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This is your About page. This space is a great opportunity to give a full background on who you are, what you do and what your site has to offer. Your users are genuinely interested in learning more about you, so don’t be afraid to share personal anecdotes to create a more friendly quality. Every website has a story, and your visitors want to hear yours. This space is a great opportunity to provide any personal details you want to share with your followers. Include interesting anecdotes and facts to keep readers engaged. Double click on the text box to start editing your content and make sure to add all the relevant details you want site visitors to know. If you’re a business, talk about how you started and share your professional journey. Explain your core values, your commitment to customers and how you stand out from the crowd. Add a photo, gallery or video for even more engagement.

Caesarean Section 

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Visuals Are A Great Way To Teach!

Teaching Tools


Arouse Interest:


Select a question statement, real-life experience or new item that induces interest. – adapt your introduction to the subject of class.


Identify the main point of your teaching: make sure that your introduction makes the subject and purpose of your presentation clear to your listeners


Make it clear why the subject is important /adapt what you say to the practical needs of your listeners. That should be able to clearly understand how the subject can help them personally.


•When preparing your class – make yourself familiar with your clients needs


•Observe activities and surroundings, body language 

Planned C-Sections

Previous Caesarean Sections

Breech

Placenta Previa 

Previous surgeries

Fibroid Block

Indication - Maternal Choice

Multiple pregnancy

Caesarean Section During Labour

Conditions that may develop during labour that might put either mother or baby at risk eg: severe infection of the uterus

Baby is Struggling With Labour


ie: drop in heart-rate 

Labour Stops progressing 


Either the cervix does not fully open 

despite contractions or the baby stops moving down the pelvis

Cord Prolapse


Where a portion of the umbilical cord slips through the cervix and is at the front of the baby's head, which can limit blood supply to the baby

Preparing for a Caesarean Section 

At Home

  • No eating solids or drinking non-clear fluids 8 hours before (eg. milk, orange juice, coffee with milk)

  • No drinking clear fluids 3 hours before (eg. water, clear juice)

  • Shower

  • The day before surgery, mum may be asked to shower using a special antibacterial soap to reduce the risk of developing a skin infection after surgery.

  • Jewellery - removal of all jewellery prior to your C-section, including piercings (It is best to leave all valuables at home)

  • Hair removal -  Is not needed. If mum wishes she can trim, wax or shave several days before. *Do not shave your skin immediately before the procedure.

  • Nail polish is permitted

At Hospital

  • Arrive when you are asked to usually 2 HOURS before your surgery time

  • Clothing - mum will be asked to change into a hospital gown

  • Nursing care - mum will have a blood test and and an intravenous (IV) line will be put in the hand to give fluids and medications during surgery.

  • Support person - mum can bring one person into surgery. This person will be asked to wait outside the operating room until you are comfortable and positioned for surgery.

 

Spinal/Epidural

Most C-sections are done with freezing using a spinal/epidural anaesthetic

This is performed by placing a needle in the back, which is removed before surgery starts.

 

The Doctors will make sure there is no feelings, starting the surgery.

 

General anaesthetic

Its uncommon, but mum may need to be put to sleep for this surgery, for example in very urgent situations.

The Team

The medical team involved in the surgery, are:

The anaesthetist

Who will be providing freezing during the surgery.


The obstetrician

Who will be performing your C-section.


The surgical assistant

Who is a fellow, resident, or another doctor.


The nursing team

Who will assist with the surgery.


The respiratory therapist

Who will monitor the baby immediately after delivery.

 

Preparation

Once the spinal or epidural is working the abdomen will be cleaned with a special cleaning solution.

A small tube (Foley catheter) will be placed inside your bladder to keep it empty for the procedure. This is usually left in until after the surgery.

Mums body will be covered by a sterile sheet to protect you during the surgery.

The team will test mums skin to make sure it's numb. 

At this point mum's support person will join you in the operating room.

Delivery

A bikini skin incision is made on the lower abdomen.

The muscles are separated (not cut) to access the uterus.

An incision is made in the lower uterus.

At this point, mum will feel pressure while the doctors press on your abdomen to deliver your baby.

At this point, if the baby is crying, the team may proceed with delayed cord clamping.

Generally, baby will be in the room with mum the whole time. 

The baby can be on the warmer, held by your support person, or held on your chest by your support person during the remainder of the surgery.

After the Delivery

After the baby is delivered the placenta is removed.

Then the uterus and the layers of the abdomen are closed.

Usually the skin is closed with a stitch that will slowly dissolve so that you do not have to have the stitches removed. Other options may include a dissolvable glue or staples which require removal.

Sometimes tapes called steri-stips will be placed over the incision and these should be removed 7 days after surgery.

The incision is then covered with a bandage.

After a C-Section

Mum will be transferred to the recovery room and monitored closely until the anesthesias wears off.

The catheter will be removed once you are able to walk without support.

Mum will be encouraged to eat, drink and walk as soon as you feel ready.

Midwives will provide you with oral (by mouth) pain medications to keep you comfortable.

Everyone’s recovery is different, and some women will need stronger pain medications (narcotics). 

The narcotics that are used are safe for breastfeeding. 

Constipation  is common after your delivery, especially when using narcotics, so a stool softener may be recommended.

Getting ready to go home

There will be lots of support in hospital to care for yourself as well as your baby.

The Midwives are always available to answer questions and provide help and support, including breastfeeding assistance.

A Dr will see you prior to discharge home.

Most women spend 1-2 nights at the hospital after a C-section - but can vary taking into consideration the health of mum and baby

The criteria for going home include:

  • Good pain control

  • Ability to walk around, pee and pass gas

  • Ability to eat and drink

  • Tests that baby needs before going home:

  • Physical exam, including baby’s weight, Bilirubin, Hearing test

  • Newborn screen (Done no earlier than 24 hours. If you leave prior to this, you may need to come back for it.)

Going home

Coming home with a new baby after a C-section can be an overwhelming time. 

It is normal to feel tired and to experience some pain as you heal.

Mum will be encouraged to rest, take pain medication, and walk around to promote healing.

You can shower and perform activities as needed.

The incision should be kept dry, mum should avoid applying creams/ointments unless prescribed.  leave the scar uncovered (i.e. avoid bandages and tight clothing).

Numbness along the scar is normal for many women and usually resolves several months after the surgery.

 

The Mother will experience vaginal bleeding following your delivery. Bleeding may last until 6-8 weeks and is normal.

Avoid

There are very few limitations following a C-section.

  • Heavy lifting

  • Avoid lifting anything more than 10 pounds (other than the baby) until 6 weeks after surgery.

  • Driving - Avoid driving until you are no longer taking narcotic pain medications and  can make quick movements (i.e. slam on brakes). This time frame is different for everyone.

  • Sex - Avoid intercourse for 6 weeks postpartum, until the bleeding stops, to prevent infection.

  • Swimming - Avoid swimming for 6 weeks postpartum, until the bleeding stops, to prevent infection

By 6 weeks most women are completely healed. Mum will see a care provider at 6 weeks for a routine postpartum visit. Usually after this visit, mum may resume full activities without any restrictions.

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