Dr. Chapa’s Clinical Pearls. Surprising C-Section Data
Sep 28, 2025
Explore the fascinating history of C-Sections, as even Shakespeare referenced them! Discover new research indicating that a labored primary C-Section increases the risk of placenta accreta in future pregnancies. Delve into surprising statistics about intraoperative pain during C-Sections, revealing rates from 1.4% to a shocking 36%. This crucial discussion emphasizes the importance of understanding patient experiences and managing pain effectively to improve outcomes.
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Conservative Management Led To Vaginal Birth
- Dr. Chapa recounts a recent overnight case where conservative management avoided an urgent C-section and led to a successful vaginal birth.
- The story illustrates his preference for intrauterine resuscitation and fighting for vaginal delivery when safe.
Avoid Unnecessary Primary C‑Sections When Possible
- Don't rush to perform a primary C-section when intrauterine resuscitation and observation may be safe and effective.
- Balance immediate fetal indications against long-term risks like increased PAS in future pregnancies.
Pain Rates Vary Widely By Anesthesia And Definition
- Intrapartum C-sections done under a topped-off epidural report more intraoperative pain than spinals.
- Reported pain rates vary widely (1.4%–36%) depending on definitions and how researchers ask patients.
