subject: How to Perform a Cesarean (C-Section) [print this page] How to Perform a Cesarean (C-Section) How to Perform a Cesarean (C-Section)
Regional anesthesia is most frequently administered to the patient, who is awake. A low transverse (Kerr) or vertical (Krohnig) incision consistent with the estimated size of the fetus is done. The rectus muscles are parted and the peritoneum cut. Hemostasis is certain. After the uterus is incise, the bladder is reflected from the lower uterine segment. The amniotic sac is spontaneously entered and fluid can be without a tip on the dilator to avoid injury. To deliver the fetal head, you must use obstetric forceps and manuel pressure as well as counter-pressure on the fedus. Than the retractors are detached.
As soon as the head is delivered, once you see the child's nares, you can use a bulb syringe immediately, but very cautious. Some individuals may desire a pessary, but it is not necessary here; the delivery is completed. To engourage the uterus decrease blood & shrink. A pain killer is giving to the pateint. This can help with the grief as well. The umbilical cord is clamped and cut. The child is then given to a nurse wraped in a sheet and transfered to the nusery. Cautious measures are then given to the neonate underneath the warming lights. The pediatrician figures out the infant's Apgar score. Things like Vernix is cleaned off the infant's skin. Ointment (erythromycin 0.5%) is used by a person from the neonatal team to use on the conjunctival sacs of the newborn. Now the placenta is delivered. in order to persue the uterus to shrink it is then massaged. Tubal ligation could be performed. By blood amniotic fluid among other things too are aspirated. Hemostasis is assured. The edges of the uterine incisision are clamped to aid in its closure; the uterus and bladder are closed in a single or a double layer. The peritoneum at the lower uterine segment is sutured to its anatomic state. Close the wound in layers. An abdominal dressing and perineal pad are applied. Warmed blankets (from blanket warmer) are then places over the mom.
The infant and mother, both being in good condition are given some time to cope with each other. The infant is rushed to the neonatal unit to be further cleaned, weighed, etc.
