Cesarean Section Research Paper

936 Words 4 Pages
Introduction:
Cesarean section (often called as C-section) delivery is a type of delivery which, is usually done when the health of mother or baby or both, in certain cases, is at high risk or multiple babes are expected to be delivered. Some other factors also govern the selection of Cesarean section over vaginal delivery such as breech or transverse position of baby, dystocia ,fetal distress, failed labour induction, cephalopelvic disproportion, uterine or amniotic rupture, eclampsia, hypertension, tachycardia, macrosomia, due to some disease condition or in rare cases of posthumous birth. [1]Other factors, which drastically affect the recommendation of type of partus, are age of mother and specially the teenage pregnancies, chronic pelvic
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Vaginal birth after cesarean section (VBAC) and elective repeat cesarean section (ERCS). There is a myth that if a woman undergoes cesarean delivery in her first pregnancy then she, in her next pregnancy, will definitely undergo cesarean delivery. According to American pregnancy Association, 90% of the women who have undergone cesarean section , in their next pregnancy can give birth to a baby through a vaginal delivery. [9]. Criteria for making VBAC depends upon the previous cesarean sections incision; if the previous incision is transverse then the gynecologist adopts this method. ERCs is elected when multiple gestations are expected, maternal medical complications (such as diabetes), age of the mother is more than 40 years , fetal malpositioning , fetal macrosmia and previous low vertical or unknown incision …show more content…
Use of antibiotics is found to be impressive in patients who develop the febrile morbidity after cesarean section.[21]
Bradycardia and hypotension occur frequently when the spinal anesthesia is given for cesarean section. To minimize the risk associated with spinal anesthesia, a combination therapy is deployed to combat with the complications. Combination of phenylephrine infusion and crystalloid cohydration helps in prevention of anesthesia induced hypotension in patients undergone cesarean section.[22-24]
Maternal age plays important role in the selection of cesarean section. Elderly primigravida and multigravida increase the chances of cesarean section delivery. [25]Similarly, in nulliparous women, the cesarean rate is found to be elevated as compared to the multiparous women.[26]
Likewise the other surgeries, patients undergone cesarean section also experience the reduced fluid output and catheterization leading toward postoperative urinary retention ( POUR)[27] Urethral catheterization causes bacteriuria. [28] Antibiotics are used prophylactically in case of repeated or prolong catheterization to minimize the chances of catheter induced urinary tract

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