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Vaginal ChildBirth after Cesarean Section (C-Section)
Vaginal ChildBirth after Cesarean Section (C-Section) Surgeon 123,257 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

Man’s Hand Inside Meat Grinder Emergency Removing
Man’s Hand Inside Meat Grinder Emergency Removing hooda 50,706 Views • 2 years ago

Watch that video of a Man’s Hand Inside Meat Grinder Emergency Removal

Male to female sex change surgery
Male to female sex change surgery Scott 39,254 Views • 2 years ago

This is a video of a Gender Reassignment Surgery, watch as surgeons change a male to a female its an extremely interesting procedure

Flail Chest
Flail Chest Doctor 100,396 Views • 2 years ago

A rare video showing the flail chest which is traumatic condition during which the chest wall shows paradoxical movement i.e. in with expiration and out with inspiration

Pathology Breast Biopsy Techniques
Pathology Breast Biopsy Techniques Scott Stevens 9,328 Views • 2 years ago

This 3D medical animation shows several methods of breast tissue biopsy procedures including:
- Needle biopsy,
- Stereotactic core biopsy
- Ultrasound-guided core biopsy - - Surgical biopsy

Sciatica Pain Relief Physiotherapy
Sciatica Pain Relief Physiotherapy samer kareem 3,700 Views • 2 years ago

Take your left leg and place your ankle against the knee. Hold the position for a moment before changing legs. This helps stretch the tiny piriformis muscle, which sometimes becomes inflamed and presses against the sciatic nerve causing pain. Repeat by switching sides and doing the same exercise with the other leg.

Meet Toby born premature at 24 weeks.
Meet Toby born premature at 24 weeks. samer kareem 4,832 Views • 2 years ago

Meet Toby, the baby who was born premature at 24 weeks. He may be small, but he's definitely a fighter! Share his story

mammoplasty-botox-tummy tuck-breast surgery-rhinoplasty
mammoplasty-botox-tummy tuck-breast surgery-rhinoplasty dr. kamal hussein saleh al husseiny 961 Views • 2 years ago

Cosmetic surgeryVideo

Hepatitis B:
Hepatitis B: samer kareem 4,691 Views • 2 years ago

Hepatitis B is a serious liver infection caused by the hepatitis B virus (HBV). For some people, hepatitis B infection becomes chronic, meaning it lasts more than six months. Having chronic hepatitis B increases your risk of developing liver failure, liver cancer or cirrhosis — a condition that causes permanent scarring of the liver. Most people infected with hepatitis B as adults recover fully, even if their signs and symptoms are severe. Infants and children are more likely to develop a chronic hepatitis B infection. A vaccine can prevent hepatitis B, but there's no cure if you have it. If you're infected, taking certain precautions can help prevent spreading HBV to others.

Pelvic Inflammatory Disease (PID)
Pelvic Inflammatory Disease (PID) Mohamed 26,158 Views • 2 years ago

An animation showing the Pelvic Inflammatory Disease (PID)

Vaginal Child Birth
Vaginal Child Birth samer kareem 47,250 Views • 2 years ago

Labor And Delivery During Vaginal Child Birth

What is Bartter syndrome
What is Bartter syndrome samer kareem 5,488 Views • 2 years ago

Bartter syndrome is a rare inherited defect in the thick ascending limb of the loop of Henle. It is characterized by low potassium levels (hypokalemia), increased blood pH (alkalosis), and normal to low blood pressure. There are two types of Bartter syndrome: neonatal and classic

How can self examination of Hernia be done
How can self examination of Hernia be done DrPhil 96 Views • 2 years ago

Dr. Mohan Rao, Senior General & Laparoscopic consultant at Apollo Spectra Hospitals, MRC Nagar explains How can one self-examination of Hernia be done

Diverticulosis
Diverticulosis Mohamed Ibrahim 16,195 Views • 2 years ago

Diverticulosis is a common gastrointestinal finding on colonoscopy

Car Crash Animations / Front End Collision
Car Crash Animations / Front End Collision Landging 4,761 Views • 2 years ago

http://www.landging.com/car-crash-animations-front.html Car crash animations, accident reconstruction, front end collision.

Parasites Accidentally Seen During Colonoscopy
Parasites Accidentally Seen During Colonoscopy Scott 48,958 Views • 2 years ago

Parasites Accidentally Seen During Colonoscopy

Minimally Invasive Knee Replacement
Minimally Invasive Knee Replacement Emery King 13,637 Views • 2 years ago

Thanks to a new, state-of-the-art procedure for total knee replacement developed by surgeons at the Detroit Medical Center's Sinai-Grace Hospital, the rehabilitation time for patients has been reduced from six months to six weeks. ~ Detroit Medical Center

Real Human Decay Process
Real Human Decay Process hooda 17,608 Views • 2 years ago

Watch that Real Human Body Decomposing Process On Video

Through Tubing Perforating Animation
Through Tubing Perforating Animation Landging 3,829 Views • 2 years ago

http://www.landging.com/through-tubing.html
This through-tubing perforation animation demonstrates new oil drilling technology.

Carpal Tunnel Syndrome Information
Carpal Tunnel Syndrome Information Scott Stevens 10,196 Views • 2 years ago

Carpal Tunnel Syndrome Information

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