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shama
Joined: 17 May 2007
Posts: 44
Location: Malaysia
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 Posted: Mon Jul 07, 2008 5:54 am Post subject: Caesarean |
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| What is meant by grading of caesarean section? How is CS graded? |
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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 966
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| Posted: Wed Jul 09, 2008 7:30 am Post subject: |
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hi shama,
caesarean section are categorised depending on the urgency needed at delivery.
the NICE guidelines give 4 categories ---
1. immediate threat to the life of the woman or fetus
2. maternal or fetal compromise which is not immediately life-threatening
3. no maternal or fetal compromise but needs early delivery
4. delivery timed to suit woman or staff i.e. planned / elective
hope this helps.
r
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Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region |
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shama
Joined: 17 May 2007
Posts: 44
Location: Malaysia
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| Posted: Wed Jul 09, 2008 8:03 am Post subject: |
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Thanks a lot Raj.I was under the wrong impression that grading of CS is different from the classification of urgency.
Regards,
Shama |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1852
Location: Nottingham
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| Posted: Sat Aug 02, 2008 12:44 pm Post subject: |
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Do you have the times for these Raj?
I mean how long from decision to delivery.
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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 966
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| Posted: Fri Aug 08, 2008 7:32 am Post subject: |
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Cat 1 -- decision to deli time less than 30 mins.
Cat 2 -- in less than 45 mins
Cat 3 -- As soon as / when possible, without undue delay.
Cat 4 -- At patient's and surgeon's convenience, preferable before an SVD 
r
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Dr Miss. Raj Walavalkar MBBS MRCOG
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SR O&G Wessex Region |
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Xerxes I
Century Club
Joined: 01 Mar 2007
Posts: 228
Location: Winchester
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| Posted: Tue Aug 12, 2008 6:08 pm Post subject: |
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Raj, Where are these times from? I thought NICE didn't specify times.
On a seperate note, How helpful do you think this categorisation is? I know it's better than nothing but I still say things like "a quick category 2" and I guess that's why NICE doesn't give time (or do they?) |
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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 966
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| Posted: Wed Aug 13, 2008 8:22 am Post subject: |
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cat 1 and 2 are time cutoff standards -- of NHS perinatal institute review of CS sentinel audit,
cat 3 and 4 -- are 'UK standard practice' cutoff
most documents that one comes across take these cutoffs as standard guideline. will read around and see if i find more 
r
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Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region |
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