This presentation is about NICE guideline about cesarean section. Visit this link to watch video about it. https://www.youtube.com/watch?v=l9c8UC9I-lQ

2. •Breech Presentation
•Multiple Pregnancy
•Preterm Birth
•Placenta Previa
•Cephalopelvic disproportion
•MCT of infections
•Maternal Request

9. • Offer women with primary genital herpes simplex virus (HSV)
infection occurring in the third trimester of pregnancy a planned
caesarean birth to decrease the risk of neonatal HSV infection. [2004]
• Do not routinely offer pregnant women with recurrent HSV infection
a planned caesarean birth outside of the context of research.

10. Do not use a body mass index (BMI) of
over 50 kg/m2 alone as an indication for
planned caesarean birth.

14. • Do not offer the following as they do not influence the likelihood of
caesarean birth for slow progression in labor, although they can affect
other outcomes:
• Active management of labor (comprising a strict definition of
established labor, early routine amniotomy, routine 2-hourly vaginal
examination, oxytocin if labour becomes slow)
• Early amniotomy.

15. • Inform women that eating a low-residue diet during labour (toast,
crackers, low-fat cheese) results in larger gastric volumes, but the
effect on the risk of aspiration if anaesthesia is needed is uncertain.
[2004]
• 1.3.8 Inform women that having isotonic drinks during labour
prevents ketosis without a concomitant increase in gastric volume.

16. Do not routinely carry out planned
caesarean birth before 39 weeks, as
this can increase the risk of
respiratory morbidity in babies.

17. Within 30 minutes
Within 75 minutes

21. Infection Control

29. Thanks