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SECTION(LSCS)
Definition, Indications, Types etc.
DEFINITION
Operation procedure where by the fetus after the
end of 28th week is delivered through an incision on
the abdominal and uterine wall.
In this operation the extraction of the baby is done
through an incision made in the lower segment (3rd
and 4th quadrant, 2-2.5 inches) above the
symphiasis pubis.
INDICATIONS
ABSOLUTE:-
Vaginal delivery is not possible. Caesarean section is needed
even with a dead fetus
Central placenta praevia
Contracted pelvis or Cephalo pelvic disproportion(absolute)
Pelvic mass causing obstruction(cervical or broad ligament
fibroid
Vaginal obstruction(atresia, stenosis)
RELATIVE
Cephalo pelvic disproportion
Non reassuring FHR(fetal distress)
Dystocia due to (three ps) relatively large fetus(passenger), small
pelvis(passage), or inefficient uterine contractions(power)
Antepartum haemorrhage-placenta praevia and abruptio placenta
Malpresentation-Breech, Shoulder(transverse lie), Brow
Failed surgical induction of labour, Failure to progress in labour
Bad obstetric history-with recurrent fetal wastage
Hypertensive disorders-Severe pre eclampsia, Eclampsia-uncontrolled
fits even with antiseizure therapy
TIME OF OPERATION
1. ELECTIVE:- When the operation is done at a prearranged
time during pregnancy to ensure the best quality of
obstetrics, anesthesia, neonatal resuscitation and nursing
services. The operation is done at least one week before
the expected date of delivery.