Displaying publications 1 - 20 of 201 in total

    Med J Malaya, 1958 Sep;13(1):86-93.
    PMID: 13589376
    Matched MeSH terms: Cesarean Section*
  2. Tan PC, Khine PP, Sabdin NH, Vallikkannu N, Sulaiman S
    J Ultrasound Med, 2011 Feb;30(2):227-33.
    PMID: 21266561
    OBJECTIVES: The purpose of this study was to evaluate cervical length changes after membrane sweeping and the effect of cervical shortening on pregnancy outcomes.

    METHODS: Low-risk women at 40 weeks' gestation undergoing membrane sweeping to expedite labor were recruited. Participants were scheduled for labor induction at 41 weeks' gestation. Transvaginal ultrasonography was performed immediately before and after membrane sweeping to measure the cervical length. Three presweep and postsweep cervical lengths were measured. The shortest lengths before and after the sweep were taken as the representative lengths. The effect of membrane sweeping on cervical length was analyzed. Multivariable logistic regression analysis was performed to evaluate the effect of cervical shortening on labor induction and the mode of delivery.

    RESULTS: For the 160 participants, the mean presweep cervical length ± SD was 21.0 ± 10.0 mm; the postsweep length was 23.8 ± 10.9 mm, an average increase of 2.8 ± 0.6 mm (P < .001). Cervical shortening after membrane sweeping was noted in 53 of 160 cases (33%). Cervical shortening was associated with a reduction in all-cause cesarean delivery but not labor induction on bivariate analysis. After adjustment for maternal age, parity, presweep Bishop score, postsweep cervical length, oxytocin augmentation, epidural analgesia, and meconium-stained fluid, cervical shortening after membrane sweeping was independently predictive of a reduction in cesarean deliveries (adjusted odds ratio, 0.24; 95% confidence interval, 0.06-0.90; P = .034).

    CONCLUSIONS: Membrane sweeping was associated with lengthening of the cervix. A shortened cervix after sweeping was independently predictive of vaginal delivery.

    Matched MeSH terms: Cesarean Section*
  3. Chin LP
    Med J Malaya, 1972 Dec;27(2):142-6.
    PMID: 4268040
    Matched MeSH terms: Cesarean Section*
    Med J Malaya, 1958 Sep;13(1):62-4.
    PMID: 13589371
    Matched MeSH terms: Cesarean Section*
  5. Mohd Faizal A, Sharifah Raihan SK, Yulianty A, Mahdy Zaleha A
    Minerva Ginecol, 2019 Oct;71(5):387-390.
    PMID: 31698893 DOI: 10.23736/S0026-4784.19.04416-2
    Matched MeSH terms: Cesarean Section/classification; Cesarean Section/statistics & numerical data*
  6. Ravichandran J, Ravindran J
    BJOG, 2014 Sep;121 Suppl 4:47-52.
    PMID: 25236633 DOI: 10.1111/1471-0528.12944
    Malaysia has successfully reduced maternal mortality through several efforts which, in the broad sense, include (i) the overall socio-economic development of the country; (ii) strengthened health services; and (iii) specific efforts and initiatives for the reduction of maternal mortality, one of which is the audit of maternal deaths by the confidential enquiry into maternal deaths.
    Matched MeSH terms: Cesarean Section/statistics & numerical data
  7. Ravindran J
    Med J Malaysia, 2008 Dec;63(5):434-5.
    PMID: 19803313 MyJurnal
    The caesarean section rate in Malaysian public hospitals has increased to 15.7% from 10.5% in the year 2000. There are inter-state variations in the rate ranging from a high of 25.4% in Melaka to 10.9% in Sabah. The West Coast states generally had a higher caesarean section rate than the East Coast states as well as East Malaysia. It would be prudent for Malaysia to implement stringent caesarean audits to ensure that rising caesarean section rates are kept in check.
    Matched MeSH terms: Cesarean Section/statistics & numerical data*
  8. Ravindran J
    Med J Malaysia, 1995 Sep;50(3):284-5.
    PMID: 8926913
    Matched MeSH terms: Cesarean Section*
  9. Tan PC, Norazilah MJ, Omar SZ
    Obstet Gynecol, 2013 Apr;121(4):878.
    PMID: 23635697 DOI: 10.1097/AOG.0b013e31828a7e62
    Matched MeSH terms: Cesarean Section/psychology*
  10. Ling NN
    Med J Malaya, 1972 Mar;26(3):198-200.
    PMID: 5031015
    Matched MeSH terms: Cesarean Section*
  11. Al Yassen AQ, Al-Asadi JN, Khalaf SK
    Malays Fam Physician, 2019;14(3):10-17.
    PMID: 32175036
    Objective: As indicated by previous studies, children born via Caesarean section may have an increased risk of developing asthma compared with those born via vaginal delivery. The aim of this study is to assess the association between a Caesarean section and the risk of childhood asthma. Methods: This was a case-control study carried out in Basrah, Iraq including 952 children aged 3-12 years. Four hundred and seven asthmatic cases and a control group of 545 age-matched non-asthmatic children were enrolled. Binary logistic regression was used to assess the relationship between asthma and birth via Caesarean section.

