Caesarean Section

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Another reason why not to go public for pregnancy care

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...

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Caesarean section by choice

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...

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History of Caesarean section delivery

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...

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Her uterus was adherent to her anterior abdominal wall!

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...

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Just in time

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...

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Repeat Caesarean section had unexpected surprises

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...

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Two recent cases of placenta praevia

Two recent cases of placenta praevia

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...

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Saturday afternoon had unexpected developments

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....

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VBAC attempt went horribly wrong

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...

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VBAC vs elective Caesarean section

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...

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Caesarean section closure

Caesarean section closure

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,...

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Caesarean section closure technique

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...

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