Skip to main content Accessibility help
×
Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-23T13:07:03.682Z Has data issue: false hasContentIssue false

15 - Emergency caesareansection

from Section 3 - Intrapartum Emergencies

Published online by Cambridge University Press:  05 November 2012

Edwin Chandraharan
Affiliation:
St George’s University of London
Sabaratnam Arulkumaran
Affiliation:
St George’s University of London
Get access

Summary

Depending on the urgency, caesarean sections (CS) are categorised as: grade 1, grade 2, grade 3 and grade 4. Grades 1-3 are all types of emergency CS with differing degrees of urgency. Regional anaesthesia is appropriate for the majority of cases but general anaesthesia may be needed in a grade 1 CS. Lower segment transverse incision is the commonest incision used and is associated with the lowest intra-operative haemorrhage as the lower segment is thin at this level. Classical incision is a rarely used vertical incision in the upper segment of the uterus. Vicryl no.1 on a blunt needle for uterine closure and Vicryl no.1 on a sharp needle for rectus sheath are commonly used sutures. Manual separation of the placenta before spontaneous separation increases the blood loss during CS and also the risk of postoperative endometritis.
Type
Chapter
Information
Obstetric and Intrapartum Emergencies
A Practical Guide to Management
, pp. 107 - 114
Publisher: Cambridge University Press
Print publication year: 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×