The Federal Government has announced “all non-urgent elective surgery will be temporarily suspended” because of the coronavirus pandemic. Several patients have asked me: “Will this affect my planned Caesarean section?” The answer is: "DEFINITELY NOT". Caesarean...
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...
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...
History of Caesarean section delivery
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...
A successful VBAC after two previous Caesarean section deliveries
I met Francine, her husband Bonaventure and their first three children at her first antenatal visit with me when she was 33 weeks pregnant. Francine and her family had just arrived in Australia from the Congo in Africa. Bonaventure was here for his PhD studies at the...
Her uterus was adherent to her anterior 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...
Just in time
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...
Repeat Caesarean section had unexpected surprises
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...
Posterior Placenta Position – Placenta Praevia
Posterior Placenta Position - Placenta Praevia It was a Thursday afternoon. I took a patient to theatre for a Caesarean section delivery because of the Posterior Placenta Position which is called placenta praevia. Placenta praevia is when the placenta develops in the...
Saturday afternoon had unexpected developments
Saturday afternoon had unexpected developments. After a busy morning of visiting postnatal patients in hospital and then seeing antenatal patients for consultations in my office, I returned home. My wife and I had a major appliance at home that needed to be replaced....
VBAC attempt went horribly wrong
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. I was very...
VBAC vs elective Caesarean section
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...
Caesarean section closure technique
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...
Am I more likely to have a Caesarean section if I have an epidural for my labour?
There is no reason why an epidural will increase the likelihood of a Caesarean section delivery. The most common indications for emergency Caesarean section delivery in labour are lack of progress in labour (cephalo-pelvic disproportion or the baby is too big for the...
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