Component Task: Pre and Post-Operative Management of The Mother (Caesarean Section): Pre-Operative Management

This is the care rendered by the midwife to a client before and after an emergency or a planned caesarean section.

Aims

·         Prevent complications in pregnancy

·         Prevent maternal and neonatal morbidity/mortality

Types

·         Pre-operative management

·         Post-operative management

Requirements

·         Vital signs tray

·         Disposable gloves

·         Shaving stick

·         Intravenous cannula

·         Intravenous fluids

·         Prescribed Medications

·         Antiseptic Lotion

·         Theatre gown and head cap

·         Patient’ s Records

·         Identification band

·         Signed consent form

·         Urethral catheter and urine bag

Steps

PRE-OPERATIVE MANAGEMENT:

1.        Establish rapport (refer steps)

2.      Reinforce all explanation given by Obstetrician, expressing them in simply terms

3.      Ensure all investigation all carried out

4.      Arrange for cross matched blood to be ready for use

5.      Inform client briefly about how the operating room would look like and the basic equipment that would be used

6.      Encourage client companion to be with her during surgery where necessary

7.       Assess vital signs (temperature, pulse, respiration and blood pressure) and record

8.      Ensure client maintain nil per os if surgery will be done under general anaesthesia

9.      Encourage client to take in light sips of nourishing fluids in case local anaesthesia will be used

10.    Pass urethral catheter where necessary

11.      Shave and clean client according to hospital protocol

12.    Remove any artificial appliances such as dentures, earrings, bangles etc.

13.    Change clothing into theatre gown