When is the closing count performed during a C-section?

The closing count during a Cesarean section is performed during the closing of the uterus. This timing is critical as it allows the surgical team to ensure that all instruments and materials used during the procedure are accounted for before the final closure of the uterine incision. The uterus needs to be thoroughly assessed for any retained sponges or instruments that could lead to complications, such as infection or hemorrhage, if left inside. This part of the procedure is typically one of the last steps before concluding the surgical operation, ensuring patient safety and the successful completion of the C-section without complications related to retained foreign bodies.

The other options are associated with different stages or aspects of the surgery where the counting may not be as critical or relevant as during the uterine closure. For example, while closing the abdominal wall involves an entirely different layer of surgical procedure, and suturing the bladder also occurs during other critical steps, the most essential moment for the closing count is indeed with the uterus where the primary surgical intervention occurs. After removing the baby, while counting is still important, it's the closure of the uterus that signifies the most critical need for accuracy in counts to ensure patient safety.