This document describes the contents of a lower segmental caesarean section tray. It contains various forceps, clamps, retractors, and scissors needed to deliver a baby through an incision in the lower uterine segment. Key items include Green Armytage forceps for grasping the uterine incision edges, umbilical cord cutting scissors with curved blades, and disposable plastic cord clamps. The tray also contains oxytocin and ergometrine injections to induce uterine contractions and control bleeding.

1. LOWER SEGMENTAL CAESARIAN SECTION
TRAY
UMAR TARIQ
MSC ANAESTHESIA/OTT

2. DEFINITION
 Operation procedure where the fetus after
the end of 28th week is delivered through an
incision on the abdominal and uterine wall.
 In this operation the extraction of baby is
done through an incision made in the lower
segment 2-2.5 inches above the symphiasis
pubis.

3. INDICATIONS
Where vaginal delivery is not possible due to:
 Placenta praevia.
 Pelvic mass causing obstruction
 Large fetus
 Small pelvis(passage)
 Malpresentation e,g breech , transverse
presentation
 Failure to progress in labour

4. LSCS TRAY CONTAINS...
 1 sponge holding holding forcep.
 4 green armytage forceps.
 6 curved artery forceps.
 6 straight artery forceps.
 4 allis forceps medium & 4 large.
 2 babcock forceps.
 2 toothed forceps.
 2 non toothed forceps.

5.  1 needle holder.
 4 klik clamp.
 1 suction tip.
 1 tissue cutting scissor.
 2 bp handles.
 4 towel clip.
 1 doyen retractor.
 1 morris retractor.
 1 deavers retractor

6. IN SHORT
 Abdominal hysterectomy set.
 Green armytage force
 Inj ergometrine.
 Inj oxytocin.
 Umbilical cord cutting scissors.
 Cord clamp(klik clamp)

7. GREEN ARMYTAGE FORCEPS
This instrument has a traingular tips used for
grasping the edges of the uterine incision.
 Ratchet lock makes the grip firmer.
 Used as a haemostatic for controlling
multiple bleeding points during the
caesarean section from the cut edges of
uterine incision without damaging the uterine
wall.
 It is also used instead of sponge holding
forceps to trace the cervix for cervical tear.

11. UMBILICAL CORD CUTTING SCISSOR
 This instrument is 10.5 cm long.
 Blades are broad and curved and on closing
they meet at their tips leaving gap in
between. this ensures firm grip on the
umbilical cord when the cord is being cut.

15. CORD CLAMP
 Used for clamping the umbilical cord.
 Disposable obstetric clamp.
 Made up of plastic

18. OXYTOCIN
 Each ml contains 10 units of drug.
 Oxytocin is a natural hormone that causes
the uterus to contract.
 Used to induce labour.
 Control bleeding after child birth.
 also used to induce an abortion.
 Can be given IV/IM

20. ERGOMETRINE
 Also known as ergonovine.
 Used to cause contractions of the uterus.
 Used to treat heavy vaginal bleeding after
child birth
 Can be given through mouth, IV ,IM