Transverse uterine incision for cesarean delivery of the transverse-lying fetus.
Low-isthmic transverse uterine incision was performed in 66 patients during Cesarean section indicated for transverse fetal lie. No significant differences were noted in the 1 and 5 min Apgar scores among fetuses delivered before or after rupture of the membranes. In only 5 (7.6%) of these cases was the incision converted into an inverted-T. The 1 min Apgar score was significantly lower in this group (6.0 +/- 1.3) compared to the rest of the group (7.5 +/- 1.7, P less than 0.01), however, the 5 min score showed no significant difference. No significant complications were noted in the post-operative course of mother and fetuses. We concluded that the transverse uterine incision is safe for the Cesarean delivery of the transverse-lying fetus.
Shoham
Z
Z
Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel.
Blickstein
I
I
Zosmer
A
A
Katz
Z
Z
Borenstein
R
R
D000328:Adult; D002585:Cesarean Section / Q000379:methods*; D005069:Evaluation Studies as Topic; D005260:Female; D005865:Gestational Age; D006801:Humans; D007746:Labor Presentation; D007744:Obstetric Labor Complications / Q000601:surgery*; D011247:Pregnancy; D014599:Uterus / Q000601:surgery