What is the most important preoperative measure for an elective Caesarean?

The most important preoperative measure for an elective Caesarean is to confirm fetal maturity. This step is critical because delivering an infant via elective Caesarean should typically occur when the fetus is fully developed, which usually means assessing gestational age and ensuring the baby is ready for birth. Delivering too early can pose significant risks for the neonate, including respiratory distress syndrome and other complications associated with prematurity.

In the context of an elective Caesarean, it is essential to verify that the fetus has reached maturity to minimize the risk of adverse outcomes. The maturity confirmation involves ultrasound assessments or other imaging to evaluate fetal growth, amniotic fluid levels, and overall health, ensuring that the delivery is timed appropriately. This prioritizes the well-being of both the mother and the infant and aligns with safe obstetric practice protocols.

While determining the method of anesthesia, positioning the patient correctly, and obtaining informed consent are all relevant and important components of the preoperative process, they follow the need to ensure that the fetus is fully mature before proceeding with the surgery. Therefore, confirming fetal maturity takes precedence in the preoperative checklist for an elective Caesarean.