Caesarean section in an emergency
The last two decades have seen a steep rise in the rates of caesarean sections for both elective and emergency cases . The World Health Organisation has concluded that no extra health benefits are associated with a caesarean section rate above 10–15% . However, recent statistics for England showed a rise in the caesarean section rate from 9% in 1980 to 18.8% in 1997–1998 . This led to the collection of data for the National Sentinel Caesarean Section Audit (NSCSA) report, which reported an incidence of 21.3% . The urgency of the operation was classed into four categories listed in Table 1 .
KeywordsCaesarean Section Laryngeal Mask Airway Caesarean Section Rate Emergency Caesarean Section Cricoid Pressure
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- 1.Caesarean section on the rise [editorial] (2000). Lancet 356: 1697Google Scholar
- 2.World Health Organisation (1985) Appropriate technology for birth. Lancet 2: 436–437Google Scholar
- 3.NHS Maternity Statistics, England: 1995–6 to 1997 — 8. Bulletin 2001/14. ISBN 1 84182 373 3Google Scholar
- 4.The National Sentinel Caesarean Section Audit Report. RCOG Clinical Effectiveness Unit, Royal College of Obstetricians and Gynaecologists. 2001Google Scholar
- 5.Lucas DN (2000) Journal of the RSM 93: 346–350Google Scholar
- 10.Confidential Enquiry into Stillbirths and Deaths in Infancy (2000): 7’ Annual Report. London, HMSOGoogle Scholar
- 13.Mendleson CL (1946) The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Anesth 52: 191–205Google Scholar
- 14.Lin CJ, Huang CL, Hsu HW, Chen TL (1996) Prophylaxis against acid aspiration in regional anesthesia for elective cesarean section: a comparison between oral single-dose ranitidine, famotidine and omeprazole assessed with fiberoptic gastric aspiration. Acta Anaesthesiol 34: 179–184Google Scholar