C section Flashcards
Foetus reasons for c section
- breech at 36w (with failed external cephalic version)
- twins
Placenta reasons for c section
- placenta previa
- morbidly adherent placenta
Maternal infection reasons for c section
- co-infection of Hep C + HIV (not either of these infx alone)
- primary HSV infection in 3rd trimester
Labour reasons for c section
- presumed foetal compromise
- failure to progress in labour
Contraindications to external cephalic version for breech babies
i. In labour
ii. Uterine scar or abnormality
iii. Foetal compromise
iv. Ruptured membranes
v. Vaginal bleeding
vi. Medical conditions eg CVS, renal
What is the ideal minimum gestational age for an elective C section? Why?
39 weeks
To reduce risk of respiratory morbidity
List categories 1-4 of C sections
- Immediate threat to life of mum/ baby (operate within 30min)
- Mum/baby compromised but not immediately life-threatening (operate within 75min)
- No compromise to mum/baby but need early delivery
- Elective delivery
Maternal complications of C sections
- Haemorrhage
- Need for blood transfusion
- Infection of uterus or wound
- Visceral problems eg bladder/ bowel damage
- Post-operative pain & immobility
- VTE
Foetal complications of C sections
- Increased risk of foetal respiratory morbidity
- Foetal lacerations (rare)
- Increased rates of obesity & diabetes
Complications of C sections for subsequent pregnancies
- increased risk of placenta previa
- placenta may implant more deeply than normal (may need emergency hysterectomy)
