• 作者：J. Quesada ; L. Aceituno ; M.H. Segura ; A.I. Barqueros ; R. Rodrí ; guez-Zarauz ; L. Delgado ; E. Ruiz
• 刊名：Cl¨ªnica e Investigaci¨®n en Ginecolog¨ªa y Obstetricia
• 出版年：2007
• 出版时间：October 2007
• 年：2007
• 卷：34
• 期：5
• 页码：183-188
• 全文大小：88 K

lass=""h4"">Objective

To establish a surgical and postsurgical protocol for cesarean section with a view to improving the surgical procedure and postoperative recovery.

lass=""h4"">Method

We performed a literature review of all advances in cesarean section technique and postoperative care.

lass=""h4"">Results and conclusions

The main innovations that we propose are as follows: pfannenstiel incision, not performing bladder flap before hysterotomy, and placental extraction by fundal massage and cord traction (not performing manual placental extraction). In the postsurgical period, we recommend the following: early removal of bladder catheter (approximately 6 hours after the intervention), early feeding (starting with fluids after 6 hours and solids at 24 hours), removing the dressing at 48 hours and leaving the wound uncovered, and discharge between 2 and 4 days after the cesarean section.