Of course there can be slight variation hospital to hospital. But I’ve done csections in 3 different hospital systems with 8 different OBGYNs, and it’s pretty much all the same.
PLANNED CSECTION STEPS
*You will be wheeled on your bed back to OR, wearing a hospital gown and a hair net. Your support person will wait outside of OR.
*Move onto OR bed, where you will sit on the edge while anesthesia places a spinal. Local numbing first “pinch and a burn” Spinal goes in, may feel pressure or “zingers.” Let anesthesia know what you feel.
*You will be helped to lie down on the OR bed. You may feel tingling and/or warm in your legs. Arms may be strapped to arm board. Talk to your provider about this, we only do this for patients going under general anesthesia.
*Catheter is placed
*Your belly, pubic area, and thighs will be “painted” with betadine to cleanse from normal bacteria.
*Drape is placed over your body. You will not be able to see anything below your boobs.
*Support person is allowed in OR and will sit by your head.
*Doctor will pinch your skin hard with a pick-up with teeth to check your numbness.
*Skin incision...I will now skip over surgical steps since you won’t know what’s happening.
*Your provider will tell you that you will feel “lots of pressure.” This is because the assist is pushing down at the top of your uterus to push baby out of while the doctor “catches” and pulls baby out.
*Baby goes to a warmer to clear out lungs, etc. If your hospital is nice, they will have the warmer set up in a way that you can see it all from where you are.
*Your layers are closed up. You may hear counting over and over. That is your tech and nurse counting sponges, sharps, and instruments at each layer of closure to make sure nothing was left inside you.
*Drapes are pulled down. You will get a uterine massage to make sure clots come out your vagina, get cleaned up a bit, and then are slid over onto your recovery bed.
*Return to recovery room where you will recover over the next 3-4 days.
*It seems mean but you will be up and walking within hours of surgery (as long as you’re healthy). The more you can get up and move (without pushing it), the faster you will heal and feel better.