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Sectio Caesarea
Sectio Caesarea
Prologue
Cesarean delivery is defined as the birth of a fetus through incisions in the abdominal wall (laparotomy) and the uterine wall (hysterotomy). According (Mochtar, 1998) Cesarean delivery is defined as the birth of a fetus with incisions in the the uterine wall (hysterotomy) through abdominal or vagina wall. This method had to be done to prevents maternal and fetal death caused by complication that can be acquired if the labor of the fetus through normal delivery
Epidimiology
In indonesia birth rate with sectio caesarea in 12 teaching hospital ratio is between 2,1%11,8%. In sanglah denpasar hospital sectio caesarea within 10 years (1984-1994) 8,06%20,23%
Sectio Cesarea every 100 birth Indication Norwegia Distosia Has been sc before Breech position Fetal distress others Sectio Caesarea 3,6 1,4 2,1 2,0 3,7 12,8 Skotlandia 4,0 3,1 2,0 2,4 2,7 14,2 Swedia 1,8 3,1 1,8 1,6 2,4 10,7 USA 7,1 8,5 2,6 2,2 3,2 23,6
Fetal indication
fetal distress Makrosemia Breech position Plasenta Factor : plasenta previa, solution plasenta, plasenta accreta Abnormalty of the umbilical cord : umbilical cord prolaps, umbilical cord strangle
Classification
Transperitoneal profunda Sectio cesarea
surgery done by doing incision ln the lower segment of the uterus
Faster fetal delivery Doesnt cause complication such as retraction of the vesica urinaria The incision can be prolonged to proksimal or distal area
Lost
The infection can easily speard through intra abdominal because there is no good reperitonealisation process Increased rate for spontaneous uteri rupture on the next labor
Lost
Severe sepsis Tromboemboli attack Damage in tractus urinarius Infection on the wound Bleeding