Table 2 5 actions for each operator which they have to perform sequentially

Gynaecologist/ Surgeon

1

Making decision for eCS

2

Communicating with patient and relatives about eCS and obtaining informed consent

3

Calling for other operators (anaesthesiologists, neonatologists, another midwife, eventual second operator)

4

Preparing for the surgical procedure (wearing surgical mask, overshoes and disposable cap, surgical hand washing, wearing surgical clothes)

5

Surgical site disinfection, bladder catheter application, disinfection and eCS execution.

Anaesthesiologists

1

Going to patient and evaluating which type of anaesthesia perform to

2

Checking allergies and last meal

3

Preparing two vein accesses (16G or 14G)

4

Preparing drug and material for anaesthesia

5

Inducing local or general anaesthesia

First Midwife (operating theatre nurse)

1

Calling second midwife

2

Preparing for the surgical procedure (wearing surgical mask, overshoes and disposable cap, surgical hand washing, wearing surgical clothes)

3

Setting the operating table

4

Dressing the gynaecologist

5

Helping the gynaecologist on eCS

Second Midwife (scrub nurse)

1

Helping first operating room nurse on setting up operating table

2

Connect reservoir for bladder catheter.

3

Helping anaesthesiologist for anaesthesia procedure

4

Completing preparation of operative room (electrosurgical unit, vacuum, drugs etc.)

5

Take neonate to neonatologist

Healthcare Assistant

1

Undressing patient and preparation of the patient for the surgical room

2

Moving patient on the stretcher to the surgical room

3

Positioning of the surgical table, aiding the anaesthesiologist

4

Orientation of the surgical room light

5

Setting of bracelets for mom-neonate identification