Perimortem C-section

  1. Make a vertical incision through the abdominal wall from subxiphoid area to the symphysis pubis.
  2. Manually retract the abdominal wall laterally in both directions to expose the anterior surface of the uterus and retract the bladder inferiorly.
  3. Use a scalpel to make a small vertical incision through the lower uterine segment (lowest part of uterus).
  4. Use bandage scissors (or trauma shears) to extend the incision vertically to the fundus.
  5. Deliver the infant, suction the nose and mouth, and clamp and cut the cord.