Women Undergoing Cesarean Section Research Articles

Evaluation of Bupivacaine Local Infiltration Effect with or Without Dexamethasone On Severity of Acute Pain in Women Undergoing Cesarean Section

Evaluation of Bupivacaine Local Infiltration Effect with or Without Dexamethasone On Severity of Acute Pain in Women Undergoing Cesarean Section

The Impact of Educational Sessions on Anxiety Levels among Women Undergoing Caesarean Section: A Quasi-Experimental Study.

Although the Caesarean section (CS) is considered a harmless surgery, it has various complications. Women scheduled for elective CSs often have high levels of anxiety due to a lack of knowledge. The aim of this quantitative quasi-experimental study was to determine the relationship between preoperative educational sessions and anxiety levels among women undergoing CSs. The study was conducted at the antenatal unit in the King Faisal Medical Complex (KFMC) in Taif, Saudi Arabia, using a structured interview questionnaire, the State-Trait Anxiety Inventory (STAI), and satisfaction interviews. A total of 50 pregnant women participated in this study, who were divided into two groups: 25 participants in the intervention group and 25 in the control group. Most participants (92%) in the intervention group had low anxiety levels following educational sessions, and 96% of the participants were very satisfied with the preoperative information they had been given. Women in the control group (again, 92%) had high anxiety levels, and there was a significant difference in the anxiety levels of the intervention and control groups (p ≤ 0.5) after the educational sessions. Providing proper preoperative education about CSs can reduce preoperative anxiety, improve patient outcomes, and enhance patients' involvement in their care and decision-making.

A Comparative Study of Early Versus Delayed Postoperative Oral Feeding in Women Undergoing Cesarean Section under Regional Anaesthesia

A Comparative Study of Early Versus Delayed Postoperative Oral Feeding in Women Undergoing Cesarean Section under Regional Anaesthesia

Determination of Foetal Scalp Blood Sampling pH as an Indicator of Loss of Foetal Well-Being in Women Undergoing Caesarean Section

Asphyxia during birth is one of the three leading causes of neonatal morbidity and mortality among newborns carried to term. The objective of this study was to evaluate the measurement of the foetal scalp blood pH as a measure of foetal status, evaluating: cord gases, meconium-stained fluid, APGAR score or the need for neonatal resuscitation in pregnant women undergoing caesarean sections. A cross-sectional study was carried out over a period of 5 years (2017-2021) at the Hospital de Poniente (southern Spain). A total of 127 pregnant women participated from whom a foetal scalp blood pH sample was taken and used to indicate the need for an urgent caesarean section. The results showed a correlation between the pH of the scalp blood and the pH of the umbilical cord artery, umbilical cord vein (Rho of Spearman arterial pH: 0.64, p < 0.001; Rho of Spearman venous pH: 0.58, p < 0.001) and the APGAR test one minute after delivery (Spearman's Rho coefficient of 0.33, p < 0.01). These results suggest that the foetal scalp pH should not be considered a foolproof method to indicate an urgent caesarean section. Foetal scalp pH sampling can be used as a complementary test, in conjunction with cardiotocography, to indicate whether an emergency caesarean section is necessary due to loss of foetal well-being.

Ultrasound Guided TAP Block Efficacy Compared to Patient-Controlled Analgesia in Women Undergoing Caesarean Section

Ultrasound Guided TAP Block Efficacy Compared to Patient-Controlled Analgesia in Women Undergoing Caesarean Section

Assess the Problems Faced by Women Undergoing Cesarean Section During Breastfeeding in Selected Hospitals to Develop Self-guidance Modules

Assess the Problems Faced by Women Undergoing Cesarean Section During Breastfeeding in Selected Hospitals to Develop Self-guidance Modules

Psychosocial Factors of Post-operative Pain Intensity in Women Undergoing Cesarean Section

Background: Little evidence has noted that psychological factors are risk factors of post-operative pain intensity in women undergoing cesarean section. Objectives: The aim of study was to determine predictive psychosocial factors for post-cesarean pain intensity using assessment of depression, anxiety, self-efficacy, and quality of relationship. Methods: This prospective descriptive-analytic study was carried out on 150 healthy women scheduled for cesarean section under spinal anesthesia. The day before the surgery, the patients completed three questionnaires including Hospital Anxiety and Depression Scale (HADS), and General Self-efficacy. Also, 24 hours after the surgery, the intensity of pain in the patients was assessed with filling McGill Pain Questionnaire (MPQ). Linear regression was used to predict the factors of pain intensity. Results: The anxiety was a positive predictor of pain intensity of women after C-section (β = 0. 0.22, P = 0.014). However, depression score, and self-efficacy were not predicting factors of pain intensity of women after C-section. Conclusions: Preoperative anxiety increases post-operative pain intensity in women undergoing cesarean section.

