Elective repeat caesarean section  
  Maternal benefits  
  Caesarean section avoids labour with its risks of  
  perineal trauma (urinary and faecal problems)  
  the need for emergency caesarean section  
  scar dehiscence or rupture with subsequent morbidity and mortality  
  advantages of allowing a planned delivery  
  Fetal benefit  
          no risk from intrapartum scar rupture  
  Maternal risks  
  prolonged recovery  
  future pregnancies would probably require caesarean delivery  
  increased risk of placenta praevia and accrete in subsequent pregnancies.  
  Fetal risks  
          Increased risk of transient tachypnoea/respiratory distress syndrome (6% at 38weeks, 1-3% at 39weeks)
    
  source: An evidence based text book for MRCOG
Wednesday, July 3, 2013
Elective Repeat Caesarean Section
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