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Caesarean section: Introduction to the ‘World’s No. 1’ Surgical Procedure 

Caesarean section: Introduction to the ‘World’s No. 1’ Surgical Procedure
Caesarean section: Introduction to the ‘World’s No. 1’ Surgical Procedure

Eric Jauniaux

and William A. Grobman

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date: 02 July 2022

All around the world, women giving birth and their baby are facing the same types of basic obstetric complications; mainlyobstructed labour and post-partum haemorrhage (PHH). What varies widely is the short and long term outcome of childbirth as these complications are more common and have more severe outcomes in low-resource setting with limited or no access to trained healthcare professionals and surgical facilities. Essential care, such as access to surgical or instrumental delivery for obstructed labour and/or fetal distress, prophylactic uterotonics for placental delivery, prophylactic antibiotics for emergency CS or prolonged rupture of the placental membranes, intravenous fluid and blood products, magnesium sulphate for eclampsia, and basic neonatal care, is often not available in many low-income countries (LIC). This is a major contributor to severe maternal outcomesuch as severe morbidity and death. The caesarean section (CS) is now the most commonly performed major operation around the world, with more than 1 million procedures performed each year in the United States alone. It has become such a common procedure that it is one of the first surgical procedures performed independently by residents/trainees in obstetrics/gynaecology.

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