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This page was written by Scott Moses, MD , last revised on 10/21/2007 and last published on 1/24/2015 .
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III. Medications:
1. Antibiotics if patient labored before cesarean section
1. Cefoxitin 2 grams IV every 4 hours for 3 doses or
2. Ancef 1 gram IVPB every 8 hours for 3 doses
2. Nausea
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1. Inapsine 1.25 mg IM/IV every 4-6 hours prn Nausea
3. Initial Analgesia
1. Demerol 50-75 mg IM every 3-4 hours prn
2. Morphine 10 mg IM every 3-4 hours prn
3. Vistaril 25-50 mg IM every 3-4 hours prn
4. Later analgesia
1. Ibuprofen 800 mg PO tid prn
2. Tylenol #3 1-2 mg PO every 4-6 hours prn
5. Other Medications
1. Iron Sulfate dosing based on Postpartum Anemia
2. Prenatal Vitamin po qd
3. Colace 100 mg PO bid OR 200 mg PO at bedtime
4. Mylicon 80 mg PO qid prn bloating
5. Milk of Magnesia
IV. Labs
1. Complete Blood Count in morning
2. Maternal Blood Type Indications for Cord Blood
1. Mother Rh Negative
V. Rounds
1. Assess
1. Abdominal and perineal Pain
2. Lochia
3. Flatus or Bowel Movement
2. Examine
1. Cardiopulmonary exam
2. Abdominal examination
1. Fundal height
2. Uterine tenderness
3. Bowel sounds
4. Incision clean and dry
3. Extremity exam
1. Calf tenderness
2. Homan's sign
3. Intravenous Access discontinuation
1. Patient taking adequate fluids
2. No signs of Postpartum Hemorrhage
4. Discontinue Foley Catheter when no longer needed
5. Administer Rubella shot id mother not immune
1. RubellaVaccine 0.5 cc SQ at Discharge
6. Mother Rh Negative
1. Blood Type and Indirect Coombs
2. Cord blood sent to lab
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3. RhoGAM indicated for Rh Positive infant
VI. Disposition
1. Staple Removal
1. Horizontal incision
1. Remove staples on Day 3-4 and place steri-strips
2. Vertical incision
1. Remove staples on Day 4-5
2. Follow-up in clinic
1. Status post Cesarean Section at 2 weeks
2. Postpartum visit at 6 weeks
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