When it comes to caesarean section, it’s not uncommon for pregnant women to die of infection or bleeding in the past years. Today, with the development of science and technology, caesarean section is a relatively safe operation. The improvement of anesthesia accident, aseptic operation and surgical operation has greatly reduced the risk rate of caesarean section.
Focus on the first six days after cesarean section
About the timing of caesarean section:
Generally, caesarean section can be divided into “pre arranged” and “temporary arranged” Caesarean section due to the decision of time and critical situation. The former is usually called “selective operation” and the latter is called “emergency operation”. Pregnant women with elective surgery can have plenty of time to prepare, including psychological, physiological and family support, etc.; emergency surgery because of the critical situation, in order to save pregnant women and fetuses and emergency arrangements, at this time pregnant women and their families are often in a passive state, most families did not prepare well.
Catheter is needed before operation
Generally, 30 minutes before the operation, the nurse will insert a catheter for the pregnant woman through the urethra and connect the drainage bag. This is to prevent the distended bladder from hindering the doctor’s vision during the operation, and to avoid the occurrence of bladder injury by mistake.
After a brief talk about the pre-operative matters, we should pay attention to the nursing after caesarean section. This is a critical period, not to be careless——
A. the first day after surgery
After the operation, the parturients who return to the ward need to go to the pillow and lie flat. The nurse should properly fix the catheter drainage bag and infusion tube in a proper position, put a sanitary towel under their hips, massage the uterus regularly for the parturients, observe the uterine contraction and vaginal bleeding, and place a sandbag for their abdomen. This is done to reduce bleeding from abdominal wounds. The nurses will measure the blood pressure, check the face color, measure the pulse and body temperature for the puerpera at regular intervals, observe the color and quantity of urine at regular intervals, and check whether the urinary tube is unobstructed, and record these situations.
At this time, the baby is hungry. The nurse will hold the baby to the mother. The mother must feed the most precious colostrum to the baby. It’s a memorable experience. It’s for the baby and for himself. As we all know, baby’s sucking can also promote uterine contraction and reduce the occurrence of uterine bleeding.
Parturient lying flat after 6 hours can pillow pillow, at this time will feel more comfortable. The reason of lying on one side: most of the caesarean section choose epidural anesthesia. Lying on the other side of the head can prevent headache. At the same time, lying on the other side can prevent aspiration of vomitus.
On the night after the operation, most of the pregnant women will feel pain in the abdominal wound. The doctor will prescribe a painkiller to relieve the pain, so that the pregnant women can spend a painless night.
Special tips: at this time, special attention should be paid to keeping warm and unblocked conditions of all kinds of pipes; 12 hours of fasting and water prohibition, including milk; frequent change of sanitary napkin to keep clean; 8 hours of sandbags in the abdomen; 12 hours later, with the help of family or nurses, the puerpera can change her position, turn over and move her legs.
B. the second day after operation
Help the mother sit up – the next day after the operation, the mother can sit up with the help of her husband. The specific method is: the husband sits at the head of the bed, backs to back with the pregnant woman, and bears her weight. The puerpera can also turn over her body first and sit up with the support of her family. Conditional hospital can also shake the head of the bed, so that the parturient is in a semi sitting position.
About diet – most of the mothers are hungry now. They can drink some rice soup and soft noodle soup. But before exhausting, we can’t drink milk or eat sugar food. This is because milk, eggs and sugar food are easy to produce more gas in the body of the pregnant women who haven’t recovered the intestinal peristalsis. The expansion of the abdomen will affect the wound healing and the recovery of the intestinal function.
Physical condition – most of the urinary tubes have been removed today. You can wear underwear to clean the lochia and keep the vulva clean. Urination should be performed within 2-4 hours after the removal of the catheter. Today’s lochia is red, sometimes accompanied by some small blood clots, mucosal things.
About activities – today you can slowly move your legs in bed, try to lift them up, and then gently put them down, just do 2 or 3 times.
Teach you several ways to reduce the pain of the wound:
On the second day after the operation, many pregnant women still feel pain in the wound. The husband can press the wound tightly with both hands when the wife turns over to change the body position and cough, so as to reduce the pain by reducing the vibration; in the side position of the pregnant woman, a pillow can be placed in the waist, or a blanket can be placed in the abdomen to support to reduce the pain; play a soft music for the pregnant woman, It’s a good “painkiller” for a husband to wear a colorful dress and do a waist and abdomen massage. I’m sure the attentive husband will do it with his heart.
Special tips – novice mothers need help from others to better feed their babies; eat more liquid food such as porridge, hot soup, etc.; urinate as soon as possible after removing the catheter; try to sit and move the lower limbs; help them massage the leg muscles.
Highlight: how deep is the cesarean section? Painless delivery is not without risk. The impact of accompanying delivery on the reduction of cesarean section rate