Caesarean Section

Question 1

What are indications for an elective c section?

Answer 1

Breech at term 
Multiple pregnancy 
Maternal medical conditions
Placenta praevia
Primary genital herpes
Previous symptomatic 3rd/4th degree tear
Maternal choice

Question 2

What are the categories of emergency c section?

Answer 2

Category 1 = immediate threat to life

Category 2 = maternal or fetal compromise

Category 3 = delivery required but both are stable

Category 4 = elective

Question 3

What happens pre c section?

Answer 3

FBC + group+save
PPI/antacid prescribe
VTE prophylaxis

Question 4

What anaesthetic is used during c section?

Answer 4

Spinal

Question 5

What position is used for c section?

Answer 5

Left lateral 15 degree tilt

Question 6

What skin incision is used in c section?

Answer 6

Pfannestiel

Joel-Cohen

Question 7

What layers are cut through in a c section?

Answer 7

Skin
Subcutaneous tissue
Rectus abdominis + sheath 
Peritoneum 
Uterus 
Amniotic sac

Question 8

What are maternal complications of c section?

Answer 8

Bleeding
Pain
Infection
Damage to bladder/bowel

Question 9

What are fetal complications of c section?

Answer 9

Laceration risk

Increased risk of TTN

Question 10

What are future pregnancy complications of c section?

Answer 10

Increased risk of c section
Increased risk of uterine rupture
Increased risk of placenta praevia