000			02980cam a2200349 a 4500
003			EG-GiCUC
005			20250223031716.0
008			170418s2016 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.15.M.Sc.2016.Am.I
100	0		_aAmira Soliman Ibrahim Gado
245	1	4	_aThe impact of repeated cesarean sections on perioperative maternal morbidity / _cAmira Soliman Ibrahim Gado ; Supervised Ahmed Lotfi Aboulnasr , Ahmed Soliman Nasr , Amr Hassan Wahba
246	1	5	_aأثر القيصرية المتكررة على إعتلال الأمهات فى فترة ما حول الولادة
260			_aCairo : _bAmira Soliman Ibrahim Gado , _c2016
300			_a86 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics
520			_aRates of cesarean delivery vary internationally, but generally, it has shown a worldwide increase. Repeat cesarean deliveries was found to be associated with increased maternal morbidity, including placenta previa, placenta accreta, hysterectomy, adhesions, bladder injury, postoperative hemoglobin deficit, and need for blood transfusion. In our study, we evaluated the outcome of emergency cesarean deliveries conducted at Kasr Alaini hospital and the impact of repeated cesarean deliveries on that outcome. We recruited 300 patients admitted at the casualty department and divided equally into 3 groups (100 patients in each group). Groups were as follow: Group 1: Patients with primary cesarean delivery (control group). Group 2: Patients with previous one cesarean delivery. Group 3: Patients with previous two or three or higher order cesarean deliveries. The three groups of singleton pregnancy were compared preoperatively regarding (data sheet, included history, examination and preoperative HB), intra-operatively regarding (operative duration, surgeon, anaesthesia, operative finding and complications), post-operatively regarding (duration of hospital stay, ileus, ICU admission, HB post). In our study, regarding the surgical outcome: The operative duration was statistically significantly longer in patients with previous two or more cesarean deliveries (Group 3) than patients with primary cesarean delivery (group 1) or previous one cesarean delivery (group 2) [74.4, 44.4, 56.4 min respectively, p<0.001]. Also, the hospital stay was statistically significantly longer in group 3 than group 1 or 2. 2.90, 1.29, 1.27 days p<0.001
530			_aIssued also as CD
653		4	_aCesarean delivery
653		4	_aMorbidity
653		4	_aRepeated
700	0		_aAhmed Lotfi Aboulnasr , _eSupervisor
700	0		_aAhmed Soliman Nasr , _eSupervisor
700	0		_aAmr Hassan Wahba , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c60661 _d60661