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1.
JPMI-Journal of Postgraduate Medical Institute. 2015; 29 (4): 294-296
em Inglês | IMEMR | ID: emr-179790

RESUMO

Objective: to evaluate decision to delivery interval in emergency caesarean sections performed in tertiary care hospital and to evaluate the factors causing delay


Methodology: this cross sectional observational study was conducted in Department of Obstetrics and Gynaecology, B unit, Lady Reading Hospital from 1[st] march 2014 till 31[st] august 2014. All emergency caesarean section category A [requiring delivery within 30 min from decision to delivery] were included and time taken from decision to delivery was noted, in cases where there was delay, the reason was highlighted. Elective caesarean sections and those not requiring urgent caesarean sections were excluded from study. Descriptive statistics were used to analyze the data and results were expressed in percentages


Results: total 102 patients were enrolled in this study, in 35.96% [n=41] there was no delay, in 21.05% [n=24] delay was due to non availability of operating table [it was already occupied], delay in arrangement of medicine led to delay in 13.15% [n=15] patients, non-availability of basic investigation [blood group, HBS/HCV] were responsible for delay in 10.52% [n=12] of cases, cross matched blood arrangement was delaying factor in 7% [n=8] of patients, in 1.75% [n=2] of patients delaying in shifting was found .Regarding indications for caesarian section, the commonest indication was fetal distress [n=25, 24.5%] followed by obstructed labour [n=21, 20.5%]


Conclusion: caesarean section within 30 minutes is possible, ensuring medicine availability and increasing the number of operating tables available for surgery will lead to drastic improvement in achieving our goal

2.
JPMI-Journal of Postgraduate Medical Institute. 2013; 27 (3): 322-325
em Inglês | IMEMR | ID: emr-127231

RESUMO

To determine the frequency of placental infarcts and its effect on fetal outcome in hypertensive primigravida mothers. This study was conducted at Obstetrics and Gynecology Department, Lady Reading Hospital Peshawar from 1[st] January 2011 to 30[th] September 2011. The sample size was 130 primigravida mothers. This study was cross sectional in which non probability consecutive sampling technique was adopted. The data was collected on predesigned proforma and was analyzed using SPSS version 17. This study included 130 primigravida mothers in age range from 19-35 years with mean age of 27.27+4.04 years. Placental infarcts were seen in 31% [n=40] patients. Sixty percent [n=24] patients had focal placental infarcts while 40% [n=16] had multifocal placental infarcts. Among fetuses whose placenta showed no infarction, 90% fetuses were live born and 10% were still-born while those fetuses whose placenta showed infarction 70% fetuses were alive and 30% fetuses were still-born. The incidence of adverse perinatal outcomes including intrauterine growth restriction and still birth is higher in hypertensive primigravida mothers with placental infarcts than in hypertensive primigravida mothers with no infarcts


Assuntos
Humanos , Feminino , Gravidez , Complicações na Gravidez , Morbidade , Mortalidade , Mortalidade Fetal , Doenças Placentárias/sangue , Infarto , Placenta/irrigação sanguínea , Pré-Eclâmpsia
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