    Results: The mean age of the children was 6.7±2.5 years. Two-hundred eighty-three children (29.7%) were delivered via Caesarean section. The binary logistic regression analysis showed that delivery via Caesarean section was found to be an independent significant risk factor for asthma (OR=3.37; 95% CI=1.76-6.46; p<0.001). In addition, many other risk factors were found to be significant predictors of asthma, including bottlefeeding (OR=27.29; 95% CI=13.54-54.99; p<0.001) and low birth weight (OR=16.7; 95% CI=6.97-37.49; p<0.001).

    Conclusion: Caesarean section is significantly associated with an increased risk of childhood asthma.
    Matched MeSH terms: Cesarean Section*
  12. Hong JGS, Vimaladevi A, Razif NA, Omar SZ, Tan PC
    BMC Pregnancy Childbirth, 2023 May 24;23(1):378.
    PMID: 37226087 DOI: 10.1186/s12884-023-05685-4
    BACKGROUND: A majority of pregnant women experience sleep disruption during pregnancy, especially in the third trimester. Lack of sleep is associated with preterm birth, prolonged labor and higher cesarean section rate. Six or less hours of night sleep in the last month of pregnancy is associated with a higher rate of caesarean births. Eye-masks and earplugs compared to headband improve night sleep by 30 or more minutes. We sought to evaluate eye-mask and earplugs compared to sham/placebo headbands on spontaneous vaginal delivery.

    METHODS: This randomized trial was conducted from December 2019-June 2020. 234 nulliparas, 34-36 weeks' gestation with self-reported night sleep 

    Matched MeSH terms: Cesarean Section*
  13. Teo KP, Jacob SCM, Lim SH
    Med J Malaysia, 1997 Dec;52(4):325-30.
    PMID: 10968108
    We reviewed all documented cases of septicaemia following caesarean deliveries in Kandang Kerbau Hospital between 1st January 1993 to 31st December 1995. There were 22 cases of septicaemia among 8201 caesarean births, and hence the incidence is 2.7:1000. There were 45,412 deliveries, and the overall caesarean section rate was 18.1%. Among the 22 documented cases of septicaemia which came under this study, the most common clinical conditions found were endomyometritis (7 cases), urinary tract infection (6 cases), and wound infection (3 cases). One of the three cases with wound infection also had pneumonia. There was one patient who had mild transient myocarditis. We could not determine with certainty any site of infection in five patients. The most common bloodstream bacterial isolates was Staphylococcus aureus (16), while the uncommon ones were Acinetobacter baumanii (2), Escherichia coli (1), Klebsiella sp. (1), Staphylococcus epidermidis (1), Streptococcus Group F (1), Peptostreptococcus species and Veillonella species (1). There was no mortality and prompt, vigorous treatment had led to uneventful recovery in all the cases.
    Matched MeSH terms: Cesarean Section/adverse effects*
  14. Wang CY, Ong GS
    Anaesthesia, 1993 Jun;48(6):514-5.
    PMID: 8322993
    A case of severe bronchospasm occurring during epidural anaesthesia in a patient undergoing Caesarean section is described. The aetiology of the bronchospasm may have been related to sympathetic nervous blockade allowing unopposed parasympathetically mediated bronchoconstriction.
    Matched MeSH terms: Cesarean Section*
  15. Choong KH, Sivanesaratnam V, Sinnathuray TA
    Med J Malaysia, 1981 Dec;36(4):250-3.
    PMID: 7334964
    Matched MeSH terms: Cesarean Section*
  16. Ravindran J
    Med J Malaysia, 2003 Jun;58(2):294-5.
    PMID: 14569754
    Matched MeSH terms: Cesarean Section/statistics & numerical data*
  17. Soe L, Thidar S, Myat SY, Christine Mui FL, Sue Marie CKP, Tin MN
    Med J Malaysia, 2020 05;75(3):298-300.
    PMID: 32467549
    Uterine artery pseudoaneurysm (UAP) is a rare acquired vascular malformation associated with vaginal bleeding or intraabdominal haemorrhage occurring after pelvic surgery. Pseudoaneurysm may present with delayed, severe haemorrhage after a seemingly uncomplicated initial postoperative period. Treatment is therefore necessary to prevent further complications. We describe here a case of a 32-year-old mother, who presented with abdominal pain and intraabdominal bleeding, 20 days after Caesarean Section. Computerised Tomography (CT) scan showed the presence of haemoperitoneum, suggestive of pseudoaneurysm at the right cervical artery which was successfully managed with emergency angiographic embolisation.
    Matched MeSH terms: Cesarean Section*
  18. Teow Kheng Leong K, Abu Kassim SNA, Sidhu JK, Zohari Z, Sivalingam T, Ramasamy S, et al.
    BMC Ophthalmol, 2021 Mar 09;21(1):128.
    PMID: 33750348 DOI: 10.1186/s12886-021-01882-x
    BACKGROUND: The current practice for new-born eye examination by an Ophthalmologist in Malaysian hospitals is limited to only preterm new-borns, syndromic or ill infants. Healthy term new-borns are usually discharged without a thorough eye examination. This study is aimed at determining the proportion and types of ocular abnormalities detected in purportedly healthy term new-borns.

