Repeated caesarean section

1926 ◽  
Vol 22 (11) ◽  
pp. 1296-1297
Author(s):  
V. Gruzdev

Caesarean section in the same woman can be repeated three times, the first two times the uterine incision should be made intraperitoneally in the lower segment, and the third time in the uterine body.

2014 ◽  
Vol 52 (194) ◽  
pp. 764-770 ◽  
Author(s):  
Yong Shao ◽  
Meena Pradhan

Introduction: To determine if the upper part of the lower segment of the uterus is a better site for cesarean incision then the traditionally used lower end. Methods: This is a case-control study (1:1 ratio) conducted from 1st October 2012– 30th September 2013 observed between transverse incision at the upper part of the lower segment versus traditional lower segment of the uterus. Two hundred caesarean sections were performed via a transverse uterine incision at the upper part of the lower segment and equal numbers of uterine incision was performed at traditional lower segment. To obtain less intraoperative bleeding high incision made at thicker wider muscular part at of the upper part of lower segment about 2-3 cm distances from vesico-uterine serosa. Results: The estimated volume of blood loss in high incision 188±60.1 ml was significantly less compared to traditional incision 330.1± 86.5 ml (p<0.05). Duration of operation 30.5± 6.6 minute versus 45.3±7.2 minute and tearing the uterine incision was significantly less with the high incision versus traditional incision. Other procedural and patient benefits are noted. Conclusions: An incision at the upper part of the lower segment reduces blood loss, enhances uterine retraction, predisposes to fewer complications, is easier to repair, precludes bladder adhesion to the suture line and reduces operation time.  Keywords: caesarean section; higher incision technique; traditional uterine incision technique. 


Anaesthesia ◽  
1991 ◽  
Vol 46 (5) ◽  
pp. 404-407 ◽  
Author(s):  
T. N. Trotter ◽  
P. Hayes-Gregson ◽  
S. Robinson ◽  
L. Cole ◽  
S. Coley ◽  
...  

2010 ◽  
Vol 54 (5) ◽  
pp. 409 ◽  
Author(s):  
SeanBrian Yeoh ◽  
SngBan Leong ◽  
AlexSia Tiong Heng

2020 ◽  
Vol 7 (1) ◽  
pp. 72-74
Author(s):  
A. Fisher

Ms. Ch., 26 years old; poor health; started to walk at the age of 6; the first menstruation - at the age of 12, got married on the 19th and immediately became pregnant. The first birth, which lasted 46 hours, ended with a craniotomy at the Obstetric Aid in Moscow; the second pregnancy was artificially terminated by the author at the end of the 24th week, - a living child was born, died after 7 weeks from congenital weakness; The author interrupted the third pregnancy at the 36th week, and the labor was completed by the difficult imposition of forceps on the head moving above the entrance to the pelvis, - the girl was born in asphyxiation, revived. The present, fourth, pregnancy proceeded as follows: the last regulations between March 7 and 10, 1891; first fetal movement - July 24; only on 30 November (i.e. at the end of the 38th week) did the pregnant woman turn to the author.


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