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LSCS
LSCS
Indications each
of
5 Timing
ofoperation
6 NICEcategory
9
Why Pfannenstiel ispreferred
10 Pre
op
11 Procedure
12 Post
opcare
13 complications
1 Definition
Lex cesarea
FactorsResponsible
electronic
iii use
of fetalmonitoring diagnosis offetaldistress
iv incidence maternalmedicalcomplic GDM PIH 35yearsage
of
v incidence
of operativevaginaldelivery
vi incidence
of assisteddelivery
Vii Fear case
of medicoligal
3
Types
Lowersegment CS classical Cs
onlyindications
Kerr Uterusadherent tobladder
ii Morbidlyadherentplacenta previa
iii Severlycontractedpelvis
1
Sanger
Inverted
4 Indications ofLSCS
Absolute common
1 contractedPelvis 1 Fetaldistress
2 CPD 2 Failed induction
3 Pelvicmass fibroid 3 Dystocia non
progressivelabor
4 Advanced Cacomin 4 Malpresentation Malposition
Vaginalobstruct atresia
5 stenosis 5 Obstructed labor
6 3
previous LSCS
6 Elective
7 Previous classical CS
8 Dead Fetus
Relative
1 APH
2 Malpresentation
4 Hypertensivedisorders
5 Timingofoperation
sweekpriortodate
whtwain confinement
Elective is
uncertain Ratio I waittillspontaneous
Maturity
onset labor thenCS
of
6 NICE category
decision todeliverytime
D Dtime 75 mins
IncreasedRisk in subsequentpregnancies
of complications
1 Abortion 6 Uterinerupture
2 Ectopic Adhesions
pregnancy 7 PPH
3 Pretermdelivery irritateduterus
4 Morbidly Adherentplacenta
5 Placentaprevia
8 Classical vs lower segment c section
2 incisionalhernia i longertime
3 wounddehiscence 2 Bloodloss
6 MIDLINESKIN INCISION
interference i respiration
i Quickentry
Stronger ii Moreexposure
iii Bleeding
iv Nervedamage
10 Pre
op
1 Informedconsent
2 NBM
4 Foley'scatheter
5 Antibiotics 1hrbefo
Cefazolin2mg IV singledose Penicillin Clindamycin Gentamycin
9 IV cannula RL NS
Operative
draping
2 Anaesthesia
Spinal Tq
General LSCS
Emergency
PIH Preeclampsia
S IntracardiacShunt
HOCM
EjectionFraction
PulmonaryHTN
OPERATIVE STEPS
Oxytocin LOU 0.2mg Methergine
1
afterdelivery
2 Delayed cordclamping
3 Removal
ofplacenta by controlledcordtraction
12 Post care
op
1 Observation check vitals 6 8here
2 IV
fluids
3 Oxytocin 5 IV
Oxytocin
4 Analgesics Pethidine
5 Antibiotics
Discharge
13 Complications
Maternal
Immediate Remote
4 Infection endomyometritis
Stitontis Fetal
SSI
1 Iatrogenicprematurity
5 ParalyticIleus
2 RDS
6
Injurytothebladder 3 Accidentalscalpel
injury
7 woundhematoma