Surgical techniques for performing caesarean section including CS at full dilatation

Pandit, Suchitra; Khan, R.

doi:10.1016/j.bpobgyn.2012.12.006

Cited by 13 publications

(11 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In instances when the fetal head is at a very low station, a vaginal hand may be used to facilitate cesarean delivery [10]. Although we anticipated that use of vaginal hand assistance during surgery would increase ascending infection and rates of suction tip contamination, we did not identify an association between this occurrence and positive cultures (p>0.99), likely reflecting that our study population included only two deliveries requiring vaginal hand assistance.…”

Section: Discussioncontrasting

confidence: 48%

Intraoperative Contamination of Suction Tips as a Source of Infection during Cesarean Deliveries: A Pilot Study

McMaster¹

2015

OGIJ

View full text Add to dashboard Cite

Section: Discussioncontrasting

confidence: 48%

Intraoperative Contamination of Suction Tips as a Source of Infection during Cesarean Deliveries: A Pilot Study

McMaster¹

2015

OGIJ

View full text Add to dashboard Cite

“…The applied technique of closing the uterus has continued to change over the years (Pandit and Khan, 2013). In the UK, double-layer closure is advocated, and they concluded from earlier studies that effectiveness and safety of single-layer closure of the uterine incision was uncertain (Nice guideline, 2013), while in several other countries including the Netherlands and Belgium most gynaecologists changed from double-layer to single-layer closure of the uterus.…”

Section: Hypothesis 2: Incomplete Closure Of the Uterine Wallmentioning

confidence: 99%

Why Do Niches Develop in Caesarean Uterine Scars? Hypotheses on the Aetiology of Niche Development

Vervoort

Uittenbogaard

Hehenkamp

et al. 2016

Obstetrical &Amp; Gynecological Survey

108

View full text Add to dashboard Cite

Caesarean section (CS) results in the occurrence of the phenomenon 'niche'. A 'niche' describes the presence of a hypoechoic area within the myometrium of the lower uterine segment, reflecting a discontinuation of the myometrium at the site of a previous CS. Using gel or saline instillation sonohysterography, a niche is identified in the scar in more than half of the women who had had a CS, most with the uterus closed in one single layer, without closure of the peritoneum. An incompletely healed scar is a long-term complication of the CS and is associated with more gynaecological symptoms than is commonly acknowledged. Approximately 30% of women with a niche report spotting at 6-12 months after their CS. Other reported symptoms in women with a niche are dysmenorrhoea, chronic pelvic pain and dyspareunia. Given the association between a niche and gynaecological symptoms, obstetric complications and potentially with subfertility, it is important to elucidate the aetiology of niche development after CS in order to develop preventive strategies. Based on current published data and our observations during sonographic, hysteroscopic and laparoscopic evaluations of niches we postulate some hypotheses on niche development. Possible factors that could play a role in niche development include a very low incision through cervical tissue, inadequate suturing technique during closure of the uterine scar, surgical interventions that increase adhesion formation or patient-related factors that impair wound healing or increase inflammation or adhesion formation.

show abstract

“…Manual removal is the use of the gloved hand with a gentle sawing action to separate the placenta from its implantation site [10]. During CS, the placenta should be removed using CCT and not manual removal, as this reduces the risk for endometritis [11]. Therefore, the Cochrane database recommends the technique of cord traction during CS to be the preferred method of placental delivery over manual removal [10].…”

Section: Introductionmentioning

confidence: 99%

Time interval between delivery of the fetus by cesarean section and placental separation using cord traction in relation to the amount of blood loss

Taha

Azmy

Okasha

et al. 2015

Medical Research Journal

View full text Add to dashboard Cite

Objective The aim of this study was to estimate the best time interval needed to start delivering the placenta following fetal delivery in cesarean section (CS) that allows placental delivery with decreased incidence of undue morbidity.Patients and methods This prospective study was conducted on patients attending the Labor Ward, Cairo University Hospital (Egypt). A total of 120 pregnant women who had an indication for elective or emergency CS were studied between October 2009 and May 2010. Women admitted for CS were randomly assigned to one of the four study groups: group A, group B, group C, and group D. The patients were assigned according to the time before beginning cord traction to deliver the placenta after fetal delivery (15, 30, 45, and 60 s, respectively). The primary outcome was the time taken for the placenta to separate, and the secondary outcome measured the morbidity during placental separation. ResultsIn this study, we found that women who had traction on their placentas after 60 s (group D) had the best results in the amount of blood loss from the placental bed (125.36 ± 7.96 ml, n = 30), as well as the least time interval for complete delivery of the placenta (24.7 ± 4.41 s, n = 30), with less complications (16%, n = 30).Conclusion This study suggests that waiting for 1 min after delivery of the fetus before starting cord traction could help in reducing the amount of blood loss from the placental bed. Moreover, this reduces the time interval needed for placental separation after starting cord traction.

show abstract

Surgical techniques for performing caesarean section including CS at full dilatation

Cited by 13 publications

References 72 publications

Intraoperative Contamination of Suction Tips as a Source of Infection during Cesarean Deliveries: A Pilot Study

Intraoperative Contamination of Suction Tips as a Source of Infection during Cesarean Deliveries: A Pilot Study

Why Do Niches Develop in Caesarean Uterine Scars? Hypotheses on the Aetiology of Niche Development

Time interval between delivery of the fetus by cesarean section and placental separation using cord traction in relation to the amount of blood loss

Contact Info

Product

Resources

About