Paedintermediate
List the standard sequential surgical steps of a cesarean delivery from initial patient preparation through completion of the procedure and transfer.
Answer
1. Position, prep (scrub), and drape the patient. 2. Perform the abdominal incision and enter the peritoneal cavity. 3. Incise and mobilize the uterovesical peritoneum (bladder flap). 4. Perform the hysterotomy (uterine incision). 5. Deliver the fetus, placenta, and fetal membranes. 6. Repair the uterine incision (hysterorrhaphy). 7. Close the abdominal wall in layers. 8. Perform vaginal toileting, apply a sterile wound dressing, and transfer the patient.
Explanation
A complete description moves logically from preparation and abdominal access to uterine access, delivery, repair, closure, and transfer. The newborn is resuscitated as needed and placed with the mother when appropriate, as the lecture states. **Key takeaway:** Delivery is followed by layered repair and maternal-newborn care. **Glossary:** **Draping**: placement of sterile coverings around the operative field.
Related Questions
- Explain the lecture's definition of CS and distinguish it from hysterotomy.(basic)
- The surgical removal of a fetus via an incision through the abdominal and uterine walls prior to the period of fetal viability (traditionally before 28 weeks of gestation) is defined as a ______.(basic)
- Place the following steps in the correct chronological order when responding to suspected uterine rupture during a trial of labor after cesarean (TOLAC):(advanced)
- In obstetrics, surgical delivery of a fetus through an abdominal and uterine incision prior to the age of fetal viability is termed a hysterotomy rather than a cesarean section.(basic)
- Arrange the procedural steps of a standard cesarean delivery in the correct chronological order from first to last.(intermediate)
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