Techniques for Assisting Difficult Delivery at Caesarean Section | ||
| Benha Journal of Applied Sciences | ||
| Article 6, Volume 7, Issue 11, November 2022, Pages 31-35 PDF (564.14 K) | ||
| Document Type: Original Research Papers | ||
| DOI: 10.21608/bjas.2022.292724 | ||
| Authors | ||
| A.A.A. Elshaarawy; N.G. ElOrabi; M.A. Mahmoud; Y.S. Idris | ||
| Obstetrics & Gynecology,Dept.,Faculty of Medicine, Benha Univ., Benha, Egypt | ||
| Abstract | ||
| Background: In order to perform a caesarean section, incisions are made in the mother's abdominal wall and uterus. C-sections are more dangerous than natural deliveries, yet they are still the norm. And because of the shorter recovery time, mothers may go home after a vaginal birth sooner. However, C-sections may save the lives of mothers who are at risk for problems and assist them escape potentially fatal circumstances during childbirth. Since the introduction and refinement of various methods, problems during childbirth have been mitigated and the rate of birth defects decreased. The purpose of this study was to evaluate the efficacy of various foetal delivery aids and the risks they pose to the woman and baby in the event of a caesarean section birth. Methods: One hundred mothers who had planned or unexpectedly difficult caesarean births were included in this prospective, observational, clinical research. Patients were chosen from the Benha University Hospitals Obstetrics and Gynecology Inpatient Clinic between April 2021 and September 2021. There were two categories of women: Fifty women in Group I had a breech baby removed from the back. Fifty ladies in Group 2 had their heads pushed on. In terms of intra-operative results, the percentages of group II (50%) and group I (20%) were substantially greater than those of group I (0%). Group II had double the rate of intraoperative blood transfusion as Group I (60% vs. 20%). As expected, the average blood loss in group II (1062 ml) was much larger than in group I (501 ml) (982 ml). Additionally, the mean operating time in group II was 61 minutes, which was almost twice as long as group I's 27 minutes (52 minutes). When comparing the bladder damage rates between the two groups, there was no discernible difference. When comparing groups I and II based on postoperative outcomes, group II had a considerably longer median hospital stay (3 days vs. 2). (2 days). No differences were seen between the groups in terms of postpartum bleeding, need for a blood transfusion, or wound infection. The variation in Apgar scores at 1 minute was substantially larger in group I (6-9) than in group II (0-5). (5 – 8). Group I also had a far wider range of Apgar scores at 5 minutes (6-9 vs. 0-5) than Group II did (4 – 9). Regarding admittance to a neonatal intensive care unit, there was no discernible difference between the two groups. When it comes to extracting a severely impacted baby head during intrapartum caesarean delivery, the reverse breech approach is linked with less maternal morbidity than the head pushing method. Since the reverse breech surgery has been shown to have positive outcomes for both the mother and the baby, it is recommended for usage during late-stage pregnancies when the fetus's head is profoundly affected after a caesarean section. | ||
| Keywords | ||
| Techniques; different assistive methods; Difficult Delivery; Caesarean Section | ||
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