abstract a32 year-old multigravid patient with 10 weeks of pregnancy was referred to the emergency ward with massive vaginal bleeding and preshock state. suction curettage, laparotomy, uterine artery ligation, macdonald cerclage, and hysterectomy was done, in that order. after hysterectomy and massive transfusion she recovered. when a diagnosis of cesarean scar pregnancy is made in the emergenc...

INTRODUCTION Perimortem cesarean section is a rare, time-critical, and potentially life-saving procedure for both the fetus and mother. This makes perimortem cesarean section an ideal and recommended subject for simulation learning and practice. METHODS Various attempts have been made to produce models to simulate emergency caesarian sections. We designed a cost-effective and easy to assemble...

background: according to the world health organization, the acceptable range for cesarean delivery is only 10-15% of the total delivery. increased  rate of cesarean can increase maternal mortality rate. statistics from provinces in iran shows that the rate of unnecessary caesareans is growing in the country. methods: this qualitative research evaluated the comments of 20 mothers who had caesare...

BACKGROUND Maternal ethnicity is a recognized risk factor for stillbirth, such that South Asian women have higher rates than their Caucasian counterparts. However, whether maternal ethnicity is a risk factor for intrapartum outcomes is less clear. The aim of this study is to explore associations between maternal country of birth, operative vaginal delivery and emergency cesarean section, and to...

Much has been written about the rise in Caesarean section rates seen worldwide and in Ireland. The recent ESRI paper 1 suggested that physician behaviour might be an important factor in Ireland. The study concluded that changes in maternal characteristics accounted for only about half of the increase in Caesarean section rates but it did not include maternal obesity in the analysis (the data ar...

Objectives. To compare the effectiveness of postcesarean thromboprophylaxis with two different regimens of bemiparin. Material and Methods. The study included 646 women with cesarean delivery in our hospital within a 1-year period, randomly assigned to one of two groups for prophylaxis with 3500 IU bemiparin once daily for 5 days or 3500 IU bemiparin once daily for 10 days. Results. There was o...

There is great concern about the increasing rise in the rate of caesarean section in both developed and developing countries. This study was to ascertain the prevalence and compare outcomes of elective and emergency caesarean sections among women who deliver at the University of Cape Coast Hospital, Ghana. This retrospective study reviewed records of 645 women who delivered through caesarean se...

BACKGROUND There has been a marked increase in the number of Caesarean sections in many countries during the last decades. In several countries, Caesarean sections are carried out in more than 20 per cent of births. These high Caesarean section rates give cause for concern, both from an economic and a medical perspective. A general opinion among epidemiologists is that the increase in the numbe...