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Hysterotomy is a technique used during fetal surgery to access the fetus in the pregnant uterus in order to treat a birth defect such as spina bifida. [13] A standard hysterotomy remains the gold-standard for the closure of a fetal spina bifida because it is the safest and most effective when compared to mini-hysterectomies and a percutaneous ...
Hysterotomy abortion is a surgical procedure that removes an intact fetus from the uterus in a process similar to a cesarean section. The procedure is generally indicated after another method of termination has failed, or when such a procedure would be medically inadvisable, such as in the case of placenta accreta .
Instillation abortion is performed by injecting a chemical solution consisting of either saline, urea, or prostaglandin through the abdomen and into the amniotic sac.The cervix is dilated prior to the injection, and the chemical solution induces uterine contractions which expel the fetus. [1]
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
The position on the baby's head is checked. The fetal head is then rotated to the occiput anterior position if it is not already in that position. An episiotomy may be performed if necessary. The baby is then delivered with gentle (maximum 30 lb f or 130 Newton [7]) traction in the axis of the pelvis. [8] [page needed]
Side lying may help slow the baby's descent down the birth canal, thereby giving the perineum more time to naturally stretch. To assume this position, the mother lies on her side with her knees bent. To push, a slight rolling movement is used such that the mother is propped up on one elbow is needed, while one leg is held up.
The "Ma Rainey" actress shared that she struggled with uterine fibroids, noncancerous growths of the uterus that can cause heavy bleeding, infertility and, in some cases, miscarriages.
Complications for the baby can include fetal distress, low birthweight, preterm delivery, and stillbirth. [2] [3] The cause of placental abruption is not entirely clear. [2] Risk factors include smoking, pre-eclampsia, prior abruption (most important and predictive risk factor), trauma during pregnancy, cocaine use, and previous cesarean section.
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