Vesicouterine fistula is the least common of the fistulae involving genitourinary tract. Most common cause being iatrogenic secondary to injury during gynaecologic surgeries like caesarean section, various other causes have been documented. Though rarely reported in the literature previously there has been an increase in the incidence recently secondary to increasing number of caesarean section...

Blood loss during Caesarean section has been measured in 121 patients using a haemoglobin dilution method. The results have been analyzed in an attempt to determine the importance on blood loss of age, parity, previous Caesarean section, placental site, size of baby, length of operation, and surgical experience. The only statistically significant factors increasing blood loss were (a) multipara...

BACKGROUND Caesarean section might increase the incidence of surgical interventions and problems resulting from hospitalization and thus affecting quality of life in women after delivery. This study aimed to compare quality of life in women after normal delivery and caesarean section. METHODS This was a prospective study. A sample of women with normal delivery and caesarean section from 5 hea...

OBJECTIVE To examine temporal trends in caesarean delivery rates in southern Asia and sub-Saharan Africa, by country and wealth quintile. METHODS Cross-sectional data were extracted from the results of 80 Demographic and Health Surveys conducted in 26 countries in southern Asia or sub-Saharan Africa. Caesarean delivery rates were evaluated - as percentages of the deliveries that ended in live...

BACKGROUND The rising rates of primary caesarean section have resulted in a larger obstetric population with scarred uteri. Subsequent pregnancies in these women are risk-prone and may complicate. Besides ensuring standardised management, care pathways could be used to evaluate for perinatal outcomes in these high risk pregnancies. We aim to demonstrate the use of a care pathway for vaginal bir...

BACKGROUND Although advances in the reduction of maternal mortality have been made, up to 273,000 women will die this year from obstetric etiologies. Obstructed labor (OL), most commonly treated with Caesarean delivery, has been identified as a major contributor to global maternal morbidity and mortality. We used economic and epidemiological modeling to estimate the cost per disability-adjusted...

OBJECTIVE To describe the mode and timing of delivery of twin pregnancies at ≥34 weeks of gestation and their association with perinatal outcomes. DESIGN Secondary analysis of a cross-sectional study. POPULATION Twin deliveries at ≥34 weeks of gestation from 21 low- and middle-income countries participating in the WHO Multicountry Survey on Maternal and Newborn Health. METHODS Descriptive...