- The birth through an abdominal incision into the uterus.
- Indications: CPD, severe PIH, genital herpes or papilloma, previous C/S (history), placenta previa, abruptio placenta, transverse fetal lie, breech presentation, extreme low birth weight, fetal distress, large fetus.
- Types of C/S: Low transverse, Classic, Low vertical.
- Preoperative care measures are informed consent, overall hygiene, skin prep, GIT prep, monitoring intake and output, hydration, pre-op meds, role of support system.
- Post operative vital signs to be reported immediately: fall in blood pressure (5-10 mmHg), pulse more than 110bpm, RR more than 20 cpm - signs of hemorrhage.
- Nursing care include breathing exercises, early ambulation, V/S monitoring, hydration, adequate rest, analgesics and antibiotics, promote mother-infant bonding.
CESAREAN BIRTH
