Many people believe that cesarean section does not require dilation of the birth canal and would be easy, and they hope to choose this method of delivery. In fact, cesarean section is already a surgical procedure with corresponding risks, and it is best to choose carefully.
8 questions to help you understand cesarean section
As the months of pregnancy increase, the delivery method is determined with the doctor during prenatal examination based on the condition of the fetus and mother. Although cesarean section has less pain than natural delivery and only takes 30-60 minutes, the surgical risk and incidence rate are higher than natural delivery. So, for the sake of maternal and child health, if there are no surgical indications, try to choose natural childbirth. If you are really afraid of pain, you can choose painless childbirth.
Indications for cesarean section surgery:
Maternal aspect: narrow pelvis obstructs the birth canal; Have a history of cesarean section; Prenatal bleeding refers to placenta previa or early detachment of the placenta; Pregnancy induced hypertension or heart disease; There is an infection in the reproductive tract.
Fetal aspect: Abnormal fetal position; The fetus is too large and the head and pelvis are not balanced; Fetal distress in the uterus, changes in fetal heart sounds, or fetal hypoxia; Multiple pregnancies.
2. Preoperative examination A series of examinations are required before surgery
This includes maternal temperature, pulse, respiration, blood pressure, past medical history, current physical examination results, blood type, liver function, HIV virus, hepatitis C, and syphilis to determine the health status of the pregnant woman and fetus.
3. The length of hospital stay for cesarean section preparation is determined by the doctor based on the condition of the fetus
Hospitalize one day before the surgery at the agreed time to prepare for the surgery. Dinner before surgery should be light, and no food should be eaten after midnight to ensure intestinal cleanliness and reduce intraoperative infections. Preoperative vital signs were measured, fetal heart rate was heard, and fetal heart rate was considered normal at 120-160 beats per minute. Confirm that there are no accessories on the body, prepare skin, take blood, insert a catheter, and send it to the operating room.
4. The disinfection anesthesia disinfection range is from below the sternum to the upper one-third of the thigh.
When choosing epidural anesthesia, the anesthesiologist usually gently inserts an epidural tube between the 3rd to 4th segments of the lumbar spine. The drug is slowly released through the tube, and the expectant mother remains awake, but the pain disappears
5. At the beginning of the surgery, the doctor will make a transverse incision of 15-20cm at the sagging folds of the lower abdominal wall.
The second incision will be in the lower segment of the uterus, which can reduce damage to the uterine body and reduce the risk of re pregnancy. Longitudinal incisions are only used in emergency situations. After the amniotic membrane is opened, the fetus and placenta can be removed. Sometimes doctors may use the palms of their hands to compress the fundus of your uterus to help deliver a child.