Cesarean Birth

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Cesarean Birth

• Debbie Amason,RN,BSN,MS

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• Purpose
• Incidence
• Indications

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Forced cesarean

• What is it?
• Nurses role
• What do we do?

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Surgical techniques

• Classic
• Low transverse

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Complications

• Percentage
• Physical
• Psychological

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Types

• Scheduled
• Emergency
• Effects on the woman
• Prenatal preparation

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Preparation

• Prenatal
• preoperative

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Preoperative care

• Establishing risk
• Diagnostics
• Teaching
• Consent
• Hydration
• Transport
• Role support

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Intraoperative care

• Skin prep
• Foley
• Circulator
• Support
• Newborn
• pediatrician

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uterine incision
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recovery

• PACU or LD
• Assessments
• Q 15 minutes
• Both postpartum and post surgical patient
• Family support

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Postoperative care

• PCA
• Pain relief
• Education
• Ambulation
• Nutrition

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VBAC

• Why ?
• Indications
• ACOG recommendations
• Contraindications
• Nursing responsibilities

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assessment

• Preoperative
• Preparation begins early in pregnancy
• Physical and psychological preparation

• Postpartum
• VS
• Pain
• Bonding
• Thrombophlebitis
• Educational needs

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Nursing diagnosis

• Preoperative
• Risk for infection r/t surgical incision
• Fear r/t impending surgery
• Pain
• Fluid volume deficit
• powerlessness

• Postpartum
• Risk fluid volume deficit
• Constipation
• Altered tissue perfusion
• Fatigue
• Impaired skin integrity

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Planning and outcomes

• Preoperative
• Preparation for anesthesia
• Prepartion of the family for a longer stay

• Postpartum
• Patient will remain free of s/s of fluid volume
  deficit
• Patient gradually resumes normal activity
• Incision remains free of s/s infection

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interventions

• Preoperative
• Teaching
• Support
• Coordination of team members

• Postpartum
• Pain meds
• Hydration
• Rest
• Assessments
• Promotes bonding