China
Africa
Explore chapters and articles related to this topic
Caesarean Section
Published in Gowri Dorairajan, Management of Normal and High Risk Labour During Childbirth, 2022
Caesarean section is the delivery of the fetus after incising the uterus through an abdominal incision. The rate of caesarean section is variable. It depends on the proportion of high-risk pregnancies in the concerned facility.
Obstetrics in Limited-Resource Settings
Published in Mansoor Khan, David Nott, Fundamentals of Frontline Surgery, 2021
Carlos Pilasi Menichetti, Rebekka Troller
Another important source of mortality is obstructed labour. Despite some indications and conditions for instrumental deliveries (vacuum or forceps), caesarean section is probably the most frequent technique. When medically justified, a caesarean section can effectively prevent maternal and perinatal mortality and morbidity. However, there is no evidence showing the benefits of caesarean delivery for women or infants who do not require the procedure. As with any surgery, caesarean sections are associated with short- and long-term risk which can extend years beyond the current delivery and affect the health of the woman, her child, and future pregnancies. These risks are higher in women with limited access to comprehensive obstetric care.
Paper V
Published in Justin C Konje, Complete Revision Guide for MRCOG Part 3, 2020
If not covered, you should ask the following:I plan to have two more children. Should it be a problem if I have a caesarean section?I have read that the risk of a caesarean section is similar to those of a vaginal delivery. Is this true?Why should I not have a CS? It is my body and I do not want to have a tear in my vagina.Can you guarantee that if I went for a vaginal delivery, it will be successful and I will not have a tear?
Favourable outcome of planned pregnancies in systemic sclerosis patients during stable disease
Published in Scandinavian Journal of Rheumatology, 2022
J Braun, A Balbir-Gurman, K Toledano, Y Tavor, Y Braun-Moscovici
The mean ± sd FVC was 86 ± 25%, DLCO 73.7 ± 13.6%, and pulmonary artery pressure 24.2 ± 3.2 mmHg. All patients remained stable during pregnancy, without worsening of skin score, lung function tests, or cardiac parameters. One patient had hypertensive disease of pregnancy (3.8% of pregnancies) and three had pre-eclampsia (10% of pregnancies). All four patients had lcSSc. One of them received prophylactic anticoagulant treatment during the pregnancy and postpartum, because of positive anti-phospholipid antibodies. Two of the patients had had pre-eclampsia in previous pregnancies (one of them prior to SSc diagnosis). Caesarean section was performed in eight patients (11 pregnancies), owing to maternal complications or IUGR (five pregnancies), or electively owing to previous caesarean section (six pregnancies).
Temporary cervical sling and uterine twist before B-Lynch for massive uterine bleeding after delivery
Published in Journal of Obstetrics and Gynaecology, 2022
Basile Pache, Vincent Balaya, David Desseauve
Caesarean section (c-section) is one of the most widely performed surgery procedures. Among the feared complications, massive bleeding may occur due to uterine atony, accreta spectrum or vascular lesions. Prompt reaction to bleeding during surgery will be lifesaving (Hawkins 2020). Although procedures have evolved (Wilson 1945), there is a wide disparity in access to advanced techniques. The simple procedure of cervical sling can be performed by any surgeon when massive uterine bleeding occurs. The purpose of the technique is to be an intermediate step in bleeding control by compression of uterine and descending cervical arteries, in order to provide enough time to both surgical team to call on an experienced surgeon for support and for the anaesthesiologists to stabilise the patient, within good conditions and minimal additional blood loss.
Spontaneous quadruplet pregnancy: a case report and review of literature
Published in Journal of Obstetrics and Gynaecology, 2022
Mrugaya Dhavliker, Mahishee Mehta, Ashis Sau
She had previous history of three full term vaginal deliveries. The first two pregnancies were complicated with pregnancy induced hypertension and gestational diabetes. Her booking BMI was 40 kg/m2 (height-1.58 m, weight-102 kg) with a blood pressure of 120/80 mmHg. She conceived while on the contraceptive implant which was inserted about 6 months ago. The diagnosis was made on an early pregnancy ultrasound at 10 weeks’ gestation. She was counselled regarding the risks associated with multiple pregnancies by our Foetal Medicine Consultant. The option of selective foeticide to twin pregnancy was discussed, but she was keen to continue this quadruplet pregnancy. She was commenced on folic acid, Aspirin, and micronized progesterone pessaries. First trimester ultrasound and screening were reported to be normal and it was identified as dichorionic quadra-amniotic pregnancy based on two placentas and four amniotic sacs seen. Glucose tolerance test was done at 16 weeks and repeated at 26 weeks, which were normal. Delivery by elective caesarean section was planned at 32 weeks. She presented to our labour ward at 28 weeks and 6 days with threatened preterm labour. She was given a course of corticosteroids and she remained as an inpatient until delivery.