| Details | Post-Management of Caesarean Section (C-section) involves monitoring, care, and interventions aimed at ensuring safe recovery for the mother and reducing complications It can be categorized into immediate (0–24 hours), early (1–7 days), and late (after 7 days) post-operative care. Immediate Post-operative Management (0–24 hours) , Monitoring Vital signs BP, pulse, temperature, respiration, oxygen saturation every 15–30 min initially, then hourly. Lochia: Check amount, color, and odor (watch for hemorrhage or infection). Fundal height: Ensure uterus is contracting well (firm and midline). Urine output: Via catheter – should be >30 mL/hour. IV fluids: Maintain hydration and medications (e.g., antibiotics, oxytocin). Pain control: Administer analgesics (e.g., paracetamol, diclofenac, or opioids as needed). Wound care, Inspect the incision for bleeding, swelling, or discharge. Keep wound dry and clean. No dressing change unless wet/soiled. Medications. Antibiotics: Usually for 24–48 hrs. post-op (e.g., ceftriaxone + metronidazole). Analgesics: Paracetamol, NSAIDs, or opioids as per pain severity. Oxytocic’s: Continue oxytocin to prevent postpartum hemorrhage. Early Mobilization. Encourage turning in bed after 6–8 hours. Sit up within 12 hours, ambulate within 24 hours to prevent thromboembolism. Nutrition, Start with clear fluids after 6–8 hours if no nausea. Advance to soft or normal diet as tolerated. Early Post-operative Care (1–7 Days), Continued Monitoring.Daily review of vitals, wound site, lochia, and general condition. Monitor for signs of infection: fever, wound discharge, uterine tenderness. Wound Care; Remove dressing after 24–48 hours; Clean wound daily and keep it dry.Remove sutures on day 7–10 (depending on method and healing). Mobilization; Encourage walking and light activity; Prevent constipation (use stool softeners and hydration). Breastfeeding Support. Initiate as soon as mother is stable. |
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