6.18 The Cesarean Section Delivery

a. Cesarean section delivery refers to a surgical incision made into the abdomen and uterus to deliver the fetus.

It requires the same postsurgical care as any other abdominal surgical patient.

b. Postpartal care.

(1) Observe incision site for bleeding or infection.

(2) Ambulate early.

(3) Have patient turn, cough, and deep breathe especially if general anesthesia was used.

(4) Monitor intake and output, especially voiding the first 24 hours after a foley catheter is removed.

(5) Observe lochia flow as ordered.

(6) Monitor fundal muscle tone-gently, according to the same frequency as checking for lochia.

(7) Assist with breast-feeding as soon as possible (immediately if desired–there is no reason to refrain).

(8) Encourage maternal-infant bonding as soon as possible.

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