When can you have a classical C section?
When can you have a classical C section?
Indications for performing a classical cesarean delivery may include malpresentation, anterior placenta previa, non-reassuring fetal heart rate (NR FHR) tracing, cervical cancer, inability to access the lower uterine segment due to lack of sufficient development (eg, extreme prematurity), adhesions, myomas, and obesity …
How long does it take to recover from a classical C-section?
A C-section is major surgery, so you will need at least 4 to 6 weeks to fully recover. One of the best ways to a quick recovery is walking, which you can start while still in the hospital. You’ll need to temporarily avoid regular activities like driving a car, exercising, and having sex.
Can you have a vaginal birth after classical C-section?
Although trial of vaginal birth after lower segment cesarean section (VBAC) is widely practiced and accepted as safe, vaginal birth after classical cesarean section (VBACC) poses an unacceptable risk of uterine rupture. Recent trials of VBAC exclude previous classical cesarean sections.
Which is better horizontal or vertical C-section?
The reason for the differences between the two is that patients with vertical uterine incisions have a much higher chance of rupturing the uterus (8% to 10%) in the future pregnancies, compared to only 1% in those with horizontal incisions.
How is uterine rupture diagnosed and treated during surgery?
It is during surgery that a uterine rupture will be diagnosed and surgical correction initiated. On detection of this condition, the physician should ensure adequate intravenous access, arrange for sufficient blood transfusion, and call for a neonatal team to be ready for intensive-care newborn resuscitation.
Should a previous low transverse cesarean be counseled for TOLAC?
Singleton: One previous low transverse cesarean should be counseled and offered TOLAC Even if patient not a good candidate but admitted to labor floor in active labor, clinical judgement may be used Good candidates are those where balance of risk (low) and chance of success (high) are acceptable to patient and provider
What is postoperative care after cesarean delivery (Etable a)?
Postoperative care after cesarean delivery (eTable A) is similar to that for any major abdominal surgery. The dressing should be removed after 24 hours and the wound monitored daily. Surgical clips can be removed and tape strips placed after three days for transverse skin incisions and after five to seven days for vertical incisions.
What’s new in the new ACOG guidance for low transverse cesarean?
Key highlights from the most recent ACOG guidance include the following: Singleton: One previous low transverse cesarean should be counseled and offered TOLAC Even if patient not a good candidate but admitted to labor floor in active labor, clinical judgement may be used
https://www.youtube.com/watch?v=VR0OEpHwPkQ
