C-section complications

Question 1

Complications of spinal anaesthesia

Answer 1

1) Hypotension
2) Headache
3) Urinary retention
4) Nerve damage
5) Haematoma

Question 2

Why are PPIs/H2 antagonists given prior to a caesarean section?

Answer 2

To reduce the risk of aspiration pneumonitis associated with lying flat for long

Question 3

4 risks from a caesarean for future pregnancies

Answer 3

1) Risk of repeat caesarean
2) Risk of uterine rupture
3) Risk of placenta accreta/praevia
4) Risk of stillbirth

Question 4

2 risks for the neonate from caesarean

Answer 4

1) Lacerations (occur in about 2%)

2) Increased risk of transient tachypnoea of the newborn

Question 5

Success rate of vaginal delivery after c-section

Answer 5

75%

Question 6

Risk of uterine rupture during VBAC

Answer 6

0.5%

Question 7

2 contraindications to attempting VBAC

Answer 7

1) Previous uterine rupture

2) Classical c-section scar (i.e. a vertical incision into the uterus)

Question 8

Used to reduce the risk of PPH during c-section

Answer 8

IM syntocinon