Managing Complications in Pregnancy and Childbirth: - IAWG

OPERATIVE CARE PRINCIPLES C-47The woman is the primary focus of the physician/midwife and nurseduring any procedure. The surgical or scrub nurse has her attentionfocused on the procedure and the needs of the physician/midwifeperforming the procedure.PRE-OPERATIVE CARE PRINCIPLESPREPARING THE OPERATING THEATREEnsure that:• the operating theatre is clean (it should be cleaned after everyprocedure);• necessary supplies and equipment are available, including drugsand an oxygen cylinder;• emergency equipment is available and in working order;• there are adequate supply of theatre dress for the anticipatedmembers of the surgical team;• clean linens are available;• sterile supplies (gloves, gauze, instruments) are available and notbeyond expiry date.PREPARING THE WOMAN FOR A SURGICAL PROCEDURE• Explain the procedure to be performed and its purpose to thewoman. If the woman is unconscious, explain the procedure to herfamily.• Obtain informed consent for the procedure.• Assist the woman and her family to prepare emotionally andpsychologically for the procedure (page C-7).• Review the woman’s medical history and check for any possibleallergies.• Send a blood sample for haemoglobin or haematocrit and type andscreen. Order blood for possible transfusion. Do not delaytransfusion if needed.