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Chapter 7 - Caesarean Section at Full Cervical Dilatation

Published online by Cambridge University Press:  06 June 2024

By
Patrick O’Brien  and
Sadia Bhatti
Edited by
George Attilakos ,
Sharon Jordan ,
Michele Mohajer ,
Glen Mola ,
Stephen O'Brien  and
Dimitrios Siassakos
George Attilakos
Affiliation:
University College London
Sharon Jordan
Affiliation:
Southmead Hospital, Bristol
Michele Mohajer
Affiliation:
Shropshire Women and Children’s Centre
Glen Mola
Affiliation:
University of Papua New Guinea
Stephen O'Brien
Affiliation:
University of Bristol
Dimitrios Siassakos
Affiliation:
University College London
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Summary

There are currently no precise figures for the incidence of caesarean section at full dilatation, but given that there are around 200,000 caesarean births in the UK each year with around 10% at full dilatation, it potentially affects around 20,000 births per year.

Type
Chapter
Information
ROBuST: RCOG Assisted Birth Simulation Training
Course Manual
 , pp. 98 - 113
Publisher: Cambridge University Press
Print publication year: 2024

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References

Office for National Statistics. UK statistics for caesarean sections, Births in England and Wales 2009. www.statistics.gov.uk/statbase; ISD Scotland www.isdscot.orgGoogle Scholar
Thomas, J, Paranjothy, S. Royal College of Obstetricians and Gynaecologists Clinical Effectiveness Support Unit. The National Sentinel caesarean Section Audit Report. London: RCOG Press, 2001.Google Scholar
Loudon, JA, Groom, KM, Hinkson, L, Harrington, D, Paterson-Brown, S. Changing trends in operative delivery performed at full dilatation over a 10-year period. J Obstet Gynaecol. 2010 ;30(4):370–5. doi: 10.3109/01443611003628411. PMID: 20455720.CrossRefGoogle ScholarPubMed
Postgraduate Medical Education Training Board. 2008–2009 Trainees Survey. www.gmc-uk.org/National_Training_Surveys_2008_09_20090929.pdf_30512348.pdfGoogle Scholar
World Health Organization. Make every mother and child count. The World Health Report 2005. whqlibdoc.who.int/whr/2005/9241562900Google Scholar
Van Den Berg, P, Schmidt, S, Gesche, J, Saling, E. Fetal distress and the condition of the newborn using cardiotocography and fetal blood analysis during labour. BJOG 1987; 94: 72–5. https://doi.org/10.1111/j.1471-0528.1987.tb02256.xGoogle ScholarPubMed
Zhang, J, Bricker, L, Wray, S, Quenby, S. Poor uterine contractility in obese women. BJOG 2007;114:343–8.Google ScholarPubMed
Denison FC, Aedla NR, Keag, O et al., on behalf of the Royal College of Obstetricians and Gynaecologists. Care of Women with Obesity in Pregnancy. Green-top Guideline No. 72. BJOG 2018. www.rcog.org.uk/files/rcogcorp/CMACERCOGJointGuidelineCrossRefGoogle Scholar
National Institute for Health and Care Excellence. Intrapartum Care (NG235). London: NICE; 2023. nice.org.uk/nicemedia/live/11837/36275/36275Google Scholar
Haas, DM, Morgan, S, Contreras, K et al. Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections. Cochrane Database Syst Rev 2018;30:CD007892.doi:10.1002/14651858.CD007892.pub6Google Scholar
Seal, SL, Dey, A, Barman, SC et al. Randomized controlled trial of elevation of the fetal head with a fetal pillow during cesarean delivery at full cervical dilatation. Int J Gynaecol Obstet. 2016;133:178–82. doi: 10.1016/j.ijgo.2015.09.019. Epub 2016 Jan 15. PMID: 26868074.Google ScholarPubMed
Di Girolamo, R, Galliani, C, Buca, D, Liberati, M, D’Antonio, F. Outcomes of second stage cesarean section following the use of a fetal head elevation device: a systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2021. doi: https://doi.org/10.1016/j.ejogrb.2021.04.043Google Scholar
Kittur, ND, McMullen, KM, Russo, AJ et al. Long-term effect of infection prevention practices and case mix on cesarean surgical site infections. Obstet Gynecol : 2012;120:246–51.CrossRefGoogle ScholarPubMed
Karanth, KL, Sathish, N. Review of advantages of Joel-Cohen surgical abdominal incision in caesarean section: a basic science perspective. Med J Malaysia. 2010;65:204–208.Google ScholarPubMed
Schwake, D Petchenkin, L, Younis, JS. Reverse breech extraction in cases of second stage caesarean section. J Obstet Gynaecol 2012;32:548–51.Google ScholarPubMed
Fasubaa, OB, Ezechi, OC, Orji, EO et al. Delivery of the impacted head of the fetus at caesarean section after prolonged obstructed labour: a randomized comparative study of two methods. J Obstet Gynaecol 2002;22:375–8.Google ScholarPubMed
Chopra, S, Bagga, R, Keepanasseril, A et al. Disengagement of the deeply engaged fetal head during cesarean section in advanced labor: conventional method versus reverse breech extraction. Acta Obstet Gynecol Scan 2009;88:1163–6.CrossRefGoogle ScholarPubMed
McKelvey, A, Ashe, R, McKenna, D, Roberts, R. caesarean section in the second stage of labour: a retrospective review of obstetric setting and morbidity. J Obstet Gynaecol. 2010 ;30(3):264–7. doi:10.3109/01443610903572109.PMID:20373928.Google ScholarPubMed
Allen, VM, Connell CM, O’, Baskett, TF. Maternal and perinatal morbidity of caesarean delivery at full cervical dilatation compared with caesarean delivery in the first stage of labour. Br J Obstet Gynaecol 2005;112:986–90.Google ScholarPubMed
Desperate Debra® – Impacted Fetal Head Simulator. www.adam-rouilly.co.uk/productdetailsGoogle Scholar
Spencer, C, Murphy, D, Bewley, S. caesarean section in the second stage of labour. BMJ 2006; 333:613–4.Google ScholarPubMed

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