Transcranial Electrical Stimulation for Relief of Peripartum Mental Health Disorders in Women Undergoing Cesarean Section With Combined Spinal-Epidural Anesthesia: A Pilot Randomized Clinical Trial.

ObjectiveThis study aimed to explore transcranial electrical stimulation (tES) to relieve peripartum anxiety and depressive symptoms in women undergoing cesarean section with combined spinal–epidural anesthesia.MethodsThis double-blind, randomized, sham-controlled trial was conducted in the Affiliated Hospital of Xuzhou Medical University from March 2021 and May 2021. One hundred and forty-eight full-term parturients giving birth by elective cesarean section were selected, and 126 were included in the intent-to-treat analysis. Parturients were provided standardized anesthesia and randomized to the active-tES (a-tES) group and sham-tES group. Parturients and outcome assessors were blinded to treatment allocation. The primary outcome was the changes in peripartum mental health disorders, including anxiety, assessed by the Pregnancy-Related Anxiety Questionnaire-Revised 2 (PRAQ-R2). Secondary outcomes included peripartum depressive symptoms, assessed by the Edinburgh Postnatal Depression Scale (EPDS), maternal satisfaction, fatigue level, sleep quality index, and pain score during and after operation. Data were collected before entering the operating room (T0), between post-anesthesia and pre-surgery (T1), before leaving the operating room (T2), and at 24 h post-surgery (T3).ResultsOne hundred and twenty-six eligible parturients were enrolled in the two groups: a-tES group (N = 62) and sham-tES group (N = 64). Treatment with tES resulted in significantly lower scores of anxiety compared with sham-tES (T2: P < 0.001; T3: P = 0.001). Moreover, the a-tES groups showed a significant reduction in depression scores (T2: P = 0.003; T3: P = 0.032).ConclusionIn this randomized pilot study, tES treatment is efficacious in alleviating peripartum anxiety and depressive symptoms in women undergoing cesarean section and has been demonstrated to be a novel strategy for improving peripartum mental health disorders.Clinical Trial Registration[www.chictr.org.cn], identifier [ChiCTR2000040963].

Impact of Enhanced Recovery Pathway Application Outcomes on Nurses and Women Undergoing Cesarean Section

Enhanced recovery after surgery is a standardized, multidisciplinary approach for caring patients with a goal of decreasing length of hospital stay and care without negatively affecting patient outcomes. Aim: to investigate the impact of enhanced recovery pathway application outcomes on nurses and women undergoing cesarean section. Design: A quasi experimental (pre-posttest for maternity nurses and study/control groups for women undergoing cesarean section) design was utilized in this study. Settings: This study was conducted at the obstetrics departments affiliated to University Hospital and Shebin El-Kom teaching hospital, Menoufia Governorate, Egypt. Sample: A convenient sample of 50 maternity nurses worked in the previous settings and a purposive sample of 250 cesarean delivery women were recruited in this study. Instruments: for collecting data; a structured interviewing questionnaire, knowledge assessment & an observational checklist for the nurses, knowledge assessment instrument, an observational checklist and numeric pain intensity scale for the mothers were used. Results: There was an increase in total knowledge and practice scores of the maternity nurses regarding the enhanced recovery pathway application. Also, its application following CS had an effect on relieving the women’s postoperative problems especially pain than those who received the routine hospitals nursing care only.Conclusion: application of enhanced recovery pathway significantly reduces the postoperative complications especially pain, length of hospital stay, and improves the maternity nurses' knowledge and practice scores post caesarean . Recommendation: Enhanced recovery pathway should be applied during cesarean section operations to improve the patients' outcomes and reduce the postoperative complications

Investigation the Effects of Phenylephrine on Oxytocin-Induced Hemodynamic Changes in Women Undergoing Cesarean Section

