Associated factors of blood transfusion for Caesarean sections in pure placenta praevia pregnancies

INTRODUCTION@#This study aimed to evaluate associated factors of blood transfusion for Caesarean sections in pure placenta praevia pregnancies.@*METHODS@#A case-control study was conducted among 405 pregnant women with placenta praevia who underwent Caesarean delivery between August 2004 and December 2013. 135 of the women received blood transfusions. Another 270 women who did not receive any blood transfusion were randomly selected and served as controls. Maternal demographic data, reproductive history, antepartum profiles and obstetric outcomes were compared between the two groups.@*RESULTS@#Women in the case group were significantly more likely to be multiparous, deliver at a gestational age of less than 37 weeks, have a prior Caesarean delivery, experience preoperative bleeding and anaemia, and have major and anterior placenta praevia (p < 0.05). Multivariate analysis demonstrated that significant, independently associated factors of blood transfusion were: previous Caesarean section (adjusted odds ratio [OR] 2.30, 95% confidence interval [CI] 1.36-3.90), anterior placenta praevia (adjusted OR 2.30, 95% CI 1.15-4.60), major placenta praevia (adjusted OR 2.39, 95% CI 1.34-4.22), preoperative bleeding of more than 250 mL (adjusted OR 6.11, 95% CI 2.35-15.90), preoperative anaemia (adjusted OR 2.31, 95% CI 1.34-4.00) and emergency Caesarean section (adjusted OR 2.14, 95% CI 1.08-4.22).@*CONCLUSION@#Previous Caesarean section, anterior placentation, major placenta praevia, preoperative bleeding of more than 250 mL, preoperative anaemia and emergency Caesarean section were independent factors that increased the risk of blood transfusion for Caesarean section in pure placenta praevia pregnancies.

Prevalence and Management of Functional Gastrointestinal Disorders in Infants: An Asian Perspective / 대한소아소화기영양학회지

No abstract available.

Recurrence Patterns of Cervical Cancer After Radical Hysterectomy and Pelvic lymphadenectomy at Srinagarind Hospital

Recurrent patterns after radical hysterectomy and pelvic lymphadenectomy fo rcervical cancer stage I and II A were analysed. The data collected from 1976 upto June 30 , 1988 , with the total 218 cases operated. The incidence of recurrence in this series was 9.10% ., 8.40%for stage I B, 19.40% for stage II A and no patient with stage I A recurred. There were 45% with central pelvic recurrences, 15% with pelvic sidewall recurrences , 15% with intraabdominl recurrences and 25% with distant recurrences. The recurrent rate in squamous cell carcinoma was 9.09% and adenocarcinoma 16.13% Those who had positive lymph nodes recurred in 15.20% and those who had negative nodes recurred in 8.10 % The treatment after recurrence will be presented.

Epidemiology of ovarian cancer in Thailand : Pilot study from Khon Kaen Population –based cancer registry +

The study was carried out to determine the accurate incidence and magnitude of problems of ovarian cancer in khon Kaen province and also to act as a pilot study for the feaxsibility of conducting the population-based registry of all ovarian cancer cases in Thailand. Under the method of population – based cancer registry , every case of ovarian cancer diagnosed from every health service center in KhonKaen province during the period from January 1,1985 to December 31 , 1987 was collected by the cancer unit , Faculty of Medicine , Khonkaed University both in passive and active methods After carefull check by unit’s staffs and computerized system , the cases were record in computer for further study. There were totally 72 new cases of ovarian cancer collected in this three-year period. The crude incidence rates varied from 3.06 to 3.37 per 100,000 poputation per year while the agestandardized incidence rates compared to standard world population varied from 4.15 to 4.55 per 100,000 population per year. The death cases of this disease in the same period of time were totally 20 with the crude mortality rates varied from 0.64 to  1.30 per 100,000 population per year while the age-standardized mortality rates varied from 0.81 to 1.94 per 100,000 population per year. The result of this study reveals the more reliable statistics about incidence and mortality rates of ovarian cancer than it has previously been reported. It showed the rather low incidence when compared with other countries in the world and still not the major cause of death in KhonKaen female population.