OBGYN Surgeries

A rising cesarean section rate is not just an operating theatre statistic. It reflects how labour is managed, how risk is referred, how previous births shape current care, and how health systems respond under pressure. In a tertiary care centre in India, these factors often meet in the same labour ward. The Robson classification gives clinicians a practical way to understand this picture. Instead of asking only, “What is the cesarean rate?”, it asks a better question: which w

Blood loss remains one of the most important technical challenges in abdominal myomectomy. The operation aims to remove fibroids while preserving the uterus, but fibroids are often highly vascular, the myometrium bleeds readily, and distorted pelvic anatomy can make haemostasis difficult. Even in experienced hands, uncontrolled bleeding can increase operative stress, prolong surgery, raise transfusion risk, and, in severe cases, push the surgeon towards hysterectomy. Two comm

Spinal anaesthesia is a preferred technique for elective caesarean delivery, but it carries one recurring problem: maternal hypotension. A sudden fall in blood pressure can cause nausea, vomiting, dizziness, reduced uteroplacental perfusion, and a stressful intraoperative experience. For anaesthesiologists, preventing that fall remains a daily priority. A randomised controlled trial conducted in Egypt compared intravenous ondansetron with placebo for reducing hypotension afte

Postpartum bleeding can move from expected to life-threatening within minutes. That is why guidance for prevention, recognition and response must be clear enough to work at 2:00 am, in a crowded labour room, with a tired team and limited time. Postpartum haemorrhage is one of the leading causes of maternal death worldwide, and many deaths occur because recognition or escalation comes too late. The clinical tools to manage it already exist: uterotonics, blood loss measurement,

Placenta accreta spectrum is one of the obstetric conditions where timing can change the entire course of care. A caesarean that happens too late may occur during bleeding, labour, or haemodynamic instability. A caesarean that happens too early may reduce maternal risk but expose the baby to avoidable prematurity. The clinical challenge is to find the safest window for both, while keeping maternal outcomes at the centre of planning. For women with risk factors such as placent

Adenomyosis can create a painful conflict between symptom relief and fertility planning. Heavy bleeding, severe cramps, anaemia, pelvic pain, and infertility may push a woman towards treatment, yet many standard options either suppress ovulation or remove the uterus. That is why pregnancy after uterine artery embolisation for adenomyosis draws so much attention. Uterine artery embolisation, often called UAE, is a minimally invasive procedure that blocks selected blood vessels

Cervical cerclage sits at a difficult point in obstetric care. It is a relatively simple procedure, yet the pregnancies that need it are often high risk, emotionally charged and clinically uncertain. A large Brazilian multicentre study of 1,364 cerclage procedures offers useful real-world evidence on how elective and rescue approaches perform outside tightly controlled trial settings. The study is especially relevant because it reflects the daily complexity of maternity care:

Cesarean delivery rates have been rising globally, raising concerns about the potential risks associated with repeat cesarean sections. In southwestern Uganda, where healthcare resources are limited and maternal health challenges persist, understanding the impact of a single prior cesarean delivery on subsequent birth outcomes is critical. This blog post examines findings from four observational studies conducted at a tertiary referral hospital in this region, highlighting th

Cesarean delivery remains a critical intervention in obstetrics, yet it carries unique challenges. One such challenge is the impacted fetal head, a complication that can significantly affect maternal and neonatal outcomes. Understanding its incidence, associated risks, and management options is essential for healthcare professionals involved in cesarean deliveries. This article explores these aspects in detail and introduces a new device designed to assist in managing impacte

Cesarean delivery remains one of the most common surgical procedures worldwide. Despite advances in surgical methods, complications such as bleeding, the need for resuturing, and the development of isthmocele continue to challenge obstetric care. A novel single-suture uterine closure technique has emerged as a promising alternative to traditional methods. This blog post explores the findings of a three-year retrospective matched cohort study that evaluated this technique, hig

Isolated Mesh Associated Pain Syndrome (I-MAPS) is a challenging complication linked to pelvic mesh devices used for stress urinary incontinence (SUI). Patients suffering from I-MAPS often experience persistent pain localized to the mesh implant site without other common mesh-related complications such as erosion or infection. Managing this condition requires careful consideration of treatment options to balance pain relief, functional outcomes, and risks. This article explor

Cesarean delivery remains one of the most common surgical procedures worldwide, yet it carries risks that can affect both mother and baby. Improving surgical techniques is essential to reduce complications and enhance patient outcomes. The International Federation of Gynecology and Obstetrics (FIGO) recently published good practice recommendations on cesarean delivery techniques, drawing on the latest evidence, including the comprehensive study by Nunes et al. (2023). This bl

Cesarean delivery, commonly known as C-section, plays a crucial role in modern maternal health care. It is a surgical procedure used to deliver a baby through incisions in the abdomen and uterus. While vaginal birth remains the most common and natural method of delivery, cesarean delivery offers a vital alternative when complications arise. This post explores what cesarean delivery entails, why it might be chosen over vaginal birth, the risks and benefits involved, recovery e

Cesarean delivery remains one of the most common surgical procedures worldwide. However, complex cesarean deliveries present unique challenges that require specialized surgical management to reduce maternal and fetal risks. The article Surgical management of complex cesarean delivery by Fox K, Nieto-Calvache A, and Aryananda R, published in the American Journal of Obstetrics & Gynecology, offers a comprehensive analysis of current practices, key findings, and recommendations

Caesarean sections (C-sections) remain one of the most common surgical procedures worldwide. The technique and materials used for closing the abdominal wall after a C-section play a crucial role in patient recovery, complication rates, and long-term outcomes. The study by Anderson ER and Gates S offers valuable insights into the effectiveness of various closure techniques and materials, providing evidence-based recommendations for surgical practice. This article explores the

Understanding Craniotomy Defects in Pregnancy

Pregnancy brings many physiological changes that can complicate diagnosis and treatment of abdominal conditions. One rare but important condition is ileocolic deciduosis, which can present with symptoms closely resembling acute appendicitis. This overlap poses diagnostic challenges and risks for both mother and fetus if not recognized promptly. This post explores ileocolic deciduosis in pregnancy, its clinical presentation, diagnostic hurdles, management strategies, and outco

Obstetrics and gynecology residents face critical challenges when managing postpartum hemorrhage, a leading cause of maternal morbidity and mortality worldwide. The B-Lynch suture technique, a surgical method to control severe uterine bleeding, has become a vital skill for residents to master. A prospective interventional study recently explored how simulation-based training can improve residents’ competence and confidence in performing the B-Lynch procedure. This blog post e

Cesarean delivery rates have risen worldwide over recent decades, sparking ongoing debate about their effects on child health beyond the immediate postpartum period. One area of growing research interest is the relationship between cesarean delivery volume—how often cesarean sections are performed—and the risk of long-term neurodevelopmental disorders in offspring. This post explores recent studies on this topic, highlighting key findings, possible biological mechanisms, and

Uterine leiomyomas, commonly known as fibroids, affect a significant number of women worldwide, often causing symptoms such as heavy menstrual bleeding, pelvic pain, and pressure effects. Treatment options have traditionally included hysterectomy, the surgical removal of the uterus, which offers definitive symptom relief but involves major surgery and permanent loss of fertility. Uterine artery embolization (UAE) has emerged as a less invasive alternative that blocks blood fl