After donning, sanitise hands and surgical scrub to be worn, and
surgical gloves.
Procedure;
- After anaesthesia, patient in supine position
- Under all aseptic precautions, foleys catherization done
- Parts painted and draped
- Pfannelsteil incision given, abdomen opened in layers,
- Peritoneum opened,
- Kerrs incision given on uterus, allow the suction tube to be at the
incision site, to avoid spilling of amniotic fluid, baby is then
extracted
- Cord clamping and cutting done and handed over to paediatrician
- Allow placenta to separate on its own, to avoid unnecessary splashing
the blood
- Uterus closed in 1 or 2 layers
- Peritoneum closed
- Rectus sheath closed
- Skin closed with s/c,matress/staples
Post-Op medications:
- Fluids as required
- Antacid
- Antibiotic
- Analgesic – NSAIDs to be avoided
- Check for bleeding
- Foleys Catheter could be discarded after 24 hrs if favourable
- Advised for early ambulation