Should
C Section be recommended in all Females with IPAA?
Maternal
Risks of C Section:
-Mortality 2.8 fold
increase
-1.3 fold increase in
complications
-Scarring of uterus leads to decreased fertility, increased risk of miscarriage, ectopic pregnancy, placenta abruptio and placenta praevia
-Risk of uterine
rupture with Misoprostyl 5-6% vs. 0.2%
Risks to the Fetus
-1.9% risk of laceration
- Increased risk
of respiratory distress
- Increased risk
of prematurity