Intrauterine Device Insertion during Cesarean Section in Women without Prenatal Contraception Counseling: Lessons from a Country with High Cesarean Rates

Conclusion Two thirds of the women who continued with IUD at 6 months had undergone 2 ormore cesarean sections. Since offering trial of labor is unusual after 2 or more previous cesareans, we believe that offering IUD after admission for delivery may reduce the risk of repeated cesarean sections and its inherent risks.Resumo Objetivo O momento da admiss ão para o parto pode ser considerado inapropriado para oferecer o dispositivo intrauterino (DIU) para mulheres sem aconselhamento contraceptivo pré-natal. Entretanto, em países com elevadas taxas de cesáreas e aconselhamento contraceptivo deficiente, essa estratégia pode reduzir o risco de gest ações não programadas e cesáreas repetidas. Métodos Estudo de coorte envolvendo 100 mulheres sem aconselhamento contraceptivo pré-natal. A inserção de DIU pós-dequitação foi oferecida após a admissão para o parto e indicação de cesárea. As taxas de continuidade com o DIU, perfuraç ão uterina e endometrite foram avaliadas após 6 semanas e 6 meses, e a proporção de mulheres que continuaram com o DIU após 6 meses foi analisada em relação ao número de cesáreas prévias. Resultados Noventa e sete mulheres completaram o seguimento. A taxa de permanência do DIU foi de 91 % em 6 semanas e 83,5% em 6 meses. A taxa de exp...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research

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Condition:   C Section Intervention:   Sponsors:   University College Cork;   Dupont Applied Biosciences Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
OBJECTIVE: To perform a descriptive analysis of preterm premature rupture of membranes (PPROM) cases attended in a tertiary hospital. METHOD: Retrospective analysis of medical records and laboratory tests of patients admitted to a Brazilian tertiary hospital between 2006 and 2011, with a confirmed diagnosis of PPROM and gestational age (GA) at delivery
Source: Clinics - Category: General Medicine Source Type: research
MONDAY, Oct. 21, 2019 -- Opioids are commonly not needed but are overprescribed at discharge among women who undergo cesarean deliveries (CDs), and provider education and new order sets can reduce use of oxycodone for post-CD pain management,...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news
ConclusionsThe low ‐dosage induction protocol was associated with favorable obstetric outcomes in terms of increased probability of vaginal delivery, but with higher risk of vacuum extraction. Protracted inductions and additional nonmedical interventions were reduced. There were no cases of uterine rupture. Statisti cally nonsignificant, the risk of uterine hyperstimulation was increased whereas the risk of meconium‐stained liquor and of cesarean section was slightly decreased.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
The relative impact of age, pregnancy and vaginal delivery on symptomatic pelvic organ prolapse is still an unresolved issue that involves the controversial question about the protective effect of cesarean section.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Original Research: Gynecology Source Type: research
Publication date: Available online 17 October 2019Source: Case Reports in Women's HealthAuthor(s): S.D. Halassy, J. Eastwood, J. PrezzatoAbstractWhen advising a pregnant patient who has previously had a cesarean section about the risks of trial of labor, it is important to explain the risk of uterine rupture. Subjective symptoms of abdominal pain or objective findings of non-reassuring fetal status and loss of fetal station are often indicative of this disease process, which most commonly is caused by a defect on the uterus from the cesarean delivery. Any uterine surgical intervention (myomectomy, for example) is the leadi...
Source: Case Reports in Womens Health - Category: OBGYN Source Type: research
Publication date: Available online 17 October 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Marija S. Kutlesic, Gordana Kocic, Ranko M. KutlesicAbstractBackground and objectiveRemifentanil is used to attenuate maternal hemodynamic response to intubation and surgical stress during Induction-Delivery period of cesarean section. The goal was to compare the effects of two remifentanil dosing regimens on oxidative stress level, in correlation with its hemodynamic and neonatal effects.MethodsFifty-one patients, 17 per group, enrolled for elective cesarean section were randomly divided by computer-ge...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
Evidence for the relationship between maternal and perinatal factors and the success of vaginal birth after cesarean section (VBAC) is conflicting. We aimed to systematically analyze published data on maternal...
Source: BMC Pregnancy and Childbirth - Category: OBGYN Authors: Tags: Research article Source Type: research
Publication date: September 2019Source: Chinese Medical Sciences Journal, Volume 34, Issue 3Author(s): Yingya Li, Liyan Duan, Fengli Chi, Kunming LiAbstractHere we report a case of heterotopic cornual pregnancy after in vitro fertilization who was diagnosed at 6 weeks after frozen embryos transfer. The heterotopic pregnancy was successfully terminated by transvaginal ultrasound-guided selective fetal reduction. At 38+1 weeks, she underwent a cesarean section and delivered a healthy 3300 g male infant with Apgar score of 10-10' evaluated at 1 min and 5 min.
Source: Chinese Medical Sciences Journal - Category: General Medicine Source Type: research
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Source: Journal of Maternal-Fetal and Neonatal Medicine - Category: Perinatology & Neonatology Authors: Source Type: research
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