#Tajima pulse segment list not showing full#
#Tajima pulse segment list not showing trial#

Her last menstrual period had been 3 weeks ago. Her past menstrual cycles were regular, painless, and with moderate flow. It could have led to development of a pyometra too.ДЄ 21 year old woman, married for 2 years, presented with apreunia. Had the condition not been diagnosed in time, the blood coming from the uterine cavity and lochia would have been retained above the cervix. As a result the uterine cavity got walled off from the vagina. Then it was inadevrtently sutured to the cut edges of the lower segment incision, believing it to be decidua detached from the myometrium. That was probably the reason for failure of the vacuum and forceps delivery. Thus there is reason to beieve that the cervix was not actually fully dilated at the time of the cesarean section.

#Tajima pulse segment list not showing full#

With full cervical dilatation, there is no cervix to get caught between the hand and vertex of the baby. It might have occurred while a hand was passed below the presenting part to deliver it.

In the case presented, the posterior lip of the cervix hanging down was somehow drawn up and reached the level of the lower uterine segment incision. Normally the cervix hangs down after childbirth, following vaginal delivery as well as cesarean section. There was no communication with the uterine cavity, the roof of the vagina being totally closed by the posterior aspect of the posterior wall of the portio vaginalis.

The anterior lip of the cervix was seen well, but the posterior lip and the sides of the rim of cervix were not seen as they were drawn up (figure 1). At the time of suturing the episiotomy which had been made for the attempted vacuum and forceps delivery, cervix was traced. The lower segment incision was closed with a continuous interlocking suture of No. Its Apgar scores at 1 and 5 minutes were 8 and 10 respectively. A male child weighing 2.8 kg was delivered uneventfully. The cesarean section was performed by two other junior consultants. So a decision to perform a cesarean section was taken.

#Tajima pulse segment list not showing trial#

Then a trial of obstetric forceps delivery was done, which also failed. A junior consultant attempted obstetric vacuum extraction, which failed. Her second stage of labor was prolonged for 2 hours. She made good progress and was fully dilated after 4.5 hours. She was in active phase of labor, the cervical dilatation being 4 cm, effacement 60%, station +2, occiput at 2 oвЂ™clock position, membranes intact and pelvis adequate. Obstetric examination showed a single fetus in vertex presentation. General and systemic examination revealed no abnormality.

Her past medical, surgical and gynecological history was normal. The IUCD which is most often used in the public sector is the CuT 380 and in the private sector, CuT 375 (multiload design).ДЄ 21 year old primigravida presented in labor at term. Despite this, according to the National Family Health Survey of 2005- 2006, the commonest method of family planning in India is still tubectomy in about a third of women IUCDs account for only an estimated 2%. Over the last few years, with the introduction of the postpartum IUCD programme to increase contraceptive coverage, there has been a resurgence in the number of users. In fact, failure rates for most IUCDs are low at < 2%. Unlike other reversible methods like oral contraceptive pills or condom which have higher pregnancy rates for typical use compared to correct or ideal use, there is no such difference in IUCD use. As per WHO Medical Eligibility Criteria (MEC), copper IUCDs are safe in the majority of women there are very few situations, like active pelvic inflammatory disease, where it is contraindicated. It is safe, effective, reversible, easy to insert, does not interfere with intercourse and does not require any action on the part of the woman once inserted. Intrauterine contraceptive device (IUCD) like the copper T (CuT) is an ideal spacing method for women.