Pregnancy is considered as one of the most important events in every woman's life, which is not a pleasant event for all women, and in cases where the stages are not managed properly, it can cause a lot of stress on the mother and her family. For this reason, the present study was conducted to investigate the effect of phenylephrine on oxytocin-induced hemodynamic changes. This study was conducted on a group of pregnant women referred to Ayatollah Taleghani Hospital in Ilam and those undergoing cesarean section were included in the study. The objectives of the study explained to the women participating in the study, whether the participation was voluntary or not to participate in the intervention, compliance with the Helsinki and Belmont Declaration, and confidentiality of information. The women included in the study were randomly assigned to experimental and control groups. The checklists of the researchers were completed by observing and asking the patients from the time the patient entered the hospital until the end of the surgery. The variables expected by the researchers were evaluated before the intervention and 2, 4, 6, 8, 10 and 12 minutes after the intervention. In the experimental group, 12 (30%) patients had no nausea, 18 (45%) patients had low nausea, 8 (20%) patients had moderate nausea and 2 (5%) patients had severe nausea. While in the control group, 5 (12.5%) patients had no nausea, 13 (32.5%) patients had low nausea, 14 (35%) patients had moderate nausea and 8 (20%) patients had severe nausea. Also, a significant difference was between in the experimental and control groups in terms of nausea (P = 0.02). The study results showed that using phenylephrine can be effective on improving blood pressure, heart rate, nausea and vomiting in patients, which for this reason it is recommended to use this drug to improve the health of women undergoing cesarean section.

Preventive Effect Analysis of Nursing for Urinary Retention in Parturient Women Undergoing Cesarean Section

Preventive Effect Analysis of Nursing for Urinary Retention in Parturient Women Undergoing Cesarean Section

Feasibility and Efficacy of an Mhealth-community Health Worker Telemedicine Intervention for Surgical Site Infection Diagnosis Among Women Undergoing Cesarean Section in Rural Rwanda

Feasibility and Efficacy of an Mhealth-community Health Worker Telemedicine Intervention for Surgical Site Infection Diagnosis Among Women Undergoing Cesarean Section in Rural Rwanda

Effect of Self-care Training Program on Surgical Incision Wound Healing in Women Undergoing Cesarean Section: A Quasi-Experimental Study

Background: Cesarean section is one of the most important and common surgeries, and surgical incision wound disorders are one of the medical problems. Self-care behaviors can be effective in accelerating the wound healing process. Objectives: This study was conducted to determine the effect of a self-care training program on surgical incision wound healing in women undergoing cesarean section. Methods: This study was a quasi-experimental clinical trial on 72 women undergoing cesarean section in 2017 at one of the medical centers of Sarpol-e Zahab. Sampling was continuous, and subjects were randomly assigned to control or intervention groups based on inclusion criteria. The mothers of the experimental group were given a surgical wound care booklet, and the contents were taught by the researcher in 45 - 60 minutes one day before cesarean section. The learning rate was measured before and after the intervention at the clinic. Cesarean section wound healing was assessed 24 hours and nine days after cesarean section using REEDA tools in both groups. The collected information was analyzed by statistical indices (standard deviation and mean) and tests (independent t-test, Fisher's exact test, Wilcoxon and Friedman tests) by using IBM SPSS software version 20. Results: The mean score of cesarean section wound healing 24 hours after surgery was 1.1 ± 39.38 in the intervention group and 1.1 ± 92.60 in the control group that had no significant differences (P &lt; 0.13). However, the mean score of cesarean section wound healing nine days after surgery was 0.0 ± 53.65 in the intervention group and 1.1 ± 43.28 in the control group, which showed a significant difference (P = 0.001). Conclusions: According to the findings, it can be concluded that a self-care training program is effective in accelerating the surgical incision wound healing in women undergoing cesarean section. Thus, we propose to use this self-care training program in pregnant mothers undergoing cesarean section.

A Systematic Review of Phenylephrine Versus Noradrenaline for the Management of Hypotension Associated With Neuraxial Anesthesia in Women Undergoing Cesarean Section

(Anaesthesia. 2020;75:800–808) Up to 60% of women who receive spinal anesthesia during cesarean delivery experience hypotension. Phenylephrine has become the vasopressor of choice but is associated with maternal reflex bradycardia. Noradrenaline is an alternative vasopressor and is associated less with bradycardia. Noradrenaline has weak β-adrenergic activity and some studies have suggested noradrenaline is associated with fetal acidosis. This review aimed to identify randomized controlled trials comparing the use of noradrenaline and phenylephrine in women receiving spinal anesthesia for cesarean delivery.

PROPHYLACTIC ANTIBIOTICS IN CAESAREAN DELIVERIES IN A TERITIARY CARE TEACHING HOSPITAL

Objective: Prophylactic antibiotics are used to prevent post-operative infections after Caesarean Section. Studies have suggested a significant role in the timing of prophylaxis. The aim of the study was to evaluate the pattern of antibiotics used and to identify the frequency of post-operative infections in patients undergoing Caesarean Section.&#x0D; Methods: A prospective observational study was carried out for 6 mo. A total of 120 patients who met the inclusion criteria were recruited into the study. Data collection form was prepared using NICE guidelines. A total of 120 medical records were analysed.&#x0D; Results: The results revealed that out of 120 study subjects, prophylactic antibiotics Cefotaxime, Metronidazole and Cefixime were used in 119 (99.17%).&#x0D; Conclusion: This study concludes that giving prophylactic antibiotics before skin incision reduces risk of post-operative infections in women undergoing Caesarean Section. As the patients did not produce any infections post-surgery 3rd generation Cephalosporins along with Nitro-imidazoles can be considered as an effective prophylactic therapy for use during caesarean sections.

