The vesicouterine peritoneum was dissected off the lower uterine segment. The peritoneum was opened taking care not to injure the bladder. The fascia was incised transversely and dissected off the rectus muscle using (blunt/sharp) dissection. The incision was carried down to the fascia with (sharp dissection/cautery). A (Pfannensteil/midline) incision was made (through the patients previous incision). Under (spinal/epidural/general) anaesthetic with a foley catheter inserted, the patient was prepped and draped in the usual sterile fashion in the supine position with a leftward tilt. Following discussion of the nature of cesarean section and possible complications consent was obtained. The vertex was at spines at minus 1 and OP/deflexed. She had oxytocin augmentation and progressed from 3 to 5 cm over 4 hours however there was no change in dilation over the following four hours. _ is a 25 year old G1 who presented to L&D on (date) in spontaneous labour at 38 weeks. PreOp Dx: _ (Failure to Progress, NRFHR, Breech, etc) PostOp Dx: Same + live BB male/female Operation: Low transverse cesarean section Operative Findings: Thin anterior lower segmentĬlinical Note: Ms.
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