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https://journals.lww.com/greenjournal/Abstract/2016/05001/Time_From_Uterine_Incision_to_Delivery_in_Cesarean.273.aspx
Controlling for confounders, a uterine incision-to-delivery time of 3-minutes or greater, compared with a 1-minute uterine incision-to-delivery time, was associated with a 1.03 unit increase (CI=0.35, 1.70) in the multinomial log-odds of major neonatal morbidity compared to no morbidity.
https://www.mayoclinic.org/tests-procedures/c-section/multimedia/uterine-incisions-used-during-c-sections/img-20006738
Uterine incisions used during C-sections. A C-section includes an abdominal incision and a uterine incision. After the abdominal incision, the doctor will make an incision in your uterus. Low transverse incisions are the most common (top left). Classical incisions are usually reserved for rapid delivery or for very preterm fetuses (bottom).
https://www.ncbi.nlm.nih.gov/pubmed/25539409/
OBJECTIVE: The objective of this study was to estimate the association between time from uterine incision to delivery and hypoxic neonatal outcomes in nonanomalous term infants. METHODS: All women undergoing in-labor term cesarean deliveries (CDs) in the first 2 years of an ongoing prospective cohort study were included.Author: Janine E. Spain, Methodius Tuuli, Molly J. Stout, Kimberly A. Roehl, Anthony O. Odibo, George A. Mac...
https://www.smfm.org/publications/78-prior-non-lower-segment-uterine-scar-when-to-plan-cesarean-delivery
Prior non-lower segment uterine scar: when to plan cesarean delivery Women with a prior non-lower uterine segment scar (including classical cesarean scar and myomectomy are at higher risk of uterine rupture in subsequent pregnancies, and late-preterm to early term delivery by repeat cesarean delivery should be planned.
http://www.peacefulparents.org/cesarean-birth/336/
The most common uterine incision is the low transverse cervical incision. It is made horizontally in the cervical area. (See Figure 9.4). Because it is not in the contractile part of the uterus, it forms the strongest scar with the least danger of rupture and fewest postoperative adhesions.
https://experts.umn.edu/en/publications/uterine-incision-to-delivery-interval-and-perinatal-outcomes-in-t
Conclusion: We observed no difference in Uterine Incision-to-Delivery interval and neonatal complications between vertical and transverse incision. Performance of a vertical uterine incision for the sole reason of facilitating a more rapid delivery is not justified.Author: Gauri Luthra, Prasad Gawade, Roman Starikov, Glenn Markenson
https://www.uptodate.com/contents/choosing-the-route-of-delivery-after-cesarean-birth
Prior transfundal uterine incision — A transfundal uterine incision may have been made at a prior cesarean delivery, during a gynecologic surgical procedure (eg, myomectomy, uterine reconstruction because of congenital uterine anomaly), or to gain access to the fetus for a surgical procedure.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133784/
Oct 07, 2017 · One must know when to expect trouble, plan anesthesia, abdominal entry, uterine incision and method of baby delivery keeping all the factors in mind. Adequate knowledge of fetal lie, presentation, station, degree of flexion, position of occiput and placental localization helps to plan the method of delivery.Author: Sujata A. Dalvi
https://www.uptodate.com/contents/cesarean-delivery-surgical-technique
Saad AF, Rahman M, Costantine MM, Saade GR. Blunt versus sharp uterine incision expansion during low transverse cesarean delivery: a metaanalysis. Am J Obstet Gynecol 2014; 211:684.e1. Dodd JM, Anderson ER, Gates S, Grivell RM. Surgical techniques for uterine incision and uterine closure at the time of caesarean section.
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