general anesthesia can be considered as a problem in cesarean section. the aim of this study was to compare the effects of intravenous fentanyl as a premedication before induction of general anesthesia versus placebo on maternal hemodynamic parameters and on the first and fifth minutes apgar score in the neonates in elective cesarean...

.. Objective: To determine the obstetric and perinatal outcome of pregnancies with singleton breech presentation, and to scrutinize the causes of increasing incidence of cesarean section in breech presentation. Design: Analytical Observational study. Place and duration: Department of obstetrics and gynecology Fatima hospital Baqai university campus from Jan 2010 to Oct 2011. Patients & Methods:...