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Techniques for Assisting Difficult Delivery at Caesarean Section

Article

Last updated: 05 Jan 2025

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-

Tags

Medical and Health Science.

Abstract

Background: In order to perform a caesarean section, incisions are made in the mother's abdominal wall and uterus.  C-sections are more dangerous than natural deliveries, yet they are still the norm. And because of the shorter recovery time, mothers may go home after a vaginal birth sooner. However, C-sections may save the lives of mothers who are at risk for problems and assist them escape potentially fatal circumstances during childbirth. Since the introduction and refinement of various methods, problems during childbirth have been mitigated and the rate of birth defects decreased. The purpose of this study was to evaluate the efficacy of various foetal delivery aids and the risks they pose to the woman and baby in the event of a caesarean section birth. Methods: One hundred mothers who had planned or unexpectedly difficult caesarean births were included in this prospective, observational, clinical research. Patients were chosen from the Benha University Hospitals Obstetrics and Gynecology Inpatient Clinic between April 2021 and September 2021. There were two categories of women: Fifty women in Group I had a breech baby removed from the back. Fifty ladies in Group 2 had their heads pushed on. In terms of intra-operative results, the percentages of group II (50%) and group I (20%) were substantially greater than those of group I (0%). Group II had double the rate of intraoperative blood transfusion as Group I (60% vs. 20%). As expected, the average blood loss in group II (1062 ml) was much larger than in group I (501 ml) (982 ml). Additionally, the mean operating time in group II was 61 minutes, which was almost twice as long as group I's 27 minutes (52 minutes). When comparing the bladder damage rates between the two groups, there was no discernible difference. When comparing groups I and II based on postoperative outcomes, group II had a considerably longer median hospital stay (3 days vs. 2). (2 days). No differences were seen between the groups in terms of postpartum bleeding, need for a blood transfusion, or wound infection. The variation in Apgar scores at 1 minute was substantially larger in group I (6-9) than in group II (0-5). (5 – 8). Group I also had a far wider range of Apgar scores at 5 minutes (6-9 vs. 0-5) than Group II did (4 – 9). Regarding admittance to a neonatal intensive care unit, there was no discernible difference between the two groups. When it comes to extracting a severely impacted baby head during intrapartum caesarean delivery, the reverse breech approach is linked with less maternal morbidity than the head pushing method. Since the reverse breech surgery has been shown to have positive outcomes for both the mother and the baby, it is recommended for usage during late-stage pregnancies when the fetus's head is profoundly affected after a caesarean section.

DOI

10.21608/bjas.2022.292724

Keywords

techniques, different assistive methods, Difficult Delivery, Caesarean section

Authors

First Name

A.A.A.

Last Name

Elshaarawy

MiddleName

-

Affiliation

Obstetrics & Gynecology,Dept.,Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

-

Orcid

-

First Name

N.G.

Last Name

ElOrabi

MiddleName

-

Affiliation

Obstetrics & Gynecology,Dept.,Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

M.A.

Last Name

Mahmoud

MiddleName

-

Affiliation

Obstetrics & Gynecology,Dept.,Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

Y.S.

Last Name

Idris

MiddleName

-

Affiliation

Obstetrics & Gynecology,Dept.,Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

Volume

7

Article Issue

11

Related Issue

38470

Issue Date

2022-11-01

Receive Date

2022-03-29

Publish Date

2022-11-01

Page Start

31

Page End

35

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_292724.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=292724

Order

6

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Techniques for Assisting Difficult Delivery at Caesarean Section

Details

Type

Article

Created At

28 Dec 2024