Caesarean section Flashcards
1
Q
What are the two types of CS
A
Lower segment - most cases
Classic - longitudinal incision in upper segment of uterus
2
Q
what are indications for of CS
A
Cephalopelvic disproportion (baby too big) Placenta praaevia (3/4 grade) pre-eclampsia post-maturity IUGR Fetal distress/cord prolapse Failure to progress brow presentation placental abruption vaginal infection cervical cancer
3
Q
why is normal delivery contraindicated for cervical cancer
A
normal disseminates cancer cells
4
Q
What are serious risks of CS to the mother
A
emergency hysterectomy need for further surgery thromboembolic disease bladder/ureteric injury death
5
Q
what does CS increase risk of in future pregnancies
A
- risk of uterine rupture
- risk of antepartum stillbirth
- risk of placenta praevia/accreta
6
Q
what are frequent risks associated w CS
A
Wound and abdominal discomfort
increased risk of repeat CS
haemorrhage
infection (wound, endometritis, UTI)
7
Q
What is risk of CS to fetus
A
lacerations
8
Q
What is category 1 CS
A
Baby needs delivering in 30mins
9
Q
What is category 2 CS
A
within 30/60 mins
not immediately life-threatening
10
Q
What is category 3 CS
give 2 examples of indication
A
semi-elective
pre-eclampsia, failed IOL
11
Q
What is category 4 CS
A
elective
