Document Detail


Destructive operations in modern obstetrics.
MedLine Citation:
PMID:  15991012     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This is a retrospective study carried out over a period of 7 years at a tertiary care hospital to evaluate the indications, types and complications of destructive operations. During this period, 51 destructive operations were performed on women with obstructed labor and intrauterine fetal death. The most common operation performed was craniotomy (68.62%) followed by decapitation (19.60%), evisceration (7.84%) and cleidotomy (3.92%). The most common indication was cephalopelvic disproportion (31.25%). Out of 53 babies delivered (one triplet delivery), two were grossly malformed and 49.05% babies had birth weight between 3.0 kg and 4.0 kg and 9.43% were macrosomic. A total of 45.09% women had complications like atonic PPH, vaginal and perineal tears, puerperal sepsis and urinary tract infection. However, there was no maternal death. It is felt that for the women who belong to poor socio-economic status and have poor compliance and who present late in labor with features of obstruction, intrauterine sepsis and fetal death, destructive operation is still a good option.
Authors:
Savita Rani Singhal; Pooja Chaudhry; Krishna Sangwan; Suresh Kumar Singhal
Publication Detail:
Type:  Journal Article     Date:  2005-07-01
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  273     ISSN:  0932-0067     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-19     Completed Date:  2006-09-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  107-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Pt. B.D. Sharma PGIMS, 21/9J, Medical Enclave, Rohtak, 124001, Haryana, India. savita06@sify.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Delivery, Obstetric / methods*
Developing Countries
Female
Fetal Death / surgery*
Humans
India / epidemiology
Obstetric Labor Complications / epidemiology,  surgery*
Pregnancy
Pregnancy Outcome
Retrospective Studies
Trial of Labor

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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