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Caesarean Section: Step 4 - Delivery of the baby, placenta

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    The next step is to deliver the fetus
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    where we would insert our hand below the head
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    and we remove the retractor
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    and as soon as the head is delivered
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    before the delivery of the shoulder
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    we would be first suctioning the mouth
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    followed by the nostrils
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    suctioning the mouth first would decrease the risk of aspiration
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    and then we would deliver the whole baby
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    and continue with the suction
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    while we are clamping the cord
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    the chord would be clamped
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    at two points
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    and would be cut by the assistant and the baby would be
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    taken to continuing resusitation
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    the next step now is to deliver the placenta
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    theh placenta can be delivered by manual removal or controlled contraction
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    the risk of bleeding and the risk of infection is found to be higher in removing it by manually
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    so the preferable way is to remove it by controlled contraction, as you can see here
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    also when the baby is being deivered
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    we should give oxytocin to the mother
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    and also during the delivery of the fetus also to give prophylactic antibiotics
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    once we deliver the placenta
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    it is always good to mop the inside of the uterine cavity
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    to be sure we have not left any fragments of placenta or membranes
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    and then we'll exteriorize the uterus to, both for easy visualization of the repair and also to see any bleeding,
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    we should insert the X retractor at this point and we should look for any bleeders
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    and this is where we are going to use a green armitage that you can see here holding, the surgeon holding
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    and the green armitage is specific used for cesarean section because it is a clamp that can bring hemostasis without crushing the uterine wall
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    all the bleeders would be clamped by the green armitage before we start
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    the closure, closing the uterine incision
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    This is the stage where we are going to dilate the cervix
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    so we have good drainage
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    using either fingers or sponge x
Title:
Caesarean Section: Step 4 - Delivery of the baby, placenta
Description:

This is part of a series of surgical videos for training on Caesarean Section. Viewer discretion is advised: The educational material contained herein may contain medical images that non-professional viewers may find disturbing. The full learning module is available at: http://open.umich.edu/education/med/oernetwork/med/ob-gyn/caesarean-adaptation/2012. The narration is by Dr. Lia Tadesse (St. Paul Hospital Millennium Medical College) in Ethiopia, the procedure is demonstrated by Dr. Richard Adanu (University of Ghana), and the recording was done by Dr. Cary Engleberg (University of Michigan). Along with other resources in the module, this video is shared under a Creative Commons Attribution Noncommercial 3.0 License: http://www.creativecommons.org/licenses/by-nc/3.0/. Video recorded by Dr. Cary Engleberg (University of Michigan). This video is provided by the African Health OER Network (http://www.oerafrica.org/healthoer). Video transcribed by Kathleen Omollo (University of Michigan).

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Video Language:
English
Duration:
02:45

English subtitles

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