I must disagree with your supervisor. An OR is an OR is an OR. C-Section or laparotomy, it doesn't matter. The patients are all human and as susceptable to infection as the other. A C-Section is not a contaminated case. (Maybe w/ miconium -forgive my spelling
- it possibly is, does anyone know for sure?) All precautions should be taken to ensure a safe and aseptic procedure. The L&D department here sickens me. They do not follow aseptic/surgical technique in their area as we do in the OR - and the OB's seem to not mind! A couple of examples: The prep is done top to bottom, side to side, not circumfrentially. Also, the scrubbed nurse drops her hand below waist level often, and the count is limited to what is on the Mayo stand.
Case should be open as close as possible to the time of incision. An open case should not be left unattended. Aseptic technique must be followed. Counts should be approriate for your facility. Closing count should be peformed at uterine closure and again at abdominal closure. The skin closure count should also be done.
Really, there should be no difference between main and OB operating. Public health, I'm sure, doesn't see a difference.