How to perform a PCS:
- Make a vertical incision from xiphoid to the pubis using a scalpel (ideally #10 Blade)
- Cut through subcutaneous tissue to get to peritoneal wall
- Use fingers to bluntly dissect to the peritoneum
- Cut through peritoneum vertically (ideally with scissors or use a scalpel to initiate an opening inferiorly)
- Deliver the uterus, then cut into the lower half of the uterus vertically to avoid the placenta and then use scissors to extend the incision upwards until you reach the baby
- Deliver the baby (neonate will likely need resuscitation)
- Clamp and cut the umbilical cord
- Place packing/towels in the opened uterus and abdomen
