Kourtney says In a rush "The mare is placed on a surgical table on her back. A ventilator will be used to assist respiration, and vital signs will be carefully monitored. The abdominal area is shaved and prepared antiseptically. A large incision is made in the abdominal wall over the uterus and extending to the udder. The uterus is manipulated up to this abdominal opening and an incision is made in the uterine wall. The uterine wall incision should be made over one of the foal's legs in order to assist with manipulation of the foal out of the uterus. The incision in the horn of the uterus is as long as the foal's foot to hock, so as to prevent further tearing of the uterus while the foal is extracted. The foal is extracted carefully so as not to contaminate the abdominal cavity with fluid from the uterine cavity. Absorbent material may be placed at the incision in the abdomen to absorb fluid and prevent it from contaminating the abdominal cavity. It is advisable to have more than one surgical team available, one to supervise anesthesia and vital signs of the mare, one to perform the Cesarean and one to attend to the foal after it is extracted from the uterus. The foal, if alive, will be attended to, and administered oxygen. Bleeding in the mare will be addressed and sutures placed in the uterine and abdominal wall to close incisions and prevent hemorrhaging. A continuous suture line is placed around the uterine walls to ensure adequate closure. The placenta is usually left in place to be passed vaginally, and it must be ensured that the placental tissue does not get caught in the suture line. The mare will be assisted in her recovery from anesthesia."