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:
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:
Uterine atony (persistent uterine bleeding for failure to contract)
Fetal trauma (surgical lacerations)
Wound and/or fascial dehiscence
Urinary tract infection
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.
Website disclaimer: The materials on this website have been prepared by Gorovitz & Borten, P.C. for informational purposes only and are not intended, and should not be construed as legal advice. This information is not intended to create and receipt of it does not constitute a lawyer-client relationship. Similarly, any submission or receipt of information using electronic "Contact Us" form does not create a lawyer-client relationship. Internet and online readers should not act upon any of the information contained on this website without seeking professional counsel. (See Terms and Conditions).