18.13 Classical Caesarean section

In spite of the long list of rather rare indications in Section 18.8, a classical Caesarean section is seldom done by experienced obstetricians. We describe it mainly because it is slightly easier if you are inexperienced. Because rupture of the uterus is such a danger with subsequent pregnancies, perhaps as early as 28 weeks, sew up the patient’s uterus with particular care, and do all you can to persuade her to have her tubes tied. Many steps are the same as for a lower segment operation, so refer to them where necessary.