Skip to main content
×
×
Home
  • Print publication year: 2013
  • Online publication date: June 2014

Chapter 7 - Caesarean section at full dilatation

Summary
Nowadays, concerns regarding operative vaginal birth (OVB) that need to be addressed at a national and institutional level in many countries. This chapter presents general notes on vacuum extraction and forceps to assist vaginal birth. The varying circumstances of practice between countries and hospitals within countries mean that, unless a trainee has opportunities to be trained in a variety of hospitals and regions, it is unlikely that the goals of the RCOG Green-top Guideline on operative vaginal delivery will be attained. One of the purposes of this book, and the ROBuST training course that accompanies it, is to ensure that trainees have the opportunity to develop skills in both methods of OVB. In the developing countries where operative obstetric skills have been maintained, OVB is carried out when there are concerns in terms of 'fit'. Skills training workshops in emergency and newborn care are many and varied too.
Recommend this book

Email your librarian or administrator to recommend adding this book to your organisation's collection.

ROBuST: RCOG Operative Birth Simulation Training
  • Online ISBN: 9781107445154
  • Book DOI: https://doi.org/10.1017/CBO9781107445154
Please enter your name
Please enter a valid email address
Who would you like to send this to *
×

References

1.UK Statistics for Caesarean Sections from the Office for National Statistics, Births in England and Wales 2009 [www.statistics.gov.uk/statbase and www.isdscot.org].
2. Royal College of Obstetricians and Gynaecolgists Clinical Effectiveness Support Unit. The National Sentinel Caesarean Section Audit Report. London: RCOG Press; 2001.
3. 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;30:370–5.
5.Make every mother and child count, The World Health Report 2005 [whqlibdoc.who.int/whr/2005/9241562900].
6. van den berg P, Schimdt S, Gesche J, Saling E. Fetal distress and the condition of the newborn using cardiotocography and fetal blood analysis. Br J Obstet Gynaecol 1987;94:72–5.
7. Centre for Maternal and Child Enquiries, Royal College of Obstetricians and Gynaecologists. Management of Women with Obesity in Pregnancy. CMACE/RCOG Joint Guideline. London: CMACE, RCOG; 2010.
8. Zhang J, Bricker L, Wray S, Quenby S. Poor uterine contractility in obese women. BJOG 2007;114:343–8.
9. National Institute for Health and Care Excellence. Intrapartum care: Care of healthy women and their babies during childbirth. London:NICE; 2007.
10. Verma R, Mandeep S. New developments, reducing complications of a deeply engaged head at second stage caesarean. A simple instrument. The Obstetrician & Gynaecologist, 2008;10:38–41.
11. Kittur ND, McMullen KM, Russo AJ, Ruhl L, Kay HH, Warren DK. Long-term effect of infection prevention practices and case mix on cesarean surgical site infections. Obstet Gynecol 2012;120:246–51.
12. Karanth KL, Sathish N. Review of advantages of Joel-Cohen surgical abdominal incision in caesarean section: a basic science perspective. Med J Malaysia 2010;65:204–8.
13. Schwake D, Petchenkin L, Younis JS. Reverse breech extraction in cases of second stage caesarean section. J Obstet Gynaecol 2012;32:548–51.
14. Fasubaa OB, Ezechi OC, Orji EO, Ogunniyi SO, Akindele ST, Loto OM, 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.
15. Chopra S, Bagga R, Keepanasseril A, Jain V, Kalra J, Suri V. Disengagement of the deeply engaged fetal head during cesarean section in advanced labor: conventional method versus reverse breech extraction. Acta Obstet Gynecol Scand 2009;88:1163–6.
16. 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;30:264–7.
17. Allen VM, O’Connell CM, Baskett TF. Maternal and perinatal morbidity of caesarean delivery at full cervical dilatation compared with caesarean delivery in the first stage of labour. BJOG 2005;112:986–90.
18. Desperate Debra® – Impacted Fetal Head Simulator (www.adam-rouilly.co.uk/productdetails).