Preparing for a Cesarean section may vary depending on whether surgery is scheduled or emergency takes place, and if you use local or general anesthesia.
Generally, women in the program is a C-section can not eat or drink anything after midnight the day before surgery.
You will be given antacids before surgery to reduce stomach acid, because pregnant women are more likely to have acid reflux. You are also given a dose of antibiotics right after childbirth to reduce the risk of infection.
Almost never or rarely given an enema before delivery by cesarean section, but can be done if the person feels too much or overly constipated.
Just before the surgery starts an intravenous (IV) to deliver drugs into the vein fluids and, if necessary, give a blood transfusion during surgery. Wires will be placed in your chest that are connected to heart monitoring equipment and a cuff to measure blood pressure in the arm. You will be given extra oxygen through a mask and placed an oxygen monitoring device on the finger.
We introduce a flexible tube into the bladder, called a Foley catheter to drain urine and keep the bladder as empty as possible during surgery. I washed the abdomen and pubic region with antiseptic soap or antibacterial. It may be necessary to shave the area where you make the cut.
In general, doctors prefer to use regional anesthesia for caesarean section. Regional anesthesia means that you remain awake while numb an area of ??your body to perform surgery.
Regional anesthesia may be a spinal, epidural or a combination of both. Spinal anesthesia is injected into and around the nerves of the spine, near the middle to lower back. This provides a quick numbness and total relaxing all the muscles of the legs and abdomen. Surgery may begin immediately after the anesthesia since its effect is begun quickly. Epidural anesthesia requires a little more time and is given by inserting a small catheter into the space around the spinal column called the epidural space.
The epidural catheter is used to maintain constant levels of anesthesia in the space surrounding the nerves. The level of numbness in the legs and abdomen, and while you are sleeping can be monitored and adjusted as necessary to avoid pain. A combined spinal-epidural anesthesia, called CSE offers both immediate pain relief, proper spinal anesthesia and self-control of epidural anesthesia, which is necessary for more extensive surgery. The CSE is preferred when the operation can be more difficult or take longer.
Regional anesthesia allows the mother to be awake and alert during the baby’s birth, and breathe on her own. Some women worry about this pain with anesthesia. However, regional anesthesia numbs from mid-chest to the feet and its effect is short lived after caesarean section.
General anesthesia is usually left for emergency cesarean sections. If general anesthesia is used, the woman receives anesthetic intravenously (into a vein). Once asleep, you insert a plastic tube down the throat into the trachea, called the endotracheal tube. The trachea, or windpipe, connects the throat to the airways of the lungs. When the endotracheal tube is in place, the anesthesiologist can handle the breathing of the mother while she is unconscious.
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