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1. 帝王切開分娩：手術手技cesarean birth surgical technique [show details]
…transperitoneal and extraperitoneal techniques and found the latter resulted in less intraoperative nausea and vomiting and less postoperative pain . A Maylard incision or an extraperitoneal approach… published guidelines for perioperative care of patients undergoing cesarean birth, the ERAS Cesarean Delivery Guidelines, which cover the time from decision to operate (starting with the 30 to 60 minutes …
2. Optimal cesarean birth rateoptimal cesarean birth rate [show details]
…percent in the United States and about 3 percent globally, prefer a cesarean birth (so called cesarean delivery on maternal request [CDMR]) . For example, a study in the United States that explored patient…
3. 帝王切開に対する麻酔anesthesia for cesarean delivery [show details]
… International Consensus Statement on the Management of Hypotension with Vasopressors During Cesarean Section Under Spinal Anesthesia . A network meta-analysis of 109 randomized trials involving various …
4. 帝王切開後の鎮痛post cesarean delivery analgesia [show details]
… Postoperative pain control after cesarean delivery (CD) is an important issue for patients and health care providers. CD is the most commonly performed inpatient procedure in the United States , and women …
5. Preeclampsia: Intrapartum and postpartum management and long-term prognosispreeclampsia intrapartum and postpartum management and long term prognosis [show details]
…Preeclampsia is not an indication for cesarean delivery. Most patients with preeclampsia with or without severe features can be delivered vaginally. Cesarean delivery should be reserved for usual obstetric …

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15．帝王切開術

1）開腹まで急ぐ帝王切開以外は美容的観点から横切開がのぞましい．横切開では恥骨上部で約10 cm切開する．縦切開は臍下3～4cmから約10cm正中切開する．筋膜は縦切開の場合は剝離部分が大きくなり死腔が大きくなる一方，横切開では筋膜と腹直筋と癒着を作りやすく次回の帝王切開のとき手間取ることがある．筋膜の切開法は症例をみて判断する．腹腔内に入る際，既往帝王切開や筋腫核出後妊娠の場合は膀胱が挙上していることや腸管が子宮前壁に癒着していることがあり膀胱損傷や腸管損傷に気をつける．腸管損傷，膀胱損傷の予防の観点から展開した腹膜の上方で子宮が透見できる部位から腹腔内に入る．腹腔内に入ったら子宮の状態，癒着の有無などを確認する． 2）児，胎盤の娩出まで通常は子宮下部横切開を行う．膀...