Caesarean Section Including Uterine Rupture and Full Dilatation Caesarean Deliveries

doi:10.1017/9781108993388.015

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

Published online by Cambridge University Press: 22 April 2022

Emma Ferriman

Edited by

Swati Jha and

Eloise Power

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Swati Jha: Affiliation:
Royal Hallamshire Hospital, Sheffield
Eloise Power: Affiliation:
Sergeants’ Inn, London

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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.

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Type: Chapter
Information: Lessons from Medicolegal Cases in Obstetrics and Gynaecology
Improving Clinical Practice
, pp. 165 - 178

DOI: https://doi.org/10.1017/9781108993388.015 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2022

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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.12280 Google 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.CrossRef Google 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/ifh Google 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.CrossRef Google Scholar PubMed

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.1001184 Google Scholar

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