What is included in routine postoperative care following a cesarean delivery (C-section)?

Updated: Dec 14, 2018
  • Author: Hedwige Saint Louis, MD, MPH, FACOG; Chief Editor: Christine Isaacs, MD  more...
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Answer

Answer

See the list below:

  • Routine postoperative assessment

  • Monitoring of vital signs, urine output, and amount of vaginal bleeding

  • Palpation of the fundus

  • IV fluids; advance to oral diet as appropriate, early feeding has been shown to shorten hospital stay [16]

  • IV or intramuscular (IM) analgesia if patient did not receive a long-acting analgesic or had general anesthesia; analgesia is usually not needed if patient received regional anesthesia, with/without a long-acting analgesic

  • Ambulation on postoperative day 1; advance as tolerated

  • If patient plans to breastfeed, initiate within a few hours after delivery; if patient plans to bottle feed, she may use a tight bra or breast binder in the postoperative period

  • Discharge on postoperative day 2 to 4, if no complications [17]

  • Discuss contraception as well as refraining from intercourse for 4-6 weeks postpartum, unless the patient had LARC placed at the time of the procedure [15]


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