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OBGYN Medical Practice Virginia
Scheduled Cesarean Section

Dr. Richard Valentine OBGYN Medical Practice
If you know you are having a cesarean section, this can be scheduled at the 31-week appointment. It is very important that you do not eat or drink anything after midnight the day of your surgery. You need to call the labor & delivery unit (261-6030) three hours before your scheduled time to check for bed availability. On rare occasions, the unit is so busy that your procedure may be delayed. Whether on time or delayed, the nurses will let you know when to arrive.

When you come to the hospital, go right up to labor & delivery to be admitted. Once in your room, you will sign consent forms, be shaved in preparation (unless you have done this at home) and have your IV started. The anesthesiologist and one of our doctors will be available to answer any last-minute questions you have about the procedure. Most women receive spinal anesthesia and are awake during the birth of their baby. One person is allowed in the operating room during the cesarean section – no exceptions. Be sure to bring a camera as pictures can be taken when the staff gives the “okay”.

The surgery itself takes about 40 minutes after which you will be moved to a regular room on the unit for recovery. Surgical delivery is no reason to delay breastfeeding and we encourage you to start as soon as possible after getting to your room, if that is your chosen method of nourishment. Your stay after cesarean section is 2-3 days, during which time you will be educated about pain management, constipation avoidance, nutrition, hydration, breastfeeding efforts, and walking, walking, walking!

We’ll see you in the office about two weeks after discharge from the hospital. Until that time:
• Do not drive
• Stay home except for the visit to your baby’s doctor
• Avoid lifting anything heavier than your baby (and that’s not the baby in the car seat!)
• No douching, tampons, or intercourse (Nothing in the vagina)
• Alternate your prescribed narcotics with ibuprofen whenever possible to avoid constipation
• You may use a heating pad for additional pain relief
• Advance your activity as tolerated - You are not confined to bed
• Remove the steri-strips over your incision after one week, especially if they are peeling
• Drainage or a small amount of bleeding from the incision is normal. Apply dressing, pressure and ice as needed to slow bleeding. Use a heating pad to ease swelling around your incision
• Call us if you experience: a temperature of 100.4°F or higher, foul discharge from your incision or vagina, or if you are soaking two pads/hour with blood (Large blood clots are normal)

"We treat you like friends and care for you like family"
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Richard N. Valentine, Jr. M.D., P.C. 700 Independence Circle #3A Virginia Beach, VA 23455
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