In planning for a repeat cesarean birth for a woman who previously has given birth by cesarean, the nurse would include which piece of information?
a. "Because this is a repeat procedure, you are at the lowest risk for complications."
b. "You will not need preoperative teaching because this is your second cesarean birth."
c. "Even though this is your second cesarean birth, you may wish to review the preoperative and postoperative procedures."
d. "Because this is your second cesarean birth, you will recover faster."
ANS: C
Women and their partners have time for preparation when they know that they are going to have a cesarean birth. Discussion of preoperative and postoperative procedures is necessary for women having a repeat cesarean birth because the first cesarean birth may have been an emergency, with limited time for explanations and reassurance. Even if the first birth was a planned cesarean, preoperative and postoperative procedures should be reviewed with the family. The risks and recovery time of repeat cesarean births are not necessarily lower or faster than the previous surgery.
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