Caesarean Delivery: Standardizing the Practices
Thellier, Él.; Benhamou, D.
La Revue du Praticien 66(6): 648-652
2016
ISSN/ISBN: 0035-2640 PMID: 27538322 Document Number: 688967
Caesarean delivery was performed in 20% of all deliveries in France in 2010 and this rate has remained unchanged during the last 10 years. Indications to perform this procedure are well defined, especially in case of scarred uterus, twin pregnancies, macrosomia or breech presentation. Surgical (haemorrhage, urinary or intestinal tract injury) and anaesthetic (hypotension after regional anaesthesia, difficult intubation and aspiration after general anaesthesia) complications may occur during the procedure. Complications may also be encountered in the early postoperative period (haemorrhage, infection, venous thromboembolism) but also on the long-term, such as placenta accreta or uterine rupture which may significantly impact obstetric outcomes. Enhanced recovery after surgery promotes early recovery and rapid convalescence. It simplifies nursing practice after surgery and is the first important step toward a patient- and family-centred care.