# Caesarean section delivery record

- Category: chronic
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: Cesarean Delivery - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK546707/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class WD82.00 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Cesarean Delivery - StatPearls - NCBI Bookshelf - disease-level clinical article (caesarean-section-livebirth-record-full.txt)
- Verified date: 2026-08

## Verified against

- No dose - referral pathway, no medicine given in primary care
- Cesarean Delivery - StatPearls - NCBI Bookshelf - disease-level clinical article (caesarean-section-livebirth-record-full.txt)

## Treatment metadata

- No drug therapy in primary care (Recognition & Referral)

## Complete treatment card

```text
CAESAREAN SECTION DELIVERY RECORD
Sources: Cesarean Delivery - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK546707/ · ICPC-3
         (WONCA International Classification of Primary Care, 3rd edition) class WD82.00 - condition
         scope only, no dose · No dose - referral pathway, no medicine given in primary care ·
         Cesarean Delivery - StatPearls - NCBI Bookshelf - disease-level clinical article
         (caesarean-section-livebirth-record-full.txt)
Review status: REVIEWED against 2 sources listed above  (2026-08)

1. NO DRUG THERAPY IN PRIMARY CARE (RECOGNITION & REFERRAL)[1st line]
   Adult    This is a maternal obstetric history record of a prior delivery by C-section. In primary
            care, evaluate uterine scar integrity, inter-pregnancy interval, and prior surgical
            indications when planning subsequent pregnancies. Advise antenatal care registration
            early in any future pregnancy to assess suitability for trial of labour after caesarean
            (VBAC) versus elective repeat C-section. - Refer
   Peds     Adult-only condition - paediatric section not applicable
   Source   No dose - referral pathway, no medicine given in primary care
   Why      This is a maternal obstetric history record of a prior delivery by C-section. In primary
            care, evaluate uterine scar integrity, inter-pregnancy interval, and prior surgical
            indications when planning subsequent pregnancies. Advise antenatal care registration
            early in any future pregnancy to assess suitability for trial of labour after caesarean
            (VBAC) versus elective repeat C-section.
   Caution  None specific; relevant mainly for assessing the risk of uterine scar complications in a
            future pregnancy.
            No medicine is prescribed for this in primary care - this entry is for recognition and
            referral. Anything given is decided by the service it is referred to.
            Whether a woman with a previous caesarean can attempt labour next time depends on the
            type of uterine incision: a previous vertical (classical) or T incision means the next
            delivery must be by caesarean.
            A classical (vertical) hysterotomy rules out a trial of labour in future pregnancies
            because of the heightened risk of uterine rupture.
            RED FLAG - Do not use misoprostol for cervical ripening in a woman with a previous
            caesarean and an unfavourable cervix at term - it increases the risk of uterine rupture.
            A previous classical caesarean, or any history of uterine rupture, is itself an
            indication for caesarean delivery next time.
            The risk of placenta accreta rises with the number of previous caesareans, and is
            already about 0.3% after a single one - so ask about caesarean count when planning
            antenatal care.
            A morbidly adherent placenta risks major haemorrhage and may cost the woman her
            fertility if hysterectomy becomes necessary.
            Adhesions build up with each caesarean, making every subsequent operation harder and
            raising the risk of inadvertent injury.

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