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Caesarean Section 

The Team

The medical team involved in the surgery, are:

The Midwife

Providing support and assistance to both mother and Obstetrician throughout

The anaesthetist

Who will be providing freezing during the surgery.

The obstetrician

Who will be performing your C-section.

The surgical assistant

Who is a fellow, resident, or another doctor.

The nursing team

Who will assist with the surgery.

The respiratory therapist

Who will monitor the baby immediately after delivery.


Once the spinal or epidural is working the abdomen will be cleaned with a special cleaning solution.

A small tube (Foley catheter) will be placed inside your bladder to keep it empty for the procedure. This is usually left in until after the surgery.

Mums body will be covered by a sterile sheet to protect you during the surgery.

The team will test mums skin to make sure it's numb. 

At this point mum's support person will join you in the operating room.


A bikini skin incision is made on the lower abdomen.

The muscles are separated (not cut) to access the uterus.

An incision is made in the lower uterus.

At this point, mum will feel pressure while the doctors press on your abdomen to deliver your baby.

At this point, if the baby is crying, the team may proceed with delayed cord clamping.

Generally, baby will be in the room with mum the whole time. 

The baby can be on the warmer, held by your support person, or held on your chest by your support person during the remainder of the surgery.

After the Delivery

After the baby is delivered the placenta is removed.

Then the uterus and the layers of the abdomen are closed.

Usually the skin is closed with a stitch that will slowly dissolve so that you do not have to have the stitches removed. Other options may include a dissolvable glue or staples which require removal.

Sometimes tapes called steri-stips will be placed over the incision and these should be removed 7 days after surgery.

The incision is then covered with a bandage.

Caesarean Section During Labour

Conditions that may develop during labour that might put either mother or baby at risk eg: severe infection of the uterus

Baby is Struggling With Labour

ie: drop in heart-rate 

Labour Stops progressing 

Either the cervix does not fully open 

despite contractions or the baby stops moving down the pelvis

Cord Prolapse

Where a portion of the umbilical cord slips through the cervix and is at the front of the baby's head, which can limit blood supply to the baby

Planned C-Sections

Previous Caesarean Sections


Placenta Previa 

Previous surgeries

Fibroid Block

Indication - Maternal Choice

Multiple pregnancy

Assignment 3 - Research

"We are not expected to know everything - but knowing where to go 

for accurate information is essential"


Email Address*

Assignment 3: Caesarean Section

If a women had a C-section 5 days ago which of the following would be a sign that her scar may be infected?

What could a mother do to reduce the risk of thrombosis following a C-section

How long is the recovery period?

What is the role of a Midwife during a section?

Explain the Difference between an Emergency C-Section and an Elected C-Section

Wound Dressings

Wound Infection

Do you have any questions for your tutor?

Personal reflection - how do you feel about blood and bodily fluids? (be honest as we know it often takes time for Midwives to adjust to such things)

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