Caesarean section is the operation performed to deliver a woman per _________ (before or after?) the age of viability
abdomen
After
WHO recommended an ideal CS rate of between _____ to ______ %
10
15
The first successful CS recorded was by Jacob Nufer who delivered his wife after ________________ in 1588
prolonged labour
Caesarean section
The delivery of the ________,________, and ____________ (before or after?) the age of viability ( 28 weeks gestation) through an incision
made through the ________________________ and ____________
fetus ; placenta ; membranes
After; anterior abdominal wall layers
uterine cavity
Delivery per abdomen at lower gestational age is referred to
as a _______________
hysterotomy
Definition of terms
◦ By timing- ________ or __________
◦ By uterine incision- _________,___________, or __________
◦ By number of operations- __________ or ___________
◦ By access to the uterine cavity- ____________ or _____________
◦ By concurrent procedures- CS myomectomy, CS hysterectomy,
CS sterilization.
Elective ; Emergency
Classical, lower segment, Delee
Primary ; repeat CS
Transperitoneal ; extraperitoneal
Category of caesarean section
Category 1
Category 2
Category 3
Category 4
Emergency
Urgent
Scheduled
Elective
Emergency indication
Is??
Immediate threat to life of woman or fetus
Urgent indication
Maternal or fetal compromise which is Not immediately life threatening
Scheduled indication
No maternal or fetal compromise but needs early delivery
Elective indication
At a time to suit the woman and maternity services
DDI?
Decision to delivery interval
The operating table should be placed at a ———————- to reduce the risk of maternal hypotension
15-degree left tilt
Which incision is easier?
Classical
Which incision is more appropriate in obese woman?
Classical
Which incision has less chance of dehiscence?
Lower segment
Unsuccessful TOLAC leading to ______________
emergency CS