Obstetric Surgery

Obstetric Surgery
Chapter 12
Surgical Technology
for the
Surgical Technologist
Key Terms
¬Braxton Hicks contractions
¬Cervical dilation
¬Cervical effacement
¬Crowning
¬Gravida
¬Parity
¬Presentation
¬Station
Ischial Spines
Labor
¬Four Stages
– Stage 1
– Stage 2
– Stage 3
– Stage 4

Anesthesia Options
¬No Anesthesia
¬Local
¬Epidural
¬General
Perineal Lacerations and Episiotomy
¬Tears vs. incision
¬Degrees
– 1st degree
– 2nd degree
– 3rd degree
– 4th degree
Movies
¬OB/Gyn Surgery
– Repair of Second Degree Perineal Laceration
– Repair of Obstetrical Anal Sphincter Lacerations
• Disk 4
Cesarean Section
Preparation
¬Anesthesia
¬Position
¬Prep
¬Draping
Operative Procedure
¬Incisions
¬Dissection





Types of Uterine Incisions
Low Transverse
Vertical Midline
T Incision
Complications Leading to C-Section
Labor Complications That Can Lead to C-Section
¬Failure to progress
– CPD
¬Premature Labor
¬Pre-eclampsia/eclampsia
¬Fetal Distress
– Decels
¬Placental defects
Placenta Previa
Abruption
Prolapsed Cord
Cervical Cerclage
Questions?
Reading Assignment for Next Class
¬ST for the ST
– Sterilization procedures and Tuboplasty
• Pgs 399 – 403
¬Alexander’s
– Tubal ligation
• Pgs 508 - 510