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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Related Experiment Video

Updated: Apr 15, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
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Cesarean delivery: counseling issues and complication management.

Jeffrey D Quinlan1, Neil J Murphy2

  • 1Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

American Family Physician
|March 31, 2015
PubMed
Summary

Cesarean delivery rates are high in the US, but interventions like avoiding unnecessary inductions and having a doula can decrease cesarean births. Trial of labor after cesarean delivery has a 75% success rate.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Public Health

Background:

  • Cesarean delivery accounts for nearly one-third of US births.
  • Cesarean birth is linked to increased maternal and neonatal complications compared to vaginal delivery.

Purpose of the Study:

  • To review interventions reducing cesarean delivery rates.
  • To discuss common indications for cesarean birth and associated complications.
  • To examine the decision-making process for trial of labor after cesarean delivery versus repeat cesarean delivery.

Main Methods:

  • Literature review of studies on cesarean delivery rates, indications, complications, and management.
  • Analysis of factors influencing cesarean delivery rates and outcomes.
  • Examination of evidence regarding trial of labor after cesarean delivery success rates.

Main Results:

  • Interventions such as avoiding non-medically indicated labor induction, amniotomy, and doula support can lower cesarean rates.
  • Common cesarean indications include repeat procedures, failure to progress, malpresentation, and fetal distress.
  • Post-cesarean complications range from pain to thromboembolism.
  • Approximately 75% of trial of labor after cesarean delivery attempts are successful.
  • Family physicians can provide advanced maternity care, including cesarean deliveries.

Conclusions:

  • Strategies exist to reduce the high cesarean delivery rate.
  • Informed patient choice and physician counseling are crucial for decisions regarding trial of labor after cesarean delivery.
  • Family physicians play a role in comprehensive maternity care, including surgical procedures like cesarean delivery.