Cesarean Delivery in Hindi | Preoperative Care, Procedure, Postoperative care | Nursing Lecture

Cesarean delivery is to be performed first by laparotomy and then by hysterotomy, here the preoperative preparation, procedure, and aftercare are explained in Hindi.

Preoperative preparation-
1 NBM for 6-8 hrs.
2 Preoperative medicines like antacids and antibiotic prophylaxis.
3 Prior informed consent
4 Bladder emptied by foley catheter
5 Fetal maturity to be ascertained, before elective surgery
6 Check all instruments, sponges, needles before and after surgery for surgical safety
7 Dorsal position with left lateral tilt 15 degrees to avoid vena cava compression and hypotension.
8 Blood tests- CBC, blood grouping, and crossmatching
9 Abdomen and perineal painting with chlorhexidine and povidone and iodine lotions.
10 Part preparation- hair clipping

Procedure -
The most common incision is the LSCS transverse, where Pfannenstiel incision is a common technique through which incision is given.
Structures that are being cut while giving an abdomen incision are-
-Skin
-Subcutaneous tissues
-Anterior rectus sheath
-Rectus abdominis muscle (Not being cut only separated)
-Transversalis fascia
-Peritoneum
-Myometrium
-Decidua
-Amniotic membrane

Postoperative Care-
Vitals, urine output, bleeding, and uterine tone must be checked before shifting to the postoperative ward.
Breastfeeding on the same day of surgery.
Remove Foley catheter after 12 hrs of surgery.
Analgesics for pain management.
Discharged by day 3 or 4 in uncomplicated cases.
Metal staples can be removed by day 4.
The first week should limit the activities for self and baby care only.
Ambulate as soon as possible.

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Cesarean Section Part in Hindi - 1    • Cesarean delivery in Hindi [ C-Sectio...  

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00:00 Introduction to C section (cesarean section)
01:13 Preoperative Preparation
09:27 Types of incision
11:47 Structures that are being cut in the cesarean section
13:58 The procedure of cesarean section
28:45 Postoperative care after cesarean section



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