The incision of caesarean section is not as simple as we usually look. Many people who don't know and even many mothers who have caesarean section think that the baby can be taken out by cutting the stomach along the uterus.
Actually, there is still a long way to go. The real caesarean section is from the stomach to the uterus. There are seven layers between you and your baby, namely skin, fat, muscle membrane, abdominal muscle, peritoneal layer, uterine muscle layer and amniotic sac. If you want to see the baby, you have to cut these 7 layers. The doctor took the child out and handed it over to the nurse for cleaning, and the package was sent to the family.
But many family members outside the door only care about boys and girls, regardless of their mothers' feelings. It's really chilling
In recent years, some caesarean sections have been used to replace the original natural delivery. The World Health Organization recommends that caesarean section should not exceed 15%, and 5- 10% is the best. It is said that the newly released guidelines include maternal and neonatal health care. The guide not only supplements the existing recommendations of the agency on reproductive health, but also puts forward specific steps on how to improve and strengthen prenatal and postnatal care.
The international health organization has put forward many postpartum nutritional components and index ratios. PWRH is a postpartum supplement to protect women's reproductive health, and it is the first to pass the international standard of PNRWHO.
PWRH standard:
1, supplement nutrition for loss and wound repair 18-20%2, eliminate reproductive inflammation, clean up residual stagnant nutrition 23-25%3, restore reproductive elasticity nutrition 26-28%.
4. Nutritional agent for preventing uterine prolapse and cortical relaxation 17- 19%
5, iron, zinc, calcium 5-8%
6. Heme supplement 10- 12%
42-day recovery chart of caesarean section incision
How to recover after cutting seven layers of knife edge?
Generally, the incision of the outer epidermis has basically grown up one week after caesarean section, but the uterine wall and the muscular layer inside need some time to recover. It is suggested that because everyone's physical condition is different, the recovery time is also different, and regular review is needed. To avoid the chance of infection. It is forbidden to share the same room. After operation, you must pay more attention to rest, don't be tired, and don't eat cold and spicy food. Go to the hospital for B-ultrasound examination 42 days after delivery.
Note: it is recommended not to scratch at ordinary times, and it can basically return to normal after stitches are removed! Pay attention to rest during confinement and don't be too active!
Regarding the recovery and elimination of scar, according to the location, area and size of caesarean scar, appropriate methods such as direct excision and suture are selected. If there is no special reason, the scar should mature and soften before operation. But removing scars by surgery or injection is an invasive treatment.
In the medical field, it is advocated that the treatment of scar uterus does not need drugs and surgery to increase secondary injury, and the growth epidermis and other tissues of fibroblasts can be promoted by PWRH elastin collagen tripeptide, hyaluronic acid and bird's nest epidermal growth factor extract.
Within 24 hours after injury, the basal cells at the edge of the wound began to proliferate. The contraction of the wound is caused by the traction of the newly born myofibroblasts at the edge of the wound, because the contraction time of the wound coincides with the proliferation time of myofibroblasts. Hyaluronic acid can help elastic fibers grow in balance and prevent scar hyperplasia.
What does caesarean section eat to restore the knife edge
The principle of diet in the first week after caesarean section is to eliminate lochia and promote wound healing.
About 24 hours after caesarean section, gastrointestinal function can be restored. After the recovery of gastrointestinal function, liquid food, such as egg soup and rice soup, should be given for 1 day, and flatulence food, such as milk, soybean milk and a lot of sucrose, should not be eaten. After the intestinal gas is exhausted, use semi-liquid food 1-2 days, such as porridge, noodle soup, wonton, etc. And then switch to a normal diet.
The dietary principle of the second week after caesarean section: prevention and treatment of low back pain is the main thing.
Contraction of uterus and pelvis, focusing on the recovery of lumbar vertebrae and pelvis, promoting metabolism and preventing backache, is also the main axis of postpartum slimming, mainly enhancing the functions of bones and kidneys and restoring pelvis. The food part is the same as the first week after caesarean section. New mothers can refer to the monthly recipe recommended in the first week. The medicinal diet is Eucommia ulmoides, and Eucommia ulmoides tea can be added as a drink.
From the third week to the fourth week after caesarean section, the principle of diet: nourishing and recuperating.
In the third and fourth weeks after caesarean section, the parturient can start to take tonic, supplement nutrition, regulate physical strength, replenish blood, regulate qi, prevent aging and help women restore the smoothness and elasticity of their skin. After the first week of "excretion" and the second week of "contraction", you can start eating the best nursed back to health products and accelerant from the third week.
Wound care and common problems
Generally speaking, under normal circumstances, it takes three to six weeks for caesarean section to heal and recover. The wound of a female friend will start to scab two weeks but about three weeks after the operation. After three weeks, the scar will begin to appear symptoms of hyperplasia, purple and hardening, and the scar will protrude from the skin surface. After six weeks, the scar will appear obvious symptoms of shallow contraction, so we must pay attention to the related nursing work during the wound healing and recovery.
