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Primary Low Transverse C-Section

Taylor P. Stewart, MD; Juliana B. Taney, MD
Massachusetts General Hospital

1. Introduction

2. Surgical Approach

3. Incision and Access to the Uterus

  1. Skin and Subcutaneous Tissue
  2. Rectus Sheath
  3. Rectus Abdominis and Parietal Peritoneum
  4. Visceral Peritoneum

4. Hysterotomy and Delivery of the Baby

5. Uterine Massage and Delivery of the Placenta

6. Exteriorize, Clean, and Examine the Uterus

7. Hysterotomy Closure

8. Hemostasis and Returning the Uterus to the Abdomen

9. Abdominal Wall Closure

  1. Rectus Sheath
  2. Subcutaneous Tissue
  3. Skin

10. Post-op Remarks