• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Obstetrics

Prolongation of passive second stage of labour not associated with increased risk of hysterotomy extension during cesarean

byAndréa Rondeau-BrownandAlex Chan
October 5, 2021
in Obstetrics, Surgery
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. Prolonging passive second stage beyond 2 hours did not increase the risk of hysterotomy extension during cesareans 

2. Surgeon’s level of experience and forceps use during cesarean were associated with hysterotomy extensions

Evidence Rating Level: 2 (Good)

Approximately 3-8% of cesareans result in hysterotomy extension which can result in increased postpartum hemorrhage and subsequent pregnancy complications. Previous studies have suggested that during the second stage of labour, at full dilation, women are at a higher risk of extension of the incision. The goal of this study was to better understand the factors associated with second-stage labour and hysterotomy extensions. This 5-year retrospective cohort study included 747 women at the Port Royal maternity hospital in Paris. Women were included if they had a cesarean delivery during the second stage of labor at term (37 weeks gestation or later). Data were collected on all hysterotomies requiring a suture including lateral, inferior, and superior extensions.  Analyses were included for operative time, hemorrhage, maternal, and neonatal complications. Of the 747 second-stage cesareans, there were 83 (11.1%) hysterotomy extensions, with only 2 being intentional in order to extract the fetus. Overall, the occurrence of hysterotomy extension was more frequent among obese women, those with hypertensive conditions, and multiparous women. However, the rate of extensions did not change based on duration of the passive second-stage, the position of the fetal head, nor fetal station. Additionally, birth weight and head circumference did not make a significant difference in hysterotomy extension either. Factors that were found to be associated with hysterotomy  extension included the supervising surgeon’s experience and the use of forceps. Therefore, a limitation of the study is that it may suggest that forceps use is dangerous. However, situations when forceps are used are typically higher risk regardless and they are required in order to safely and efficiently deliver the fetus. Conversely, a strength of this study was the large amount of data analyzed covering a large cohort of births in their many stages and the factors associated with varying cesarean experiences. Overall, this study can give reassurance to women in labour and obstetrical health care providers that prolonged second stage and delayed pushing does not lead to greater risk of extended hysterotomy when cesarean delivery is performed. 

Click to read the study in PLOSONE

Image: PD

©2021 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

RELATED REPORTS

Risk of hydroxychloroquine retinopathy increases with longer use and higher dosage

2 Minute Medicine Rewind January 23, 2023

Chronic obstructive pulmonary disease associated with worse postoperative outcomes

Tags: cesareanobstetricsSurgery
Previous Post

New York reports 15 child cases of rare disease linked to COVID-19

Next Post

Aerobic and combined exercise may improve cancer related fatigue

RelatedReports

Blindness and visual impairment decreasing worldwide
Chronic Disease

Risk of hydroxychloroquine retinopathy increases with longer use and higher dosage

February 1, 2023
Evidence-based interventions for pediatric asthma successfully adapted for community health centers
Weekly Rewinds

2 Minute Medicine Rewind January 23, 2023

January 30, 2023
2 Minute Medicine Rewind May 20, 2019
Chronic Disease

Chronic obstructive pulmonary disease associated with worse postoperative outcomes

January 26, 2023
Survival greater in cervical cancer patients undergoing abdominal hysterectomy compared to minimally invasive techniques: the LACC trial
Surgery

Methylprednisolone after hip replacement surgery improves pain and sleep quality

January 24, 2023
Next Post
Female incontinence associated with physical activity

Aerobic and combined exercise may improve cancer related fatigue

Rilonacept may lower pericarditis recurrence in patients with relapsing pericarditis

Fixed-dose combination treatment with aspirin may reduce the risk of cardiovascular disease

Long-term enzyme-inducing antiseizure medication use associated with elevated hazard of incident cardiovascular disease

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Guidelines from many countries recommend physical activity during uncomplicated pregnancy
  • #VisualAbstract: Catheter ablation reduces rates of persistent atrial fibrillation and atrial tachyarrhythmia
  • Factors associated with breastfeeding rates in Canada
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options