Caesarean Section: Step 1 - Cleansing patient

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).

So this is the first step of the procedure

where we'll be cleaning the abodmen and draping

so that for the cleaning of the abdomen we are going to use X solution,

and cleaning with the x solution

will be at least two to three times

and the cleaning will start

with the area where the incision will be done

and then outwards

and ranging, we should clean the area between the sternum up to the mid thigh

and while cleaning is being done, around the end of the cleaning

the woman will be induced with general anesthesia

if she's going to be taking general anesthesia

so that will decrease the anesthesia time

but if it's spinal anesthesia, then the anesthesia will be before the woman is going to lie down

and after cleaning with the x

then dry, paint, or clean with idoine,

preferably povidone iodine

after this then we'll be draping with sterile drapes