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Birth Classes
. CLASS TWO, SECTION II.
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E. Cesarean Birth

1) Procedure

(a) During a planned cesarean delivery, patient and doctor should mutually agree on cesarean delivery well before due date if possible.

(b) Teaching of frequent turning, coughing, deep breathing, incision care, and splinting for postoperative period may be done.

(c) Woman can have nothing by mouth for a certain period before surgery.

(d) A urinary catheter will be inserted.

(e) Abdomen will be cleaned and sterilized.

(f) An IV line will be inserted, usually in an arm.

(g) Anesthesia and analgesia will be used; the type depends on many factors, such as whether the cesarean section was planned or an emergency (general anesthesia is usually used for emergencies).

(h) Every effort should be made to include the father in the birth experience if it is desired.

(i) The cesarean is performed.

(j) The baby is taken to warmer and assessed and cared for after bonding with mother if appropriate (mother is conscious).

(k) Pitocin may be given to increase uterine contraction and decrease bleeding.

(l) Mother will go to recovery room, where she will be closely monitored until she has recuperated from anesthesia.

(m) Incision and fundus will be frequently checked.

(n) Coughing and deep breathing should be done about every 2 hours.

(o) The urine output in the catheter bag will be measured.

(p) Postoperative pain relief should be provided. 2) Purpose or Cause (a) Cesarean Birth is done for many reasons: to facilitate a safer, quicker, or necessary method of birth 3) Vaginal birth after cesarean (VBAC) (a) Is possible, depending on the reason for the previous cesarean delivery and the type of incision 4) Complications related to cesarean delivery (a) Longer recovery period than vaginal birth (b) Possible complications related to surgery
 
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5) Expected recovery
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(a) Follow recommendations from OB care provider related to activity, skin care, medications, and follow-up appointments.
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