ISSN 2398-2942      

Caesarean section

icanis
Contributor(s):

Zoe Halfacree

Lori Ludwig

Synonym(s): Cesarean section


Introduction

  • Surgical management of dystocia Dystocia.

Uses

Maternal dystocia
  • Prolonged gestation.
  • Primary uterine inertia - inability of uterus to contract sufficiently (some breed predisposition, eg Boxer Boxer ).
  • Secondary uterine inertia, uterine muscles become exhausted after prolonged contraction (obstructing fetus, large litter, some breed predisposition, eg brachycephalics).
  • Unmanageable obstruction of birth canal, eg pelvic fracture.
  • Uterine anomaly, eg torsion, inguinal herniation of gravid uterus.
Fetal dystocia
  • Relative or absolute fetal oversize.
  • Irreduceable malpresentation.
  • Fetal death/putrefaction/mummification.
  • Signs of fetal distress in prolonged or difficult parturition.
  • Fetal deformity, eg fetal monster.
ElectiveCesarean
  • History of previous dystocia.
  • Predictable dystocia associated with breed type especially brachycephalics.

Advantages

  • Increased chance of live pups following rapid removal of viable fetuses.

Disadvantages

  • Anesthetic depression of fetus.
  • Care required to prevent fetal hypoxia.
  • Cost.
  • Risk of surgical complications in dam (low).

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Metcalfe S, Hulands-Nave A, Bell M et al (2014) Multicentre, randomised clinical trial evaluating the efficacy and safety of alfaxalone administered to bitches for induction of anaesthesia prior to caesarean section. Aust Vet J 92 (9), 333-338 PubMed.
  • Smith F O (2012) Guide to emergency interception during parturition in the dog and cat. Vet Clin North Am Small Anim Pract 42 (3), 489-499 PubMed.
  • Evans K M & Adams V J (2010) Proportion of purebred dogs born by caesarean section. JSAP 51 (2), 113-118 PubMed.

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