Cesarean Section

cesarean-section1

Cesarean  section is a curative surgery when fetal and afterbirth is removed by an incision in the uterus.

Types of cesarean section:

  • Classical (corporal) – a cut on the body of the uterus
  • On the lower uterine segment – a cut on the lower uterine segment

Very rarely, extra peritoneal cesarean section and vaginal cesarean section are performed.

Caesarean section can be planned and emergency.

A cesarean section produced at a period of 17-22 weeks of pregnancy is called a small cesarean section.

Indications for cesarean section:

Absolute:

  • Placenta previa
  • Threatened uterine rupture
  • A scar on the uterus after the corporal caesarean section
  • Anatomically narrow pelvis pronounced narrowing
  • The prolonged active phase of labor
  • Lack of effect on family stimulation
  • Obstructive labor
  • The transverse position of the fetus
  • Exacerbation of herpes infection
  • Cicatricial deformity of the cervix
  • Condition after plastic surgery in the vagina
  • III degree crotch rupture in history
  • The high degree of myopia with changes in the fundus
  • Cervical cancer
  • Eclampsia
  • Premature placental abruption
  • HIV is an infection in the whole bladder with high viral activity
  • Severe varicose veins in the vagina
  • Some congenital heart defects (the mode of delivery is established by the cardiac surgeon)
  • A scar on the uterus after two or more cesarean sections
  • Fetal distress
  • Umbilical cord loop
  • Rear view of the facial presentation of the fetus
  • Syndrome of intrauterine growth retardation

Relative indications

  • Pelvic presentation of the fetus
  • Twins, Pelvic presentation of the first fetus
  • Preeclampsia severe
  • Olivator first age (35 years or more)
  • Burdened obstetric history
  • Chorioamnionitis
  • Large fruit
  • Prolonged pregnancy
  • Unpreparedness of the birth canal
  • A scar on the uterus after a cesarean section on the lower uterine segment
  • Uterine scar after conservative myomectomy
  • There is also an elective cave section – at the request of the woman

Anesthesia for caesarean section is selected depending on the conditions and indications for surgery. Both endotracheal combined anesthesia with respiratory management and regional anesthesia (spinal or epidural) can be used.

According to the laparotomy technique, Joel-Cohen laparotomy with the modification of Stark’s caesarean section was most widely used. This method is less traumatic and resource intensive.

In general, according to the technique of implementation – the operation of cesarean section is not difficult. However, complications that may arise in the postoperative period can be quite serious. In the first 24 hours, careful monitoring of the postoperative uterus and hemodynamic parameters is necessary. Particular attention should be paid to the early activation of the puerperal, adequate antibiotic therapy.

It is recommended that mother and child stay together, early start of breastfeeding.