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19 Cards in this Set
- Front
- Back
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mortality rate of csection
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3.6x's higher than vag birth
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less blood loss bc lower segment is thinner
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transverse
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(+) transverse (4)
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less blood loss
mod. deflection of bladder easier to repair but longer time less likely to rupture in future |
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(-) transverse (4)
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longer to make incision
not for LGA infants > chance to extend to blood vessels may strectch/thin overtime |
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low vertical (+) (4)
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multiple gestations
abnormal fetal presentation placenta previa nonreassuring fetal status preterm infants for LGA infants (macrosomic) |
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low vertical (-) (5)
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incision may extend to cervix
more time to get past bladder hemostasis&closure difficult >risk of rupture in future PG repeat CS req'd in future PG |
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rarely used today bc of increased blood loss and difficlt repair
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classic (high vertical)
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where is the classic vertical insicion made
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upper portion of the uterus
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>90 percentile
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LGA
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<9 percentile
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SGA
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trial of labor and delivering vaginally after a cesarean birth w low transverse uterine scar
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VBAC
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greatest risk of VBAC
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uterine rupture
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should not be used in VBAC when in labor
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ripening agents
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reduces success of VBAC
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obesity
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advantages of VBAC (4)
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less infections
less blood loss fewer blood infusions shorter hospital stays |
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horizontal through skin and vertical through lower uterine segment
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low cervical incision
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horizontal through skin and horizontal through uterus
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low cervical incision of skin and uterus
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vertical through skin and uterus
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classic vertical incision
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criteria for dc of IV (4)
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no n/v
afebrile stable vs drinking fluids |
