Delivery

Delivery

History of Caesarean section delivery

Posted by Dr Gary Sykes on - Latest Posts, Caesarean section
Caesarean Section in 17th Century

There are references to Caesarean section operations in ancient Hindu, Egyptian, Greek, Roman, Chinese and European stories, photos and ancient historical records. While it is commonly believed the name ‘Caesarean’ is from the surgical birth of Julius Caesar, this is considered unlikely as his mother lived to hear of her son’s invasion of Britain. Roman […]

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Planning is important

Posted by Dr Gary Sykes on - Latest Posts, Delivery
Importance of Planning in Pregnancy

Pregnancy and childbirth complications can happen irrespective of who is managing your pregnancy. But with considerable professional clinical experience that is consequence of having managed many thousands of pregnant women and with personalised patient care the likelihood of an adverse development can often be predicted and appropriate management steps are taken so the adverse development […]

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Epidural and spinal anaesthetics

Posted by Dr Gary Sykes on - Latest Posts, Delivery
epidural

I am often asked questions about epidural and spinal anaesthetics. I have compiled the information below with these questions in mind. An epidural anaesthetic is a regional (not general) anaesthetic whether local anaesthetic medication is injected into the epidural space. This is usually done through a fine plastic tube (catheter) introduced into the epidural space […]

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Do Epidurals Prolong Labour?

Posted by Dr Gary Sykes on - Latest Posts, Delivery
epidurals and labour

This popular question does not have a simple answer as there are different circumstances that need to be considered. First stage labour There is no reason an epidural block should prolong first stage labour. To the contrary epidural can result in a shorter first stage period of labour Pain can slow progress in first stage […]

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When Less is Better than More

Posted by Dr Gary Sykes on - Latest Posts, Delivery
occipito - anterior (1)

It was Louise’s second pregnancy. In her first pregnancy she went into spontaneous labour at 40 weeks and 6 days. She had a spontaneous vaginal delivery of a baby girl weighing 3662gms. This second pregnancy was progressing well except her baby started measuring large for dates in the third trimester. At 38 weeks and 4 […]

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Caesarean section delivery needed in second stage labour

Posted by Dr Gary Sykes on - Latest Posts, Delivery
Caesarean section delivery

The first time I met Fozia was at 12 weeks gestation in her second pregnancy. She told me she delivered her first baby in 2006. She told me she went into spontaneous labour at 40 weeks gestation and after 17-hr labour had a spontaneous vaginal delivery of a girl baby who weighed 3.05Kg. She had […]

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Her uterus was adherent to her anterior abdominal wall!

Posted by Dr Gary Sykes on - Latest Posts, Caesarean section
Baby in Uterus that is Adherent to Abdominal Wall

A new patient saw me for management of her third pregnancy. Her first delivery had been in Pakistan. It was an emergency Caesarean section at 36 weeks because of foetal distress. Her second delivery was in the United Kingdom. It was an emergency Caesarean section at 40 weeks because of lack of progress in labour. […]

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Foetal distress in first stage labour

Posted by Dr Gary Sykes on - Latest Posts, Delivery
Pushing Up Cervix

I have had two patients recently where despite foetal distress in first stage pregnancy were able to have vaginal deliveries. The first patient was in her second pregnancy with the first pregnancy ending as a miscarriage because of the baby having a chromosomal abnormality. This pregnancy was complicated by gestational diabetes (managed by diet with […]

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Management of an occipito-posterior positioned baby

Posted by Dr Gary Sykes on - Latest Posts, Delivery
Occipito-Posterior Position

It was Shannon’s third pregnancy. Her first was in 2015. That pregnancy had been uneventful. She ruptured her membranes at 40 weeks. As she did not go into labour a Syntocinon infusion was commenced. She had a vaginal delivery of a healthy girl weighing 3.1Kg. Her perineum was intact. I needed to give her a […]

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Just in time

Posted by Dr Gary Sykes on - Latest Posts, Caesarean section
Caesarean Section Successful Delivery

Vanessa saw me for her first antenatal visit of her second pregnancy when she was 8 weeks pregnant. She told me her first pregnancy was uneventful. She went into spontaneous labour at 37 weeks. Labour lasted about 15 hours. There was a lack of progress in the second stage despite one hour of pushing. Forceps […]

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