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Difficulty in the Delivery of a Baby During LSCS

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Principles of Critical Care in Obstetrics

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Abstract

Over the last three decades, there is a steady rise in cesarean sections globally [1]. This has mainly happened due to expanding indications for primary cesarean section. We now perform elective CS in almost all breech pregnancies; preterm labor; various pregnancy situations such as associated medical problems, e.g., diabetes, hypertension, and immune problems; IVF pregnancies; advanced age pregnancies; and morbidly obese mothers. These higher rates of primary cesarean sections have led to very high repeat cesarean section rates! In almost all recent surveys for indications for CS, “previous cesarean section” has become the number one indication, contributing to almost 40–50 % of CS. The US data also shows a rise from 21 % to 32 % in 15 years [2]. These factors like previous cesarean section, morbidly obese woman, and preterm elective cesarean section have brought in their wake peculiar situations for the delivery of the baby during CS. We have tried to discuss various difficulties encountered in delivering the baby during CS and various means to minimize trauma to the baby as well as to the mother. We have also outlined current concepts and have enlisted suggestions to ease the delivery of the baby with the evidence base. Difficult fetal extraction occurs in approximately one in ten cesarean deliveries, more commonly seen with preterm, elective, and late intrapartum cesarean sections.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, V. S. General Hospital, & Smt. N.H.L. Municipal Medical College, Ahmedabad, 380006, India

    Parul J. Kotdawala

  2. Kotdawala Women’s Clinic, Ellisbridge, Ahmedabad, 380006, India

    Parul J. Kotdawala

  3. Department of Obstetrics and Gynecology, AMC MET Medical College, Sheth L. G. Hospital, Ahmedabad, 380008, India

    Munjal J. Pandya

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  1. Parul J. Kotdawala
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  2. Munjal J. Pandya
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Correspondence to Parul J. Kotdawala .

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Editors and Affiliations

  1. Arihant Women’s Hospital, Ahmedabad, Gujarat, India

    Alpesh Gandhi

  2. Global Rainbow Healthcare, Agra, India

    Narendra Malhotra

  3. Art Rainbow-IVF, Agra, India

    Jaideep Malhotra

  4. Obsetrics and Gynecology, SN Medical College, Agra, India

    Nidhi Gupta

  5. Bharti Vidya Peethmedical College, Pune, India

    Neharika Malhotra Bora

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Kotdawala, P.J., Pandya, M.J. (2016). Difficulty in the Delivery of a Baby During LSCS. In: Gandhi, A., Malhotra, N., Malhotra, J., Gupta, N., Bora, N. (eds) Principles of Critical Care in Obstetrics. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2692-5_34

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  • DOI: https://doi.org/10.1007/978-81-322-2692-5_34

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  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2690-1

  • Online ISBN: 978-81-322-2692-5

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