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Questions and Answers
What is a primary disadvantage of a lower segment vertical incision during a Cesarean section?
What is a primary disadvantage of a lower segment vertical incision during a Cesarean section?
- Increased likelihood of prolonged labor
- Injury to the cervix, vagina, and bladder (correct)
- Higher chances of postpartum hemorrhage
- Increased risk of fetal distress
Which of the following is NOT an indication for a classical cesarean section?
Which of the following is NOT an indication for a classical cesarean section?
- Lower segment unapproachable CA cervix
- Lower segment non-formation (correct)
- Anterior placenta praevia with previous cesarean
- Transverse lie with ruptured membranes
Which type of cesarean section is best indicated for a constriction ring?
Which type of cesarean section is best indicated for a constriction ring?
- Cesarean hysterectomy
- Classical cesarean section
- Extra peritoneal cesarean
- Lower segment vertical incision (correct)
What increase in risk is associated with a lower segment vertical incision in future pregnancies?
What increase in risk is associated with a lower segment vertical incision in future pregnancies?
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Which combination of conditions is a specific indication for a classical cesarean section?
Which combination of conditions is a specific indication for a classical cesarean section?
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Study Notes
Other Types of Cesarean Section (CS)
- Low segment vertical incision is used when the lower segment is not properly formed or for cases of constriction ring.
- Classical CS is indicated when the lower segment is inaccessible, such as in cases of CA cervix, anterior placenta previa with a history of cesarean, transverse lie with ruptured membranes, and conjoint twins.
- Extra peritoneal CS may be performed to minimize visceral injury during delivery.
- Cesarean hysterectomy involves the removal of the uterus during a cesarean delivery, often due to severe complications.
Lower Segment Vertical Incision
- Indications: Applied when a constriction ring is present or the lower uterine segment is not developed.
- Disadvantages: Increased risk of injury to the cervix, vagina, and bladder; a higher chance of uterine rupture in subsequent pregnancies.
Classical Cesarean
- Indications: Utilized in cases where the lower segment can't be accessed, such as:
- Cervical cancer affecting the lower segment.
- Previous cesarean with anterior placenta previa.
- Transverse fetal position with ruptured membranes.
- Delivery of conjoint twins, where surgical access is complicated.
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