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Questions and Answers
What is the primary purpose of a cesarean section?
What is the primary purpose of a cesarean section?
Which of the following is a maternal indication for a cesarean section?
Which of the following is a maternal indication for a cesarean section?
What is the recommended type of cesarean section?
What is the recommended type of cesarean section?
What is the time limit for a category 1 cesarean section?
What is the time limit for a category 1 cesarean section?
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What is a potential long-term risk of a cesarean section in subsequent pregnancies?
What is a potential long-term risk of a cesarean section in subsequent pregnancies?
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What is a potential respiratory complication of a cesarean section?
What is a potential respiratory complication of a cesarean section?
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Study Notes
Definition and Indications
- Cesarean section is a delivery method that involves abdominal and uterine incisions.
- Maternal indications for cesarean section include previous CS, previous uterine surgery, placenta previa/accreta, failed progress of labor, obstructed labor, and certain medical conditions.
- Fetal indications include fetal distress, malpresentation, malposition, macrosomia, and severe intrauterine growth restriction.
Types of Cesarean Section
- Lower segment cesarean section is the recommended procedure.
- Upper segment cesarean section, also known as classical cesarean section, is only used in selected cases.
Categories of Cesarean Section
- Category 1: immediate threat to the life of the woman or fetus, with a time limit of 30 minutes.
- Category 2: maternal or fetal compromise that is not immediately life-threatening, with a time limit of 60-75 minutes.
- Category 3: no maternal or fetal compromise, but needs early delivery, with no strict time limit.
- Category 4: elective, with a timed delivery to suit the woman or staff.
Steps of Cesarean Section
- Step 1: skin incision.
- Step 2: opening the anterior abdominal wall.
- Step 3: opening the uterus.
- Step 4: delivery of the baby and placenta.
- Step 5: closure of incisions.
Complications of Cesarean Section
- Hemorrhage (postpartum hemorrhage).
- Infection.
- Shock.
- Trauma to the fetus.
- Respiratory complications.
- Venous thrombosis (DVT).
- Postoperative anesthetic complications, such as cyanosis and vomiting.
- Long-term risks in subsequent pregnancies.
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Description
This quiz covers the definition, indications, and related concepts of Cesarean Section in Obstetrics and Gynecology. Learn about the maternal and fetal indications for this surgical delivery method.