A Comparative Study of Fetal Malpresentations in Scarred and Unscarred Uteri
Journal Title: MRIMS Journal of Health Sciences - Year 2016, Vol 4, Issue 4
Abstract
Background: Malpresentations and malpositions as such are associated with increased incidence of adverse feto-maternal outcomes when compared to cephalic vertex presentations. Scarred uterus predisposes to malpresentations per se, adding accelerated morbidity and mortality to the fetus and the mother. When compared with general incidence of malpresentations, h/o caesarian section is observed to increased incidence of malpresentations leading to an added indication for caesarian section Objective: To evaluate incidence of the fetal mal presentations in Scarred and Unscarred Uteri and scarred uterus as an etiological factor for malpresentation leading to adverse feto-maternal out come Methods:- 300 cases taken up for Cesarean section with history of previous one/two Caesarean sections and 300 cases of primary caesarian sections with singleton pregnancy with 37 completed weeks of gestation are selected at random during the same period the criteria noted-Age, Parity, Scarred/Unscarred uteri, type of presentation, mode of delivery ,Intra and post operative events and fetal outcome. Results: High incidence of malpresentations, more elective surgeries, and more intra operative complications including hemorrhage and placenta previa are noted in scarred uteri. Conclusion: In this present study, previous scarred uterus is seen as an etiological factor for malpresentations worsening the prognosis of malpresentation further with added difficulty in delivery, scar extensions, intra operative hemorrhage and bladder trauma. Scarred uterus is an etiological factor for malpresentations and increased morbidity and mortality for both mother baby fetal outcomes is almost the same in both groups.
Authors and Affiliations
Sandhya Dixit, Andallu .
Keywords
Related Articles
- EP ID EP422676
- DOI -
- Views 131
- Downloads 0
Echocardiography Changes in Hypertensive Disorder of Pregnancy
Abstract: Background: Acute preeclampsia is associated with significantly higher prevalence of asymptomatic global left ventricular (LV) abnormal function and myocardial injury than uneventful pregnancy. Objective: To e...
Generic drugs for public health in India: …….. Advantage India
India has enormous distinguished advantages in the field of pharmaceuticals particularly in the production and distribution of quality generic drugs at affordable prices to the world. At home, various stakeholders like p...
Effect of Drotaverine administration on cervical dilatation in uncomplicated deliveries
Background: Prolonged labour can lead to increased maternal and neonatal mortality and morbidities. Active management of labour versus physiological, expectant management has shown to decrease the occurrence of prolonged...
A study of Bcl-2 and p-53 immunostaining expressions in colonic carcinomas
Background: Colorectal cancer burden has been steadily rising in women. It was the fourth most common cancer in 1975 and has reached the second position by 1990, with about 49% increase in the number of cases globally ov...
Prevalence of metabolic syndrome amongst people with type 2 diabetes mellitus and its impacts on the occurrence of diabetic kidney disease
Background: Prevalence of metabolic syndrome (MetS) amongst people with Type 2 diabetes mellitus (T2DM) is high. Though, diabetic kidney disease (DKD) is an increasingly important cause of morbidity and mortality worldwi...