Caesarean birth many people think that caesarean section does not have to go through the expansion of the birth canal, it will be very easy, hope to choose this way of production. In fact, caesarean section is already a kind of operation, with corresponding risks, it is best to choose carefully.
1. Consultation
With the increase of pregnancy months, the mode of production is determined with the doctor according to the situation of the fetus and mother in the prenatal examination. Although the pain of cesarean section is less than that of natural birth, the whole process is only 30-60 minutes, but the operation risk and morbidity rate are higher than that of natural birth. Therefore, for the sake of maternal and child health, if there is no surgical indication, choose natural childbirth as far as possible. If you are really afraid of pain, you can choose painless childbirth.
Indications for caesarean section:
Maternal: pelvic stenosis hinders birth canal; History of caesarean section; Antepartum hemorrhage is placenta previa or placental abruption; Pregnancy induced hypertension or heart disease; Genital tract infection. Fetal: fetal position is not correct; The fetus is too big and the cephalopelvic is not symmetrical; Fetal distress, fetal heart sound changes or fetal hypoxia; Multiple pregnancy.
2. Preoperative examination
A series of examinations should be done before operation, including temperature, pulse, respiration, blood pressure, past medical history, current physical examination results, blood type, liver function, HIV, hepatitis C and syphilis, so as to determine the health status of pregnant women and fetus.
3. Preparation for caesarean section
The length of hospital stay is decided by the doctor according to the condition of the fetus. The doctor should be hospitalized one day before the operation according to the agreed time to receive the preparation before the operation. Before the operation, the dinner should be light, and do not eat after midnight, in order to ensure that the intestinal tract is clean and reduce the intraoperative infection. Vital signs and fetal heart rate were measured before operation. Fetal heart rate was normal at 120-160 beats / minute. Make sure there is no jewelry on the body, prepare the skin, take the blood, insert the catheter, and send it to the operating room.
4. Disinfection, anesthesia and disinfection
It ranges from below the sternum to the upper third of the thigh. The choice of epidural anesthesia, anesthesiologists usually in the lumbar spine between the third to fourth section, gently insert an epidural tube. The drug was slowly released through the tube, and the expectant mother remained awake, but the pain disappeared.
5. The operation begins
The doctor will make a 15-20cm transverse incision at the sagging fold of the lower abdominal wall. The second incision will be in the lower uterine segment, which can reduce the damage to the uterine body and reduce the risk of re pregnancy. Longitudinal incision is only used in emergency. After the amniotic membrane is opened, the fetus and placenta can be removed. Sometimes the doctor will press the bottom of your uterus with the palm of his hand in order to help the child deliver.
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