Lucas et al developed a classification for the urgency in performing a caesarean section. This uses 4 categories, which is more specific than the use of a 2-tiered system. The authors are from Chelsea & Westminster Hospital, St. Michael's Hospital (Bristol), Hammersmith Hospital, Leicester Royal Infirmary, Poole Hospital and Northwick Park Hospital in the United Kingdom.
Parameters:
(1) threat to fetus and/or mother
(2) other need for early delivery
Threat to Fetus and/or Mother
Other Need for Early Delivery
Grade
immediate
NA
I (emergency, immediate)
not-immediate
NA
II (urgent)
none
present
III (scheduled)
none
absent
IV(elective)
where:
• The urgent category included cases where a compromise responded to therapy but was still present.
An elective procedure can be performed at a time that suits the mother and maternity team.
To read more or access our algorithms and calculators, please log in or register.