The Relationship between Preoperative Educational Session and Anxiety Level among Women Undergoing Cesarean Section: A Scoping Review

Context: Anxiety is felt in women undergoing elective cesarean section. In obstetric patients, literature has reported a higher level of preoperative anxiety than the general surgical population. One of the commonest surgical procedures in obstetrics is Caesarean section (CS). Preoperative anxiety has been described as being associated with several adverse physiological and psychological effects.&#x0D; Aim: This review aimed to determine the relationship between preoperative educational sessions and anxiety levels among women undergoing cesarean section.&#x0D; Methods: The search strategy of this study relies on some of the electronic bibliographic databases under the Medicine, Nursing, and Health Sciences departments. Various databases have been used to include different perspectives in the findings, CINAHL, Ovid MEDLINE, Pub Med, and Embase databases used to collect primary articles for this study.&#x0D; Results: The current review of the literature included seven quantitative studies that fulfill the inclusion criteria. The included studies revealed the intervention used as mental health training (one study), video is used in three studies, and health instruction in five studies. Two studies used both video and health instruction. In terms of the effect of preoperative sessions on anxiety level, four out of seven studies reported a decrease in the anxiety level. In comparison, the remaining three studies reported a non-significant educational intervention effect in decreasing the women’s anxiety.&#x0D; Conclusion: Most of the reviewed studies indicated that preoperative education intervention could positively impact anxiety levels among women undergoing CS. This makes the reviewed theme open for further randomized control intervention studying.

Traditional Medicine Use Among Women Undergoing Cesarean Section in Rural Rwanda

Traditional Medicine Use Among Women Undergoing Cesarean Section in Rural Rwanda

A Retrospective Study to Evaluate the Incidence and Factors Influencing Failed Spinal Anaesthesia in Women Undergoing Caesarean Section

A Retrospective Study to Evaluate the Incidence and Factors Influencing Failed Spinal Anaesthesia in Women Undergoing Caesarean Section

The Effect of Melissa Officinalis on Postpartum Blues in Women Undergoing Cesarean Section

Background & aim: Postpartum blues is the most common postpartum mood disorder, which can turn into a chronic depression.. Therefore, the prevention of this disorder is effective for the improvement of family mental health. The present study was conducted to investigate the effect of Melissa officinalis(Lemon balm) on the incidence of postpartum blues. Methods: The present triple-blinded placebo-controlled clinical trial was performed on 60 women with cesarean section(C- section)at teaching hospitals affiliated to Mashhad University of Medical Sciences, Mashhad, Iran, in 2016-2017. The participants were randomly divided into case and placebo groups. The case group was administered lemon balm capsules (500 mg) from the first day after cesarean section three times a day for 10 days. Edinburgh postnatal depression scale was completed by all subjects at three stages, namely on the 3rd-5th,10th, and 14th days after C-section. The data were analyzed by SPSS software (version 16) using independent t-test, as well as Mann-Whitney U, Chi-square, Fisher's exact tests and Friedman test. P-value less than 0.05 was considered statistically significant. Results: The Fisher's exact test showed that the incidence rates of postpartum blues on the 3rd-5th , 10th, and 14th days after C-section were 3.3% and 43.3% (p <0.00), 3.3% and 50% (p <0.00), and 0% and 33.3% (p <0.00) in the case and placebo groups, respectively. The results of the two-way ANOVA test revealed that the depression score increased with maternal age due to the intervention (P=0.046). Conclusion: The present study showed that the use of lemon balm could reduce the incidence rate of postpartum blues, which is one of the most common postpartum psychiatric disorders, without the development of possible side effects. Therefore, it is recommended to use it especially in susceptible women after their delivery.

Preemptive Gabapentin vs Pregabalin for Acute Postoperative Pain in Women Undergoing Cesarean Section Under Spinal Anesthesia: A Prospective Randomized Double-blind Study

Preemptive Gabapentin vs Pregabalin for Acute Postoperative Pain in Women Undergoing Cesarean Section Under Spinal Anesthesia: A Prospective Randomized Double-blind Study