Caesarean section

What is the process of caesarean birth?

1. Sign the consent of surgery according to the requirements of the production hospital.

Caesarean section as an operation, before the operation, maternal and family members must accept the doctor’s instructions, if there are doubts and insecurity must consult the doctor, and then signed in the consent, according to the hospital, the signatories are different, but most of the signatories should be maternal and husband.

2. Cesarean section antenatal preparation

(1) General examination and necessary laboratory tests for pregnant women: In order to ensure the safety of the operation, the pregnant women should be given general examination before caesarean section. The examination items include blood sampling, electrocardiogram and chest X-ray. Mothers should try to calm their mind and keep calm when they do the examination so that accurate data can be obtained.

(2) Skin preparation and other disinfection measures: This refers to the nurses for maternity to scrape abdominal hair and pubic hair and disinfection of abdominal skin, so as to better create a sterile environment for cesarean section.

(3) placement of urethral catheters: the purpose of this procedure is to remove the bladder from the parturient. The mother can not go to the toilet during the operation, so the catheter should be inserted into catheterization.

Blood test: check whether the maternal anemia; check whether the liver function is normal; determine maternal blood type; whether there are other blood diseases; is also for maternal surgery in case blood transfusion preparation.

3. Drop a bit.

Intravenous drip is the necessary procedure before operation, so that the sudden decrease of blood glucose can lead to maternal coma.

4. Preoperative anesthesia

Depending on the condition of the pregnant woman, the doctor will take epidural and occasionally general anesthesia for the parturient. Anesthesia is performed by a special anesthesiologist.

5. The operation begins.

Communicate with your doctor before cesarean section. Ask your doctor if you don’t understand something. Even if it’s very small, you should clear up your doubts. Not only can you communicate with your doctor, but you can also stabilize your mood and accept the operation safely.

Operative procedure:

1. Open abdominal wall.

After the operation site is determined, the surgeon should first make an arc incision after routine cleaning, shaving, disinfection and anesthesia, and then cut the cutaneous muscles in turn. The external oblique, internal oblique, transverse abdominal muscles and their fasciae should be avoided or ligated in case of blood vessels. Then cut the peritoneum, abdominal scissors with forceps to clip a small cut, and then the surgeon will leave the middle finger or index finger into the break, under the guidance of the left hand to cut the peritoneum to the appropriate length, expose the rumen.

2. Pull out the uterus.

After peritoneotomy, the surgeon’s arm should be re-disinfected and washed with normal saline, and then extended into the abdominal cavity to examine the uterus, fetus and nearby organs to find out whether there is rupture and adhesion. An assistant then moved the rumen forward to expose the uterus. Place the uterine plug out of the incision. Pull the uterus slowly and at a certain angle.

3. Open the uterus.

After the great curvature of the uterine horn is determined, avoid the uterine caruncle and cut through the uterine wall. After the bleeding point of the uterine wall incision was fully ligated, the fetal membranes near the incision were carefully separated.

4. Pull out the fetus.

Take the fetus along the uterine incision to grasp the fetal hind limb tarsus or forelimb wrist in the most appropriate direction and angle slowly pull out the fetus.

5. Peel off the placenta.

The principle of treatment is that those who can be dissected should be stripped completely, and those who can not be dissected should be cut off, leaving the rest in the uterus until it falls off and discharges, but the membranes near the edges of the incision must be dissected and cut off, otherwise obstructive suture.

6, suture uterus

Before suturing the uterus, the uterus should be evenly spread with anti-inflammatory powder. The closure of the uterus usually involves two sutures, the first full-thickness continuous suture and the second suture, the seromuscular layer embedding suture.

7, suture the abdominal wall.

Abdominal incision after finishing, the first suture of the peritoneum, usually with a continuous bowel suture, peritoneal suture before the end, should be injected through the incision into the peritoneum antibiotic oil to prevent infection and adhesion. Then the muscle was stitched continuously. Finally, the tubercle was used to stitch the skin.

It should be noted that since caesarean section is mainly used when the mother and fetus are in danger, it is not recommended for vaginal delivery in medicine.

How long does the caesarean section take?

Caesarean section is a common midwifery in hospitals. It usually takes 30-60 minutes. Most of them are used for fetal distress, labor delay, pelvic stenosis or fetal head and pelvic cavity asymmetry, fetal malposition, multiple fetuses, placenta and other factors that lead to normal vaginal delivery.

First, to understand the operative procedure of caesarean section:

After the anesthesia takes effect, cut the skin, subcutaneous fat and fascia, separate the abdominal wall, enter the abdominal cavity where the uterus is located, cut the uterus, suck out the amniotic fluid, take out the fetus, and cut off the umbilical cord.

It takes about 30 to 60 minutes for a normal cesarean section to go smoothly, compared with the ten hours required for a natural delivery. If the cesarean section anesthesia is epidural anesthesia, after the general need to go to the pillow lying on the back for 6 hours, during which the maternal can not roll over activities, can not eat or drink water. Otherwise, it will affect the spinal fluid and cause back pain and backache.

A mother netizen experience sharing said that at 11 o’clock at noon into the operating room, the baby can be delivered at about 12 o’clock, to the closure and propulsion of the lounge about 12 o’clock, and about 1 o’clock in the lounge until 2 o’clock. The whole process is still fast.

Cesarean section before and after delivery

Dietary attention after caesarean section

The mothers of caesarean section had higher nutritional requirements than those with normal childbirth. The anesthesia, laparotomy and other treatments needed during the operation are a blow to the body itself. Therefore, the recovery of the mother after cesarean section will be slower than that of the normal delivery. After caesarean section, the diet should be different from that of natural delivery. After 6 hours, some liquid exhaust food (such as radish soup) should be taken to enhance intestinal peristalsis, promote exhaust and reduce abdominal distension.

The risk of cesarean section is higher than that of spontaneous delivery. Mothers who deliver by cesarean section are more likely to have symptoms of infection, massive hemorrhage, thrombosis, and, in a few cases, bladder and intestinal damage. Besides, cesarean delivery mothers had more postpartum pain and longer hospitalization time. If you’re going to have another baby, every time you have a caesarean section, you’ll have a slightly higher risk of placenta previa and placenta accreta in your future pregnancy.