Know more about caesarean section before you get one done...read through the indications ,types , procedures , post operative complications and care.

      

       CAESAREAN SECTION:

•An operative procedure for the removal of foetus from the uterus by abdominal incision after 28 weeks of pregnancy is termed as "Caesarean Section".

•It is called hysterectomy if done before 28 weeks.

•According to a legend Julius Caesar was born by this operation hence the name came into play.

•WHO recommends CS  at 15-20%.

•It is one of the commonest surgeries now. 

Some common myths about

 c -section :

•Once a c sec always a c sec.

         (dr. e.b. cargin 1961)

Modified to :

•Once a sec not always a sec.

Now modified to:

•Once a sec always a hospital delivery. 

INDICATIONS :

Thoroughly go through the below points so as to cross check that you have the need of c sec or only being fooled by the surgeon to make money:

•Contracted pelvis or CPD.

•Diabetes

•Eclampsia

•Placenta previa

•Mal presentation

•Genital herpes

•Pelvic tumours

•Post mortem c sec

•“Precious babies”

•  Macrosomia

•Previous csec if:

üPrevious csec was upper seg c sec

üContracted pelvis

üVaginal bleeding during current labor

üMarked tenderness over the scar.

So only and only these conditions require caesarean sec agree only if your reports state one of the above conditions. 

TYPES:

1.)A/C to timing :

•ELECTIVE C SEC: The operation is done at a preselected time before onset of labor.

•SELECTIVE C SEC: the operation is done after the onset of labor.

2.) A/C to site of c sec:

•USCS: (Classical) : longitudinal paramedian incision in the upper segment .

                 

•LSCS : (Common) : a pfannenstiel transverse incision in the lower uterine segment are used. 

PROCEDURE :

             SKIN

                 I

   SUBCUTANEOUS FAT

                I                

  RECTUS SHEATH

                 I                               

      LINEA ALBA 

                 I

 EXPOSE THE RECTUS MUSCLE,PERITONEUM &      URINARY BLADDER

   

              I  

                           

RETRACT LATERALLY

                 I              

HEAD IS DELIVERED 

                 I

BODY IS DELIVERED

                 

                 I                   

                   

    PLACENTA IS 

     DELIVERED

                                     

                 I

                                                 SUTURING

POST OPERATIVE COMPLICATION:

 •Haemorrhage

•Wound infection

•DVT

•Pulmonary embolism

•Pelvic abscess

•Respiratory 

 complications

•Incisional hernia 

POST OPERATIVE CARE:

 •Close monitoring for 6-8 hours.

•Blood transfusion If needed.

•Analgesics & sedatives.

•Oral fluids.

•Discharged