Decrease Seen in Epidural-Related Complications for C-Sections
Rates for problems linked to certain types of anesthesia down 25 percent over decade, study finds Source: HealthDay Related MedlinePlus Pages: Anesthesia, Cesarean Section, Childbirth
We present a 31 year-old patient who underwent an emergency cesarean section. She lost consciousness and had apnea that started 10 minutes after successful spinal anesthesia and repeated three times for a total of 25 minutes, despite the stable hemodynamics of the patient. The case was considered a subdural block, and the patient was provided with respiratory support. The subdural block is expected to start slowly (approximately 15-20minutes), but in this case, after about 10 minutes of receiving anesthesia, the patient suddenly had a loss of consciousness. After the recovery of conscious...
Abstract Epidural anesthesia, often used during cesarean surgery, can exacerbate hypotension from general anesthesia and delay discharge due to motor block. Decreasing the local anesthetic dose might reduce those complications. Cases of dogs undergoing cesarean section that were anesthetized without epidural (n = 29) (control) and dogs with low-dose epidural bupivacaine with fentanyl or buprenorphine (n = 37) were reviewed. The incidence of hypotension was equal between groups. Intraoperative opioids were administered more to control (93%) than to treated dogs (18%; P
This study aimed to compare the long-term reproductive and obstetric outcomes in women treated for FOC during their first pregnancy with women who did not experience FOC with their first pregnancy.
In this study, the investigators aimed to examine the effects and benefits of 50% maternal oxygen concentration on fetal oxygenation, oxidant stress, and total antioxidant status (TAS).
This study aimed to compare ACTG with IA in terms of cesarean section, obstetric intervention, and neonatal morbidity in a low-risk population of healthy pregnant women presenting for possible labor onset, before confirmation of labor.
This study documented the outcomes of pregnancies, both low-risk and high-risk, with a breech presentation who were referred for ECV.
(Int J Obstet Anesth. 2019;37:16–28) Hypotension is a common adverse effect of spinal anesthesia for cesarean section. In this setting, phenylephrine is the preferred vasopressor for the treatment of spinal-induced hypotension because it has been associated with a lower rate of fetal acidosis compared with ephedrine. However, this conclusion was based on studies performed in low-risk healthy parturients. Some studies in high-risk parturients undergoing spinal anesthesia for cesarean section, have since been performed. They have not found a difference in umbilical artery pH when ephedrine as compared with phenylephri...
This study was performed to compare analgesic outcomes after cesarean section. At a hospital in Southwestern Uganda where this study was undertaken, most of the basic postoperative nursing care after cesarean section is provided by family or friends of the patient. The current study was performed to compare outcomes when intrathecal morphine or transversus abdominis plane (TAP) block was used to provide postcesarean pain control in a resource-limited setting.
(BJOG. 2019;126(3):370–381) Complete uterine rupture is a rare delivery complication, and is connected with emergency interventions during delivery as well as potentially detrimental outcomes for both mother and child. There is an increasing occurrence of complete uterine rupture, and this trend can be attributed to an increase in trial of labor after cesarean section (TOLAC). TOLAC generally has been accepted as a clinically safe method to reduce the rate of cesarean sections (CSs) and reduce maternal morbidity associated with multiple CSs; however, care providers may be reluctant to offer TOLAC to their patients b...
This study was undertaken to ascertain blood transfusion and PPH rates related to chosen delivery method (VBAC or ERCS) for women with a prior cesarean delivery, as well as to determine the effect of the number of prior cesarean deliveries on transfusion rates.