Cesarean Section operations

Cesarean Section operations

The birth of fetus, pla senta and membranes is released through cutting the abdominal and uterus. Or in other words, it is to make a fetus with lapratomy and hysterotomy.

: Primary Cesarean Section is released in the state that the pregnant patient is under surgery for the first time. s will be set. Next s called tertiary, secondary or summary repeated c. s will be remembered. It was not urgent and after taking a plan, it should be executed called elective c. s will be remembered.

History: Historians think the term Caesar is related to the birth of Julius Caesar. In the Cesari government, it was ordered that more than the burial of any woman who died in the late pregnancy of a child be removed from her womb. Sometimes historians oppose the correction of the Latin word caedere probably meant cutting the first proven surgery on a living woman who died 25 days after surgery was done in 1610 and the first successful c-section In 1794 in the US near Staunton, Virginia, mother and child both survived.

The bastards. C S :- Lack of birth progress is the most common early c-section. The rate of c-section is higher in nolippers and increases with age. Increasing c-section leads to a decrease in the death and death of the fairy tanal. A c-section has a stabilization in cases where births and specials are not possible or bring great dangers to mother and child. In some cases, judgment is correct to be better than vaginal birth or c. s to be given the order.

Its tabbat is:

  • Failure of birth induction

  • Failure of birth progress

  • Disproportionate head and gizzard (CPD)


Placenta Preview -

Premature separation of the placenta-

Position, sometimes presentation -

Eclampsia, preeclampsia

  • Fetal available

Prolaps of cord-

  • Diabetes, Eritreblastos and other threatening diseases.

  • Cervical Destosy.

  • Cervical carcinum

Previous uterine incision-

  • Cloggy tumors

  • Genital active herpes infection

  • Sticky duality

. In addition to a number of unusual and proportional stabs for c. s there is that phrase:

Repeated c.s-

  • Anomali major mother of the fetus

Vaginal colporrhaphy-

Old primiparous-

  • ripped membrane

  • History of problematic

  • Myomectomy history

  • Vladi canal dam by tumors

  • Active reproductive herps

  • Severe heart disease or other threatening pests that vaginal birth is more risky than c-section surgery.


The most important anti-tbab c. s unnecessary and necessary c. s, abdominal antenna, abdominal fetus, dead fetus, suitable facility and co-workers.

Preparation for c performance. S:

NPO: Patient should be at least 8 hours before NPO surgery. So that the stomach is empty and the effects are not like sparking.

Fluids: Bleeding rate is usually one liter, although some patients tolerate bleeding of one and a half liter without any problem. Thus, 2-1 litres of Ranger Lactate or Salin solution in. is typically exposed to the Infio patient immediately after surgery. Sick vein is rebuilt with needle no. 18

Blood supply: At least two units of Packed red blood cell are available before surgery to be adapted if needed.

Sedative: On the night before surgery, a housing such as secobarbital as 100 mg may be recommended to a patient. But no other sedatio, such as narcotics or other sedative, should be recommended until the fetus is born.

(Milk of magnesium) MOM: is an antacid given to 15,5 mg one hour before operation. To reduce the risk of the effects of Warsak’s spirits of lung damage.

Sonographic performance: If you haven’t been a patient before you perform c. s urgently to determine the condition and size of the child, childbearing or multi-gang and locating the plasanta must be performed.

Sound Foley: After prep and drape, the surgery area will be adjusted before the anesthesia to show urine mouth during surgery.

Antibiotics: Because the resk of postpartum infections has a considerable spread. So it’s better to use antibiotics and events. Usual antibiotics, the wide area of Taj. It should be recommended like Ampiclen and Sefalospren. The first dose can be used immediately after clamping and the next dose can be used every 6-4 hours later.

Instasia: You can perform in one of the following three ways in a c-section.




In cases of blood anxiety, the anthane is the place of instincts, hypoolimia, and the urgent reality of the regional anti-tababab.

BP and out put urine check during surgery to be precisely evaluated for kidney duty and vitals.



The sound of stubbornness on the belly:

srh stubborn midlin under the head

pubic Pfannenstiel’s stubborn on top of her face of pubic hair

Maylard Maylard’s stubbornness

Midline’s stubborn features below:

  • It can be done fast

  • Vision, Exporsure and workplace is good

  • Fat women are more preferable.

