Post-Cesarean Section Care Guidelines

Initial Assessment and Monitoring

The American College of Obstetricians and Gynecologists recommends monitoring vital signs, including temperature, blood pressure, heart rate, respiratory rate, and oxygen saturation, to detect early signs of complications 2
The American College of Obstetricians and Gynecologists suggests assessing lochia (vaginal bleeding) amount, color, and odor to monitor for excessive bleeding or infection 2
Checking capillary blood glucose (CBG) after delivery is crucial for patients with diabetes, as insulin requirements fall rapidly 2

The American College of Obstetricians and Gynecologists recommends implementing multimodal analgesia with scheduled acetaminophen and NSAIDs as first-line treatment, which is opioid-sparing and compatible with ERAS protocols 4
Assessing pain regularly using a standardized pain scale is essential to ensure adequate pain control 4
The American College of Obstetricians and Gynecologists suggests reserving opioids for breakthrough pain not controlled by acetaminophen and NSAIDs 4

Early mobilization as soon as regional anesthesia has worn off reduces the risk of thromboembolism, according to the American College of Obstetricians and Gynecologists 1
Assisting the patient with first ambulation prevents falls due to potential orthostatic hypotension 1

The American College of Obstetricians and Gynecologists recommends offering a regular diet within 2 hours after cesarean delivery, as early feeding improves maternal satisfaction, reduces hunger and thirst, and promotes earlier return of bowel function 4
Ensuring the diet provides adequate fiber prevents constipation 4

The American College of Obstetricians and Gynecologists suggests removing the urinary catheter immediately after cesarean delivery if ongoing strict urine output assessment is not needed, as this reduces the risk of urinary tract infection 1
Immediate catheter removal significantly reduces the incidence of postoperative bacteriuria, dysuria, burning on micturition, urinary frequency, and urgency 1

Assessing venous thromboembolism risk and implementing appropriate prophylaxis is crucial, according to the American College of Obstetricians and Gynecologists 5
The American College of Obstetricians and Gynecologists recommends considering mechanical methods, such as graduated compression stockings and intermittent pneumatic compression, to reduce death from pulmonary embolism 5

The American College of Obstetricians and Gynecologists suggests facilitating early skin-to-skin contact and breastfeeding initiation if desired by the mother 6
Providing lactation support and education is essential for successful breastfeeding 6

The American College of Obstetricians and Gynecologists recommends using standardized written discharge instructions to facilitate discharge counseling 1
Educating patients about the normal recovery course, signs and symptoms of infection, activity restrictions, and when to seek medical attention is crucial for a smooth recovery 1