Nursing Care Plan for Cesarean Section(Cesarean Birth)| Cesarean Section Overview;
Cesarean Section Overview
A Caesarean section, (also called C-section, Caesarian section, Cesarean section, Caesar, etc.) is a surgical procedure in which one or more incisions are made through a mother’s abdomen (laparotomy) and uterus (hysterotomy) to deliver one or more babies, or, rarely, to remove a dead fetus. A late-term abortion using Caesarean section procedures is termed a hysterotomy abortion and is very rarely performed. The first modern Caesarean section was performed by German gynecologist Ferdinand Adolf Kehrer in 1881. (Wikipedia.org)
A Caesarean section is usually performed when a vaginal delivery would put the baby’s or mother’s life or health at risk; although in recent times it has been also performed upon request for childbirths that could otherwise have been natural. In recent years the rate has risen to a record level of 46% in China and to levels of 25% and above in many Asian and European countries, Latin America, and the United States.
Cesarean birth is an alternative to vaginal birth only when the safety of the mother and/or fetus is compromised.
Currently, cesarean birth is used most often as a prophylactic measure, to alleviate problems of birth such as cephalopelvic disproportion or failure to progress in labor.
Here is a sample of nursing care plan for cesarean section patient.
Nursing Care Plan for Cesarean Section | Nursing Priorities;
Verbalize understanding of indications for cesarean birth.
Recognize this as an alternative childbirth method to obtain healthiest outcome possible.
Nursing Care Plan for Cesarean Section | Nursing Interventions for Cesarean Section
Nursing Care Plan for Cesarean Section | Nursing Interventions for Cesarean Section and Rationale;
Nursing Interventions for Cesarean Sections and Rationale
Assess learning needs. Rationale: This birth method is discussed in prepared childbirth classes, but many clients fail to retain the information because it has no personal significance at the time. Clients having a repeat cesarean delivery may not clearly remember or understand the details of their previous delivery. Note: Some facilities provide cesarean preparation classes for those undergoing planned procedure.
Note stress level and whether procedure was planned or unplanned. Rationale: Identifies client’s/couple’s readiness to incorporate information.
Provide accurate information in simple terms, clarify misconceptions. Encourage couple to ask questions and verbalize their understanding. Rationale: Stress of the situation can interfere with client’s ability to take in/comprehend information needed to make informed decisions. Provides an opportunity to evaluate client’s/couple’s understanding of situation. Note: Native Americans may fear procedure based on history of unwanted sterilization associated with consent for surgery.
Review indications necessitating alternative birth method. Rationale: Currently approximately one in five or six deliveries is a cesarean birth; and although one of CDC’s goals for Healthy America 2000 is to reduce the rate to 15% or less, the procedure should be viewed as an alternative, not an abnormal situation, to enhance maternal/fetal safety and well-being.
Describe preoperative procedures in advance, and provide rationale as appropriate. Rationale: Information allows client to anticipate events and understand reasons for interventions/actions.
Provide postoperative teaching; including demonstration of leg exercises, coughing/deep breathing; splinting technique; and abdominal tightening exercises. Rationale: Provides techniques to prevent complications related to venous stasis and hypostatic pneumonia, and to decrease stress on operative site. Abdominal tightening decreases discomfort associated with gas formation and abdominal distension.
Discuss anticipated sensations during delivery and recovery period. Rationale: Knowing what to expect and what is “normal” helps prevent unnecessary concern.
This is a sample of Nursing Care Plan for Cesarean Section.