Nursing Care in Cesarean with Local Anesthesia

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A cesarean section with local anesthesia is a common surgical procedure for delivering a baby. It is a procedure that requires specialized nursing care before, during and after surgery. Local anesthesia is generally preferred in c-sections as it allows the mother to be awake and aware during the procedure, providing the opportunity to see and hold her newborn immediately after birth.

Before the cesarean section, the midwife must ensure that the mother is well informed about the procedure, the associated risks and benefits, and what to expect after the surgery. The nurse should also verify that all preoperative tests have been performed and the results are within normal limits. This includes checking the mother's blood pressure, pulse rate, and oxygen saturation.

In addition, the nurse must prepare the mother for surgery. This involves shaving the abdomen and pubic area, inserting a urinary catheter to empty the bladder, and prepping the skin with an antiseptic. The nurse should also ensure that the mother has fasted for at least 8 hours prior to surgery to minimize the risk of aspiration.

During a c-section, the nurse plays a crucial role in monitoring both the mother and the baby. The nurse should monitor the mother's blood pressure, heart rate, and oxygen saturation throughout the procedure. In addition, the nurse should monitor the fetal heart rate to ensure the baby's well-being. The nurse must also assist the anesthetist in administering the local anesthetic and ensure that the mother is comfortable and pain-free during the procedure.

After the cesarean section, the nurse should continue to monitor the mother and baby for any complications. This includes monitoring the mother's vital signs, blood loss, and pain and sensation in her legs. The nurse should also monitor the baby to ensure that he is breathing normally and that his body temperature is within normal limits. In addition, the nurse should help the mother start breastfeeding as soon as possible after surgery.

The nurse must also provide post-operative nursing care, which includes administering pain medications, assisting with breastfeeding, early mobilization to prevent blood clots, and education about surgical wound care. The nurse must also provide emotional support to the mother, as a caesarean section can be an emotionally challenging experience.

In conclusion, nursing care in cesarean section under local anesthesia is a multifaceted process that involves preparation for surgery, monitoring during surgery, and postoperative care. The midwife plays a crucial role at every stage of this process, ensuring the safety and well-being of mother and baby.

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