logging in or signing up 2007 AKCOG 2012 aSGuest127471 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 9 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: February 22, 2012 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript An innovative method of baby delivery at Caesarean section: An innovative method of baby delivery at Caesarean section Dr. Shyjus.P Asst. Professor MES Medical college PerinthalmannaPowerPoint Presentation: Millions of caesareans are being done every year around the world. The Big question! Have we really mastered this surgery?PowerPoint Presentation: Caesarean section, a risk factor for atonicity ! Commonly attributed to the absence of uterine activity and rapid evacuation of intrauterine contents Can we simulate the principles of normal delivery at a CS? Why an improvisation is required?: Why an improvisation is required? Difficulties during a caesarean is still a common problem! difficulty in entering the abdomen difficulty in approaching the LUS difficulty in baby delivery difficulty with placental delivery difficulty with an atonic uterus Steps : Steps Pre-incision oxytocin infusion Ensure presence of uterine contractions Adequate uterine incision Slide maneauveur to deliver the fetal head Initial neonatal resuscitation on table Support the fetal head and shoulders Allow a ‘near total’ spontaneous delivery of the baby Cord clamping Removal of an already seperated placenta presenting at the uterine incision Uterine closure Video: Video Benefits of this technique: Benefits of this technique Effortless and ‘near total’ spontaneous baby delivery at CS Avoidance of fundal pressure Ensures an easy and complete removal of placenta Reduces the blood loss at a CS Avoids genital tract trauma at a CS Avoids post-partum uterine atonicity Reduces the post-operative pelvic and abdominal discomfort for the mother Hence reduces post-operative analgesic requirements Challenges faced!: Challenges faced! General disposition among anesthetists against pre-incision oxytocin usage The worry about post-spinal hypotension! Overcoming challenges: Overcoming challenges The beauty of a normal delivery lies in the concept of living ligature ….. Hence a physiologically acceptable technique Minimum 2 minutes available to deliver the baby from the time of uterine incision, to prevent hypoxia and low APGARS in neonates…. this delivery technique just takes 45-60 secondsPowerPoint Presentation: “ To be inactive at required times, is a masterly act! ”PowerPoint Presentation: Try out this ‘near total’ spontaneous delivery at CS and feel the difference! @ shyjusnair7479@gmail.comPowerPoint Presentation: Thank You You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
2007 AKCOG 2012 aSGuest127471 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 9 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: February 22, 2012 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript An innovative method of baby delivery at Caesarean section: An innovative method of baby delivery at Caesarean section Dr. Shyjus.P Asst. Professor MES Medical college PerinthalmannaPowerPoint Presentation: Millions of caesareans are being done every year around the world. The Big question! Have we really mastered this surgery?PowerPoint Presentation: Caesarean section, a risk factor for atonicity ! Commonly attributed to the absence of uterine activity and rapid evacuation of intrauterine contents Can we simulate the principles of normal delivery at a CS? Why an improvisation is required?: Why an improvisation is required? Difficulties during a caesarean is still a common problem! difficulty in entering the abdomen difficulty in approaching the LUS difficulty in baby delivery difficulty with placental delivery difficulty with an atonic uterus Steps : Steps Pre-incision oxytocin infusion Ensure presence of uterine contractions Adequate uterine incision Slide maneauveur to deliver the fetal head Initial neonatal resuscitation on table Support the fetal head and shoulders Allow a ‘near total’ spontaneous delivery of the baby Cord clamping Removal of an already seperated placenta presenting at the uterine incision Uterine closure Video: Video Benefits of this technique: Benefits of this technique Effortless and ‘near total’ spontaneous baby delivery at CS Avoidance of fundal pressure Ensures an easy and complete removal of placenta Reduces the blood loss at a CS Avoids genital tract trauma at a CS Avoids post-partum uterine atonicity Reduces the post-operative pelvic and abdominal discomfort for the mother Hence reduces post-operative analgesic requirements Challenges faced!: Challenges faced! General disposition among anesthetists against pre-incision oxytocin usage The worry about post-spinal hypotension! Overcoming challenges: Overcoming challenges The beauty of a normal delivery lies in the concept of living ligature ….. Hence a physiologically acceptable technique Minimum 2 minutes available to deliver the baby from the time of uterine incision, to prevent hypoxia and low APGARS in neonates…. this delivery technique just takes 45-60 secondsPowerPoint Presentation: “ To be inactive at required times, is a masterly act! ”PowerPoint Presentation: Try out this ‘near total’ spontaneous delivery at CS and feel the difference! @ shyjusnair7479@gmail.comPowerPoint Presentation: Thank You