Caesarean Section

Caesarean section

Caesarean section changes during my time as an obstetrician

Posted by Dr Gary Sykes on - Latest Posts, Caesarean Section
Caesarean Section Changes During My Time As An Obstetrician

When I started my training as obstetrician Caesarean section deliveries were done much less frequently than today. There were various reasons for this including… Caesarean sections were considered more dangerous for the mother than vaginal deliveries and so vaginal deliveries were preferred. In the past obstetricians were better trained, more skilled and experienced at doing […]

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Another reason why not to go public for pregnancy care

Posted by Dr Gary Sykes on - Latest Posts, Caesarean Section
Another Reason Why Not To Go Public For Pregnancy Care

Wendy had her first baby at a major public hospital as a public patient. She needed an emergency Caesarean section. She said the operation was done by a young female doctor who she had never met. She never saw this doctor again after the operation. Wendy said she had considerable postoperative pain. Pain continued as […]

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Caesarean section by choice

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy Concerns and Questions, Caesarean Section
Caesarean Section By Choice

When asked: “Can I have a Caesarean section?” I always answer: “YES”. There is an increasing number of women who choose to have an elective Caesarean section as the mode of delivery, rather than a vaginal delivery. The request is usually made at the first antenatal visit and usually of the first pregnancy. It is […]

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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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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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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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Repeat Caesarean section had unexpected surprises

Posted by Dr Gary Sykes on - Latest Posts, Caesarean Section
Previous Poor Caesarean Section Closure

A patient said to me at her first antenatal visit of her second pregnancy that she wanted an attempt at a VBAC (Vaginal Birth After Caesarean section). She was ten weeks pregnant at the time. I had not met her prior and I was not the obstetrician for her first pregnancy and I did not […]

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Two recent cases of placenta praevia

Posted by Dr Gary Sykes on - Latest Posts, Caesarean Section
Placenta Praevia - Baby Delivered Through Placenta

Two recent cases of placenta praevia It was a Thursday afternoon. I took a patient to theatre for a Caesarean section delivery because of placenta praevia. Placenta praevia is when the placenta develops in the lower aspect of the uterus and in close relation to the cervix. In this case, the ultrasound scan indicated the […]

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Saturday afternoon had unexpected developments

Posted by Dr Gary Sykes on - Caesarean Section
Successful Delivery of Premature Baby

On Saturday afternoon a patient who was 28 weeks pregnant arrived a hospital fully dilated and with her baby having an oblique breech presentation.

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VBAC attempt went horribly wrong

Posted by Dr Gary Sykes on - Caesarean Section
VBAC - Lump on Lower Right Abdomen

A 23 year old woman saw me for a gynaecology consultation in the hope I could explain to her what went wrong with her last delivery eight months earlier when she had a ruptured uterus. Also she wanted my management of abdominal pain she has had since then.This tragedy could have been avoided and never had to happen if she had been given good quality obstetric care.

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