Setup for a C-Section (Ivy Tech Community College, Indianapolis, IN)
Heather Seib, BA, AAS, CST
Ivy Tech Community College, Indianapolis, IN
A planned cesarean section (C-section) involves two patients, maternal and newborn, so the operating room (OR) should be prepared and arranged to provide for their safety, and to optimize efficiency for the surgical team. The three essential components for effective perioperative care include creation and maintenance of the sterile field, instrument organization, and accurate surgical counts. This video presents an example of how to set up the back table and Mayo stand for a C-section, including a demonstration of how to perform the initial surgical count.
Primary Low Transverse C-Section
Taylor P. Stewart, MD; Juliana B. Taney, MD
Massachusetts General Hospital
Cesarean sections, often referred to as c-sections, are the most common operation performed for pregnant people across the US. They are viewed as a safe mode of fetal delivery. While there are many indications for planned, non-elective primary cesarean deliveries, there are growing numbers of planned, elective primary c-sections in the US. Vaginal delivery should still be considered in all cases in which an elective c-section is requested. The decision regarding mode of delivery often involves an interdisciplinary discussion between obstetrical, anesthesia, and specialty teams as well as joint decision making between a patient and their provider, taking into consideration their concerns and long-term goals.
In this case, an elective primary c-section was performed on a 31-year-old gravida 1 para 0 patient with a term, singleton gestation in the setting of prior lumbar sacral fusion and pelvic fixation surgeries.
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