No cesarean section will be done with out admission procedures.The sooner c-section is decided the admission slip also is simultaneously signed (along with the patient's concent for surgery) and procured. Even if it was taken as an acute emergency C-section from the ER, the processing of admission keeps going along with that. No Physician on earth will perform the c-section and send her homes without admission. The sooner Cesarean is done, she is brought in to the labor suite and from the labor suite, when she is stable and out of immediate danger, say after few hours, she is transferred to the floor.
The question of sending her back to observation Care is ruled out once cesarean done.
Every post cesarean patient is to be necessarily admitted and be given postoperative care for a minimum of 4days, before discharging Home.
Taking into account the expected postoperative complication( that goes along with pregnant status surgery and peurperium), that could occur- like embolism, thromboembolism, hemorrhage etc etc (even with a normal uncomplicated pregnancy history) , nobody dare to go home too within 24hours, even "against Medical Advice" !!.
Embolism, thromboembolism/episodes commonly, generally and mostly occur during the first 3-5days of postoperative period. Thromboembolic episodes are more common in puerperal post op patients, rather than other post op ones. The reasons we all know why.
Then how about the hospital, facility or the Physician being held responsible for the postoperative adverse events happening at home when discharge or sent home within 24hrs !!?
Globally not even one case could have been recorded so, after the Physician performed cesarean section!!
