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Complex caesarean deliveries 

Complex caesarean deliveries
Chapter:
Complex caesarean deliveries
Author(s):

Susan P. Raine

and Michael A. Belfort

DOI:
10.1093/med/9780198758563.003.0007
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date: 28 May 2020

A caesarean delivery is no longer considered to be a complex surgical procedure in comparison to many others performed in gynaecology and other surgical specialities. It does, however, involve a complex set of physiological and anatomical circumstances that need to interact perfectly to achieve an optimal outcome. As the numbers of caesarean deliveries performed around the world increase, what should be a relatively straightforward surgical procedure has increased in complexity and potential risk to the patient and her fetus in both well-resourced and low-resource settings. This chapter attempts to address some of the more common patient, fetal, and labour factors that may lead to complex caesarean deliveries and provides practical strategies to avoid complications at the time of surgery.

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