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Conversely, if the fetus has reached the point of viability, a prompt birth via Caesarean section offers the best chance of survival. [4] Even if there is no reasonable prospect of maternal resuscitation (for example, after a nonsurvivable injury or prolonged cardiac arrest), the procedure can still serve this purpose.
Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen. It is often performed because vaginal delivery would put the mother or child at risk (of paralysis or even death). [ 2 ]
669.7 Cesarean delivery without mention of indication; 669.70 Cesarean delivery without indication unspecified as to episode of care; 669.71 Cesarean delivery without indication delivered with or without antepartum condition; 669.8 Other Complication (medicine) of labor (childbirth) and delivery; 669.9 Complicated delivery/labor, unspec.
Requirements for a second opinion from an additional doctor before giving a caesarean section has a small effect on reducing the rate of unnecessary caesarean sections. [17] Communities of health care providers who peer review each other and come to agreement about the necessity of caesarean sections tend to use them less frequently. [17]
Although fetal delivery through caesarean section is a very common surgery done in the world, it comes with several risks including bleeding, infection, thromboembolism, and soft-tissue injury. During a caesarean section, a hysterotomy is utilized to make an incision in the uterus and remove the fetus. [8]
A Pfannenstiel incision for a caesarian section closed with surgical staples.The superior aspect of mons pubis and pubic hair are seen at bottom of the image.. A Pfannenstiel incision / ˈ f ɑː n ɪ n ʃ t iː l /, Kerr incision, Pfannenstiel-Kerr incision [1] or pubic incision is a type of abdominal surgical incision that allows access to the abdomen.
Emergent obstetric care for C-section would be indicated, and in the meantime, one should elevate the foot of the bed if possible to attempt to keep the baby above the level of the cord. [10] If no specialized care is available, one may attempt to reduce pressure of the cord manually and continue delivery, but this is often difficult to do.
A previous successful vaginal delivery (before or after the caesarean section) increases the chances of a successful VBAC. The indication for the previous caesarean section should not be present in the current pregnancy. Location at an institution equipped to respond to emergencies with physicians immediately available to provide emergency care ...