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Konsep SC
Konsep SC
Konsep SC
BY : FITRI RUZANI
DEFINITION
Sechualed CS
The mother need early delivery but not maternal or
fetal compromised there may concern that
continuation of pregnancy is likely affect the mothe
or fetus in hours or days to come.
COMPLICATIONS
INTRAOPERATIVE
Bleeding & the need for blood transfusion
Hysterectomy
Complications of anaesthesia
Damage to the bladder, ureter, colon , retained placental
tissue
Fetal injury
POSTOPERATIVE
Gaseous distension
Paralytic ileus
Wound dehiscence & infection
Infectins UTI (urinary Tract Infection), pulmonary
DVT (deep Venous Thrombosis) & pulmonary embolism
Death
Vesico uterine fistula
POSTNATAL CARE
Vital Sign & blood loss must be monitered
Uterine fundus palpated
Effective parentral analgesics
Deep breathing & coughing encouraged
Early mobilization
Fluid therapy &diet
Bladder & bowel function
Wound care
Lab
Breast care
Prophylaxis for thrombembolism
MODE OF DELIVERY IN NEXT
PREGNANCY
CRITERIA FOR VBAC
Pt must agree to the procedure
A low transverse uterine incision
Non recurrent cause of the previous CS
No macrosomia, malposition, multiple gestation,
breech
Contraindication
Previous classical CS
2 or more previous CS
Previous other uterine surgery
Hx of scar rupture
Placentaprevia or transverse lie
SCAR RUPTURE
O.2-1.5% for LSCS
4-9% for classical
Cessation of contractions
Scar pain
Bleeding / shock
The end