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Preparation for Surgery  

Before surgery, you should not eat or drink anything for at least 8 hours.  This is to reduce this risk of vomiting during the surgery.  You might hear the phrase "NPO" in the hospital-- this simply means, nothing by mouth.  We will give you a card with specific instructions of when you need to start this process.  This includes gum, candy and mints.

Once in the pre-operative area, the nurses will start an intravenous line (IV) to give fluids and medication necessary during the procedure.  You may have a support person (a spouse, partner, family member or close friend) during this time.  We recognize that this is an emotional time and in most cases have made exceptions with our operating room to allow one support person to accompany you to the procedure.  Dr. Walker and/or Dr. Paek will come see you prior to the procedure to answer any last questions you may have and ensure we are ready to proceed to surgery.   

During the procedure
 
You will  be taken to the operating room by the nurse and helped onto the operating table. The anesthisologist will give you pain medication-- most often, a spinal.  Following your anesthesia, the operating room nurse will place a catheter into your bladder to keep you comfortable during the procedure.  Dr. Walker and/or Dr. Paek will position you for the procedure, and then using ultrasound guidance, draw a "map" on your belly with a sterile marker.  This helps them quickly identify some key elements, such as umbilical cord insertions and safe entry points.  The operating nurse will "prep" your belly by cleaning in carefully with a betadine solution and then once dry, sterile drapes will be placed on you and we're ready to go!
 
The skin incisions made for the intruments are extremely small and usually require only steri-strips and band-aids to cover them.  The procedure will talke between 40 minutes and an hour and a half, but may take longer. 
 
After the Surgery  
 
Following the procedure you will be taken to a room on in the Family Maternity Center at Evergreen Hospital.  The nurses there will be monitoring your temperature, pulse, breathing and blood pressure as well as monitoring your uterus for contractions. Although pain should be minimal, medicine will be available if needed.  Antibiotics (as needed) and medication to help relax the uterus and stop any contractions will be given.  
 
The morning after the procedure, an ultrasound will be done, including a transvaginal ultrasound to ensure safe travels home.   
 
Follow-up Care  
 
Your physician can resume your care for the remainder of the pregnancy.  Both you and your provider can contact us if there are any questions or concerns. We recommend  weekly ultrasounds for the month following the procedure.  If everything looks normal, ultrasounds can then be done every two weeks, or as suggested by your doctor. 
 
We will continue to be interested in your progress and would like to receive copies of your ultrasound examinations and any other relevant information.  Information regarding delivery will also been requested from your doctor.  We ask that your placenta be sent back to us for evaluation.  This is extremely important to evaluate our care and techniques. We will give you the appropriate container and instructions.
 
How can I get more information?
 
Because this is an uncommon procedure, we have tried to keep this information sheet simple and straightforward. If you would like more information, please contact the Fetal Therapy Coordinator, Melissa, at: 425-899-3537 or 1-866-FET-SURG.
Preparation for Surgery  

Before surgery, you should not eat or drink anything for at least 8 hours.  This is to reduce this risk of vomiting during the surgery.  You might hear the phrase "NPO" in the hospital-- this simply means, nothing by mouth.  We will give you a card with specific instructions of when you need to start this process.  This includes gum, candy and mints.

Once in the pre-operative area, the nurses will start an intravenous line (IV) to give fluids and medication necessary during the procedure.  You may have a support person (a spouse, partner, family member or close friend) during this time.  We recognize that this is an emotional time and in most cases have made exceptions with our operating room to allow one support person to accompany you to the procedure.  Dr. Walker and/or Dr. Paek will come see you prior to the procedure to answer any last questions you may have and ensure we are ready to proceed to surgery.   

During the procedure
 
You will  be taken to the operating room by the nurse and helped onto the operating table. The anesthisologist will give you pain medication-- most often, a spinal.  Following your anesthesia, the operating room nurse will place a catheter into your bladder to keep you comfortable during the procedure.  Dr. Walker and/or Dr. Paek will position you for the procedure, and then using ultrasound guidance, draw a "map" on your belly with a sterile marker.  This helps them quickly identify some key elements, such as umbilical cord insertions and safe entry points.  The operating nurse will "prep" your belly by cleaning in carefully with a betadine solution and then once dry, sterile drapes will be placed on you and we're ready to go!
 
The skin incisions made for the intruments are extremely small and usually require only steri-strips and band-aids to cover them.  The procedure will talke between 40 minutes and an hour and a half, but may take longer. 
 
After the Surgery  
 
Following the procedure you will be taken to a room on in the Family Maternity Center at Evergreen Hospital.  The nurses there will be monitoring your temperature, pulse, breathing and blood pressure as well as monitoring your uterus for contractions. Although pain should be minimal, medicine will be available if needed.  Antibiotics (as needed) and medication to help relax the uterus and stop any contractions will be given.  
 
The morning after the procedure, an ultrasound will be done, including a transvaginal ultrasound to ensure safe travels home.   
 
Follow-up Care  
 
Your physician can resume your care for the remainder of the pregnancy.  Both you and your provider can contact us if there are any questions or concerns. We recommend  weekly ultrasounds for the month following the procedure.  If everything looks normal, ultrasounds can then be done every two weeks, or as suggested by your doctor. 
 
We will continue to be interested in your progress and would like to receive copies of your ultrasound examinations and any other relevant information.  Information regarding delivery will also been requested from your doctor.  We ask that your placenta be sent back to us for evaluation.  This is extremely important to evaluate our care and techniques. We will give you the appropriate container and instructions.
 
How can I get more information?
 
Because this is an uncommon procedure, we have tried to keep this information sheet simple and straightforward. If you would like more information, please contact the Fetal Therapy Coordinator, Melissa, at: 425-899-3537 or 1-866-FET-SURG.
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