Caesarean Section Flashcards
(20 cards)
What is a caesarean section?
A surgical procedure involving the delivery of the foetus, placenta, and membranes through the abdomen after viability.
What is the ideal caesarean section rate recommended by WHO?
10–15%
What does the term “caedre” mean?
“To cut”
Who performed the first successful caesarean section?
Jacob Nufer in 1588
What is the gestational age after which caesarean section is defined?
28 weeks gestation
What is a hysterotomy?
Abdominal delivery before 28 weeks of gestation
Name two classifications of caesarean section based on timing.
Elective and Emergency
What are the categories of caesarean section based on decision-to-delivery interval (DDI)?
Category 1 (30 min DDI), Category 2 (75 min DDI)
List three maternal indications for caesarean section.
Cephalopelvic disproportion, pelvic tumors, maternal request
List three foetal indications for caesarean section.
Foetal distress, cord prolapse, breech presentation
What are two key preoperative preparations before a CS?
Informed consent and preoperative antibiotics
Why is a 15-degree left tilt used during caesarean section?
To prevent maternal hypotension
Mention two components of immediate/intraoperative complications.
Haemorrhage and injury to bladder or ureters
What is a common late complication of CS?
Scar rupture or pelvic adhesions
What does TOLAC stand for?
Trial of Labour After Caesarean
What is VBAC?
Vaginal Birth After Caesarean
Name two risks associated with repeat caesarean sections.
Placenta accreta and uterine rupture
What is the importance of a surgical safety checklist?
To ensure safety and preparedness before surgery
What are two contraindications to ECV?
Placenta praevia and uterine scar
When should prophylactic antibiotics be administered for CS?
Within 60 minutes prior to skin incision