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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 ]
Risk factors: Maternal weight, age, and smoking, as well as pre-existing maternal diabetes or hypertension [47] Treatment: If fetal passing occurs before labor, treatment options include induced labor or cesarean section. Otherwise, stillbirths can pass with natural birth.
A caesarean section leaves a scar in the wall of the uterus which is considered weaker than the normal uterine wall. A VBAC carries a risk of uterine rupture of 22–74/10,000. Slightly lower risk of uterine rupture in women undergoing ERCS (i.e. a section before the onset of labour). [1]
[19] [20] [21] In response to this criticism, the authors published a second paper analyzing the same cohort, in which they did not systematically exclude vaginal deliveries in which unexpected complications arose, and concluded that the increased risk of neonatal mortality associated with cesarean section was 69%, rather than 184%.
Conversely, if the fetus has reached the point of viability, a prompt birth via Caesarean section offers the best chance of survival. [4] Even if there is no reasonable prospect of maternal resuscitation (for example, after a nonsurvivable injury or prolonged cardiac arrest), the procedure can still serve this purpose.
A uterine scar from a previous cesarean section is the most common risk factor. (In one review, 52% had previous cesarean scars.) [ 8 ] Other forms of uterine surgery that result in full-thickness incisions (such as a myomectomy ), dysfunctional labor, labor augmentation by oxytocin or prostaglandins , and high parity may also set the stage for ...
Tubal ligation · Tubal reversal · Colporrhaphy · Cesarean section · Hymenorrhaphy · Endometrial biopsy: Bone, cartilage, and joint: bone: Acromioplasty · Khyphoplasty · Mentoplasty · Acromioplasty. joint: Arthroplasty · Rotationplasty
If the mother reaches the active phase of prolonged labor, a C-section is the safest solution. Caesarean sections need to be performed immediately if there are signs of fetal distress, uterine rupture, or cord prolapse. It is important that medical professionals are equipped and prepared in the case of an imperative C-section.