Full dilation CS-TOG

Question 1

Percentage of Emergency CS

Rate of CS at full dilation

Answer 1

EMCS 60%

@full dilatation- 4.4- 5%

Question 2

What is the risk of maternal intraoperative trauma of full dilatation CS compared to first stage

Answer 2

X2

Question 3

What’s the rate of intraop trauma

Answer 3

10 -27%

Question 4

Rate of maternal haemorrhage >1L@ fully?

Compared to 1st stage

Compared to successful OVD

Answer 4

@fully: 4.7-10%

Comp to 1st stage: 4.7 vs 2.9%

Comp to OVD: 10 vs 3%

Question 5

What issues are women with successful OVD likely to suffer compared to CS

Answer 5

More Neonatal trauma (22 vs 9%)

Increased rate of mod to severe dyspareunia (OR 3.36)

Urinary incontinence at 6 wk (OR 7.8) and 1 year (OR 3.12)

Constipation (OR 2.55)

Question 6

Successful OVD compared to Full dilation CS

Answer 6

less likely SCBU admission (6 vs 11%)

Women likely to aim &have Vaginal delivery next time

Less difficulty conceiving (OR 0.33) than CS (OR 2.09)

Less likely to bleed

Question 7

Perineal asphyxia for CS a@fully compared to 1st stage of labour

Answer 7

X 1.5