Difficult caesarean section: A literature review
| Autor: | Paola Quaresima, Mariella Micieli, Federica Visconti, Fulvio Zullo, Costantino Di Carlo, Erika Rania, Roberta Venturella, Anna Rita Palumbo |
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| Přispěvatelé: | Visconti, F., Quaresima, P., Rania, E., Palumbo, A. R., Micieli, M., Zullo, F., Venturella, R., Di Carlo, C. |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Ovid medline medicine.medical_treatment Iatrogenic Disease Urinary Bladder Placenta Previa Scopus Tissue Adhesions Placenta Accreta Maternal complications Labor Presentation Obesity Maternal 03 medical and health sciences 0302 clinical medicine Abnormal placentation Pregnancy Natural Birth medicine Humans Caesarean section Cesarean Section Repeat 030212 general & internal medicine Intraoperative Complications Intensive care medicine 030219 obstetrics & reproductive medicine Leiomyoma Cesarean Section business.industry Difficult cesarean section Obstetrics and Gynecology Intestines Clinical trial Organ damage Reproductive Medicine Foetal complication Uterine Neoplasms Female Ureter business Delivery Pregnancy Complications Neoplastic Cohort study |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 246:72-78 |
| ISSN: | 0301-2115 |
| Popis: | Background Caesarean section (CS) is usually perceived as a simple and safe alternative to natural birth, but in some instances can be technically difficult with consequent health hazards for both the mother and the fetus. We have proposed an evidence-based literature review of the most common difficult CS scenarios, with the aim to provide useful information about their management, possible prevention and resolution of complications. Methods We identified articles through a reserch in PubMed, Scopus, Web of Science and Ovid MEDLINE for studies published between 1979 and 2019. We included the best available evidence, such as RCTs, non-randomised controlled clinical trials, case–control studies, cohort studies, and case series. About sixty articles were included in this review, four hundred and thirty-six were excluded after reviewing the title or abstract or because they weren’t in English. Findings The possible causes of “difficult” caesarean sections were divided into four categories: difficult access to the lower uterine segment; complicated fetal extraction, laceration or organ damage and abnormal placentation. Conclusions Knowing in advance the potential technical difficulties and resulting risks allows the surgeon to plan appropriate strategies. |
| Databáze: | OpenAIRE |
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