Laceration injury at Cesarean section

Haas, David M.; Ayres, Allen

doi:10.1080/713605481

Cited by 4 publications

(14 citation statements)

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“…Haas et al, (37) noted that the most common intraoperative complication in cesarean delivery was uterocervical laceration and associated blood loss. In our study, intraoperative uterocervical laceration rate was 9.7%.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Maternal and Neonatal Outcomes in Cesarean Sections Performed in the Second Stage of Labor

Yetiskin¹,

Arslan²,

Mihmanlı³

et al. 2019

eamr

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To compare maternal and neonatal outcomes in cesarean deliveries in the first and second stage of labor. Methods: Sixty-five patients who had caesarean section in the second stage of labor and 90 patients who had caserean section in the first stage of labor were compared in terms of maternal and neonatal complications. Patient data was obtained from patient files and hospital electronic system records. Results: Of the 155 patients included in the study, 58.1% (n=90) had a cesarean section in the first stage of labor and 41.9% (n=65) in the second stage of labor. The incidence of intraoperative surgical complication and postoperative endomyometritis was significantly higher in the cesarean section in the second stage of labor compared to the cesarean section in the first stage of labor. There was no significant difference in terms of blood transfusion requirement and neonatal complications between two groups. Conclusion: Maternal morbidity risk is significantly higher in cesarean sections performed in the second stage of labor than in the first stage of labor.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Maternal and Neonatal Outcomes in Cesarean Sections Performed in the Second Stage of Labor

Yetiskin¹,

Arslan²,

Mihmanlı³

et al. 2019

eamr

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“…The percentage of fetal incised wounds is overall quite small (their incidence is about 1.5-6%), but it is an underestimated phenomenon, as sometimes these lesions are not documented by surgeons in the operative summary. 9 The lesions are often discovered by nurses or neonatologists, especially if they need sutures. In general, paediatric surgeons are called upon to repair these lesions using sutures or glue.…”

Section: Discussionmentioning

confidence: 99%

Fetal laceration during caesarean section and its medico-legal sequelae

Esposito¹,

Escolino²,

Paternoster

et al. 2014

Med Sci Law

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Fetal laceration is a recognized complication of caesarean delivery. The aim of this study was to investigate the incidence, type, location, risk factors and long-term consequences of accidental fetal incised wounds during caesarean delivery. During a five-year period, we observed 25 cases of fetal lacerations caused by the scalpel during hysterotomy. In 20 of these cases, we observed these lesions as consultants for the Neonatologic Care Unit; the other five cases came under our care after an insurance claim for damages against the gynaecologist. All the infants had a lesion located to the head. In only 5 of the 25 cases the lesion was reported in the operative summary, and only 16 of the 25 mothers had signed an informed consent before surgery. With regard to the 20 cases diagnosed at the Neonatologic Care Unit, the lesion was closed using single stitches in nine cases, and with biological glue in 11 cases. Concerning the five cases that underwent legal proceedings against the gynaecologist, a clinical examination was performed by an expert in Public Health and Social Security in collaboration with a paediatric surgeon to evaluate the degree of biological damage. In all five cases, the result of the legal challenge was monetary compensation for the physical and moral damage caused by the gynaecologists to the patients and their parents. Accidental fetal lesions may occur during caesarean delivery; the incidence is significantly higher during emergency caesarean delivery compared to elective procedures. Patients should sign an informed consent in which they should be informed about the risk of the occurrence of fetal lacerations during caesarean delivery in order to avoid legal complications.

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“…accidental fetal skin lacerations, cesarean section, meconium, premature rupture of membranes, risk factors to 3% of cases, cutaneous cuts being the most common injury with a reported incidence between 0.7% and 3%. [1][2][3][4][5][6][7][8][9][10] Nevertheless, only few large-scale studies have explored this issue. [1][2][3][4][5][6][7][8][9][10] Gajjar and Spencer 11 reported that approximately 70% of the AFL are located on the head, neck, and ear, 20% on the lower body, and 10% on the back.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10] Nevertheless, only few large-scale studies have explored this issue. [1][2][3][4][5][6][7][8][9][10] Gajjar and Spencer 11 reported that approximately 70% of the AFL are located on the head, neck, and ear, 20% on the lower body, and 10% on the back. In most described cases of AFL, the cuts are superficial, involving only the skin, and bearing mostly aesthetic consequences.…”

Section: Introductionmentioning

confidence: 99%

Risk factors associated with accidental fetal skin lacerations during cesarean delivery

Har‐Shai

Kreichman

Kedar

et al. 2022

Intl J Gynecology & Obste

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Cesarean section (CS) is the most common operation in women with childbearing potential. Although generally safe, CS is associated with risks for maternal and neonatal complications, including accidental fetal lacerations (AFL). Skin lacerations constitute the most common fetal injury in CS, accounting for 64% of injuries overall. 1 According to the current evidence, the occurrence of AFL during CS reaches up

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Laceration injury at Cesarean section

Cited by 4 publications

References 0 publications

Evaluation of Maternal and Neonatal Outcomes in Cesarean Sections Performed in the Second Stage of Labor

Evaluation of Maternal and Neonatal Outcomes in Cesarean Sections Performed in the Second Stage of Labor

Fetal laceration during caesarean section and its medico-legal sequelae

Risk factors associated with accidental fetal skin lacerations during cesarean delivery

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