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Vaginal ChildBirth after Cesarean Section (C-Section)
Vaginal ChildBirth after Cesarean Section (C-Section) Surgeon 123,408 Views • 3 years ago

At one time, women who had delivered by cesarean section in the past would usually have another cesarean section for any future pregnancies. The rationale was that if allowed to labor, many of these women with a scar in their uterus would rupture the uterus along the weakness of the old scar. Over time, a number of observations have become apparent: Most women with a previous cesarean section can labor and deliver vaginally without rupturing their uterus. Some women who try this will, in fact, rupture their uterus. When the uterus ruptures, the rupture may have consequences ranging from near trivial to disastrous. It can be very difficult to diagnose a uterine rupture prior to observing fetal effects (eg, bradycardia). Once fetal effects are demonstrated, even a very fast reaction and nearly immediate delivery may not lead to a good outcome. The more cesarean sections the patient has, the greater the risk of subsequent rupture during labor. The greatest risk occurs following a “classical” cesarean section (in which the uterine incision extends up into the fundus.) The least risk of rupture is among women who had a low cervical transverse incision. Low vertical incisions probably increase the risk of rupture some, but usually not as much as a classical incision. Many studies have found the use of oxytocin to be associated with an increased risk of rupture, either because of the oxytocin itself, or perhaps because of the clinical circumstances under which it would be contemplated. Pain medication, including epidural anesthetic, has not resulted greater adverse outcome because of the theoretical risk of decreasing the attendant’s ability to detect rupture early. The greatest risk of rupture occurs during labor, but some of the ruptures occur prior to the onset of labor. This is particularly true of the classical incisions. Overall successful vaginal delivery rates following previous cesarean section are in the neighborhood of 70 This means that about 30of women undergoing a vaginal trial of labor will end up requiring a cesarean section. Those who undergo cesarean section (failed VBAC) after a lengthy labor will frequently have a longer recovery and greater risk of infection than had they undergone a scheduled cesarean section without labor. Women whose first cesarean was for failure to progress in labor are only somewhat less likely to be succesful in their quest for a VBAC than those with presumably non-recurring reasons for cesarean section. For these reasons, women with a prior cesarean section are counseled about their options for delivery with a subsequent pregnancy: Repeat Cesarean Section, or Vaginal Trial of Labor. They are usually advised of the approximate 70successful VBAC rate (modified for individual risk factors). They are counseled about the risk of uterine rupture (approximately 1in most series), and that while the majority of those ruptures do not lead to bad outcome, some of them do, including fetal brain damage and death, and maternal loss of future childbearing. They are advised of the usual surgical risks of infection, bleeding, anesthesia complications and surgical injury to adjacent structures. After counseling, many obstetricians leave the decision for a repeat cesarean or VBAC to the patient. Both approaches have risks and benefits, but they are different risks and different benefits. Fortunately, most repeat cesarean sections and most vaginal trials of labor go well, without any serious complications. For those choosing a trial of labor, close monitoring of mother and baby, with early detection of labor abnormalities and preparation for

how to use female condom
how to use female condom samer kareem 48,311 Views • 3 years ago

female condom

abdomen physical examination
abdomen physical examination M_Nabil 163,836 Views • 3 years ago

a video of abdominal physical examination including all the required items:
-Inspection
-Palpation
-Percussion
-Auscultation

Muscle-Splitting Breast Augmentation
Muscle-Splitting Breast Augmentation Mohamed 27,776 Views • 3 years ago

Breast augmentation usually is performed in subglandular, subfascial, or partial submuscular pockets, including the dual plane. A new pocket has been described and used by the author. Methods: From October 2005 to April 2008, 600 patients underwent bilateral breast augme...

ntation using the new technique. Soft cohesive gel micro-textured round implants (range 200- 500cc) were used. The initial pocket is made in the subglandular plane up to the lower level of the nipple areolar complex. The submuscular plane is reached by splitting the pectoralis major muscle at the level of middle and lower third of sternum. The muscle is split along the direction of its fibers up and laterally to the anterior axillary fold. No pectoralis major is released from costal margin. The implant lies in this plane simultaneously behind and in front of the pectoralis major. Procedure is performed as a day case under general anesthetic with no drains. Results: Postoperative analgesia requirements is reduced because of dissection in natural planes resulting in quick recovery. No muscle contraction associated deformities is seen. All patients had aesthetically natural cleavage, with the nipple at the most projected part of the breast with three-dimensional enhancement. Conclusion: An adequate muscle cover of the prosthesis is achieved by muscle splitting breast augmentation technique and the procedure is used in all breast augmentations procedures

Biggest Ingrown Hair Removed
Biggest Ingrown Hair Removed samer kareem 36,666 Views • 3 years ago

