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[FETAL LACERATIONS DURING CESAREAN SECTION - AN INEVITABLE COMPLICATION]
David Rabinerson1, Daniel Nasi1, Adi Borovitch1
1Helen Schneider's Hospital for Women, Rabin Medical Center, Petach Tikva, Israel.
Harefuah
|March 20, 2024
Summary
Fetal lacerations during cesarean section occur in 0.79-1.9% of births, often on the scalp and face. While treatments exist, prevention remains a challenge, leading to cosmetic issues and potential lawsuits.
Area of Science:
- Obstetrics and Gynecology
- Surgical Complications
Background:
- Cesarean section rates are increasing globally.
- Fetal lacerations during cesarean section occur in 0.79-1.9% of cases.
- Risk factors for fetal lacerations are documented but prevention strategies are lacking.
Approach:
- This review synthesizes existing literature on fetal lacerations during cesarean section.
- It discusses identified risk factors and current treatment modalities.
- The review also explores potential solutions to mitigate this complication.
Key Points:
- Fetal lacerations are not always detected immediately postpartum.
- Commonly affect the fetal scalp and face, but can occur elsewhere.
- Can result in cosmetic concerns or functional handicaps.
Conclusions:
- Fetal lacerations during cesarean section pose risks and legal challenges.
- Effective prevention methods are currently unavailable.
- Further research into preventative techniques is warranted.
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