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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Currently 3059 records
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Created on : 26 Sep 2006
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Caesarean delivery in the second stage of labour. Editorial. {Royaume Uni}. BMJ 2006;333:613-614

Author(s) :

Spencer C, Murphy D, Bewley S.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

Despite much discussion of the increase in elective caesarean rates over the past 20 years,1 w1 little attention has been paid to the rise in second stage caesarean section rates. The maternal risks of second stage caesareans include major haemorrhage, longer hospital stay, greater risk of bladder trauma, and extension tears of the uterine angle leading to broad ligament haematoma.2 Although second stage caesarean section is sometimes appropriate, many could be prevented by the attendance of a more skilled obstetrician.

Despite problems relating to the inexperience of obstetric trainees, the United Kingdom is making great strides in terms of structured training, assessment of competencies, and consultant delivered intrapartum care. Nevertheless, it is essential to recognise the need for obstetricians to maintain and develop their skills if women are to be offered safe alternatives to caesarean section when complications arise in labour.

Sumário (português)  :

Comments :

Argument (français) :

Les césariennes réalisées au second stade sont en augmentation. Beaucoup pourraient être évitées.

Argument (English):

Argumento (português):

Keywords :

➡ c-section/caesarean ; multiple pregnancy ; postpartum hemorrhage

Author of this record :

Cécile Loup — 26 Sep 2006

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