Caesarean section Flashcards
What are the 2 main types of caesarean section?
Lower segment
Classic
What does a classic caesarean section involve?
A longitudinal incision in the upper segment of the uterus
Which caesarean section is more common?
Lower segment caesarean section
What are some indications for a caesarean section?
Absolute cephalopelvic disproportion Placenta praevia grades 3/4 Pre-eclampsia Post-maturity IUGR Fetal distress Failure of labour to progress
How many different grades are there of a caesarean section?
4 grades
What is a grade 1 caesarean section?
Emergency
Within 30 minutes
Immediate threat to life of woman or foetus
What is a grade 2 caesarean section?
Within 90 minutes
Maternal or fetal compromise
Not life threatening
What is a grade 3 caesarean section?
Scheduled
No time limit
Requiring early delivery but no compromise
What is a grade 4 caesarean section?
Elective
No time limit
At a time to suit woman and maternity team
What are maternal risks of a caesarean section?
Emergency hysterectomy Persistent wound and abdominal discomfort after surgery Thromboembolic disease Postpartum haemorrhage Infection-wound, endometritis
What risks could there be with future pregnancies if a woman has a caesarean section?
Increased risk of repeat caesarean
Increased risk of uterine rupture
Increased risk of placenta praevia
