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Livro Rezende Obstetricia Pdf Download Livro Rezende Obstetricia Pdf Downloadc5cfac679bWORLD HEALTH ORGANIZATION. Risk Factors for Severe Perineal Tear: can we do bether? Am J Perinatologia,19(5):2 jul.
Disponvel em. Assistncia ao Parto Normal: um guia prtico.Centro. Ed., Porto Alegre: Artmed, 2002. Manejo das Complicaes na Gestao e no Parto.
Universidade do Estado do Rio de Janeiro, 2005. Florianpolis: Saint Germain, 2002a. Campinas: Unicamp, 2000.last edited95 weeks agobySeasaka.
8 It may be observed that the fourth period brought important changes to the technique, such as the incision in the lower segment of the uterus and using a transversal cut, as well as the use of uterine suture. These changes guarantee made the C-section procedure a success and, in contrast, demonstrated the weakness of the technique when used in advanced stages of labor or in emergency cases, known as impure cases, which meant that improving the technique in the fifth period became a special challenge. 10 The main changes made in techniques from the nineteenth century onwards included the direction of the cut in the abdomen and uterus and the way that the surgical areas were sutured. Rezende relates that, unless there was an increase in mortality, the previous techniques were not replaced, but rather new inventions were added. It is said, therefore, that there is not just “one” technique used to perform a cesarean section, but rather multiple possibilities that can be used for each situation (emergencies, elective C-sections or during labor itself).
11 The classic procedure consists in opening the abdomen through a median cut below the navel – a sub-umbilical mid-line lapanotomy – and ensure a good exposure of the body of the uterus, with an incision made in the uterus. This technique is still used today, though only in specific situations (post mortem cesareans, inaccessibility to the lower segment, technical difficulties which are not easy to resolve and in cases of extreme risk): “The classic cesarean section exists because of the contraindications of the segmentary procedure” (, p.855).