Operative obstetrics

doi:10.1017/CBO9780511544569.010

8 - Operative obstetrics

Published online by Cambridge University Press: 21 August 2009

Alexander Heazell and

John Clift

Jo Gillham

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Alexander Heazell: Affiliation:
University of Manchester
John Clift: Affiliation:
City Hospital, Birmingham
Jo Gillham: Affiliation:
Consultant in Feto-Maternal Medicine, St Mary's Hospital, Manchester, UK

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Summary

This chapter explains the indications for the Caesarean section organised into four categories. In principle, the considerations are that the decision to delivery time for category 1, where immediate threat to life of women or fetus, should be less than 30 minutes and mother's safety is paramount. The majority of deliveries are achieved through a low transverse abdominal skin incision and a transverse incision through the lower segment of the uterus. The chapter discusses the maternal or fetal compromise, the necessity of early delivery, and elective Caesarean section, explaining their ractical surgical steps, complications, and Caesarean hysterectomy. Instrumental delivery can be achieved through the use of vacuum extractor and forceps. Obstetricians should remain familiar with the technique of assisted vaginal breech delivery, as some patients will present with breech presentation in preterm labour or in advanced labour. Twin pregnancies have a higher incidence of pre-term labour, IUGR and preeclampsia.

Keywords

breech delivery fetal lacerations instrumental delivery IUGR pre-term labour preeclampsia twin pregnancies obstetric haemorrhage uterus

Type: Chapter
Information: Obstetrics for Anaesthetists , pp. 88 - 106

DOI: https://doi.org/10.1017/CBO9780511544569.010 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2008

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References

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8 - Operative obstetrics

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