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Cesarean section

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3 papers 500 to 1000 followers
By Chad Klauser Maternal Fetal Medicine physician in NYC
Antonio F Saad, Mahbubur Rahman, Maged M Costantine, George R Saade
OBJECTIVE: We sought to review and update available evidence regarding outcomes after cesarean delivery (CD) using blunt vs sharp expansion of the uterine incision. STUDY DESIGN: We queried the database of PubMed (US National Library of Medicine, 1946 through December 2013), the Cochrane Library Database of Systematic Reviews,, and Web of Science. All relevant bibliographies were reviewed. Randomized controlled trials comparing blunt with sharp expansion of the lower segment during CD were evaluated for inclusion and methodological quality...
December 2014: American Journal of Obstetrics and Gynecology
A Dhanya Mackeen, Adeeb Khalifeh, Jonah Fleisher, Alison Vogell, Christina Han, Jocelyn Sendecki, Christian Pettker, Benjamin E Leiby, Jason K Baxter, Anna Sfakianaki, Vincenzo Berghella
OBJECTIVE: To compare the incidence of wound complications between suture and staple skin closure after cesarean delivery. METHODS: This prospective, randomized clinical trial conducted at three hospitals in the United States between 2010 and 2012 included women undergoing cesarean delivery at 23 weeks of gestation or greater through a low-transverse skin incision. Women were randomized to closure of the skin incision with suture or staples after stratifying by body mass index and primary compared with repeat cesarean delivery...
June 2014: Obstetrics and Gynecology
Sandra Lesage
PURPOSE: Whenever possible, neuraxial anesthesia is the preferred technique for Cesarean delivery; however, under certain circumstances, general anesthesia remains the most appropriate choice. The purpose of this Continuing Professional Development module is to review the key issues regarding general anesthesia for Cesarean delivery. PRINCIPAL FINDINGS: In developed countries, anesthesia-related maternal mortality and morbidity are both low. Mortality following Cesarean delivery under general anesthesia is attributable chiefly to failed intubation or other induction-related issues...
May 2014: Canadian Journal of Anaesthesia, Journal Canadien D'anesth├ęsie
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