Background: There is public health concern about increasing cesarean section rate. This study was conducted to evaluate cesarean section rate in our set-up. Material & Methods: It was descriptive study carried out in Gynae B unit, Ayub Teaching Hospital, Abbottabad, from January 2006 to December 2007. Patients who underwent cesarean section were included. Details of age, social status, parity, ...

BACKGROUND Independent risk factors for surgical site infection (SSI) after cesarean section have not been well documented, despite the large number of cesarean sections performed and the relatively common occurrence of SSI. OBJECTIVE To determine independent risk factors for SSI after low transverse cesarean section. DESIGN Retrospective case-control study. SETTING Barnes-Jewish Hospital...

A review of 251 cervical cerclage procedures in 205 women over a 7.5-year period was conducted to compare the success rate and morbidity of the Shirodkar and McDonald techniques. Fetal survival rate was 19% before 139 elective McDonald operations and 20% before 63 elective Shirodkar procedures. Fetal survival was 78% after elective McDonald operations and 87% after elective Shirodkar procedures...

INTRODUCTION According to national organisations, obstetric services should be able to initiate a caesarean delivery within 30 minutes of the decision to operate. This is uniquely challenging in a small, rural hospital. In 2001, the authors' hospital was unable to meet this guideline reliably. This project demonstrates how we improved our emergency caesarean delivery response time. METHODS Th...

BACKGROUND In sub-Saharan Africa, neonatal mortality post-cesarean delivery is higher than the global average. In this region, most emergency cesarean sections are performed at district hospitals. This study assesses maternal predictors for poor neonatal outcomes post-emergency cesarean delivery in three rural district hospitals in Rwanda. METHODS This retrospective study includes a random sa...

BACKGROUND As part of a National Emergency Obstetric and Newborn Care (EmONC) Needs Assessment, a special study was undertaken in July 2010 to examine the quality of cesarean deliveries in Afghanistan and examine the utility of direct clinical observation as an assessment method in low-resource settings. METHODS This cross-sectional assessment of the quality of cesareans at 14 facilities in A...

OBJECTIVE To determine whether the variation in unadjusted rates of caesarean section derived from routine data in NHS trusts in England can be explained by maternal characteristics and clinical risk factors. DESIGN A cross sectional analysis using routinely collected hospital episode statistics was performed. A multiple logistic regression model was used to estimate the likelihood of women h...

BACKGROUND Spontaneous uterine rupture is a life threatening obstetrical emergency encountered infrequently in the emergency department. Its diagnosis is often missed or delayed, leading to maternal and fetal mortality. METHOD We present a case of ruptured uterus diagnosed by ultrasound in a 33-year-old gravid female with two previous cesarean sections. OBJECTIVE To show the role of ultraso...

Incidence of Cesarean scar pregnancy is on rise due to increasing incidence of caesarean section. It is rare type of ectopic pregnancy associated with severe complications such as sever hemorrhage, uterine rupture, loss of fertility.Therapeutic options include, medical management with methotrexate, Ultrasuond guided injection of potassium chloride, Dilatation & Curetage, laparoscopy laparotomyf...