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Hysteroscopy has been carried out in hospitals, surgical centers and doctors' offices. It is best carried out when the endometrium is relatively thin, that is after a menstruation. Both diagnostic and simple operative hysteroscopy can be carried out in an office or clinic setting on suitably selected patients. Local anesthesia can be used.
Caesarean sections require a large incision of the uterus, which can lead to complications such as blood loss, postoperative pain, anaemia due to continuing blood loss, fever and possible wound infection, breastfeeding issues, difficulty passing urine, future fertility problems, and/or possible complications in future pregnancies including ...
Obstetric anesthesia or obstetric anesthesiology, also known as ob-gyn anesthesia or ob-gyn anesthesiology, is a sub-specialty of anesthesiology that provides peripartum (time directly preceding, during or following childbirth) [1] pain relief for labor and anesthesia (suppress consciousness) for cesarean deliveries ('C-sections').
The procedure is used both after miscarriages and for abortions in the second and third trimesters of pregnancy. When used to perform an abortion, an intact D&E can occur after feticide or on a live fetus. In the United States, where federal law describes an intact D&E on a live fetus as a partial-birth abortion, [1] [2] the
Resuscitative hysterotomy should be performed immediately when three conditions are met: [1] [3] [4] Cardiac arrest occurs during pregnancy; Patient is not revived by basic and advanced life support (e.g. CPR and defibrillation) techniques; The uterus is large enough to cause aortocaval compression
Another important factor in treating obstructed labor is monitoring the energy and hydration of the mother. [11] Contractions of the uterus require energy, so the longer the mother is in labor the more energy she expends. When the mother is depleted of energy, the contractions become weaker and labor will become increasingly longer. [1]
Dilation and evacuation can be offered for the management of second trimester miscarriage if skilled providers are available. [6] Some women choose D&E over labor induction for a second trimester loss because it can be a scheduled surgical procedure, offering predictability over labor induction, or because they find it emotionally easier than undergoing labor and delivery.
[1] At the onset of the Industrial Revolution, giving birth at home became more difficult due to congested living spaces and dirty living conditions. This drove urban and lower-class women to newly available hospitals, while wealthy and middle-class women continued to labor at home. [2]