Maternity Woman: CESAREAN DELIVERY AND CESAREAN HYSTERECTOMY

Cesarean Delivery_

it is a removal of infant from uterus through an incision of the abdominal wall and the uterus

Indication of Cesarean Delivery:

Types of Cesarean Delivery:

Low segment- incision made transversely in lower segment of the uterus. Usually this type of incision is as request of the patient
classical cesarean section -incision directly into the wall of the uterus for transverse lie position

Cesarean Hysterectomy- it is a cesarean section followed by the removal of uterus

INDICATIONS:

PREOPERATIVE CARE FOR HYSTERECTOMY:

Inform the patient, husband or direct member of the family and get the consent for operation
remove jewelries, dentures and nail polish if there is any
monitor vital signs of the patient and the fetal heart beat
prepare for blood examinations and the results
shave the patient from mid- breast line down to mid-thigh
keep the patient nothing orally at least eight hours
carry out pre operative medications as prescribed

POST OPERATIVE CARE FOR HYSTERECTOMY

placed patient flat on bed and head turned on one side
monitor vital signs, every 30 minutes for first hour
check Intravenous fluid and regulate correctly
check urinary catheter if flowing freely
check dressing if there is a sign of hemorrhage
if awake encourage deep breathing frequently
after 8 hours may put pillow and lie on the side slowly and slightly and supported with pillow
on the first day may sit on the bed
sponge bath for hygiene and promote blood circulation
on the second day , may stand at bed side with the presence and help of the nurse especially on the first time
on the third day , may walk slowly around her bed with someone on her side for help in case of feeling dizziness or pain
if catheter removed , encourage to void
may take bath on the third day with assistant

Maternity Woman