• 3.1.8 CS – Post Test

    Please complete the post test and email your responses to me for feedback.  This is a “formative” quiz and all you are required to do to pass will be to complete the module and submit your answers.​ mburnett@hsc.mb.ca List three reasons why a lower segment uterine incision is generally preferable to…

  • 3.1.7 CS – Additional Videos / Resources

    Lower Segment Cesarean Section Difficult Cesarean Section Incision Choice in Obese Patients Sharing In Health – C-Section http://www.sharinginhealth.org/procedures_surgery/caesarean_section.html

  • 3.1.6 CS – Closure

    Grasp bleeders with Green Armitage clamps, identify uterine angles​ and apply clamps Retract the bladder Examine the placental site for retained products Pack colonic gutters with moist packs as needed​ Exteriorize the uterus if incision is bleeding or if better visualization needed (inform anesthetist as this may induce hypotension)​ Observe for…

  • 3.1.5 CS – Delivery of the Placenta

    Beware abnormal placentation with previous section​ Controlled cord traction preferred​ Manual removal if retained placenta​ Wipe placental site with sponge or explore manually prn​ Bleeding from placental site?​ Deep compression sutures​ Uterine packing, exit through vagina​ Intrauterine balloon (Bakri) placement​ Intrauterine contraceptive device may be placed before uterine closure ​ Gentle traction…

  • 3.1.4 CS – Delivery of the Infant

    Cephalic and Breech Delivery of the infant is usually straightforward once the head is out. Follow similar maneuvers used in vaginal delivery for cephalic and breech presentations​. The anterior (A) and then the posterior (B) shoulder are delivered.​ The operator guides the head through the incisions as the assistant applies pressure…

  • 3.1.1 CS – Abdominal Entry

    Three Options for Abdominal Entry Pfannensteil or suprapubic transverse incision (the most commonly performed), The lower abdominal or subumbilical midline incision (performed when maximal exposure is required) Supraumbilical transverse incision (an option in the morbidly obese patient). It is best to decide on your abdominal approach before the patient is prepped and draped.  Observe the…

  • 3.1.0 C-Section 101

    Learning Objectives Perform a basic cesarean delivery​ Choose from available options for abdominal entry and uterine incision​ Anticipate 3 commonly encountered problems ​ Obese patient​ Head wedged in pelvis​ High floating head​ Strategize solutions to address common difficulties​ Topics Abdominal Entry Uterine Incision Delivery of the Head Delivery of the Infant Delivery…