Measures to deal with life-threatening obstetric haemorrhage have been outlined previously, including the use of oxytocic agents, uterine tamponade, uterine compression sutures and hysterectomy. The aim of this chapter is to describe the role of major pelvic vessel ligation or…
Placenta Praevia The term placenta praevia refers to implantation of the placenta in the lower uterine segment that overlies or abuts the internal os ( Fig. 28.1 ). The incidence of placenta praevia is 4 per 1000 deliveries, with evidence…
Salpingectomy Sterilization is a common procedure performed at caesarean section. An increasing awareness of the tubal origin of serous carcinoma has led to an increased focus on opportunistic salpingectomy as a risk-reducing measure for ovarian cancer. The incidence of salpingectomy…
Introduction Uterine rupture is an infrequent, life-threatening obstetric complication for the mother and the fetus, which is often related to a previous caesarean delivery. Although it has been described in nulliparous women, uterine rupture is generally a complication of multiparous…