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) slit consistent with the estimated size of the fetus is done. The peritoneum should be cut and the rectus muscles are seperated. Hemostasis is assured. The bladder is reflected from the lower uterine segment and the uterus is incised. When you enter the amniotic sac, be sure to have a protective tip on the surgical instruments to avoid injury. To deliver the fetal head, you must have obstetric forceps and manuel pressure as well as counter-pressure on the fedus. Than the retractors are removed.

When you can see see the head come out, once you see the child's nares, you should use a bulb syringe immediately, but very cautious. Some individuals may prefer a pessary, but it is not necessary here; the delivery has been completed. To engourage the uterus decrease blood & shrink. A pain killer is provided to the pateint. This can help with the grief as well. Than the umbilical cord is cut after it's been clamped. The child is then given to a nurse wraped in a sheet and transfered to the nusery. Cautious procedures are then given to the neonate underneath the warming lights. In order to determine the baby's apgar score. The pediatrician will do this. 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 baby. The placenta is delivered. The uterus is massaged to persuade it to shrink. Tubal ligation can be performed. Blood amniotic fluid, etc. are aspirated. Hemostasis is assured. Clamp the edges of the uterine incisision to make sure its closure; You then want to close the bladder and uterus in a double or single layer. The peritoneum at the lower uterine segment is sutured to its anatomic position. Close the wound in layers. An abdominal dressing & perineal pad are applied. Warmed blankets (from blanket warmer) are placed over the mom.

The mother and child, in good condition are given a moment to bond on the gurney. The infant is rushed to the neonatal unit to be further cleaned, weighed, etc.