Mitral valve stenosis (MS) associated with rheumatic disease no longer represents a major heart problem during the perinatal period in Japan. Here we present a case of acute heart failure due to MS after emergency cesarean section (CS). The patient was transferred due to the development of fetal distress at 36 weeks gestation and underwent an emergency CS under general anesthesia. She developed...

Introduction: The rate of cesarean delivery is increasing. Infection is one of the most frequent and important complications of emergency cesarean section. Infection prophylaxis has an important role to reduce post-cesarean delivery complication. The aim of this study was to compare the effectiveness of broad spectrum antibiotic prophylaxis (Azithromycin+Cephalotin) with single agent antibiotic...

OBJECTIVE To determine the outcome of interval (delayed) hysterectomy as compared to cesarean (immediate) hysterectomy in cases of placental invasion in previous cesarean sections. STUDY DESIGN Comparative study. PLACE AND DURATION OF STUDY Department of Obstetrics and Gynecology, Unit II, Jinnah Postgraduate Medical Centre, Karachi, Pakistan, from January 2008 to June 2011. METHODOLOGY T...

BACKGROUND The Supreme™ laryngeal mask airway (SLMA) is a single-use LMA with double lumen design that allows separation of the respiratory and the alimentary tract, hence potentially reducing the gastric volume and risk of aspiration. The purpose of this prospective cohort study is to evaluate the the role of the SLMA as an airway technique for women undergoing category 2 and 3 Cesarean delive...

Mitral regurgitation is the second most common valvular heart disease in parturients with significant effects on the mother and the neonate especially after delivery. Regional anesthesia is preferred over general anesthesia for cesarean section due to decreased maternal mortality [1]. However, general anesthesia might be indicated where regional anesthesia is contraindicated or fails or when th...

INTRODUCTION Views on the conduct of labor have changed over time, and a significant difference exists in relation to obstetric centers. OBJECTIVE To assess cost, clinical outcomes and cost-effectiveness of different types of labor in singleton pregnancies. METHODS A decision model was used to compare vaginal labor, induced labor and planned cesarean section. All data were taken from the Bo...

OBJECTIVE This prospective randomized controlled study was carried out with the purpose of assessing the efficacy of sublingual misoprostol in decreasing intraoperative blood loss and the need for additional uterotonic agents at cesarean delivery. METHODS One hundred seventy-four women undergoing elective or emergency cesarean delivery were assigned randomly to receive either 400 μg misoprost...

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...