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    CC Chua, Prince Robert C. Reflection Paper 4A

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    Prince Robert Chua
    The document discusses a reflection paper on a video demonstrating a repeat cesarean section procedure. The video showed each step of the procedure, including prepping and draping the patient, making the skin incision, opening the uterus, delivering the baby, clamping and removing the placenta, and suturing the uterine and skin incisions. While the steps were clearly shown, the specific equipment used was not always identified. The reflection notes that audio instructions during the procedure could further enhance learning. It also reflects on the options for patients who have previously had a cesarean and the importance of careful handling of the fetal head during delivery.

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    CC Chua, Prince Robert C. Reflection Paper 4A

    Uploaded by

    Prince Robert Chua
    111 views1 page
    The document discusses a reflection paper on a video demonstrating a repeat cesarean section procedure. The video showed each step of the procedure, including prepping and draping the patient, making the skin incision, opening the uterus, delivering the baby, clamping and removing the placenta, and suturing the uterine and skin incisions. While the steps were clearly shown, the specific equipment used was not always identified. The reflection notes that audio instructions during the procedure could further enhance learning. It also reflects on the options for patients who have previously had a cesarean and the importance of careful handling of the fetal head during delivery.

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    The document discusses a reflection paper on a video demonstrating a repeat cesarean section procedure. The video showed each step of the procedure, including prepping and draping the patient, making the skin incision, opening the uterus, delivering the baby, clamping and removing the placenta, and suturing the uterine and skin incisions. While the steps were clearly shown, the specific equipment used was not always identified. The reflection notes that audio instructions during the procedure could further enhance learning. It also reflects on the options for patients who have previously had a cesarean and the importance of careful handling of the fetal head during delivery.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    111 views1 page

    CC Chua, Prince Robert C. Reflection Paper 4A

    Uploaded by

    Prince Robert Chua
    The document discusses a reflection paper on a video demonstrating a repeat cesarean section procedure. The video showed each step of the procedure, including prepping and draping the patient, making the skin incision, opening the uterus, delivering the baby, clamping and removing the placenta, and suturing the uterine and skin incisions. While the steps were clearly shown, the specific equipment used was not always identified. The reflection notes that audio instructions during the procedure could further enhance learning. It also reflects on the options for patients who have previously had a cesarean and the importance of careful handling of the fetal head during delivery.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    CC Chua, Prince Robert C.

    November 25, 2020

    Group 2-A

    REFLECTION PAPER 4A

    Patients who have had a previous cesarean section have the option of undergoing a trial of labor
    after cesarean delivery or repeat cesarean delivery. The medical and obstetric benefits of repeat
    cesarean delivery are the avoidance of the potential adverse outcomes seen in trial of labor after
    cesarean delivery. These potential adverse outcomes are primarily uterine rupture and morbidity
    associated with intrapartum cesarean delivery. The video started with the surgical site sterilized with
    iodine and the patient was properly draped with sterilized sheets. Skin incision was done to remove the
    scar from the previous cesarean section. The subcutaneous layer was then incised to gain access to the
    peritoneum. Suctioning was done to remove the blood and provide a clear view of the site. A low
    segment uterine cesarean section was performed. The uterus was opened and the membranes were
    ruptured by the clinician. The baby was delivered by holding the fetal head and pushing out the anterior
    shoulder. Drying of the baby and cord clamping was done. Traction was then applied to the umbilical
    cord. This is to assist in the delivery of the placenta. Pressure was also applied on the abdominal area to
    assist in the delivery of the placenta. The uterus was clamped in multiple areas and the repair of the
    uterus was started. The steps were clearly explained and demonstrated in the video. However, the
    equipment used in every step was not identified. The repair of the first layer of the uterus was clearly
    demonstrated in the video. The bleeding was suctioned immediately by the assistant to clear the
    surgical field. The clinician was able to suture the incisions quickly. Repair of the abdominal layers of the
    skin were then sutured at the end of the procedure. The video was able to capture all the procedures in
    a clear view for the students. Audio instructions of the steps in the procedure done would be greatly
    appreciated to further enhance the students’ learning. There was no mention of the indication for
    repeat cesarean section in this patient. The indication of the primary cesarean section was also not
    mentioned in the video. I learned that after a previous cesarean section, the patient may opt to have a
    trial of labor or a repeat cesarean section. If the previous indication for cesarean section was not due to
    cephalopelvic disproportion, then the patient can decide to undergo trial of labor after cesarean
    delivery. If the patient’s previous cesarean section was also a low segment cesarean section, then she is
    a candidate for trial of labor for this current pregnancy. I learned that the surgical team should know
    their roles in every step of the procedure for efficient performance during the entire procedure. Good
    communication among the members of the team is essential for proper teamwork. In delivering the
    baby, it is important to be careful when handling the fetal head. This is to avoid any fetal head
    complications or nerve injuries.

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