Tipos De Diabetes, Diabets, Alimentação Para Diabéticos, Diabetes Tipo Ii, Yacon Diabetes
Tipos De Diabetes, Diabets, Alimentação Para Diabéticos, Diabetes Tipo Ii, Yacon Diabetes Marky123 1,317 Views • 3 years ago

http://eliminar-seu-diabetes.good-info.co/ Tipos De Diabetes, Diabets, Alimentação Para Diabéticos, Diabetes Tipo Ii, Yacon Diabetes, https://youtu.be/iDK8jKuR_VQ É provável que se sinta identificado com alguma destas situações. Tem medo de uma complicação a longo prazo, como a perda da visão, a amputação dos dedos dos pés, de extremidades ou inclusive da morte? Quer terminar com as injeções diárias de insulina e as picadas nos dedos? Enfrenta diariamente o fato de que tem 80% de probabilidades de morrer com doenças cardíacas ou derrame cerebral? Sofre de excesso de peso que não pode eliminar, causada por seus medicamentos? Quer deixar de se sentir culpado por ter dietas especiais que complicam a organização da sua família? Está oprimido pelo cuidado e controle que diariamente esta doença precisa? Quer deixar de sofrer os terríveis efeitos secundários que provocam os medicamentos para o Diabetes? Sei o que se sente. pensar que não existe esperança, que não tem cura e que estamos condenados a viver doentes. Mas hoje Tenho Excelentes Notícias para lhe dar e posso garantir que o que você vai ler neste site será o mais importante que tenha lido em toda a sua vida.

Bladder neck incision
Bladder neck incision Mohamed 15,521 Views • 3 years ago

Incision of the bladder neck for a small prostate

Gall bladder Lumigram
Gall bladder Lumigram Mohamed 12,312 Views • 3 years ago

Gallbladder "Lumigram" - shows the common bile duct(being probed) and the cystic duct (the duct YOU WANT TO CUT)

Intra-Uterine Device IUD Removal
Intra-Uterine Device IUD Removal Medical_Videos 30,703 Views • 3 years ago

Intra-Uterine Device IUD Removal

Man to Woman Sex Change Surgery Animation
Man to Woman Sex Change Surgery Animation Scott 15,978 Views • 3 years ago

A walk through of an interactive about male to female sex reassignment surgery.

Omentectom
Omentectom samer kareem 6,255 Views • 3 years ago

An omentectomy is a surgical procedure designed to remove the omentum, which is a thin fold of abdominal tissue that encases the stomach, large intestine and other abdominal organs. This fatty lining contains lymph nodes, lymph vessels, nerves and blood vessels.

Getting Out of Bed after Surgery
Getting Out of Bed after Surgery Harvard_Student 7,394 Views • 3 years ago

Getting Out of Bed after Surgery

Dr Omid Liaghat Replantation Case 04
Dr Omid Liaghat Replantation Case 04 Dr Omid Liaghat 1,202 Views • 3 years ago

This 35 years old man lost his right wrist in metal lathe cut machine. the video is taken about 2 years after replantation. You can see another videos in my site: https://drliaghatclinic.com, https://instagram.com/liaghatclinic, https://t.me/liaghatclinic

Change position of breech baby
Change position of breech baby samer kareem 178,073 Views • 3 years ago

The baby will move head down if there is room or if there is tone in the support to the uterus to direct baby head down. Before 24-26 weeks most babies lie diagonal or sideways in the Transverse Lie position. Between 24-29 weeks most babies turn vertical and some will be breech.

Cervicofacial Advancement Flap for SCC
Cervicofacial Advancement Flap for SCC Doctor 13,319 Views • 3 years ago

This video shows a patient with a large squamous cell carcinoma that has eroded through his external ear. The lesion has also infiltrated the parotid gland. We show the resection of this lesion with associated reconstruction.

Urinary catheterization male
Urinary catheterization male nurseclinicals 80,497 Views • 3 years ago

ACTUAL CATHETERIZATION A clinical view of insertion into the male urethra. A 14 french coude cath was used.

Stuck Sex Toy Medical Removal Surgery
Stuck Sex Toy Medical Removal Surgery hooda 303,771 Views • 3 years ago

Watch that video of Stuck Sex Toy Medical Removal Surgery

Vaginal Prep for D&C
Vaginal Prep for D&C samer kareem 4,118 Views • 3 years ago

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

Loyola Full Male Exam Part 2
Loyola Full Male Exam Part 2 Loyola Medicine 86,158 Views • 3 years ago

Loyola Full Male Exam Part 2 A video from Loyola medical school, Chicago showing the full examination of the male

Devastating Consequences of Tooth Loss
Devastating Consequences of Tooth Loss samer kareem 10,430 Views • 3 years ago

Tooth loss can make you look older. When you lose a tooth and don’t replace it with a dental implant, you risk the chance of jawbone loss. Normally, your tooth root stimulates the continued growth and health of your jawbone. Dental implants mirror your natural tooth root and keep your jawbone healthy.

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