Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-848d4c4894-hfldf Total loading time: 0 Render date: 2024-05-21T06:07:48.263Z Has data issue: false hasContentIssue false

Chapter 13 - Caesarean Section Including Uterine Rupture and Full Dilatation Caesarean Deliveries

Published online by Cambridge University Press:  22 April 2022

By
Emma Ferriman
Edited by
Swati Jha  and
Eloise Power
Swati Jha
Affiliation:
Royal Hallamshire Hospital, Sheffield
Eloise Power
Affiliation:
Sergeants’ Inn, London
Get access

Summary

During the claimant’s delivery, labour was obstructed and a caesarean section (CS) performed by the registrar. The claimant’s head was deeply impacted in the maternal pelvis and it was alleged that in the course of delivering and freeing the head, there was significant damage resulting in a depressed fracture of the skull and a subgaleal haemorrhage (bleeding between the scalp and the skull) as well as intracranial haemorrhage (bleeding into the cavern of the skull). These in turn caused permanent brain damage. It was claimed that this trauma was due to the use of undue force that was unnecessary for the purpose.

Type
Chapter
Information
Lessons from Medicolegal Cases in Obstetrics and Gynaecology
Improving Clinical Practice
 , pp. 165 - 178
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

NHS maternity statistics 2018–2019. Published 31st October 2019.Google Scholar
NHS Litigation Authority. Ten years of maternity claims. An analysis of NHS Litigation Authority Data. 2012.Google Scholar
National Institute for Health and Care Excellence (NICE). Caesarean section (CG132). Clinical guideline. Published 23 November 2011.Google Scholar
Montgomery v Lanarkshire Health Board 2015.Google Scholar
Birthrights. Maternal request caesarean section. August 2018.Google Scholar
Field, A, Haloob, R. Complications of caesarean section. Obstet Gynaecol 2016; 18: 265–72. https://doi.org/10.1111/tog.12280Google Scholar
Royal college of Obstetricians and Gynaecologists (RCOG). Consent advice No.7. Caesarean section. October 2009.Google Scholar
Vousden, N, Cargill, Z, Briley, A, Tydeman, G, Shennan, AH. Caesarean section at full dilatation: incidence, impact and current management. Obstet Gynaecol 2014; 16: 199–205.Google Scholar
NHS Resolution. The early notification scheme progress report: collaboration and improved experience for families. An overview of the scheme to date together with thematic analysis of a cohort of cases from year 1 of the scheme 2017–2018. Published September 2019.Google Scholar
Chopra, S. Disengagement of the deeply engaged fetal head during caesarean section – Conventional method versus reverse breech extraction: review of literature [Electronic resource]. Clin Mother Child Health 2016; 13(2).Google Scholar
Nooh, AM, Abdeldayem, HM, Ben-Affan, O. Reverse breech extraction versus the standard approach of pushing the impacted fetal head up through the vagina in caesarean section for obstructed labour: a randomised controlled trial. J Obstet Gynaecol 2017; 37(4): 459–63.CrossRefGoogle Scholar
National Institute for Health and Care Excellence (NICE). Insertion of a balloon device to disimpact an engaged fetal head before an emergency caesarean section. Interventional procedures guidance. Published 27 March 2015.Google Scholar
UK Obstetric Surveillance System (UKOSS). MIDAS study of the impacted fetal head at caesarean section. Available at: www.npeu.ox.ac.uk/ukoss/completed-surveillance/ifhGoogle Scholar
Lucas, DN, Yentis, SM, Kinsella, SM, Holdcroft, A, May, AE, Wee, M, Robinson, PN. Urgency of caesarean section: a new classification. J R Soc Med 2000; 93(7): 346–50.CrossRefGoogle ScholarPubMed
Royal College of Obstetricians and Gynaecologists (RCOG) and Royal College of Anaesthetists (RCA). Classification of urgency of caesarean section: a continuum of risk. Good practice No. 11. April 2010.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Green-top Guideline No. 45. Birth after caesarean section. October 2015.Google Scholar
Fitzpatrick, KE, Kurinczuk, JJ, Alfirevic, Z, Spark, P, Brocklehurst, P, et al. Uterine rupture by intended mode of delivery in the UK: a national case-control study. PLoS Med 2012; 9(3): e1001184. https://doi.org/10.1371/journal.pmed.1001184Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×