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 […]
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. […]
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 […]
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 […]
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 […]
On Saturday afternoon a patient who was 28 weeks pregnant arrived a hospital fully dilated and with her baby having an oblique breech presentation.
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.
A question and my answer on a health matter advise website where I am a Heath Professional ‘expert contributor’. Question to the health advise website from an anonymous person (not my patient) who I don’t know and who lives somewhere in Australia: “I have had 2 children – the first a caesarean due to complications, […]
My goal is not only for you to have an enjoyable Caesarean section delivery experience but also for you to have the least postoperative discomfort possible and an excellent long to recovery with excellent healing. While there are many variables that can account for differences in recovery, I believe taking time and care with closure and […]
A patient at her postnatal visit today complimented me on how much better her Caesarean section delivery experience had been with me. I had not looked after her in her previous pregnancy. She also said she had much less postoperative pain, needed fewer painkillers, was mobile much quicker and felt so much better. While there […]