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===Other ways, including the surgery technique=== There are several types of caesarean section (CS). An important distinction lies in the type of incision (longitudinal or transverse) made on the [[uterus]], apart from the incision on the skin: the vast majority of skin incisions are a transverse suprapubic approach known as a [[Pfannenstiel incision]] but there is no way of knowing from the skin scar which way the uterine incision was conducted. * The classical caesarean section involves a [[sagittal plane|longitudinal]] midline incision on the uterus which allows a larger space to deliver the baby. It is performed at very early gestations where the lower segment of the uterus is unformed as it is safer in this situation for the baby: but it is rarely performed other than at these early gestations, as the operation is more prone to complications than a low transverse uterine incision. Any woman who has had a classical section will be recommended to have an elective repeat section in subsequent pregnancies as the vertical incision is much more likely to rupture in labor than the transverse incision. * The [[lower uterine segment section]] is the procedure most commonly used today; it involves a [[transverse cut]] just above the edge of the [[Urinary bladder|bladder]]. It results in less [[Bleeding|blood loss]] and has fewer early and late complications for the mother, as well as allowing her to consider a vaginal birth in the next pregnancy. * A caesarean [[hysterectomy]] consists of a caesarean section followed by the removal of the [[uterus]]. This may be done in cases of intractable bleeding or when the [[placenta]] cannot be separated from the uterus. The [[EXIT procedure]] is a specialized surgical delivery procedure used to deliver babies who have airway compression. The Misgav Ladach method is a modified caesarean section that has been used nearly globally since the 1990s. It was described by Michael Stark, the president of the New European Surgical Academy, at the time he was the director of [[Misgav Ladach]], a general hospital in Jerusalem. The method was presented during a FIGO conference in Montréal in 1994<ref>Stark M. Technique of cesarean section: Misgav Ladach method. In: Popkin DR, Peddle LJ (eds): Women's Health Today. Perspectives on current research and clinical practice. Proceedings of the XIV World Congress of Gynaecology and Obstetrics, Montreal. Parthenon Publishing Group, New York, 81–5</ref> and then distributed by the University of Uppsala, Sweden, in more than 100 countries. This method is based on minimalistic principles. He examined all steps in caesarean sections in use, analyzed them for their necessity, and, if found necessary, for their optimal performance. For the abdominal incision, he used the modified Joel Cohen incision and compared the longitudinal abdominal structures to strings on musical instruments. As blood vessels and muscles have lateral sway, it is possible to stretch rather than cut them. The peritoneum is opened by repeat stretching, no abdominal swabs are used, the uterus is closed in one layer with a big needle to reduce the amount of foreign body as much as possible, the peritoneal layers remain unsutured and the abdomen is closed with two layers only. Women undergoing this operation recover quickly and can look after the newborns soon after surgery. Many publications are showing the advantages over traditional caesarean section methods. There is also an increased risk of abruptio placentae and uterine rupture in subsequent pregnancies for women who underwent this method in prior deliveries.<ref name="pmid17904561">{{cite journal | vauthors = Nabhan AF | title = Long-term outcomes of two different surgical techniques for cesarean | journal = International Journal of Gynaecology and Obstetrics | volume = 100 | issue = 1 | pages = 69–75 | date = January 2008 | pmid = 17904561 | doi = 10.1016/j.ijgo.2007.07.011 | s2cid = 5847957 }}</ref><ref name="pmid22752598">{{cite journal | vauthors = Hudić I, Bujold E, Fatušić Z, Skokić F, Latifagić A, Kapidžić M, Fatušić J | title = The Misgav-Ladach method of cesarean section: a step forward in operative technique in obstetrics | journal = Archives of Gynecology and Obstetrics | volume = 286 | issue = 5 | pages = 1141–1146 | date = November 2012 | pmid = 22752598 | doi = 10.1007/s00404-012-2448-6 | s2cid = 809690 }}</ref> Since 2015, the [[World Health Organization]] has endorsed the [[Robson classification]] as a holistic means of comparing childbirth rates between different settings, to allow more accurate comparison of caesarean section rates.<ref name="pmid26278843">{{cite journal | vauthors = ((World Health Organization Human Reproduction Programme)) | title = WHO Statement on caesarean section rates | journal = Reproductive Health Matters | volume = 23 | issue = 45 | pages = 149–150 | date = May 2015 | pmid = 26278843 | doi = 10.1016/j.rhm.2015.07.007 | hdl-access = free | s2cid = 40829330 | hdl = 11343/249912 | url = https://lirias.kuleuven.be/handle/123456789/532062 }}</ref>
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