Gorovitz & Borten, P.C.
Attorneys at Law

550 Cochituate Road, Suite 25
Framingham, Massachusetts
01701
Tel: (781) 890-9095
Cesarean Section Complications
Cesarean section is the delivery of a fetus through a surgical incision through
the abdominal wall. In the United States cesarean birth has become the most
common surgical procedure accounting for up to 25% of all live births. Cesarean
delivery is indicated to prevent maternal and/or fetal morbidity (injury or
complications). Indications for cesarean delivery can be classified into: a)
Maternal indications; b) Fetal indications; and c) Maternal and Fetal indications.

Cesarean section for maternal indications are performed solely for the benefit of
the mother and include:

  • Prior pelvic plastic surgery (colporrhaphy, anal sphincter reconstruction)
  • Obstructive lesions in the lower genital tract (cervical cancer, large
    condyloma)
  • Severe inflammatory bowel disease with anal involvement
  • Surgical repair of incompetent cervix with planned future pregnancies
  • Elective cesarean section

Cesarean section for fetal indications are performed solely for the benefit of the
fetus to prevent delivery trauma or a persistent hostile uterine environment and
include:

  • Nonreassuring fetal heart rate pattern
  • Fetal distress
  • Prolapsed umbilical cord
  • Congenital anomalies (neural tube defects, hydrocephalus)
  • Fetal malpresentation (breech, twin malpresentation)
  • Active vulvovaginal genital herpes infection
  • Fetal coagulation disorder

Maternal and fetal indications are performed for the benefit of both the mother
and the fetus and include:

  • Cephalopelvic disproportion
  • Macrosomia
  • Hematologic complications (coagulation disorders)
  • Abnormal placentation (placenta previa)
  • Contraindications to labor (prior myomectomy, prior classic cesarean
    section)
  • Repeat cesarean section

When compared to vaginal delivery, cesarean section is associated with an
increased risk of morbidity (complications). Risks associated with cesarean
delivery can be short term, long term and risks for future pregnancies. Similar to
any other surgical procedure, cesarean section complications can be mild or
severe enough to require additional surgery (cesarean hysterectomy) or result in
maternal death. Major causes of increased morbidity and mortality associated
with cesarean sections can be attributed to infection, thromboembolic
complications, anesthetic complications and injury to adjacent organs.
Complications include:

Intraoperatice complications

  • Bladder injury
  • Ureteral injury
  • Bowel injury
  • Uterine lacerations (uterine incision extension)
  • Increased blood loss (hemorrhage)
  • Uterine atony (persistent uterine bleeding for failure to contract)
  • Fetal trauma (surgical lacerations)

Postoperative complications

  • Wound infection
  • Wound and/or fascial dehiscence
  • Postpartum endomyometritis
  • Urinary tract infection
  • Pelvic thrombophlebitis
  • Thromboembolic complications

Cesarean section complicates a future pregnancy (delivery) because of the
increase risk of uterine rupture. Knowledge of the type of uterine incision carried
out in a previous cesarean section is essential before a woman is allowed to
attempt a VBAC (vaginal birth after cesarean).  Cesarean section also increases
the risk of abnormal placentation placenta previa/placenta accrete in a
subsequent pregnancy.

If you delivered by cesarean section and you or your child was injured  you may
have a valid cause of action. The injury may be the result of a medical provider's
mistake in handling an obstetrical condition. You, your child and you as parents
of the child are entitled to receive compensation. If your injury or your child's
condition was the result of medical negligence, allow
Dr. Borten the Boston area
medical malpractice attorneys at Gorovitz & Borten help you assert your rights
and get the compensation you deserve.
Contact Information
For a free confidential consultation and receive a response within 24 hours
(when possible), please contact us by phone, fax or e-mail with your question or
concern.

Telephone:  781-890-9095     -     Fax:   781-890-9098               
                                                                                 
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