AI Article Synopsis

  • - In 2010, 20% of all deliveries in France were via Caesarean section, and this rate has stayed consistent for the past decade, typically due to specific medical reasons like previous uterine scars or multiple pregnancies.
  • - Although Caesarean deliveries can be necessary, they carry risks of surgical and anaesthetic complications, as well as potential issues both in the immediate post-op period and long-term, which can affect future pregnancies.
  • - The approach of enhanced recovery after surgery aims to improve patient recovery times and streamline nursing care, focusing on a more patient- and family-centered care system.

Article Abstract

Caesarean delivery was performed in 20% of all deliveries in France in 2010 and this rate has remained unchanged during the last 10 years. Indications to perform this procedure are well defined, especially in case of scarred uterus, twin pregnancies, macrosomia or breech presentation. Surgical (haemorrhage, urinary or intestinal tract injury) and anaesthetic (hypotension after regional anaesthesia, difficult intubation and aspiration after general anaesthesia) complications may occur during the procedure. Complications may also be encountered in the early postoperative period (haemorrhage, infection, venous thromboembolism) but also on the long-term, such as placenta accreta or uterine rupture which may significantly impact obstetric outcomes. Enhanced recovery after surgery promotes early recovery and rapid convalescence. It simplifies nursing practice after surgery and is the first important step toward a patient- and family-centred care.

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