Question

A 36-year-old woman (G4L3P3) presents in full-term labor. Labor arrested at 8cm cervical dilation. Emergency C-section was done after counseling, the baby was alive but intractable postpartum hemorrhage (PPH) occurred. Emergency hysterectomy was done to save the life of the mother. Which is the appropriate classification?

• A. C
• B. P
• C. T
• D. T

Hint:

The "C" classification in obstetrics refers to a cesarean section, often due to complications like arrest of labor or hemorrhage.

Answer 1

The Correct Option is A

The question describes a clinical scenario involving a 36-year-old woman experiencing full-term labor, where labor got arrested at 8cm cervical dilation, leading to an emergent C-section and subsequent intractable postpartum hemorrhage. An emergency hysterectomy was performed to save her life. To determine the appropriate classification for this situation, we need to understand the medical terminologies involved:

G4L3P3: These are obstetric history notations where:

• G4: Gravida 4, indicating the woman has been pregnant four times.
• L3: Living 3, indicating she has three living children.
• P3: Parity 3, indicating she has given birth three times to viable children.

Classification Options: Let's consider the most suitable classification given the scenario. The primary focus is on the emergency intervention, particularly the hysterectomy:

Classification	Explanation
C	Complication management, appropriate when a surgical intervention like hysterectomy is performed to address severe PPH and saves the mother's life after failing to control bleeding through other means.
P	Problematic delivery, generally used for complications during the delivery process itself, but often not applicable post-delivery.
T	Typically refers to types of procedures associated with childbirth, but given the context of emergency hysterectomy, it doesn't align.

In this case, the correct classification for the scenario is C, aligning with complication management due to postpartum hemorrhage requiring surgical intervention to save the mother's life.