Low transverse incision is known is the kerr-The kerr incision will allow the patient to have a vbac birth after this cesarean if possible-Low vertical known as the sellheim-Classic vertical incision… this was the type that the did for a long time, but in 3rdworld countries, this is usually done Preparation for cesarean birth-one out of every three births is a c-section-nurses should encourage all pregnant women and partners to talk with the obstetrician or CNM what approach would be taken in the even of a c-section such as:-participating in the choice of anesthetic-presence of father or significant other during the proceducres in the recovery or postpartum room-audio or video recording and/or photography of the birth-delayed instillation of eye drops to promote eye contract between parent and infant in the first hour after birth-physical contact or holding the newborn while on the operating room table or in the recovery rom. If the mother cannot hold the newborn, the father can hold the baby for her-breastfeeding immediately after the surgery has been completed-preparation that may be done, such as an abdominal prep, insertion of a indwelling bladder catheter, and starting an IV and epidural placement-description of viewing of the operating room-types of anesthesia for birth and analgesia avaliable post-partum-sensations that may be experienced-roles of significant others-interaction with the newborn
Catherine and Brooke’s awesome OB study guide 42 - immediate recovery room - postpartum phase - if it is not an emergency C-section, then there can be preop teaching such as the woman practicing her turning, coughing, and deep breathing. It is helpful if she is taught to splint her abdominal muscles when she coughs. Informed consent for surgery needs to be signed Readings from Ch. 29 Respiratory Adaptations (to include) Characteristics of newborn respiration Cardiovascular Adaptations (to include) Characteristics of cardiac function Temperature Regulation (to include all sub-headings) Hepatic Adaptions (to include) Physiologic jaundice Urinary Adaptations (to include) Characteristics of newborn urinary function Chapter 29: Respirations: Characteristics of Newborn Respiration: The normal respiratory rate is 30-60 breaths per minute Initial Respirations are diaphragmatic, shallow, and irregular in depth and rhythm. Abdomen and Chest movements are the same Newborn breathing pattern can be irregular and vary. Periodic breathing is common in preterm infants, but can be seen in regular infants. o “Periodic breathing is defined as pauses in respiratory movements that last for up to 20 seconds alternating with breathing. o This happens during REM sleep o Irregular breathing is evident with motor activity, sucking, and crying. Apnea: cessation of breathing lasting more than 20 seconds. o This is abnormal in term newborns. o Apnea may be associated with changes in skin color or heart rate drops below 100 beats per minute.
Catherine and Brooke’s awesome OB study guide 43
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