what are the differences between elective and non-elective caesarean sections?
I need as many differences as possible. They should be totally compared, eg anaesthetically, surgically, post operatively, the difference for the mum etc
Answers:
Elective - done by choice and planned. Usually spinal anaeasthetic so patient awake. Usualy done for breach presentations, twins, know low lying placenta etc. Or for those idiots who are TOO POSH TO PUSH
Non-elective = Emergancy.
Done when not planned to happen, but clinical situation demands. Often when foetus becomes distressed or stuck. Depending on urgancy can be done with spinal anaesthetic but in emergancy full general anaesthetic given.
The surgical operation is the same poceedure, but depending on the casue of the need for the emergancy operation will determine the difference. e.g high blood loss, damage to uterus, emergancy due to pre-eclampsia.
Many non-elective c-sections are strightforward in the end.
Natural, normal vaginal delivery is by far the best!
Elective means you have a choice in the matter. Non-elective means that your physical condition leaves no choice, but for the doctors to do a c-section.
An elective c section is where the mother chooses to have it. She can have an epidural and be awake during it, and will recover quicker from it. A non-elective is an emergency c section where the baby is in trouble and they have to get it out quickly. The mother usually has to have a general anaesthetic ie you are knocked out) and it is a major surgical operation. The baby is obviously at risk cos it is in distress and thats why they are doing the section. The mother is also at risk as it is a major operation and there are risks associated with anaestetic. My advice would be not to consider a c section, and try for a natural birth if you can. you and the baby will recover quicker and with less risk of major trauma.
From an NHS commissioning perspective all deliveries are classified as non elective. Elective means that a patient has been placed on a waiting list and is then called in for treatment. Obvioiusly this is not the case with a delivery.
Elective means you have made the decision, and you can usually decide when this will take place. Non elective means you have no control, say if you were having a normal birth and there were complications, that would be non elective.
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