C section

Question 1

indications

Answer 1

failure of baby to progress, abnormal uterine action, cephalopelvic disproportion, malpresentation/malposition, APH, rupture, placenta praevia, hypertension, DM, fetal distress, isoimmunisation

Question 2

what is the transverse incision

Answer 2

through the lower uterine segment

Question 3

which technique is used

Answer 3

transverse. classical is rarely used ( vertical incision)

Question 4

when would classic incision be used

Answer 4

transverse lie with stuck shoulder, lower segment very vascular, extensive adhesions

Question 5

what is the syndrome for aspiration following anaesthesia

Answer 5

mendelsons syndrome. empty the stomach before extubation.

Question 6

signs mendelson syndrome

Answer 6

cyanosis, bronchospasm, pulm oedema, tachy

Question 7

indications emergency C section

Answer 7

severe pre eclampsia, placental abruption, fetal distress, prolapsed cord, failed induction, failure to progress

Question 8

when should give LMWH post op

Answer 8

if >1 risk factor - give 7 days postnatally. if VTE in pregnancy give 6 weeks postpartum