    METHOD: This cross-sectional study is comprised of 203 participants, all purportedly healthy term new-born infants from the Obstetrics and Gynaecology ward at Hospital Kuala Lumpur over a 6 months period. The examination list includes external eye examination, red reflex test, and fundus imaging using a wide-field digital retinal imaging system (Phoenix Clinical ICON Paediatric Retinal Camera) by a trained Investigator. The pathologies detected were documented. The results were compared and correlated with similar studies published in the literature previously.

    RESULTS: Total ocular abnormalities were detected in 34% of the infants. The most common finding was retinal haemorrhage in 29.6% of the infants, of which 53.3% occurred bilaterally. Spontaneous vaginal delivery (SVD) remained the greatest risk factor which has nearly 3.5 times higher risk of new-borns developing retinal haemorrhage compared to Lower Segment Caesarean Section (LSCS). There was a 6% increased likelihood of developing retinal haemorrhage for every 1-min increment in the duration of 2nd stage of labour.

    CONCLUSION: Universal eye screening for all new-borns using a wide-field digital imaging system is realistically possible, safe, and useful in detecting posterior segment disorders. The most common abnormality detected is retinal haemorrhage.

    Matched MeSH terms: Cesarean Section*
  19. Koo V, Lynch J, Cooper S
    J Obstet Gynaecol Res, 2003 Aug;29(4):246-50.
    PMID: 12959147
    AIM: To identify whether women having emergency delivery are at increased risk of developing postnatal depression (PND).

    METHODS: This is a retrospective comparative cohort study design. Two hundred and fifty Malaysian women were part of a previous study examining the prevalence of PND in a multiracial country and the effects of postnatal rituals. All women were at least 6 weeks post-partum when asked to complete the Edinburgh Postnatal Depression Scale (EPDS). Sociodemographic and birth data were obtained.

    RESULTS: Data collected were divided into two groups: 55 emergency delivery and 191 non-emergency delivery. There were four missing data. There was no significant difference in the mean age, parity, gestational period, baby birthweight, 5 min baby Apgar score and EPDS scores of the two groups. However, the analysis of PND indicated that women with emergency delivery had a relative risk of 1.81 compared with women with non-emergency delivery. The comparison of the two groups using chi2 indicated a significant (chi2 = 3.94, d.f. = 1, P = 0.04) increase in the presence of PND in the emergency delivery.

    CONCLUSION: When compared with women having non-emergency delivery, women having emergency delivery had about twice the risk of developing PND. Special attention to this group appears warranted.

    Matched MeSH terms: Cesarean Section/psychology*
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