Cesarean Diagnosis Essay
Diagnosis
The assigned clinical experienced was an opportunity to meet and interact with a patient that was scheduled to have a cesarean and to obtain a history. The Patient, T is a 27 year old female who is a Multipara and has a history of marijuana use, HPV, Abnormal Pap smear, CIN changes, and anxiety with depression. This patient is blood type A, RH and G Betta negative. She is also Rubella immune. The first baby was delivered via cesarean at 40 weeks, due to fetal distress and cord entanglement, the patient could not get numb and general anesthesia was used without complications.
Procedure
Entering the room (7:32 AM) and starting the Cesarean delivery (start time 7:58 AM) involves partial or complete anesthesia (7:36 AM), once the Mother is numbed a 3-5 inch incision (7:59 AM) is made below the navel, right above the pelvic bone. There are 4 layers that are cut through starting with the skin, next are the sub cutaneous fat layer, then the fascia, and lastly the peritoneum. Spreaders are placed and an incision is made into the uterus. Amniotic fluid …show more content…
I have had 2 previous cesareans done due to medical reasons, so I was able to empathize with the mother on what she was experiencing, including her fear and anxiety. It is amazing what a human body is capable of doing and that it is able to sustain a life. So many things can go wrong in this sequence, just one break in the chain can mean the difference in viability or not. The surgical aspect of it was routine to watch and I have had the opportunity to see and assist in the same type of procedure, only it was done on animals. Surprisingly, there wasn’t much difference in technique. Another thing that was interesting was the placenta. It doesn’t look like much, but yet it is the fetus’s lifeline and without that vast network of blood supply, it wouldn’t survive. This assignment was an amazing opportunity and I was glad I was given the chance to witness
The assigned clinical experienced was an opportunity to meet and interact with a patient that was scheduled to have a cesarean and to obtain a history. The Patient, T is a 27 year old female who is a Multipara and has a history of marijuana use, HPV, Abnormal Pap smear, CIN changes, and anxiety with depression. This patient is blood type A, RH and G Betta negative. She is also Rubella immune. The first baby was delivered via cesarean at 40 weeks, due to fetal distress and cord entanglement, the patient could not get numb and general anesthesia was used without complications.
Procedure
Entering the room (7:32 AM) and starting the Cesarean delivery (start time 7:58 AM) involves partial or complete anesthesia (7:36 AM), once the Mother is numbed a 3-5 inch incision (7:59 AM) is made below the navel, right above the pelvic bone. There are 4 layers that are cut through starting with the skin, next are the sub cutaneous fat layer, then the fascia, and lastly the peritoneum. Spreaders are placed and an incision is made into the uterus. Amniotic fluid …show more content…
I have had 2 previous cesareans done due to medical reasons, so I was able to empathize with the mother on what she was experiencing, including her fear and anxiety. It is amazing what a human body is capable of doing and that it is able to sustain a life. So many things can go wrong in this sequence, just one break in the chain can mean the difference in viability or not. The surgical aspect of it was routine to watch and I have had the opportunity to see and assist in the same type of procedure, only it was done on animals. Surprisingly, there wasn’t much difference in technique. Another thing that was interesting was the placenta. It doesn’t look like much, but yet it is the fetus’s lifeline and without that vast network of blood supply, it wouldn’t survive. This assignment was an amazing opportunity and I was glad I was given the chance to witness