A Cesarean Section also know as a C-Section is done for a number of reasons when a baby can’t be born vaginally.
– Failure to Progress
– Uterine issues
– Placental issues
– Umbilical Cord issues
– Fetal Distress
C-Sections are usually done using a Pfannenstiel incision (bikini line incision) however, other incisions may be used as well. Second most common incision would be a midline incision.
C-Section Back Table set-up
– Blades for skin & uterine incision
– Suture Scissors
– Curved Mayo Scissors for fascial dissection
– Metzenbaum Scissors for bladder flap
– Smooth Forceps (not shown) for bladder flap
– Bonney Forceps (or another toothed forceps) for uterine closure (a Russian Forceps may be used as well)
– Med & Lg Richardson Retractors for incisional retraction
– Bladder Retractor to retract bladder while making uterine incision
– Snaps for bleeding vessels, tissue dissection, tagging sutures
– Kelly to clamp umbilical cord
– Allis can be used on uterus same as T-Clamps
– Kocher for fascia
– Needle Holder
– T-Clamp to clamp on uterine incision after baby is delivered to temporarily tamponade bleeding while uterine incision is being closed
– Vaccutainer to collect cord blood
Right before the uterine incision is made a blanket is placed on the sterile field for the baby to be delivered onto while the Dr clamps & transects the umbilical cord. After the umbilical cord is cut the baby is then handed off to the baby nurses who will recover the newborn.
The blue bulb syringe is used to suction out fluid in the baby’s nose & mouth.
The plastic basin is used to place the placenta in after it is delivered