“C-SECTION PRE-OP EXPECTATIONS •
In 2018, the average US c-section rate was 31.9%. While many women do not plan on having one, the truth is that they ARE happening – and frequently.
How do we prepare for that possibility, as much as you may be wanting to avoid it? We learn. We educate ourselves. We move forward informed, not fearful.
– Category 1: Immediate threat to mom/baby
– Category 2: There are problems with mom/baby but they are not immediately threatening
– Category 3: Earlier birth is indicated with no immediate risk to mom/baby
– Category 4: A scheduled procedure at a time best for mom and cesarean team
Standard Cesarean Section Prep 👇🏼
BEFORE THE OR
+ Full admission: Medical history taken, CONSENT with the surgeon, a quick consult with anesthesiology.
+ IV: An IV will be started
+ Urine sample: This is taken and checked by a RN
+ SCD: These will be placed on your legs to prevent clots during surgery and postpartum. They’re off once you’re walking again!
+ Fluid Administration: Most anesthesiologists prefer you get a liter of fluids (NS or LR) to combat blood loss and possible drop in BP.
+ Antacid Administration: This is usually something you drink (quickly). It should neutralize stomach acids and combat nausea. Take it like a shot – it can taste gross.
+ Hair Clipping: Your pubic hair will be trimmed near the incision line. Hospitals prefer you don’t do this on your own.
IN THE OR
+ Fetal Heart Rate: One last check of the FHR before incision!
+ Spinal: If you do not have an epidural (from laboring), you’ll have a spinal placed.
+ Urinary Catheter: This is placed after the spinal, so you won’t feel it!
+ Sterile Cleaning: The OR team has a whole process for sterilizing your stomach/incision site.
– Partners are not allowed in the OR until the spinal has been placed and the sterile field is up.
– Having additional people in the OR (doulas, photographers, etc.) is hospital/provider dependent. Ask ahead.”