1. What is the purpose of oxygen therapy for cesarian section patients?

 Oxygen is used during spinal anaesthesia in obstetric practice as a part of the management
of tissue hypoxia secondary to postspinal hypotension. Spinal anaesthesia is associated with an
inevitable decrease in maternal blood pressure and thus possible tissue hypoxia, affecting both
mother and fetus.

2. Why do we have to monitor the vital signs of post operative CS patient

every 15 minutes for the first 2 hours?

 Monitoring the patient every minutes for the first 2 hours will deternine
the sudden variations from the baseline vital signs as a result of complications
like bleeding, and reaction to anesthesia and other medications.

3. Why do we have to monitor the vital signs of the patient every 30 minutes
for 1 hour of post operative CS patients?

 If the close monitoring of every 15 minutes for the first 2 hours are within
normal range, the monitoring will decrease by 30 minutes for 1 hour of
post CS delivery to continue on guarding against side effects of
medications and complications of surgery including bleeding and
aspiration pneumonia.

4. What is the purpose of monitoring the patient every hour for 10 hours post
CS?

 Monitoring the patient every hour for 10 hours post CS is a progress of

post operative monitoring. The hourly monitoring with the patient’s vital
signs in normal range will indicate that the patient is ready to be
discharged from the post anesthesia care unit back to the ward or room.
Still close monitoring of complications post operatively will still be
observed. Monitoring of bowel movement by way of auscultation and
passage of flatulence will determine if the patient is ready for feeding.

5. Why do we have to instruct the patient to be on NPO status for 6 to 8 hours

prior to CS operation?

 The main reason for preoperative fasting is to prevent pulmonary aspiration of stomach
contents while under the effects of anesthesia. Aspiration of as little as 30–40 mL can be a significant
cause of suffering and death during an operation and therefore fasting is performed to reduce the
volume of stomach contents as much as possible. Several factors can predispose to aspiration of
stomach contents including inadequate anesthesia, pregnancy, obesity, difficult airways, emergency
surgery (since fasting time is reduced), full stomach and altered gastrointestinal mobility. Increased
fasting times leads to decreased injury if aspiration occurs.

6. What is the responsibility of the midwife to the mother who have to undergo
CS operation and the baby?

Midwives are trained professionals who help women during pregnancy and
childbirth. Midwives may also help with the care of the newborn. People have been
practicing midwifery for thousands of years. The roles of a midwife include:
 monitoring the physical, psychological, and social well-being of the mother throughout
pregnancy, childbirth, and the postpartum period
 providing one-on-one education, counseling, prenatal care, and hands-on assistance
 minimizing medical interventions
 identifying and referring women who require a doctor’s attention

7. Why do we have to maintain the patient in flat position post CS?

 The patient who has had spinal anesthesia may have to remain lying flat for several hours. The
effects of anesthesia tend to last well into the postoperative period. Anesthetic agents may
depress respiratory function, cardiac output, peristalsis and normal functioning of the
gastrointestinal tract, and may temporarily depress bladder tone and response.

8. How many hours will the patient remain in flat position post CS?

 The mother who undergone CS delivery is expected to be in flat position

for the first 6 - 8 hours to lessen the effects of anesthesia and maintain the
integrity of the post operative wound.

9. Why do we have to give no pillow to post CS patients?

 Pillows are prohibited post operatively for those receiving spinal and
epidural anesthesia due possible occurrence of spinal headache. Giving
no pillows during the first hours of post CS delivery will limit the disruption
of wound integrity.

10. What is the purpose of assessment?

 A health assessment is a plan of care that identifies the specific needs of a person and how those
needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is
the evaluation of the health status by performing a physical exam after taking a health history. It
is done to detect diseases early in people that may look and feel well.

11. What is the use of IV therapy?

 Intravenous therapy is the infusion of liquid substances directly into a vein. Intravenous (IV)
means "within vein". Intravenous infusions are commonly referred to as drips. The intravenous
route is the fastest way to deliver fluids and medications throughout the body. Intravenous
therapy may be used for fluid administration (such as correcting dehydration), to
correct electrolyte imbalances, to deliver medications and for blood transfusions.

12. Why do we have to examine the post operative site or wound of the
mother?

 Examining the post operative site or wound of post cesarian section

mother will enable you to see if there are signs of infections such as
redness, drainage, or foul-smelling. It can also determine if the wound is
healing properly.

13. Why do we have to monitor the side effects of the medications?

 Monitoring describes the prospective supervision, observation, and testing of an ongoing
process. The result of monitoring the side effects of medications provides reassurance that the
goal has been or will be achieved, or suggests changes that will allow it to be achieved. In
therapeutics, monitoring of drug concentrations is important to achieve benefit or avoid harm,
or both.

14. What are the complications that should be avoided in Cesarian Section?

 post-surgery infection or fever

 too much blood loss
 injury to organs
 emergency hysterectomy
 blood clot
 reaction to medication or anesthesia
 emotional difficulties
 scar tissue and difficulty with future deliveries
 death of the mother
 harm to the baby

15. What is the purpose of giving oxytocin to CS patients?

 Oxytocin is the most commonly used uterotonic agent in obstetrics. It is routinely administered
after both normal and operative delivery to initiate and maintain adequate uterine contractility
for minimizing blood loss and preventing postpartum hemorrhage.