Cesarean Section

This Randomized Controlled Trial sought to determine whether mothers who underwent Cesarean delivery had better postoperative outcomes when subjected to the Enhanced Recovery After Surgery (ERAS) protocol compared to mothers who also underwent Cesarean section as a mode of delivery but were under the Standard operative protocol. The research concentrated on evaluating the postoperative outcomes of the patients in the study through the following factors: length of hospitalization, efficiency and cost-effectiveness of hospital expenses, early resumption of diet and early ambulation, breastfeeding initiation and continuation. A total of 72 subjects were included in the study. Two were not included due to conversion to general anesthesia. Thirty two (44.4%) were randomized to the ERAS protocol while 40 (55.6%) patients were randomized to Standard postoperative procedure. Demographic characteristics were recorded and comparable between the two groups. Mothers randomized to the ERAS protocol had significantly shorter length of stay compared to mothers in the standard operative procedure with a mean of 53.01 hours (2.21 days) and 78.86 hours (3.29 days) respectively. Mothers randomized to the ERAS protocol spent significantly lower hospitalization cost compared to mothers in the standard operative procedure. There was no significant difference noted in the proportion of mothers with fever between the two groups (p=0.25). Mothers randomized to the ERAS protocol had significantly lower post-operative pain compared to mothers in the standard operative procedure. The time from end of OR until general liquids was also significantly shorter among mothers randomized to the ERAS protocol compared to mothers in the standard operative procedure. Similarly, the time from end of OR to flatus and bowel movement was also significantly shorter among mothers randomized to the ERAS protocol compared to mothers in the standard operative procedure. The time from end of OR to removal of foley catheter and time to void after foley catheter removal was also significantly shorter among mothers randomized to the ERAS protocol compared to mothers in the standard operative procedure. Finally, there was a significant difference noted in the length of time from end of OR to breastfeeding as proven by all p value of 0.02. Mothers randomized to the ERAS protocol had significantly shorter length of time from end of OR to breastfeeding compared to mothers in the standard operative procedure with a mean of 30.67 hours and 43.09 hours respectively. Ultimately, the study concentrated on Emergency or Elective Cesarean deliveries of Low risk patients as well as patients with controlled gestational or overt diabetes mellitus, thyroid disorders in euthyroid state, and hypertensive disorders not complicated with eclampsia. This study did not seek to generalize the benefit of ERAS protocol on all Cesarean deliveries. ERAS protocol showed better postoperative outcomes compared to the Standard operative protocol in terms of shorter length of hospital confinement, lower cost of hospitalization, no occurrence of post-operative infections and complications, shorter length of time from operation to diet progression tolerance, passage of flatus, bowel movement, shorter length of time from end of OR to removal of foley catheter and time to void and finally shorter time from operation to initiation of breastfeeding and continuation.
Cesarean Section

No abstract available.
Cesarean Section* ; Female ; Pregnancy

The study included 71 pregnant women underwent cesarean section in the National Hospital of Gynecology and Obstetrics between January and May 2004. Results: average duration of a cesarean section is 31 minutes and 1 second, the mean time of transversal laparotomy is 28 minutes and 15 seconds. In cases of transversall incision, the duration is 37 minutes and 9 seconds. The mean time required for newborn extraction is 5 minutes and 10 seconds. In cases of transversal incision, this duration is 4 minutes and 36 seconds. If the incision was made in white line below navel, the duration is 6 minutes and 29 seconds
Cesarean Section ; Pregnant Women

Study on 88 cases of cesarean section at Obstetric Department, Bach Mai Hospital between January and October, 1992. There was no complication in procedures of single-layer uterine suture using catgut thread made in Vietnam. This procedure has more advantages than 2-layer uterine suture, including such shorten operation time, better preservation of the lower uterine
Cesarean Section ; Sutures

Randomized study of 251 patients experienced cesarean section in Institute of Protection of Mother and Newborn in October 1995. Result: 79.9% cases of cesarean section had unruptured amnia or had ruptured amnia less than 6 hours, only 1.6% of cases had ruptured amnia over 24hours. 35 cases of cesarean had old cesarean scar (13.9%). Among 151 cases of cesarean, 19 cases (7.6%) were infection. The most common infection was postoperative fever and the least common was abdominal infection. 95% of patients were treated by 2 types of antibiotic combination after operative
Cesarean Section ; Infection

A study was conducted in 251 cases with cesarean section at Institute of Protection of Mother and Newborn during October 1995. 79.7% of cases with cesarean section non-amniorrhexis or amniorrhexis less than 6 hours, only 1.6% cases amniorrhexis over 24 hours. 20% of cases who underwent cesarean section using lower segment transverse incision. All cases were treated by intravenous antibiotics in 7 days, twice a day. The infection’s rate was 7.6%. The most common infections were postoperative fever, and the wound’s infection was the least common. There was no severe infections such as peritonitis, septicemia
Cesarean Section ; Infection

Retrospective study on 247 cases of Caesarean section among 3531 deliveries at the Obstetric Department, Bach Mai hospital from January to October 1992 showed that the ratio of Caesarean section is 7% in total deliveries; the rate of women who have the first child born by Caesarean section is 55.5%. The maternal death rate is 0%, but the rate of postoperative complications is 1.6%, including severe complications such as total peritonitis, postoperative bleeding, compress omit, septicemia, and maternal death
Cesarean Section ; Retrospective Studies

A study on 53 patients, average age 27.2 ± 5.6, underwent cesarean section using Hinh-Minh’s incision between 6/2000 and 12/2001 in National Hospital for Obstetrics and Gynecology showed that Hinh-Minh technique overcame the unaesthetic of Joel Cohen incision and time consuming of Pfannenstiel incision, with time of abdominal open is very quick, average time is 1 minute 45 second, average time of child delivery is 2 minutes 39 seconds and time of abdominal closure is 4 minutes 53 second. Total operation time using this technique is 21 minutes. In this study, besides 3 cases had fever some days after operation, there was no significant complication
Cesarean section ; Surgery

60 subjects aged 21-42 with an indication of caesarean section underwent spinal aneasthesia by 10mg Marcaine 0.5%. Patients were met ASAII criterion. Among them 8.2% had got mild blood hypertention. Subarachnoid anaesthesia gave high efficacy because its prompty effect and prolonged anaesthesia, the patients were vigilant without complication owing to aspiration of gastric succus. Subarachnoid anaesthesia did not suppress the respiration and the central nervous system. The post operative monitoring was more simply, possibly to prevent anaesthesic complications for the mother and especially for the infant.
Anesthesia ; Bupivacaine ; Cesarean Section