PATHOLOGY

COLLEGE OF NURSING

OPERATING ROOM Write-UP

Name of Student: Section & Group: Dates of Exposure: Name of Patient: Date of Admission: Hospital: Ward: Age: Sex: Civil Status: Religion: Preoperative Diagnosis: Chief Complaint: Operation Performed: Surgeon: Instrument Nurse: Sponge Nurse: Anesthesiologist: Type of Anesthesia History of Present Illness: The patient stands 153 centimeters and weighs 65 kilograms. She is 18 years old. Her AOG is 43 weeks. Her OB score was G1P1 (1,0,0,1). It is her first baby to deliver, and she had difficulty in delivering the child due to her age and lack of knowledge. It was on January 3,2014 at around 6:30 pm when patient V.D to the OB ward of Eastern Pangasinan District Hospital and was sent to OR/DR for an internal examination and was told that her pregnancy was overdue. The patient opted cesarean section for this pregnancy.

Pathology / Explanation of the Problem:

Brief Discussion of Proposed Operation:

A lower (uterine) segment Caesarean section (LSCS) is the most commonly used type of Caesarean section used today. It involves a transverse cut just above the edge of the bladder and results in less blood loss and is easier to repair than other types of Caesaren section.

Instruments (uses / functions)

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PATHOLOGY

COLLEGE OF NURSING

due to hereditary reasons Postmature baby Diabetic mother Multigravid mother

Occipitoposterior position Brow presentation Face presentation.

Small pelvis. Abnormally shaped pelvis Tumors of the bones Childhood poliomyelitis Congenital dislocation of the hips. Congenital deformity of the sacrum or coccyx.

Tumors like fibroids obstructing the birth passage. Congenital rigidity of the cervix. Scarring of the cervix due to previous operations. Congenital vaginal septum.

Increased fetal weight

Problems with the Fetal position/ attitude

Problems with the pelvis

Problems with the genital tract

Poor Fetal descent

Prolonged 1st stage of labor

CEPHALOPELVIC DISPROPORTION

Cesarean Section

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