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CLINICAL PEARLS.
FLAMM, BRUCE L.
CESAREAN DELIVERY
The cesarean section rate is about 22% and rising. This means that almost 1 million cesareans are performed in this country each year.
When a procedure is performed this frequently, it can become so routine that we tend to let our guard down. If that happens, my friends, beware--wicked complications await. Here are some pearls aimed at stopping cesarean complications.
* An Allis in place may save a baby's face.
When making the uterine incision, it is sometimes difficult to gauge just how much myometrium remains to be incised. Unfortunately, the last swipe of the scalpel may cut the baby's face or scalp.
In difficult cases, grasp the edges of the uterine incision with Allis clamps and elevate the uterine wall away from the baby as you gently complete the opening. So far, I've never seen this trick fail. If Allis clamps are not available, another safe option is to gently poke your index finger through the final layers of myometrium.
- Vaginal Birth after a Previous Cesarean Delivery.
- Clinical Reference Systems Cooper, Phyllis G. January 1, 2001 700+ words
...classic uterine incision." Your...previous cesarean delivery. Your pelvis...emergency cesarean delivery can't be...a classic uterine incision (a vertical...previous cesarean delivery. You have...
- Vaginal Birth after a Previous Cesarean Delivery.(Women's Health Advisor 2002.1)
- Clinical Reference Systems Cooper, Phyllis G. January 1, 2002 700+ words
...classic uterine incision." Your...previous cesarean delivery. Your pelvis...emergency cesarean delivery can't be...a classic uterine incision (a vertical...previous cesarean delivery. You have...
- Vaginal Birth after a Previous Cesarean Delivery.(Women's Health Advisor 2004.1)
- Clinical Reference Systems Cooper, Phyllis G. January 1, 2004 700+ words
...after a previous cesarean delivery. Your pelvis is...immediate emergency cesarean delivery can't be performed...You have a classic uterine incision (a vertical cut...from a previous cesarean delivery. You have a complication...
- Transverse Abdominal, Uterine Incisions Are Best For Obese Women Having...
- Magazine article from: Women's Health Weekly Hasty, Susan April 12, 2001 700+ words
...transverse (L) uterine incision was used most often...classical (C) uterine incision was associated with...Incision choice for cesarean delivery in obese patients...The classical uterine incision also took longer...
- Systematic review of the risk of uterine rupture with the use of amnioinfusion...
- Magazine article from: Southern Medical Journal Hicks, Paul April 1, 2005 700+ words
...amnioinfusion in women with previous cesarean delivery who are undergoing a trial of labor...fetal heart tracings and the need for cesarean delivery. (10-12) Data regarding its...complete dehiscence of the previous uterine incision. In both cases, the outcomes for...
- Rates of cesarean delivery among Puerto Rican women--Puerto Rico and the U.S....
- Newspaper article from: Morbidity and Mortality Weekly Report Varela-Flores, R. Vazquez-Rivera, H. Menacker, F. Ahmed, Y. Grant, A.M. Jamieson, D.J. Whiteman, M.K. Farr, S.L. January 27, 2006 700+ words
Cesarean delivery has been associated with greater risks for maternal...50 states and District of Columbia), rates of total cesarean delivery and primary cesarean delivery (i.e., for women without a previous cesarean...
- A look at the NIH panel report on cesarean delivery on maternal...
- Newspaper article from: Special Delivery Bigelow, Randi March 22, 2006 700+ words
...the-science statement regarding cesarean delivery on maternal request (CDMR). The...What is the trend and incidence of cesarean delivery over time in the United States and...to mother and baby associated with cesarean delivery by request, versus attempted vaginal...
- Elective Cesarean Delivery Reduces Vertical Transmission of HIV.
- Magazine article from: OB/GYN Clinical Alert June 1, 1999 700+ words
Elective Cesarean Delivery Reduces Vertical Transmission...determine the effect of elective cesarean delivery on the transmission of HIV...approximately 50% with elective cesarean delivery. Elective cesarean delivery...
