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The court held that a cesarean section at the end of a full-term pregnancy was here deemed to be medically necessary by doctors to avoid a substantial risk that the fetus would die during delivery due to uterine rupture, a risk of 4–6% according to the hospital's doctors and 2% according to Pemberton's doctors.
Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen. It is often performed because vaginal delivery would put the mother or child at risk (of paralysis or even death). [ 2 ]
Short inter-pregnancy interval after a prior C-section can be a contraindication for having a vaginal birth after a prior C-section . In one study inter-pregnancy intervals shorter than 6 months were associated with 2-3 times increased risk of uterine rupture , major morbidity , and blood transfusion during vaginal delivery in mothers with at ...
In a Lancet report, C-sections were found to have more than tripled from about 6% of all births to 21%. In a statement by the maternal and child health organisation, the March of Dimes, the increase is largely due to an increase of elective C-sections rather than when it is really necessary or indicated. [128]
Cesarean section is indicated. Post-partum hemorrhage is defined by the loss of at least 1,000 mL of blood accompanied with symptoms of hypovolemia within 24 hours after delivery. Typically, the first symptom is excessive bleeding accompanied by tachycardia.
[2] Nulliparous, single cephalic pregnancy, at least 37 weeks' gestation, spontaneous labour; Nulliparous, single cephalic pregnancy, at least 37 weeks' gestation, with either induced labour or a cesarean section prior to the onset of spontaneous labour
A study published in the February 13, 2007 issue of the Canadian Medical Association Journal found that between 1991 and 2005, women who had scheduled cesarean sections for breech birth had a 2.7% rate of severe morbidity, compared with 0.9% for women who had planned vaginal deliveries.
[1] [2] Disability or death of the mother or baby may result. [1] [3] Risk factors include vaginal birth after cesarean section (VBAC), other uterine scars, obstructed labor, induction of labor, trauma, and cocaine use. [1] [4] While typically rupture occurs during labor it may occasionally happen earlier in pregnancy.
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