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[Cesarean section in multiple pregnancy especially with triplets and quadruplets--preparation and execution]
H M Runge1, G de Gregorio, H G Hillemanns
1Universitäts-Frauenklinik Freiburg.
Zeitschrift Fur Geburtshilfe Und Perinatologie
|September 1, 1990
Summary
Multiple pregnancies are rising, increasing perinatal risks and cesarean section rates. This paper details surgical techniques and perioperative management for cesarean sections in multiple pregnancies, especially with prematurity.
Area of Science:
- Perinatology
- Obstetrics
- Surgical Gynecology
Context:
- Increasing incidence of multiple pregnancies in perinatal centers.
- Elevated perinatal risks associated with multiple gestations.
- Higher cesarean section rates due to prematurity and abnormal fetal presentations.
Purpose:
- To discuss intraoperative and perioperative challenges in cesarean sections for multiple pregnancies.
- To provide guidance on perioperative management for these high-risk cases.
- To evaluate surgical techniques for cesarean delivery in multiple gestations.
Summary:
- Cesarean sections in multiple pregnancies present unique intra- and perioperative issues.
- Perioperative management strategies are crucial for optimizing outcomes.
- The amnion-preserving incision (Hillemanns) is highlighted as a reliable technique, particularly when prematurity is present.
Impact:
- Informs clinical practice regarding the management of cesarean births in multiple pregnancies.
- Offers insights into specialized surgical approaches for complex obstetric cases.
- Aims to improve safety and outcomes for mothers and neonates in multiple gestations.