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Mrs X baby weighed 5 kg. Her doctors advised her to have a CS because her pelvis was narrow & it will be difficult for the baby to pass through.
She & her husband objected. They only consented to the CS when she was tired of pushing & was losing her breath. They lost the baby.
She & her husband objected. They only consented to the CS when she was tired of pushing & was losing her breath. They lost the baby.
A lot of ladies have lost their lives or lost their babies through their refusal to go for Caesarean section. Even if alive, the baby could have brain damage leading to cerebral palsy.
We need to correct the negative impressions women & their relatives might have about C-Sections as something terrible.
Religious or cultural beliefs shouldn't be at odds with evidence-based medical advice
After all, safety of the mother and baby should be the ultimate priority.
Religious or cultural beliefs shouldn't be at odds with evidence-based medical advice
After all, safety of the mother and baby should be the ultimate priority.
Children with cerebral palsy could have the following:
-Delays in movements and motor skills, such as holding head up, rolling over, sitting, crawling, and walking
-Body parts that are too stiff or floppy
-Learning disabilities
-Drooling of saliva
-Poor neck control.
-Delays in movements and motor skills, such as holding head up, rolling over, sitting, crawling, and walking
-Body parts that are too stiff or floppy
-Learning disabilities
-Drooling of saliva
-Poor neck control.
5. Cord prolapse- when the umbilical cord comes out of the uterus with or before the presenting part of the baby. The concern with cord prolapse is that pressure on the cord from the baby will compromise blood flow to the baby.
5. A breech birth- this is when a baby is born bottom first instead of head first. Most babies in the breech position are born by CS because it is seen as safer than being born vaginally.
Caesarean sections can be classified as either ‘elective’ (planned) or ‘emergency’.
Elective CS are those that are planned during antenatal. Emergency CS are most commonly for failure to progress in labour or suspected/confirmed fetal compromise.
Elective CS are those that are planned during antenatal. Emergency CS are most commonly for failure to progress in labour or suspected/confirmed fetal compromise.
2. Abnormal lie which can be transverse or oblique.
Normal lie is longitudinal lie in which the baby is coming out thorough the head.
Transverse lie is an abnormal lie as shown in this image.
Normal lie is longitudinal lie in which the baby is coming out thorough the head.
Transverse lie is an abnormal lie as shown in this image.
3. Contracted pelvis
Normal female pelvis is gynecoid. It is broad so as to accommodate the passage of babu during delivery. Women with abnormal pelvis will have a recurrent indication for CS.
Normal female pelvis is gynecoid. It is broad so as to accommodate the passage of babu during delivery. Women with abnormal pelvis will have a recurrent indication for CS.
4. Placenta previa- When the placenta covers the opening in the mother's cervix.
6. Twin pregnancy-when the leading twin have an abnormal presentation
7. Transmissible disease e.g. poorly controlled HIV
8. Two or more previous surgical scar
9. Failed induction of labour
10. Large babies usually >4kg common to diabetic mothers
11. Severe hypertension
7. Transmissible disease e.g. poorly controlled HIV
8. Two or more previous surgical scar
9. Failed induction of labour
10. Large babies usually >4kg common to diabetic mothers
11. Severe hypertension
