Preparation for Emergency Cesarean section

1) Explain briefly and meaningfully to the patient regarding indication for emergency cesarean

2) Informed consent

3) Consent for blood transfusion

4) Paediatric referral to standby for delivery

5) Prophylactic antibiotic (IV cefoperazone 1 g+ IV metronidazole 500 mg stat)

• Some place may use IV ampicillin 1g +IV metronidazole 500mg stat

6) Prophylactic for acid aspiration (assume all patient take orally)

- IV ranitidine 50 mg stat

- IV maxalon 10 mg stat

- Oral citrate solution, 30 ml (0.3 molar)

7) Fill up the Emergency OT list. Crucial investigation are FBC+ BUSE and PT/aPTT if result already available.

8) Make sure that GXM of 2 unit whole blood readily available. Depending on pre op Hb, the total number of GXM may be increased.

9) Insert the CBD.