1. Measurements of ATP, ADP and AMP concentrations in livers of rats that had been delivered by Caesarian section indicate a rapid shift from a low to a high [ATP]/[AMP] ratio. This change is consistent with the cessation of glycolysis and the initiation of gluconeogenesis at birth. 2. When newborn animals are exposed to a 100% nitrogen atmosphere the hepatic ATP concentration falls and AMP inc...

A 36-year-old woman presented at 38 weeks gestation with a two week history of reduced fetal movements. The cardiotocogram was abnormal and the infant delivered by caesarian section, weighing 3360 grams. baby required full resuscitation. blood count showed haemoglobin 39 g/L. Kleihauer-Betke test positive estimated to be 113 mls packed red blood. placenta bulky pale trimmed fresh weight 914.5 v...

Enhanced recovery after surgery (ERAS) is a multimodal approach to optimize perioperative management and postoperative outcome. In the field of obstetrics, implementation ERAS, called enhanced caesarian section (ERACS), still quite lagging behind compared other surgical specialties. This study aims describe patient satisfaction with ERACS method in anesthesia services at Abby Maternal Child Hos...

Spontaneous septostomy in a monochorionic diamniotic twin pregnancy is a rare phenomenon. We present a case of monochorionic diamniotic twin pregnancy with an intact dividing membrane seen in the 1st half of the pregnancy. At 26 weeks, when she was assessed for preterm contractions, the dividing membrane was not documented, which suggested spontaneous septostomy. There had been no invasive proc...

A 25 year-old female with a history of Caesarian section ten weeks ago presented with symptoms suggestive of pulmonary embolism. Transthoracic echocardiography revealed a free-floating large thrombus traversing the right atrial cavity. Transesophageal echocardiography confirmed the presence of an unattached thrombus that originated from the most proximal part of the inferior vena cava. Multi-sl...

The incidence of birth injuries has decreased considerably because of the identification of risk factors at an earlier stage and taking the decision for caesarian section (LSCS) at proper time. Fractures, nerve palsies and central nervous system injuries comprise the majority of "birth injuries." In this study, we report a newborn that had a birth injury during LSCS. The baby sustained a penetr...

The patient had complete placenta previa and a giant placental tumor, and had a history of repair for cor triatriatum (CorT) 19 years previously. After anesthetic induction with remifentanil, thiamylal, and rocuronium, tachyarrhythmia occurred following multifocal ventricular premature contraction. Treatment with lidocaine was not effective. However, tachyarrhythmia converted naturally after de...