PubMed · 7465136
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
P Riley. 1981. Extraperitoneal cesarean section.. https://pubmed.ncbi.nlm.nih.gov/7465136/
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
This article reports a study of the incidence of infection in patients undergoing Caesarean section in a district general hospital maternity unit. A literature review was carried out and data were collected on operating circumstances, catheterisation, rates of infection, antibiotic therapy and post-discharge infection surveillance. A high incidence of infection was discovered and there was no evidence of a systematic approach to antibiotic therapy. The author highlights the need for further research on a larger group of patients and describes changes in practice which have occurred locally since completion of the study.
Between the 1st July 1990 and the 30th June 1995, 34 caesarean hysterectomies and 2708 (22%) caesarean sections were performed from 12,227 births on the I. Department of Obstetrics and Gynaecology Semmelweis University Medical School in Budapest. From all 34 cases, hysterectomy were performed in 9 cases (26%) after complicated delivery, in other 9 cases (26%) during elective caesarean section and in 16 cases (47%) during urgent caesarean section. The incidence of caesarean hysterectomy is 2.7/1000 labour in our study. We listed the placenta increta, placenta accreta, placenta adherens, placenta praevia, uteroplacental apoplexia, scar disruption, uterus rupture, atony, sepsis puerperalis, abruptio placentae, haematoma paravaginale as urgent indications and so elective indications were myoma uteri, cervical carcinoma, ovarial tumour and in-situ cervical carcinoma. We collect the elective and urgent indications of caesarean hysterectomy and summarize the possible operative and postoperative complications in our study.
Cesarean section rate has risen dramatically, particularly in the U.S., over the past 20 years, with results on maternal and perinatal mortality or morbidity and increase of delivery cost. To curb this inflation, trial of labor after cesarean section is proposed. Trial of labor often involves use of oxytocics. Regional analgesia is indicated for this high risk delivery. There are few absolute contra-indications to trial of labor and each case has to be analysed separately. Induction of labor leads to several advantages. The repeat cesarean section rate decreases significantly; this high risk delivery can take place during daytime with complete obsetetrical, anaesthetic and pediatric staff. The use of medication such as vaginal prostaglandins or mifepristone can also help lower this rate. X-ray pelvimetry must no longer be the major criterion for choosing the mode of delivery. Normality of labour must be judged according to previous vaginal delivery or not. Revision of uterine scar remains important for the diagnosis of dehiscence or rupture. This exploration should only be done if symptoms appear.