C section

Question 1

Examples of Grade 1 C/S

Answer 1

Prolonged fetal bradycardia 
Cord prolapse
Uterine rupture
APH
Fetal blood sampling pH <7.20
Pathological CTG

Question 2

Definition of grade 1 C/S

Answer 2

Immediate threat to life of mother or fetus
Need baby out in 30 mins
Need paediatrician present

Question 3

Definition of grade 2 C/S

Answer 3

Compromised mother or fetus but no immediate threat to life

Need baby out in 75 mins

Question 4

Examples of grade 2 C/S

Answer 4

Suspicious CTG

Failure to progress in labour

Question 5

Definition of grade 3 C/S

Answer 5

No maternal or fetal compromise but still need early delivery

Question 6

Definition of grade 4 C/S

Answer 6

Elective I.e done at time suited for mother and staff

Question 7

Example of grade 3 C/S

Answer 7

Failure of induction of labour

Question 8

Risks of C/S

Answer 8

Haemorrhage 
Infection
Superficial fetal lacerations
Bladder, bowel or uterine damage
VTE
Higher risk of intervention in future pregnancies

Question 9

Contraindications for VBAC

Answer 9

At least 2 previous C/S
Vertical uterine scar
Previous uterine rupture

Question 10

Risk of multiple C/S

Answer 10

Placenta accreta
Uterine rupture
Higher intervention/complication risk in future pregnancies

Question 11

How to reduce risks of VTE

Answer 11

LMWH for 2 weeks

Prophylactic dose

Question 12

Examples of indications for grade 4 C/S

Answer 12

HIV
HSV
Macrosomia 
Breech presentation
Placenta praevia 
Previous C/S

Question 13

Success of vaginal delivery after previous C/S

Answer 13

70%

Question 14

Success of vaginal delivery after previous C/S and VBAC

Answer 14

90%