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1、Cesareansection(CS)?Caesareansectionorc-section,isadelivaryofthefoetusthroughincisionsinanteriorabdominal(laparotomy)anduterinewall(hysterotomy)IndicationsofCesareansection(CS)?Itisusuallyperformedwhenavaginaldeliverywouldputthebaby'sormother'slifeorhealthatrisk.Thefo
2、llowingindicationsarethemostfrequent:1.Extremedgreeofcontractedpelvic(oneormoreofthediametersisreducedandinterfereswithnormalmechanismoflabour.Degreesofcontractedpelvis:·Minordegree:thetrueconjugateis9-10cm.·Modratedegree:thetrueconjugateis8-9cm.·Severdegree:thetrueco
3、njugateis6-8cm.·Extremedegree:thetrueconjugateislessthan6cm.2.Cephalopelvicdisproportion:theheadofthefoetusistoolargetocomethroughthepelvis.3.UterineInertia:Inefficientuterinecontraction.4.Placentapravia:Implamtationofplacentaintheloweruterinesegment.95.Prematuresepar
4、ationofplacena:Cesareansectionisindicatedwhen,thefoeteldistressoccurs,wheneffectivelabourdoesnotfollowruptureofmembraneandwhenvaginalcannotbeanticipetedwithin2hours.6.Malpositionandmalpresentation7.Pre-eclamsia8.Diabetes(causesoversizeofthefoetus.Cesareansectionshould
5、bedoneinthe1stfourweeksinprimigravidae.9.Cardiacdiseases.10.Vaginalscaring.11.Carcinomaofthecervix.12.Cervicaldystoctia(failureofthecervixtodilateinspiteofstrongcontractionoftheuterus).13.Apreviousuterineincision.14.Prolapseoftheumbilical.15.Foetaldistress.16.Badposto
6、bstetrichistory(babyhabituallydiesintheuterus.17.Failureoflabourtoprogressdespiteadequatestimulation.Contra-IndicationsofCesareansection(CS)Deadoffoetus9TimesofCesareansection(CS)1)Electivetiming:(beforetheonsetoflabourbyoneweek.2)Selectivetiming:(aftertheonsetoflabou
7、r,itispreferred.TypesofCesareansection(CS)Theclassicalcaesareansection:?Amidlinelongitudinal(vertical)incisionwhichallowsalargerspacetodeliverthebaby.However,itisrarelyperformedtodayasitismorepronetocomplications.?Theloweruterinesegmentsection:?Itistheaproceduremostco
8、mmonlyusedtoday;itinvolvesatransversecutjustabovetheedgeofthebladderandresultsinlessbloodlossandiseasiertorepair.Indications
