Secondary cesarean section during delivery

Question from Austria and the Netherlands:

The meaning of secondary cesarean section in Austria and NL is: unplanned cesarean section during delivery - no emergency. In English this means the second cesarean section.

What does secondary cesarean section means in other countries? Is there a term that means unplanned cesarean section during delivery (without being it a emergency) used by the gynaecology and what is it named?

In Sweden, we have 3 kinds of cesarean deliveries: planned, unplanned but not urgent, and urgent as in life-saving. For the second we would use “akut kejsarsnitt”, and akut here being the same word as in emergency department. “Akut” is the opposite of Planned., but there are two kinds of unplanned. We would not call it secondary cesaren.

Well.. now I add a 4th… planned but the onset came earlier than expected…

Our medical specialist says that there is no Norwegian term that corresponds exactly to “secondary cesarean section”. During his previous clinical work at St. Olavs hospital i Norway, there were three kinds of cesarean sections:

1 “Elektiv sectio” (=Elective cesarean section”): Planned cesarean section.

2 “Hastesectio” (=”Urgent caserean section”): Not planned, but something happens that makes it necessary to deliver the baby, for example within 20-30 minutes. This corresponds to urgency level 2, possibly 3, se current guidelines below.

3 “Katastrofesectio” (=”Catastrophic cesarean section”): Not planned, but something happens that means the baby must be delivered as quickly as possible, within a few minutes. This corresponds to urgency level 1 below

In current guidelines (Metodebok), we find the following classification:

Emergency cesarean section is graded according to urgency:

  • Urgency level 1: determined and performed as soon as possible.

  • Urgency level 2: determined and performed quickly within an agreed time frame, often 20 or 30 minutes, cf. local procedures.

  • Urgency level 3: determined and performed within a certain time frame, often 1 to several hours."

I hope this is helpful, @edegroot .

It seems that Denmark has the same levels as in Norway.