The Islamic Republic of Iran has witnessed a sharp increase in the number of caesarean sections in the past two decades. This study shows the trend of caesarean sections in the country, focusing on the probable causes of the increase during the past 30 years. The caesarean section rate was 35% in 2000 and increased to 48% in 2009. The study shows that there is a very wide range of prevalence of...

OBJECTIVE Current guidelines call for HIV-infected women to deliver via scheduled Caesarean when the maternal HIV viral load (VL) is >1,000 copies/ml. We describe the mode of delivery among HIV-infected women and evaluate adherence to relevant recommendations. STUDY DESIGN We performed a population-based surveillance analysis of HIV-infected pregnant women in Philadelphia from 2005 to 2013, c...

OBJECTIVE To develop a scoring system for the prediction of successful vaginal birth after caesarean section, following induction of labour with intra-vaginal E2 gel (Glandin). METHODS The cross-sectional study was conducted from January 2010 to August 2011, at the Pakistan Institute of Medical Sciences in Islamabad. Trial of labour in previous one caesarean section, undergoing induction with...

OBJECTIVE To identify factors contributing to the rapid rise of caesarean section in Shanghai through the prospective observation of changes in the preferred mode of delivery in pregnancy among primiparous Chinese women. DESIGN Prospective study. SETTING Two general hospitals in Shanghai. PARTICIPANTS A cohort of 832 low-risk primiparous women participated in the investigation from 2010-2...

: Spinal anesthesia is increasingly popular over general due to several advantages. Hypotension can complicate spinal during a cesarean section, which could have negative repercussions on the mother and fetus. This study aimed compare efficacy of low-dose norepinephrine infusion with boluses in managing hypotension among parturients undergoing section under subarachnoid block. Ninety-nine witho...

In this study the case records of 1414 patients who delivered at Alshaty hospital within one year were examined and some important variables related to caesarean section cases and their outcome were discussed. The caesarean section rate was found to be 9.9%. The high number of grand multigravida and primigravida among these Saudi mothers have contributed to this high caesarean section rate. The...

OBJECTIVE To report the clinical characteristics, pathologic findings and treatments of a patient with a Caesarean scar choriocarcinoma. PATIENT HISTORY A 22-year-old woman had a diagnosis of primary gestational choriocarcinoma in a uterine Caesarean scar misdiagnosed as a normal Caesarean scar pregnancy. The patient underwent selective uterine artery embolization coupled with methotrexate ar...

Objective To study population-level determinants of caesarean section trends in developed countries. Data sources/study setting National-level data (1980-2004) from developed countries on trends and potential determinants of caesarean section utilization. Study design The effect of maternal mortality, national income, hospital infrastructure and the health system financing and human resources p...

this work is a report 0/9 cases ofarcuate incision for correction 0/astigmatism, after penetrating keratoplasty. plannings were based ojj corneal topography, and the first operation was always arcuate incision alone. 11,e secondary plans were based on refractive errors. the mean of preoperative astigmatism was 6d with the range of5 to 9/). after arcuate incision a/the graft-host interface in th...

OBJECTIVE To investigate optimal timing of elective repeat caesarean section among low-risk pregnant women with prior caesarean section in a multicountry sample from largely low- and middle-income countries. DESIGN Secondary analysis of a cross-sectional study. SETTING Twenty-nine countries from the World Health Organization Multicountry Survey on Maternal and Newborn Health. POPULATION 2...