Large Vesical Calculus in Pregnancy | Chapter 12 | New Visions in Medicine and Medical Science Vol. 2

 The present case study reports about large vesical calculus in pregnancy. Obstructed labour is a well-known clinical entity in maternity units, cephalopelvic disproportion being the commonest cause. During pregnancy, it may cause infection, abortion, premature delivery, urinary fistula and rarely labour dystocia and uterine rupture. Sometimes, vesical calculus remains asymptomatic and it attains large size of several centimetres. Here, we report a rare case of obstructed labour, where the cause was a large vesical calculus. Patient was a referred case from district hospital. The diagnosis of large vesical calculus causing labour obstruction was made by doing per vaginal examination. On per vaginal examination, a large calculus of size approximately 6x6 cm was palpated from anterior vaginal wall which was preventing the descent of head of the fetus. So, emergency caesarean section was performed with simultaneous removal of vesical calculus by cystolithotomy. The postoperative period was uneventful. We should remain vigilant while doing ultrasonography especially in first trimester to rule out vesical calculus as in some cases vesical calculus may remain asymptomatic. Complications can be prevented by timely diagnosis and proper management.

Author(s) Details:

Purnima Bhandari,
Department of Obstetrics and Gynaecology, Sri Guru Ram Das Medical College and Hospital, Amritsar, Punjab, India.

Please see the link here: https://stm.bookpi.org/NVMMS-V2/article/view/13807

Labor Pattern in South Indian Population: A Retrospective Study | Chapter 15 | Recent Developments in Medicine and Medical Research Vol. 12

 One of the most common reasons for a lower segment caesarean section is labour dystocia (LSCS). A considerable shift in the pace of cervical dilation and labour progression has been discovered in recent studies. Because there are few big studies on labour in this ethnic group, this study was done to learn about the labour behaviour of women in South India who were having spontaneous labour. Materials and Procedures: A retrospective investigation was undertaken in our teaching hospital. A partogram was kept and labour was handled according to protocol. Case records were used to extract and analyse data.

Results: Labor progressed considerably more slowly than expected. The length of time it took to deliver a baby varied greatly. In contrast to Friedmannscurve, none of the women had a cervical dilation trend of 1 cm/hr. Despite the fact that the average duration to proceed from 3 to 10 cms was 5 hours, women have delivered after 19 hours of waiting.

Conclusion: Many women took longer to deliver than the 95th percentile, and some even went longer than three times the median duration. In contrast to Friedmannscurve, none of the women had a cervical dilation trend of 1 cm/hr. Despite the fact that the average duration to proceed from 3 to 10 cms was 5 hours, women have delivered after 19 hours of waiting.

Author(S) Details

Chitra Bhat
Department of Obstetrics and Gynaecology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.

Seetha Panicker
Department of Obstetrics and Gynaecology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.

View Book:- https://stm.bookpi.org/RDMMR-V12/article/view/4681