Caesarean Section

Question 1

Define a caesarean section

Answer 1

An operative procedure done under anesthesia, whereby the fetus, placenta and membranes are delivered through an incision made in the abdominal wall and uterus

Question 2

What are the different categories of EMCS (define them)?

Answer 2

1= immediate threat to life
2= maternal or fetal compromise but no immediate threat to life
3= no compromise but needs early delivery 
4= to suit women and staff

Question 3

What preparation is needed for an EMCS?

Answer 3

Discussion and informed consent, Documentation, FBC and G+S, antibiotic prophylaxis, prep theatre, skin cleaned and prep

Question 4

What people are present at an EMCS?

Answer 4

Surgeon, anesthetist, scrub nurse, receiving midwife, Pads, ODP, partner (possibly)

Question 5

What are the risks of EMCS?

Answer 5

Increased VTE, infection, blood loss, tiredness, pain and psychological

Question 6

What neonatal care is required post EMCS?

Answer 6

Resuscitation?, umbilical artery PH, Skin to skin

Question 7

What postnatal care is needed post EMCS?

Answer 7

Post op obs, pain relief, bladder care, breastfeeding support