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PubMed1983

[Caesarean hysterectomy or tubal coagulation following caesarean section--a comparison].

From 1973 to 1982 a total of 99 Caesarean hysterectomies and 105 Caesarean sections with subsequent tubal coagulation were performed. This represents 6.5% and 6.9%, respectively, of all Caesarean sections. After excluding the emergency cases, 86 planned Caesarean hysterectomies and 99 Caesarean sections combined with tubal coagulation remained. Statistical evaluation showed that the postoperative course was more favourable and less febrile with Caesarean hysterectomy than with tubal coagulation after Caesarean section. The somewhat greater loss of blood after hysterectomy is practically without any sequel. Hysterectomy saves the patient from subsequent uterine diseases, ascending infections, menstrual anaemias, problems of hygiene, etc. Caesarean hysterectomy appears to be the method of choice if surgical sterilisation is deemed appropriate besides performing the Caesarean section; if the patient has been informed of the operation in detail; if the patient feels no emotional ties towards the uterus; if there has been ample opportunity to think things over calmly; and if the surgeon is really skilled in performing hysterectomy.

Cesarean Section↗
PubMed1984

Interval insertion of intrauterine device in women with previous cesarean section.

The cesarean delivery rate is increasing worldwide. The effect of previous cesarean section on the performance of IUDs is considered in a group of 318 women with 1+ cesarean deliveries who were matched by center, device type, age and parity with 617 women with no history of cesarean section. All insertions were performed at least six weeks after termination of the woman's last pregnancy. No statistically significant differences in expulsion rates or other pertinent event rates were detected. Two delayed uterine perforations, one in each group, were identified. The findings are, in general, reassuring for the efficacy and safety of interval insertion of IUDs in women with previous cesarean section.

Adult↗
PubMed1994

[IUD insertion during cesarean section and its most frequent complications].

A prospective and cooperative study was done in 152 patients that were submitted to cesarean section. Seventy eight patients received intrauterine device (IUD) T CU 220 during cesarean section, and the other 74 patients only got the cesarean section without IUD. The events that were analyzed during the puerperium were pain, bleeding and infection. We didn't find any difference in the results between both groups, these were analyzed with the help of the square chi (X2). These results suggest that with an adequate selection of the patients, the insertion of the IUD during the cesarean section is a secure and helpful method for the fertility control for patients with high risk of reproduction.

Adult↗
PubMed1983

Sterilization at the time of cesarean section: tubal ligation or hysterectomy?

The operative, postoperative and subsequent course of 86 patients who underwent cesarean hysterectomy (C.H.) during the years 1970-1979 are compared to an equal number of cesarean sections with tubal ligation (C.S.L.). Both groups are similar regarding age, gravidity, parity, number of living children and indications for abdominal delivery. Operative and postpartum complications of both groups were all minor, although significantly (p less than 0.05) more frequent in the C.S.L. group. More patients of the C.H. group required blood transfusions than the C.S.L. group (p less than 0.01). The mean period of hospitalization was similar in both groups. Two pregnancies occurred after tubal sterilization, a failure rate of 1:43. During the follow-up period, 49 surgical gynecological procedures were performed in the C.S.L. group compared to 1 in the C.H. group. Ten patients of the C.S.L. group subsequently underwent abdominal hysterectomy. Hysterectomy is the procedure of choice for permanent sterilization and prevention of many subsequent gynecological problems. Consideration must be given to coexisting gynecological conditions while considering sterilization at elective C.S. and C.H. should be offered to those patients.

Adult↗
PubMed1992

Post-cesarean section puerperal morbidity. The incidence and risk factors at Srinagarind Hospital.

We found that the incidence of post-cesarean puerperal morbidity at Srinagarind Hospital, Khon Kaen University was 5.5 per cent, which is very low compared to other reports. Statistically significant risk factors for post-cesarean puerperal morbidity included having less than 4 antenatal care visits, duration of labour longer than 12 hours and absence of prophylactic antibiotics.

Adolescent↗
PubMed1988

Judgment, 11 October 1988.

The Supreme Court of France reversed a lower court ruling dismissing the suit of a woman who sought damages resulting from an unauthorized tubal ligation. The ligation had been performed without her consent following a Cesarean Section. The physician contended that, if he had sought her consent prior to the operation, it would have been unreasonable for her to refuse given the risk of a ruptured uterus if she became pregnant again. The Court held that a physician may not operate on a patient without that patient's free and informed consent except in cases of evident necessity or immediate danger. It concluded that neither of these existed here.

Cesarean Section↗