Peri-operative obstetrics a.Surgical asepsis b.Surgical inst

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Peri-operative obstetrics a. Surgical asepsis b. Surgical instruments c. Roles of the midwives in the operating room

Peri-operative obstetrics a. Surgical asepsis b. Surgical instruments c. Roles of the midwives in the operating room d. Assisting in obstetrical surgical procedure (BTL, CS, dilatation and curettage Introduction

Peri-operative obstetrics refers to the nursing and midwifery care provided before, during, and after obstetrical surgical procedures. Midwives play an important role in maintaining patient safety, preventing infection, assisting the surgical team, and promoting maternal recovery.

Common obstetrical surgical procedures include:

Cesarean Section (CS) Bilateral Tubal Ligation (BTL) Dilatation and Curettage (D&C) Episiotomy repair Assisted vaginal delivery procedures

A. Surgical Asepsis

A. Surgical Asepsis

Surgical asepsis, also called sterile technique, is the process of keeping an area or object free from all microorganisms including pathogens and spores.

It is used in:

Operating rooms

Delivery rooms during invasive procedures

Surgical wound care

Obstetrical operations

Principles of Surgical Asepsis

Purposes of Surgical Asepsis

Gowning and Gloving Sterile Gowning Prevents contamination of sterile field

Common Causes of Contamination in the OR Touching non-sterile objects

Infection Prevention Measures

B. Surgical Instruments

Classification of Surgical Instruments

Common Obstetrical Surgical Instruments Instrument Function

Care of Surgical Instruments

Roles of the Midwives in the Operating Room

Roles of Midwives Before Surgery

Two. Physical Preparation

Three. Emotional Support

Roles During Surgery One. Maintain Sterility

Three. Monitor the Mother

Roles After Surgery

Two. Documentation

Three. Health Teaching

D. Assisting in Obstetrical Surgical Procedures

Indications

Midwife's Responsibilities in BTL

After Procedure

Two. Cesarean Section (CS)

Indications

Types of Cesarean Incisions

Uterine Incisions

Midwife's Responsibilities in Cesarean Section

Three. Dilatation and Curettage (D&C)

Indications

Types of D&C One. Sharp curettage Two. Suction curettage

Before Procedure

After Procedure Monitor vaginal bleeding

Possible Complications of Obstetrical Surgery

Neonatal Complications Respiratory distress Birth trauma

Postoperative Nursing and Midwifery Care

Ongoing Care Encourage ambulation

Important Reminders for Midwives

Summary

Peri-operative obstetrics a.Surgical asepsis b.Surgical inst