Top Indications for a

C-Section
SKYLAR SLATTERY
INDEPENDENT STUDY MENTORSHIP- SPRING 2018
MRS. CLICK
Mentor
Introduction…
Staci Gaston, RN
“UTMB Changes Name of League
City Facility.” Bay Area Houston
UTMB at Victory Lakes Magazine, 1 July 2015,
www.bayareahoustonmag.com/ut
Staci has earned her BSN, mb-changes-name-of-league-city-
facility/.
(Bachelor of Science in Nursing ),
RNC MNN (Registered Nurse
Certified in Maternal New Born
Nursing), Must complete 21
CEU’s (Continuing Education
Units) every two years, and 45 Disclaimer,
CEU’s every three years to keep content is
from
her license up to date.
outside
sources
 What is ISM?

• ISM stands for Independent Study Mentorship

• A year-long advanced-level course for upperclassman
• Provides a chance to choose a mentor in a field/career of
interest
• Students spend the year learning and shadowing their
selected mentor to determine if it’s something they really
want to pursue
• Students must also do a number of assignments relating to
the mentor and/or their research topic for their final
presentation.
 Course Requirements

1. Students Complete an in-depth mentorship/study in an

area of their choice
2. Document a minimum of 3 hours of mentorship each
week (AL)
3. Complete a Journal Entry each week documenting
mentorship experiences
4. Complete an ISM Portfolio (online format/Weebly)
showcasing assignments completed during the course
and the final project
Course Requirements Cont.

5.Complete all of the required assignments

6. Complete a Mid-Term Presentation
7. Develop a final product and presentation at
the collegiate/professional level that is presented
to graders at the end of the semester. The final
presentation counts as the FINAL EXAM Grade.
The grade is based on the Mentor’s Evaluation
50% and Grader Evaluations 25% each of the
presentation.
My Project Topic

My project topic is Top Indications for a C-

Section, I chose this topic because at my
mentorship site I have seen quite a few
emergency C-Sections. I had lots of
questions after each one, most of them
were “why was this necessary?” that was
what led me to choosing my project topic.
 Placenta Previa

• When your placenta is oddly low down in your uterus, it could either be next to, or
covering your cervix
• Should normally be located around the top of the uterus
• It’s an organ that allows the baby to receive nutrients through the umbilical cord
• If placenta is found low in uterus it can cause bleeding if its farther along during the
pregnancy
• It could possibly lead to other complications and possibly early delivering
• Have to have C-Section when you deliver if you have placenta previa
• The location of the placenta should be checked around 16-20 weeks
• Possibly again if necessary
• A complete previa blocks the babys way of getting out
• Recovery would just be recovering from a C-Section
 CONT

• Vaginal bleeding begins to show when your cervix becomes stretched out
• If you’re pre mature and the baby would be okay, they may try to have an early deliver
• If your baby is less than 34 weeks you could have corticosteroids to increase the rate of the
baby’s lung development and to also make sure other complications don’t come about later
on
• If you don’t have to deliver right away and the baby Is okay a C-Section will be scheduled
around 37 weeks
• It is possible that if you have extremely heavy bleeding that you could need a blood
transfusion
• At risk people include people who have already had C-Sections
• Another type of a uterine surgery
• If you are having twins or more than 2
• You smoke cigarettes
• Cocaine
• More babies you’ve had and also if you’re older youre definitely at a higher risk
 Placental Abruption

• Pretty uncommon but is very serious

• Will most likely happen in the last trimester
• Even more likely in the last few weeks before giving birth
• Happens when placenta is separated from the inner wall of the uterus
• It can either decrease or completely block the baby from getting any
oxygen
• Could also cause heavy bleeding for the mom
• Symptoms could include things like pain in the back or abdomen
• The main cause is unknown, it could be something like the mom was
involved in an automobile accident, a fall of some kind, or a random
loss of all of the fluid surrounding the placenta
• Things that can increase your risk of getting this are high blood
pressure, smoking, carrying 2 babies or more
 CONT

• Complications for the mom could be needing a blood transfusion or

possibly going into shock because of the amount of blood loss
• Complications for the baby could be restricted growth because the
placenta wasn’t able to give off nutrients, and not getting enough
oxygen ‘
• You can’t prevent it but you can reduce risk factors like smoking or
doing illegal drugs
 Cord Prolapse ( Compression )

• Doctors should be able to see if the umbilical cord is

compressed or not
• Cord compression can happen in every 1 in 10 moms
• Most of the compressions happen during labor
• It can be dangerous for the baby because the
compression can mess up the baby’s heart rate
• Also can change their blood pressure because there
isn’t a lot or no oxygen getting to the baby at all
• Carbon dioxide could also be accumulated in the vein
in the umbilical cord due to being compressed
 CONT

• A big risk coming from being compressed could be brain damage

because there was time were there was no oxygen getting to the
brain
• You can find out if you have umbilical cord compression by having
an ultra sound done or a fetal Doppler
• You can have an amnioinfusion, which is a saline solution that is put in
the uterus at room temperature to relieve the pressure that’s on the
cord
• If it’s a minor compression they will just increase the mothers oxygen
flow to get more blood flow through the umbilical cord
My Current Event

• The title of my chosen article is “Gentle C-Sections are

growing in popularity”.
• This article explains in great detail what a gentle C-Section
is. Also how it benefits the mother and the child. It also
compares the gentle C-Section to the average C-Section
and how mothers enjoyed the experience of the gentle
C-Section much better than the average one. The parents
actually are able to have a part it what goes on. This was
started in the UK because they believed if you absolutely
have to have a C-Section they want to make it the best
possible experience for you.
Current Event Continued

• This article connects to my project a lot because if you’re

having a C-Section its most likely because of emergency
circumstances for the mother or the child. This article tells us
that it’s still the same process as a regular C-Section, but the
way the parents interact is what’s different.
• My project will talk about the sad reasons a mother must
have a C-Section, this article pretty much explains what they
do to make a sad and nerve-wracking situation like that a
little bit easier on them. The article also talks about how
having a number of C-Sections increases health risk every
time the surgery is done. I will also be talking about that in my
project.
 WEEBLY

https://skylarslatteryism2.weebly.com/
 My Product …

My product will be a concept map of all of the

information I have gone over in my
presentation…I will make this on poster board and
also make it colorful and interesting
 Conclusion

From this presentation and my mentorship, at the

end of this journey I have learned and
experienced so much that I know being a nurse
is definitely something that I want to do.
 Thank you!!

I would like to thank my parents for

allowing me to take this class, also Mrs.
Click for helping guide us through all of
this year. I would especially like to thank
my mentor Staci for agreeing to do this
for another semester, it has helped me so
much! And also my evaluators for taking
time out of their day to do this for me 
 Works Cited!

Scutti, Susan. “'Gentle' C-Sections Are Growing in

Popularity.” CNN, Cable News Network, 13 June 2017,
www.cnn.com/2017/06/13/health/gentle-natural-c-
section/index.html.
BabyCenter Medical Advisory Board. “Placenta
Previa.” BabyCenter, BabyCenter, L.L.C., 9 Mar. 2018,
www.babycenter.com/0_placenta-previa_830.bc.
Mayo Clinic Staff. “Placental Abruption.” Mayo Clinic, Mayo
Foundation for Medical Education and Research, 12 Jan. 2018,
www.mayoclinic.org/diseases-conditions/placental-
abruption/symptoms-causes/syc-20376458.
“Umbilical Cord Prolapse: Causes, Dangers and
Treatment.” American Pregnancy Association, 30 Nov. 2015,
americanpregnancy.org/pregnancy-complications/umbilical-
cord-prolapse/.