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Vaginal ChildBirth after Cesarean Section (C-Section)
Vaginal ChildBirth after Cesarean Section (C-Section) Surgeon 123,231 Views • 2 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

Drainage of a Submandibular Mouth Abscess
Drainage of a Submandibular Mouth Abscess Scott 40,581 Views • 2 years ago

Drainage of a Submandibular Mouth Abscess

Newborn Resuscitation!
Newborn Resuscitation! samer kareem 2,253 Views • 2 years ago

Pediatric Surgery at Sutter Children's Center Sacramento
Pediatric Surgery at Sutter Children's Center Sacramento hooda 82 Views • 2 years ago

What to expect during the day of a pediatric surgery at Sutter Children's Center Sacramento.

Hemodialysis: Side Effects, How It Works & What You Need to Know
Hemodialysis: Side Effects, How It Works & What You Need to Know Scott 41 Views • 2 years ago

1. What is hemodialysis?
2. Why do you do hemodialysis?
3. How does hemodialysis remove body waste?
4. What are the symptoms and side effects of hemodialysis?
5. How should I eat food when I do hemodialysis?
6. What are some precautions for patients during hemodialysis?


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Kidney patients find solace and safety with at-home dialysis | World News | WION News
Kidney patients find solace and safety with at-home dialysis | World News | WION News Scott 47 Views • 2 years ago

Home dialysis treatment, including for both peritoneal and hemodialysis, has been a slowly developing trend in recent years. Between 2017 and 2018, the number of patients receiving treatment for peritoneal and hemodialysis jumped 7.7% and 8.8%, respectively, according to the United States Renal Data System 2020 Annual Data Report (ADR).

#KidneyPatients #WION #WorldNews



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Scleroderma
Scleroderma samer kareem 1,726 Views • 2 years ago

Scleroderma (skleer-oh-DUR-muh) is a group of rare diseases that involve the hardening and tightening of the skin and connective tissues — the fibers that provide the framework and support for your body. In some people, scleroderma affects only the skin. But in many people, scleroderma also harms structures beyond the skin — such as blood vessels, internal organs and the digestive tract. Signs and symptoms vary, depending on which structures are affected. Scleroderma affects women more often than men and most commonly occurs between the ages of 30 and 50. While there is no cure for scleroderma, a variety of treatments can ease symptoms and improve quality of life.

Medical Animations
Medical Animations Dr.Neelesh Bhandari 41,263 Views • 2 years ago

Medical Animations from India

Complications Of Intubation & Mechanical Ventilation
Complications Of Intubation & Mechanical Ventilation samer kareem 4,380 Views • 2 years ago

Complications. Mechanical ventilation is often a life-saving intervention, but carries potential complications including pneumothorax, airway injury, alveolar damage, and ventilator-associated pneumonia. Other complications include diaphragm atrophy, decreased cardiac output, and oxygen toxicity.

How to Perform Pregnancy Test at Home
How to Perform Pregnancy Test at Home Scott 1,869 Views • 2 years ago

How to Perform Pregnancy Test at Home Video

Infant Child Needle Selection and Insertion Technique
Infant Child Needle Selection and Insertion Technique samer kareem 4,038 Views • 2 years ago

Infant Child Needle Selection and Insertion Technique Animation Video

Microsurgical Management of Spermatocele
Microsurgical Management of Spermatocele samer kareem 3,143 Views • 2 years ago

A spermatocelectomy is surgery to remove a spermatocele. A spermatocele is a cyst (sac of fluid) that contains sperm. It forms inside your scrotum on the outside of your testicle. The cyst is most often attached to your epididymis. The epididymis is a tube that stores sperm.

Human Brain Removal During Medical Autopsy
Human Brain Removal During Medical Autopsy hooda 9,230 Views • 2 years ago

Watch that Human Brain Removal During Medical Autopsy

The IVF Lab
The IVF Lab Medical_Videos 6,831 Views • 2 years ago

The IVF Lab

How Do Blood Transfusions Work?
How Do Blood Transfusions Work? samer kareem 1,610 Views • 2 years ago

People Handling training DVD
People Handling training DVD shrclimited 1,845 Views • 2 years ago

The 30 minute DVD:

introduces moving and handling of people
describes safer people handling practices
features specialist guidance from a chartered physiotherapist
outlines the process for people handling risk assessments
sets out the principles of safer handling
demonstrates the key safer handling techniques:
rolling a person
inserting and removing sliding sheets
repositioning people using sliding sheets
assisting people to stand and walk with handling belts
the use of roll boards in lateral transfers
using hoists
highlights the important role you play in safer people handling

Why do we have blood?
Why do we have blood? samer kareem 1,588 Views • 2 years ago

Brain Concussion in Sports
Brain Concussion in Sports Surgeon 7,515 Views • 2 years ago

Brain Concussion in Sports

Forehead Flap Nasal Reconstruction
Forehead Flap Nasal Reconstruction samer kareem 14,041 Views • 2 years ago

Forehead Flap Nasal Reconstruction

Anterior Abdomen Wall Abscess
Anterior Abdomen Wall Abscess samer kareem 10,218 Views • 2 years ago

Intra-abdominal abscess continues to be an important and serious problem in surgical practice. Appropriate treatment is often delayed because of the obscure nature of many conditions resulting in abscess formation, which can make diagnosis and localization difficult. Associated pathophysiologic effects may become life threatening or lead to extended periods of morbidity with prolonged hospitalization. Delayed diagnosis and treatment can also lead to increased mortality; therefore, the economic impact of delaying treatment is significant.

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