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Discipline

: Obstetrics & Gynaecology

Sub Discipline

: Gynaecology

Document Title

: Caesarean Section Note

Date And Time Started

Date And Time Ended

Duration

Hours

Minutes

PERFORMING STAFF

Performing Staff

Anaesthesia

IMPRESSION

Indication

Type of Caesarean Section

Lower Segment

Upper Segment

Elective

Emergency

Skin Incision

Midline LongitudinalPfannenstiel

FINDINGS

Peritonial Cavity

Lower Segment

Presentation

Placental Site

Placental Abnormality

Uterus

Tubes

Ovaries

Liquor

Abnormalities of Other Structures

Engagement of Presenting Part

YesNo

Post Operative Urine

YesNo

Blood Loss (ml)

Post-Op VE Done

YesNo

Skin Closure

Excessive Bleeding

YesNo

Difficulties Encountered During Operation

BABY

No of Babies Delivered

Apgar Score

1 min

5 min

Birth Weight (G)

Abnormalities

REMARKS

Remarks

POST OPERATIVE ASSESSMENT

Post Operative Order

SIGNATURES

Notes Component

PERFORMING STAFF
IMPRESSION
FINDINGS
BABY
REMARKS
POST OPERATIVE ASSESSMENT
SIGNATURES

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