ABSTRACT
Objective: Present study was conducted to evaluateeffectiveness of lumbar epidural and spinal anaesthesia inelective caesarean section.Methods: This experimental study is conducted at tertiarymedical college hospital, Gopalgong. Written informed consentfrom 100 patients were obtained for this experimental study.Purposive sampling technique was used.Results: During the study, where in group-A 52.02% womenwere in their first pregnancy followed by 28.28% were 2ndpregnancy, 19.7% were multi gravid women. where in group-A,35% had hypotension where as in group-B it was 11%. groupA, 30% patients were Highly satisfied where as in group-B itwas 65%. The patients selected for the study was divided intotwo groups: Group – I (Spinal): 50 Patients selected, Group – II(Epidural): 50 patients selected.Conclusion: From our result and study we can conclude that,continuous epidural technique which allowed mother earlybreastfeeding and ambulation. Further studies are needed forbetter outcome.
ABSTRACT
[Objective] To investigate the safety and associated factor of external cephalic version (ECV) in third trimester,and to enrich clinical experience to improve the successful rate and lower cesarean section (CS) rate.[Methods] 80 pregnant women conducting ECV in third trimester in the third affiliated hospital of Sun Yat-sen University from September 2015 to July 2017 were enrolled in our study.Divided to successful group and failing group,we compared the clinical characters and pregnancy outcomes.[Results] Of the 80 pregnancy,48 women (60.0％) succeed with cephalic presentation.Compared to the failing group,the successful group is statistically different in parity,BMI and amniotic fluid depth.In the failing group,all women underwent CS with 3/48 in successful group.No women conducted ECV complicated fetal distress and emergency CS,premature rupture of membranes complicated in 11 (13.8％) cases in all women.[Conclusions] ECV is safe for mother and fetus.Encouraging the suitable pregnancy women to conduct ECV and enhancing clinical skills can improve ECV success rate.