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Cesarean birth
takes place through abdominal incision – 1 of oldest surgical procedures
known. Popular during 1970’s, declined in late 80’s d/t costs! Up again; in
1999, 22% of births.
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Indicated for
variety of maternal & fetal conditions: placenta previa or abruption,
failure to progress, active genital herpes, cord prolapse, etc.
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Two types of
incisions: transverse (Pfannensteil) in lowest, narrowest part of abdomen;
requires more time to make & repair; almost invisible after healing
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Vertical - between navel & symphysis pubis:
quicker; for fetal distress,
macrosomia.
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Uterine incision
depends on need for the C-sec. Inc risk for ruptured uterus in subsequent
vaginal birth
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