Cesarean Section Types and Indications

Questions and Answers

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?

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?

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?

<p>Increased chance of rupture</p> Signup and view all the answers

Which combination of conditions is a specific indication for a classical cesarean section?

<p>Conjoint twins and anterior placenta praevia</p> Signup and view all the answers

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.

Description

This quiz covers various types of cesarean sections, including low segment vertical incision, classical cesarean, extra peritoneal cesarean, and cesarean hysterectomy. It also discusses their indications and complications. Test your knowledge about surgical procedures in obstetrics!