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All subscribers to ACOG UPDATE audio CDs will also have free access and ability to download the same program in MP3 format. They can also download a PDF file of the complete transcript with Pre- and Post-test Questions and a List of Supplementary Reading Materials.

Volume 40, Issue 11
Publication date: May 1, 2015
Expiration date: May 1, 2018

Managing Surgical Complications in Obstetrics
Daniela A. Carusi, MD, MSc (Moderator)
Assistant Professor of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine; Director, Surgical Obstetrics Program, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts

Deirdre J. Lyell, MD
Associate Professor of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine; Director, Placental Disorders Program, Stanford University Medical Center, Stanford, California

Robert M. Silver, MD
Professor of Obstetrics and Gynecology; Chief, Division of Maternal-Fetal Medicine, University of Utah Health Sciences Center, Salt Lake City, Utah

Learning Objectives
After completing this activity, the physician should be better able to:
1. Identify patient scenarios in which a cesarean delivery may be more technically difficult or complicated.
2. Select skin and uterine incisions with consideration of body mass index (BMI), adhesions, anatomic variations, and minimization of maternal and fetal injury.
3. List a series of maneuvers to facilitate delivery of a deeply engaged vertex.
4. Describe methods both to prevent and safely repair hysterotomy extensions.
5. Identify patients at increased risk of thromboembolic complications, and understand the correct use of mechanical and pharmacologic prophylaxis.
6. Describe the role of preoperative planning, selection of assistants, and communication within the surgical team in minimizing surgical complications.

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