Lower segment Caesarean section

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A lower (uterine) segment Caesarean section (LSCS) is the most commonly used type of Caesarean section used today. It includes a transverse cut just above the edge of the bladder and results in less blood loss and is easier to repair than other types of Caesarean sections.

It may be transverse (the usual) or vertical in the following conditions:[1]

  • presence of lateral varicosities
  • constriction ring to cut through it
  • deeply engaged head

The location of an LSCS is beneficial for the following reasons:

  • peritoneum is more loosely attached to the uterus
  • contraction is less than in upper part of uterus
  • healing is more efficient
  • sutures are intact (less problem with suture loosening)

Most bleeding takes place from the angles of the incision, and forceps can be applied to control it. Green Armytage forceps are specifically designed for this purpose.[2]

References

  1. Obstetrics Simplified - Diaa M. EI-Mowafi > Caesarean Section Geneva Foundation for Medical Education and Research. Edited by Aldo Campana, September 4, 2008
  2. Lower segment Caesarean section Primary Surgery: Volume One: Non-trauma. Prev. Chapter 10. The surgery of labour

Further reading