The Ethics of Refusing a Caesarean Section April 2004 e -Cases in Ethics * In January of 2004‚ Melissa Ann Rowland—a young woman with a long history of mental illness—refused to undergo a Caesarean section that doctors said was necessary to protect the lives of her unborn twins. Doctors told her that low amniotic fluid and poor growth placed the twins in danger‚ but she refused the surgery until too late‚ reportedly on cosmetic grounds—she is alleged not to have wanted the resulting vertical
Premium Pregnancy Ethics Autonomy
Discussion of the possible overuse of Caesarean section. What are the advantages and disadvantages to the medical staff and the patients? Over the past 20 years the rate of Cesarean sections (C-sections) births has risen. In these past years the rate of women having C-sections is one out of three. And they are not all due to a medical reasons. The question that comes to my mind is why? Well there are several factors that play a part in answering this question. To touch on just
Premium Childbirth Pregnancy Obstetrics
INTRODUCTION Caesarean section as a means of delivering babies has been around for centuries with numerous references to the procedure appearing in ancient writings (Simm & Matthew‚ 2008). It is now the most common major surgical intervention carried out on women in the world‚ with between 23% and 30% of deliveries in the United Kingdom by Caesarean Section (Beech‚ 2004). This rate is all the more surprising when one considers that Caesarean section accounted for just 5.3% of United Kingdom
Premium Childbirth Obstetrics
Cesarean Delivery A cesarean section is also known as a c-section‚ which is sometimes also written as c/s. This type of birth is done by a surgical incision in the abdomen and uterus to allow a baby or babies to be born safely when a vaginal birth is not the safest route. The current cesarean rate in the United States is over 30%. The surgery is relatively safe for mother and baby. Still‚ it is major surgery and carries risks. It also takes longer to recover from a C-section than from vaginal birth
Premium Childbirth Caesarean section
1 in 1000 births in low income countries). Furthermore‚ hemorrhage is the leading cause of admission of the intensive care unit and the most preventable cause of maternal mortality. The average blood loss following vaginal delivery‚ caesarean delivery and caesarean hysterectomy is 500 ml‚ 1000ml and 1500 ml respectively. Depending upon the amount of blood loss‚ post partum hemorrhage (PPH) can be- ➢ Minor (1L) ➢ Severe (10g/dl) so that the patient can withstand some amount of the
Premium Childbirth Caesarean section Obstetrics
stalled once they are given an epidural and then need to have Pitocin administered to help them to dilate‚ and if that doesn’t work a caesarean section is then needed to relieve mother from a long‚ labor. Another complication can be that mother feels too groggy and disoriented to continue or that the baby’s vital signs can drop‚ again causing the need for a caesarean section to be performed. It is a well known fact that one of the epidural side effects is that it interferes with labor hormones and therefore
Premium Childbirth Pregnancy Obstetrics
Longer Labor for Women with a Fear of Childbirth‚ Research Reveals New research suggests women who are afraid of childbirth spend longer in labor than women who have no such fear. The result is published (27 June) in BJOG: An International Journal of Obstetrics and Gynaecology. Between 5 and 20% of pregnant women have a fear of childbirth. Various factors have been associated with increased prevalence of fear of childbirth‚ including young maternal age‚ being a first-time mother‚ pre-existing
Premium Childbirth Obstetrics Caesarean section
PATIENT-CENTERED GOALS NURSING INTERVENTION RATIONALE EVALUATION Risk for hypovolemia related to excessive fluid loss secondary to caesarean section as evidenced by: Subjective Data: Patient states: “I feel lightheaded and weak.” Objective Data: Elevated pulse (97)‚ blood loss from C-section of 704 mL‚ low hemoglobin (8.1) and hematocrit levels (24.7). (Before C-section‚ her hemoglobin levels were 13.1‚ her hematocrit levels 36). Short Term Goal Patient will exhibit no sign/symptoms of hypovolemia
Premium Childbirth Time Human skin color
Pain control is the second nursing priority for Candace that needs attention. Women who undergo caesarean section experience high levels of pain during the first 24 hours post-operation (Acton‚ 2011). One study suggests that those women need more adequate pain relief than other surgical patients because women start to breastfeed and look after their infants while they are still recovering from major abdominal surgery (Shahraki‚ Jabalameli‚ & Ghaedi‚ 2012). Inadequate postoperative pain control during
Premium Childbirth Anesthesia Caesarean section
Antepartum haemorrhage Instrumental birth Caesarean Section Clotting Disorders Previous PPH 4 categories that cause postpartum haemorrhage Tone (70%) Grand Multiparity Multiple pregnancy Polyhydraminos Macrosomia Abnormalities: fibroids Prolonged labour Precipitate labour Dysfunsctional labour Intrauterine infection Uterine relaxing agents (Magnesium / general anaesthetic/ tocolytics) Trauma Operative delivery Cervical / vaginal lacerations Previous caesarean section increases risk of morbidly adherent
Premium Obstetrics Childbirth Blood