Ngilu banget proses operasi Caesar

Summary

The video guides viewers through the process of a cesarean section, explaining each step in detail. It starts with patient preparation, including palpation and auscultation to check the fetus's position and heartbeat. The procedure includes anesthesia, catheter insertion, and the use of compression devices. The surgical steps follow, from making an incision to carefully navigating through layers of tissue to reach the uterus. After safely extracting the baby, the video wraps up with cutting the umbilical cord and post-procedure steps. The narrator's excitement highlights the emotional significance of the moment.

Takeaways

• 😀 Initial step: Palpation to determine the position of the fetus.
• 🎧 Auscultation is performed to listen to the fetal heartbeat.
• 💉 Local anesthesia (epidural) is administered for the procedure.
• 🚿 A catheter is installed to prepare for surgery.
• 💊 A sequential compression device is used to prevent blood clots.
• 🧴 The patient's skin is sterilized with iodine or betadine.
• 🔪 The surgical area is pinched to check anesthesia effectiveness before making the incision.
• ✂️ The subcutaneous tissue is cut, followed by fibrous fascia using a scalpel.
• 🩺 The parietal peritoneum is opened with Mayo scissors, and the abdominal muscles are carefully pulled apart.
• 👶 The baby is positioned for extraction, with the amniotic sac being cut and the baby’s head being delivered.
• 🍼 The umbilical cord is cut to reduce the risk of infection before the baby is fully delivered.

Q & A

What is the first step in preparing for a cesarean section?

The first step is palpation, which involves checking the position of the fetus to ensure the correct positioning before the procedure begins.

Why is auscultation performed during the preparation for a cesarean section?

Auscultation is done to listen to the fetal heartbeat to ensure the baby is stable and to assess the overall health of the fetus before proceeding.

What is the purpose of epidural anesthesia during a cesarean section?

Epidural anesthesia is used to numb the lower part of the body to ensure the patient doesn't feel pain during the surgery while remaining conscious.

Why is a catheter installed before the cesarean section?

A catheter is installed to accommodate urine output, as the patient will be under anesthesia and unable to use the restroom during the procedure.

What is the role of a sequential compression device during surgery?

The sequential compression device is used to prevent blood clots (thrombosis) by promoting circulation in the veins during the operation.

What is the purpose of applying iodine or betadine to the skin?

Iodine or betadine is used to sterilize the patient's skin to prevent contamination and reduce the risk of infection during surgery.

Why is the abdominal skin pinched before making an incision?

Pinching the skin helps to check if the anesthesia has worked, ensuring that the patient doesn't feel pain before the incision is made.

What is the significance of cutting through the subcutaneous tissue and fascia?

Cutting through the subcutaneous tissue and fascia allows access to the abdominal cavity, where the surgeon can begin to open up the layers to reach the uterus.

Why is the tool called a 'Black blazer' used during the procedure?

The 'Black blazer' tool is used to protect the peritoneum and bladder during the surgery, helping to avoid accidental damage to these structures.

What is the significance of cutting the amniotic sac during a cesarean section?

Cutting the amniotic sac allows for the release of amniotic fluid, making room for the baby's head to be delivered safely during the procedure.

What needs to be done after the baby's head is delivered in a cesarean section?

After the baby's head is delivered, the navel cord must be cut to prevent infection and ensure the baby is separated from the placenta, completing the birth process.