medical notes

Apr 17th, 2015
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CESAREAN SECTIONDR. SALWA NEYAZICONSULTANT OBSTETRICIAN GYNECOLOGISTPEDIATRIC & ADOLESCENT GYNECOLOGISTTYPES OF CSLower segment CS Classical CSIndications for classical incision: Transverse lie with SROM Structural abnormality that makes lowersegment approach difficult Constriction ring with neglected labour Fibroids in the lower segment Ant PP & abnormally vascular lower segment Mother dead & rapid delivery is required Very preterm fetus in breech presINDICATIONS FOR ELECTIVE CSKnown CPDFetal macrosomia >4500 gmPlacenta previaVV fistula repairHIVActive herpesRepeat CSUterine surgery eg.Hystrotomy,myomectomySevere IUGRBreechMultiple pregnancyTransverse lieCa of the Cx/ TRobstructing the birthcanalINDICATIONS FOR EMERGRENCY CSSevere PETAbruptio placntaeFetal distressFailure to progress in the first stage of labourCord prolapseObstructed labourFailed inductionMalpresentation brow, chin post, shoulder& compound presentations, breechCompromised fetus 2ry to DM, HPT,isoimmunizationAPHTIMING OF ELECTIVE CSFor maternal interest no choiceFor fetal interest consider maturity & fetalconditionUsually at 38 wksBefore Emergency CSExplain to the Pt & husband & obtain consentInform anesthetist, OR staff, ped100% oxygen mask in case of fetal distressSod

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