Medical Guideline Policy And Carilion Clinic Policies On
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Cesarean Section Birth Brandon Caldwell Jefferson College of Health Sciences 11
/1/14 Introduction Cesarean section (C/S) births can occur in the hospital for
several reasons. Some women choose to have elective C/S birth and others require
C/S births out of infant or maternal safety, complications, or by necessity. This paper
discusses both elective and emergency C/S deliveries and reviews both National
Guideline policy and Carilion Clinic policies on C/S births. The problem statement
is: in pregnant women (population), does C/S delivery following National or Carilion
policies (IV: exposure vs. none exposure) differ in terms of patient care and outcomes
concerning maternal and neonatal health (DV)? The guidelines: National... Show
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In depth discussion of planned and emergency C/S deliveries were also discussed.
Planned C/S births were defined as breech presentation, multiple pregnancy, preterm
birth, small for gestational age, placenta praevia, morbidly adherent placenta,
cephalopelvic disproportion in labor, mother to child transmission of maternal
infection, Hepatitis B and C viruses, Herpes, and maternal request for C/S birth was
outlined (National Guideline Clearinghouse, 2011). An in depth outline of anesthesia
and surgical techniques followed. It seems that this source addressed nearly every
type of C/S birth technique, including method of placental removal, exteriorization of
the uterus, closure of the uterus, peritoneum, abdominal wall, and subcutaneous
tissue, use of superficial wound drains, closure of skin, and even timing of antibiotic
administration and thromboprophylaxis for C/S births. Care of the woman after C/S
surgery, routine monitoring, pain management, eating and drinking after surgery, and
removing the urinary catheter after C/S surgeries was also discussed(National
Guideline Clearinghouse, 2011) . There is even a benefits/harms section that looks at
potential risks and successes of C/S deliveries. The National Guidelines
Clearinghouse