BACKGROUND On an average 1 litre of blood is lost during Caesarean Section. Many variable techniques have been tried to reduce this blood loss. Many study trials have shown the spontaneous delivery of placenta method to be superior over manual method because of reduced intra operative blood loss and reduced incidence of post operative endometritis. The main objective of our study was to compare...

Placenta increta is a condition characterized by abnormal adherence of the placenta owing to entire or partial absence of the decidua basalis. It is generally recognized during difficult placental removal at the time of delivery. It is a life-threatening complication of pregnancy due to massive hemorrhage, uterine perforation, and infection and thus often a hysterectomy is required. We review t...

The present study evaluated the association between maternal and fetal-neonatal outcome in women with placenta previa (PP) and the site of PP, i.e. low lying, marginal, partial or total. The study group was composed of 154 women (159 newborns) and the control group of 300 woman (305 newborns). Of the various parameters examined, the following 3 were associated with PP localization: advanced mat...

Correspondence Fetal blood gas analysis at delivery Sir, In a recent article D'Souza et al.1 note that it is simpler and more convenient to obtain umbilical venous than arterial blood to assess the acid base status of a newborn infant at delivery. They add, however, that sampling arterial blood would be preferable to venous blood as the former reflects more closely the metabolic condition of th...

OBJECTIVE To compare blood loss with spontaneous delivery and manual removal of the placenta during caesarean section. DESIGN A randomised controlled trial. SETTING Four university hospitals between September 1999 and June 2002. POPULATION A total of 472 women delivering by caesarean section at term were randomised to spontaneous placental delivery (n= 235) or manual removal (n= 237). M...

Aims. To analyze the pregnancy outcomes of circumvallate placenta retrospectively and to predict circumvallate placenta during pregnancy based on its clinical features. Methods. The pregnancy outcomes of 92 women with circumvallate placenta who delivered live singletons at a tertiary care center between January 2000 and September 2012 were compared with those of 9057 controls. Results. Women wi...

Cesarean hysterectomy is considered the reference standard treatment for placenta accreta. In young women who want the option of future pregnancy and agree to close follow-up monitoring, conservative treatment is a valid option. Several key points of both cesarean hysterectomy and conservative treatment remain debatable, such as timing of delivery, attempted removal of the placenta, use of temp...

A 34-year-old patient developed an area of thrombus within her placenta. This resulted in severe fetal growth restriction which physicians felt was due to contracting and recovering from the coronavirus disease (COVID-19), during pregnancy. Serial sonograms demonstrated a slowing thrombosis confirmed by pathologic examination placenta after delivery. Since COVID-19 pregnancy are both known hype...

During pregnancy, mother's well-being affects directly the newborn development. Some maternal and placental complications, such as gestational diabetes, preeclampsia (PE), preterm delivery and intrauterine growth restriction (IUGR), may contribute to fetal growth deviations or fetal development modifications. Usually the newborn weight correlates positively with placenta weight, showing the int...