Obstetrics and Gynecology: Cesarean Section
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Questions and Answers

What is the primary purpose of a cesarean section?

  • To repair uterine incisions
  • To treat maternal medical conditions
  • To diagnose fetal distress
  • To deliver a baby through abdominal and uterine incisions (correct)
  • Which of the following is a maternal indication for a cesarean section?

  • Fetal distress
  • Malposition
  • Previous uterine surgery (correct)
  • Fetal macrosomia
  • What is the recommended type of cesarean section?

  • Classical cesarean section
  • Lower segment cesarean section (correct)
  • Elective cesarean section
  • Upper segment cesarean section
  • What is the time limit for a category 1 cesarean section?

    <p>30 minutes</p> Signup and view all the answers

    What is a potential long-term risk of a cesarean section in subsequent pregnancies?

    <p>Risk of uterine rupture</p> Signup and view all the answers

    What is a potential respiratory complication of a cesarean section?

    <p>Cyanosis</p> Signup and view all the answers

    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.

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