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The procedure begins with cutting the skin horizontally about 10 to 11 centimeters to accommodate the baby's head. Following this, the yellowish fat layer is also cut horizontally. The fascia, a tough fibrous tissue layer, is cut horizontally next, while the muscle is not cut but separated vertically. The peritoneum, a thin layer lining the abdominal cavity, is then cut vertically. The bladder is pulled down and out of the way with a protective device before accessing the uterus, which is typically cut horizontally. In emergencies, the uterus may be cut vertically for quicker access to the baby. The final step involves the amniotic sac.
