Health Teaching Plan Specific Learning Objective After 50 minutes of health teaching, the patients will be able to:

Cognitive: Caesarian delivery or CSection is the delivery of a fetus through a surgical incision made through the abdominal wall and the uterine wall. Teaching Learning Content Time frame Methodology/ Strategies Resources Manpower: UERMMMCI Student Nurses Materials: bond paper Evaluation After 50 minutes of health teaching, the patients will be able to: Cognitive: 1.Define a Cesarean Section Delivery. 2. Identify the indications for a CSection Delivery. 3. Explain what to expect before, during and after the CS delivery. 5 minutes Discussion 4. Identify strategies for increasing breastfeeding success after CS delivery. Affective: 1. Let patient express feelings towards having a cesarean delivery. 2.Express readiness and willingness to apply everything that has been taught. 3. Appreciate and

1. Define a
Cesarean Section Delivery.

3 minutes

Discussion

2. Identify the indications for a C-Section Delivery.

Indications for a C-Section: Emergency CS: -Fetal Distress -Maternal Distress - The mother's birth passage being too narrow, or the baby being oversized for the mothers

birth canal or failure of the contractions to progress Elective CS: -Previous Cesarean Section -Abnormal Position of the Baby -Tumor within the pelvic cavity or ovarian cysts -Medical problems like Hypertension, Diabetes etc. -Triplets or more number of babies 3. Explain what to expect before, during and after the CS delivery. The normal cesarean procedure is usually 45 minutes to an hour. The baby is usually delivered in the first 5-15 minutes with the remaining

understand why CS delivery is used for the birthing process. Psychomotor: 1. Demonstrate simple exercises that can help lower the patients anxiety in having a cesarean section delivery. 2.Demonstrate the football or clutch hold.

Lecture/discussion 10 minutes

time used for closing the incision. Pre-surgery: >Before the surgery, the patient is given an anesthesthic (general, spinal, or epidural) During Surgery: > The health care provider will make an incision in the abdomen wall first. An incision will then be made into the uterus, horizontally or vertically. The health care provider will then suction the amniotic fluid and then deliver the baby. The baby's head will be delivered first so that the mouth and nose can be cleaned out to allow it to breathe. The

health care provider will show the baby to the mother and will be handed to the nurse for further assessment and care. Finally, the placenta will be delivered after which the surgical team will close the incision. After the Surgery: The patient might begin to experience some nausea and trembling. This can be caused by the anesthesia, by the effects of the uterus contracting or from an 5 minutes adrenaline let down. These symptoms usually pass quickly and can be followed by drowsiness. The baby is usually handed over

Lecture

4. Identify

strategies for increasing breastfeeding success after CS delivery.

when the patient is in the recovery room or when she is out from the recovery room. Breast feeding may proceed but ensure that the mother is fit to breastfeed. -Pursue regular, frequent feedings -Don't limit time on the breast - Use relaxation tapes and guided imagery to help decrease stress and increase milk output - Utilize the support of a professional lactation consultant to Affective: help with 1. Let patient positioning and express feelings latch-on towards having a concerns cesarean delivery. -Avoid artificial nipples and unnecessary 2. Express readiness supplements as and willingness to much as possible.

5 minutes

5 minutes

5 minutes

apply everything that has been taught. 3. Appreciate and understand why CS delivery is used for the birthing process. Psychomotor: 1. Demonstrate simple techniques that can help lower the patients anxiety in having a cesarean section delivery. 2. Demonstrate the football or clutch hold.

-The ' football' or 'clutch' hold is often more comfortable after a c-section - Room in with the baby to increase the breastfeeding success rate. - Be sure nutrition is excellent and that the mother is getting plenty of extra fluids Verbalization of feelings is important in order to release patients anxiety and stress.

5 minutes

Discussion/ Demonstration

5 minutes

Relaxation techniques like: -Deep breathing -Music therapy -Guided imagery This may be helpful for the mother after CS delivery. This position is helpful in reducing the pain from the incision and promotes mother and child bonding.