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MEDICAL ANIMATION TRANSCRIPT: A cesarean section often referred to as a C-section is a surgical procedure in which incisions are made in a woman's abdomen and uterus to deliver a baby. Some cesarean sections are planned. More often, however, the need for the procedure becomes apparent after the onset of labor when abnormal conditions make a vaginal delivery unsafe for the mother or her baby. Common indications for a cesarean section include dystocia, placenta previa, and fetal distress. Dystocia, or prolonged non-progressive labor, can occur when the baby's head is unable to fit through the birth canal or its body is an unfavorable position, such as perpendicular to the birth canal or buttocks first, which is the breech position. Placenta previa occurs when a low-lying placenta partially or completely blocks the cervical opening. Fetal distress occurs whenever the health of the baby is in imminent danger, usually from inadequate blood flow through the placenta or umbilical cord. Fetal distress can occur when the placenta separates from the wall of the uterus prior to delivery, or the umbilical cord becomes compressed or squeezed. Other conditions that may require a cesarean section include multiple births, large tumors of the uterus, genital herpes or other infections, or medical problems, such as uncontrolled diabetes or hypertension. Your doctor may use ultrasound testing and a fetal heart monitor to help decide whether your baby should be delivered by cesarean. When a cesarean section becomes necessary, you will be prepped for surgery. If not already in place, an intravenous line will be started and a catheter will be inserted into your bladder to drain urine. In the operating room, you will be given anesthesia. In most cases, a spinal anesthetic is administered to numb the lower portion of your body. Sometimes, however, a general anesthetic will be used. Your doctor will begin by making an incision in your abdomen. It will either be a vertical incision from just below the navel to the top of the pubic bone or more frequently, a horizontal incision across and just above the pubic bone. This is often called a bikini cut. Your doctor will then make a second incision on the lower part of the uterus. Once the uterus is opened, your doctor will rupture the amniotic sac if it is still intact and deliver the baby. The time from the initial abdominal incision to birth is typically five minutes. Your doctor will then clamp and cut the umbilical cord, gently remove the placenta, and tightly suture your uterus and abdomen. This typically takes about 45 minutes. The hospital stay after a cesarean section is usually three to five days. During this time, you will be encouraged to breastfeed, nap when the baby sleeps, and get out of bed often. While most patients are able to take care of their new baby soon after the procedure, full recovery may take six to eight weeks. Your scar will lighten as it heals.
"This past year, your company prepared three medical illustrations for our cases; two in which we received six figure awards; one in which we received a substantial seven figure award. I believe in large part, the amounts obtained were due to the vivid illustrations of my clients' injuries and the impact on the finder of fact."
Donald W. Marcari
Marcari Russotto & Spencer, P.C.
Chesapeake, VA
"The illustrations have consistently been well documented, accurate and
timely. Most important though is that the illustrations demonstrate to
juries and claims people the persuasive power of visual communication. Our
firm has achieved multiple eight figure settlements and verdicts over the
past ten years... Medical Legal Art has been there with us on every case."
Thomas C. Jones
Davis, Bethune & Jones, L.L.C.
Kansas City, MO www.dbjlaw.net
"It is my experience that it's much more effective to show a jury what
happened than simply to tell a jury what happened. In this day and age where
people are used to getting information visually, through television and
other visual media, I would be at a disadvantage using only words.
I teach a Litigation Process class at the University of Baltimore Law Schooland use [Medical Legal Art's] animation in my class. Students always saythat they never really understood what happened to [to my client] until theysaw the animation.
Animations are powerful communication tools that should be used wheneverpossible to persuade juries."
Andrew G. Slutkin Snyder Slutkin & Kopec Baltimore, MD
"For modern audiences, it is absolutely essential to use medical
demonstrative evidence to convey the severity and extent of physical
injuries to a jury. Your company's high quality illustrations of our
client's discectomy surgery, combined with strong expert testimony, allowed
the jury to fully appreciate the significance of our client's injuries.
We are very pleased with a verdict exceeding $297,000.00, far in excess of
the $20,000.00 initially offered by the defendant. The medical demonstrative
evidence provided by Medical Legal Art was an asset we could not have
afforded to have been without."
Medical Legal Art creates medical demonstrative evidence (medical
illustrations, drawings, pictures, graphics, charts, medical animations,
anatomical models, and interactive presentations) for use during legal
proceedings, including research, demand letters, client conferences,
depositions, arbitrations, mediations, settlement conferences, mock jury
trials and for use in the courtroom. We do not provide legal or medical
advice. If you have legal questions, you should find a lawyer with whom you
can discuss your case issues. If you have medical questions, you should seek the advice of a healthcare provider.
