Show Summary Details
Page of

The modern caesarean section 

The modern caesarean section
The modern caesarean section

Eric Jauniaux

and Vincenzo Berghella

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 24 May 2020

The caesarean delivery surgical procedure has evolved considerably over the last 100 years. The Pfannenstiel–Kehrer technique is currently the most widely used caesarean procedure and is reviewed in detail in this chapter and complemented with videos. Recent evidence-based evaluation of the different steps of this procedure has shown that uterine exteriorization is safe and is particularly useful when visualization of the incision is difficult; single-layer closure of the uterine incision is associated with a decreased operative procedure time, and locked (but not unlocked) single-layer closures are associated with a higher risk of uterine rupture, compared to double-layer closure, in women attempting vaginal birth after caesarean delivery. There is also evidence that closure of the subcutaneous layer is beneficial in all women with a ≥2 cm of subcutaneous tissue. High-risk caesarean deliveries include procedure performed at full dilatation, multiple repeat procedures, placenta praevia (accreta and non-accreta), and for obese women.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.