  • In cases of fast birth and he is more likely to be a specialist

  • Skar is a bad shape

Pfannenstiel’s stubborn features

  • It’s more prevailing from the point of view.

  • The probability of opening the wound and creating a hernia in the stiff place is low

  • In skinny women there is a haj.

  • less view of the place of action

  • Theruma is more likely to bladder.

The difference between pfannenstiel and Maylard: In the first cover, under the cover, and Fascia, the muscle is long cut while in the second all the layers mentioned are cut off. Maylard’s hardship is not used much. However, this stubbornness may be especially useful for women who have a considerable scar in the previous pfannennstiel straps.

: The sound of stubbornness on the uterus:

rḥm Your dog’s stubbornness is under the uterus

rḥm The long stubbornness of your dog is under the uterus

klạsyk classic stubborn

The stubborn characteristics of the lower uterus dog:

  • It is a choice, especially in pottery presentations.

  • Bleeding rate is less

  • The probability of attachments and security is low.

  • It’s easier to fix

  • In case of literal extension, the uterine vessels of one or both sides may be damaged.

The probability of uterus rip in the next pregnancy is low.

: The long stubborn characteristics of your dog under the uterus:

  • much less used than the previous hardship

  • The probability of bladder damage is high.

  • If you’re wide down, you can get the neck, vagina and probably the bladder stuck.

: Classic stubborn features:

The long stubbornness in the uterus body and the uterus is the bottom of the

  • Today, uterus is rarely used.

  • The probability of uterus rip in next pregnancy, especially during childbirth is higher.

In the case of pottery prescription, the hand is between symphis pobis and Ross fetus and is made as soon as the baby’s nose and mouth holes appear. Aspiration of the child’s nose and mouth. Then the shoulders come out with a soft stretch with the pressure of fondus. The rest of the body exit is easily done while the baby is kept at the abdominal level. The navel dam will be clamped. Then Plasanta should be taken out immediately unless it separates itself.

Oxtocin solution: Once you give birth, shoulders will be oxto 20 U in a liter of Ranger lactate solution at 10 mg per mit. Until the uterus is seized and the speed of the infio is reduced.

Postoperative order c-section surgery:

NPO: Patient should be for 24 h after NPO to minimize the chance of lung aspiration. Also in the first 24 h there is a possibility of reopening due to postpartum effects.

Fluids: since the patient is the first 24 h of NPO so it should be adapted to 3 L for the patient.

1000CC=Ringer lactate

1000 cc= D5W / NS


VS, 1 / O check and vaginal blood: In the Recovery room, BP, PP, PR, RR, and vaginal bleeding should be precisely controlled in short distances.

Conditions of leaving the Recovery room:

Mother is totally awake.

The bleeding should be at least.

May the bloodshed be steble.

Office flow should be at least 30 ml / h.

Analgesic and Antibiotic that can be used to reduce pain and promitazine for bad heart and vomiting.

Morphine 10mg IM

Meperidine 50-100mg IM

Promethazine 12.5-25mg PO/IM every 4-6hr

Antibiotic: As long as the patient is in the hospital, every 6 h is given to the patient, Ampinceline and Cephaline. After discharge for 7 days, you can give an antibonic patient a mouth. Of course, antibiotics are related to Asepsis and Antisepsis mode.

Sound Foley removal: Sound is usually made 12 h after surgery or the morning after surgery.

HB, HCT check is routinely checked the day after surgery.

Moving the patient: Patient’s moving should be early in most cases, he gets out of bed at least twice a day after surgery. On the second day the patient walk with help. With the early move of the patient, the chance of trombosoride and lung ambulance decreases.

Liquid diet and normal diet: In most patients the fluid diet starts the day after surgery and starts on the second day after normal regime surgery. In cases of severe abdominal manipulation during surgery or toxic septic onset of fluids may be delayed.

Wound bracelet: The stubborn place should be examined every day, washed and washed with disinfection materials. On the third day after taking a bath surgery, there is no harm for the wound.

Clearance: In case there are no post-operation effects, the mother can be discharged on the third or fourth day. In the first week after surgery, the patient’s activities are only limited to helping care for himself and his child. The first after birth is in the third week after release.

C-section mixes

Aspiration pneumonia

Infection and septicemia



Trauma to unianry tract

Trauma to the spinal cord or brain of the infant

Fracture of the skull, femur or other parts of the fetus