LOWER SEGMENTAL CAESARIAN SECTION TRAY

DEFINITION-
* Operation procedure where the fetus after the end of 28th week is delivered
through an incision on the abdominal and uterine wall.

* In this operation the extraction of baby is done through an incision made in the
lower segment 2-2.5 inches above the symphiasis pubis.

INDICATION-
Where vaginal delivery is not possible due to:

 Placenta praevia.
 Pelvic mass causing obstruction
 Large fetus
 Small pelvis .(passage)
 Malpresentation e,g breech, transverse presentation.

LSCS TRAY CONTAINS...

 1 sponge holding holding forceps.
 4 green armytage forceps.
 6 curved artery forceps.
 6 straight artery forceps
 4 allis forceps medium & 4 large
 2 babcock forceps.
 2 toothed forceps.
 2 non toothed forceps.
 1 needle holder.
 4 klik clamp.
 1 suction tip.
  1 tissue cutting scissor.
 2 bp handles.
 4 towel clip.
 1 doyen retractor.
 1 morris retractor.
 1 deavers retractor.

IN SHORT-
* Abdominal hysterectomy set.
* Green armytage force
* Inj ergometrine.
* Inj oxytocin.
* Umbilical cord cutting scissors.
* Cord clamp (klik clamp)

GREEN ARMYTAGE FORCEPS-

This instrument has a traingular tips used for grasping the edges of the
uterine incision.
✓ Ratchet lock makes the grip firmer.
 Used as a haemostatic for controlling multiple bleeding points during
the caesarean section from the cut edges of uterine incision without
damaging the uterine wall.
 It is also used instead of sponge holding forceps to trace the cervix
for cervical tear.

UMBILICAL CORD CUTTING SCISSOR

 This instrument is 10.5 cm long
 Blades are broad and curved and on closing they meet at their
tip leaving gap in between.
  this ensures firm grip on the umbilical cord when the cord is being
cut.

CORD CLAMP
 Used for clamping the umbilical cord.
 Disposable obstetric clamp.
 Made up of plastic.

OXYTOCIN-

 Each ml contains 10 units of drug.

 Oxytocin is a natural hormone that causes the uterus to
contract.
 Used to induce labour.
 Control bleeding after child birth
 Its also used to induce an abortion.
 Can be given IV/IM 1ml.

ERGOMETRINE

 Also known as ergonovine.

 Used to cause contractions of the uterus.
 Used to treat heavy vaginal bleeding after child birth
 Can be given through mouth, IV,IM