Post operative 1. Promote family activity & bonding. 2. Enhance comfort &general well- being. 3.

Prevent/minimize post operative complications. 4. Promote a positive emotional response to birth experience & parenting role. 5. Provide information regarding past partial needs. 6. Vital sign q15 for 1 hr. to 4 hrs. 7. Bed rest, supine for 8 hrs. after spinal anesthetic. 8. Nothing by mouth for 8 hrs. after CS. 9. Advance to clean liquids as tolerated. 10. Medication as ordered for nausea. Inapsine, iron sulfate dosing based on past post term anemia.

Preoperative 1. Prepare the pt. Chart using DD form 1924. Surgical checklist contains the ff. a. space for the patient's identification b. a checklist for pertinent clinical records. c. a space for recording the most current set VS taken prior to preoperative med. d. space to indicate allergies. e. a space to document all preoperative nursing. 2. The patient must sign in the presence measures presence of a witness to consent for a surgical procedure. 3. Implement doctor's order for preoperative care such as; a. If order administered enemas, cleanses the colon of fecal material.

Indications for cesarean section

Cesarean section can and is performed for a whole variety of reasons. Some indications are the mothers (maternal) and others are babys (fetal). Very occasionally, it is because of issues to bo with both. Listed below are some of the more common maternal indications. Maternal pelvis: if the birth canal is deemed too narrow to allow safe passage of the baby, a cesarean section will be the only option. This state of affairs may be recognized following previous experience such as labour that was very difficult or that never progressed beyond a certain point. In such a case the cesarean section will be planned electively. It may otherwise be discovered in the course of labour and cesarean section is resorted to. Previous cesarean section: In the United States, less than 10% of women with previous cesarean section have a vaginal delivery. Figures in Europe and other parts of the world are a lot higher. Previous cesarean delivery is not always an indication for repeat cesarean section, except in a situation where the reasons for the previous cesarean section are still there, such as a narrow pelvis. Medical conditions: Presence of serious medical conditions such as heart failure or serious respiratory conditions is sometimes deemed an indication for cesarean delivery in order to circumvent the stresses and strains of labor. More often, instrumental (vaginal) delivery in the form of forceps or ventouse is opted for. Abnormal placental position: A low-lying placenta (a condition known as "placenta previa") is an indication for cesarean delivery. Placental abruption: If the placenta detaches partially or wholly during pregnancy or labour, emergency cesarean section may be performed, especially if there is hope of saving the baby.

 Previous plastic or corrective surgery to the vagina: If childbirth risks undoing the previous surgery, then the only way of getting around this problem is to perform a cesarean section. Failure to progress in labour: if labour appears to be getting nowhere in spite of everything, abdominal delivery may be the only option.

A caesarean

section (cesarean

section AE),

is

a surgical incision to deliver

through one

a or

mother's abdomen (laparotomy)

and uterus (hysterotomy)

more fetuses. The caesarean is so-named because legend suggests this is the method by which the Roman dictatorJulius Caesar was delivered. There are two types of caesarean sections: the classical caesarean section, and the lower segment caesarean section. The classical section involves a midline longitudinal incision which allows a larger space to deliver the baby. The lower segment section, more commonly used today,involves a smaller transverse cut which results in less blood loss and is easier to repair.

In modern practice the father is usually encouraged to attend the caesarian section to support and share the experience with his partner. The anaesthetist will usually lower the drape temporarily as the child is delivered so the parents can see their newborn. This is the view that the father can expect of their newborn child. The mother's view is similar but from a lower angle. Caesarean sections are more prevalent among women who are older, obese or suffering from pre-eclampsia or eclampsia, or have a large fetus, had a previous caesarean, or have received fertility drugs which may cause the mother to carry several offspring

Contraindication - Definition
In medicine, a contraindication is a condition or factor that increases the risk involved in using a particular drug, carrying out a medical procedure or engaging in a particular activity. An absolute contraindication is a condition that prohibits the use of a treatment altogether. For example, a previous allergic reaction topenicillin is an absolute contraindication towards using this drug. A relative contraindication weighs in against the use of a treatment when assessing its risk/benefit ratio. For example, a history ofpeptic ulcer is a contraindication towards taking aspirin. If, however, the benefit of using aspirin is seen as greater than the risk of a recurrence of the ulcer, and no reasonable alternatives are available, the treatment is still indicated.