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MRCOG PART 2 SBAs and EMQs

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confusion[:confused:]

confusion[:confused:] Posted by Dr. Umme  H.
Dear Paul,

Question 10: Post-partum endometritis


a. Is less common after vaginal delivery compared to caesarean section

Umme\'s answer: true Correct answer: true
________________________________________


However, the NICE guideline says, there is no increase in infection in c/s from v/d . is it different from the question asked here, please clarify.
thanks

Re:
Increased with CS
? Abdominal pain
? Bladder injury
? Ureteric injury
? Need for further surgery
? Hysterectomy
? Intensive therapy/high dependency unit
admission
? Thromboembolic disease
? Length of hospital stay
? Readmission to hospital
? Maternal death
? Antepartum stillbirth in future pregnancies
? Placenta praevia
? Uterine rupture
? Not having more children
? Neonatal respiratory morbidity
No difference after CS
? Haemorrhage
? Infection
? Genital tract injury
? Faecal incontinence
? Back pain
? Dyspareunia
? Postnatal depression
? Neonatal mortality
(except breech)
? Intracranial haemorrhage
? Brachial plexus injuries
? Cerebral palsy
Reduced with CS
? Perineal pain
? Urinary incontinence
? Uterovaginal prolapse
This table shows the direction of the effects of CS on risk of
complications, but not the size of the effects. The risks do not apply
to all women in all circumstances. Appendix E of the NICE guideline
has details of the absolute and relative risks.
Posted by Dr. Umme  H.
Dear Paul,
Thanks for your answer. It has cleared off my confusions.
Thank you very much for every help.
regards