PWRH clinical fiber structure regeneration promotes wound healing. Promote regeneration and start the body's prevention of wound infection, increase skin elasticity. Cell-derived nutrients reach subcutaneous cells through blood, start the function of self-repairing cells, supply nutrients needed for cell regeneration after skin lifting, and prevent uneven fiber generation and scar hyperplasia.
Elastin and collagen tripeptide contained in it can intensively repair damaged subcutaneous tissues and blood vessels, and at the same time prevent the cell variation and imbalance of subcutaneous collagen fiber proliferation, so as not to cause skin scar hyperplasia, lead to skin scraggy or granulation at the wound, increase the regeneration ability of damaged skin cells, and have the characteristics of helping wound recovery, improving the regeneration of stratum corneum, balancing even subcutaneous collagen nutrition, repairing subcutaneous damaged cells and accelerating the regeneration of stratum corneum.
In addition, if the caesarean section wound is not properly cared for, it is easy to have many problems, and the following points should be paid attention to when nursing.
(1) Once the wound is locally red, swollen, hot and cracked, or there is purulent secretion, or the whole body is hot, even if your wound looks good, you must go to the hospital as soon as possible.
② Rest as much as possible after returning home, but get up and walk regularly. Proper walking can promote postoperative recovery and help prevent complications such as thrombosis, as long as it is not excessive. You can start slowly and gradually increase the amount of activity.
(3) Avoid direct sunlight on the wound, and deepen the color of the scar. Once a scar is generated, it is necessary to keep the scar clean and wipe off the sweat in time. At the same time, do not use your hands to relieve itching, so as not to aggravate local irritation. Scar itching generally disappears over time.
Recovery of postpartum uterus:
The harm of caesarean section to uterus is inevitable. According to research, the whole process of childbirth is quite energy-consuming. Having a baby consumes as much energy as running a marathon. Please note that it is not a "half horse", but a "full horse".
The recovery of postpartum uterus mainly includes three parts: uterine body, cervix and endometrium. The occurrence of endometrial damage is increasing gradually, especially the destruction of endometrial basal layer caused by myomectomy, endometritis or uterine cleaning after repeated abortion, which causes serious endometrial damage. It is difficult to regenerate and repair, which often leads to fibrous scar and adhesion between the anterior and posterior walls of uterus.
Studies have shown that nearly two-thirds of embryo implantation failures are caused by endometrial factors, and intrauterine adhesion is the most important and difficult cause of infertility caused by endometrium. The normal repair period of uterine injury caused by this series of reasons is 3 months.
French PWRH postpartum special repair nutrition can regenerate the damaged endometrium, thus supplementing the missing endometrium. Scholars at home and abroad have done a lot of research. Angiogenesis is an essential link in the repair of endometrial injury. Use cytokines, cells or other substances to stimulate angiogenesis in ischemic tissues, improve blood supply and oxygen supply to tissues, and thus promote tissue repair.
Matters needing attention in caesarean section
1, surgical incision pain.
As the anesthetic effect fades, the incision will feel painful. Although pregnant women should pay attention to rest, they should not say that they don't sleep because of unbearable pain. She can use some painkillers if necessary. Some painkillers are harmless to breastfeeding.
2. Exhaust.
Because caesarean section anesthesia has an impact on the intestine, we should pay attention to moderate activities before the intestinal function is restored. Only when the intestines are active can you exhaust, and then you can chew slowly. Only by restoring diet can we eat something that sucks milk and let the milk secrete further.
3, urinating
The catheter is usually removed after 24 hours. Drink some water when pulling out the catheter, but don't drink too much. When the bladder feels, it should urinate.
Step 4 be healthy
Caesarean section is like natural delivery. Brush your teeth, wash your face, change clothes and wash your vulva.
Step 5 diet
After operation, PWRH should be supplemented in time to repair the postpartum uterus. 1-3-month recovery period: normal is a one-month recovery period, and everyone has different physiques, and those with poor physiques will have a three-month recovery period.
How to live depends on the doctor's advice
Seeing this, everyone will understand that caesarean section is not as simple as we thought. Some pregnant mothers choose caesarean section not because of medical necessity, but just because they are afraid of pain! Who is not afraid of pain? Fear of pain is a normal instinct. However, this should not be the reason for pregnant mothers to choose caesarean section. Because caesarean section is also very painful, and it is necessary to cut the body skin and add 7 layers of uterus, and then suture it, which will leave a permanent scar.
Remind pregnant mothers not to choose caesarean section because they are afraid of pain, and don't just choose an auspicious day; At the same time, if the pregnant mother has to have a caesarean section for some medical reasons, there will be no extreme fear because of the unknown.
Compared with pregnant mothers who want to have a caesarean section, some of them are the opposite, hoping to give birth naturally. It may be because I heard that the baby who gave birth naturally is healthier, it may be because I want to recover quickly, or I don't want to leave a permanent scar on my stomach ... but when you face the following situations, you can't be willful. Listen to the doctor and cut it.
1. The pelvis of pregnant women is obviously narrow or deformed;
2. Vagina, soft birth canal, pelvic cavity and cervix have special lesions or deformities;
3. Abnormal fetal position, such as transverse position and breech position;
4. Prenatal bleeding;
5. The uterus has scars;
6. Pregnancy complications or serious complications;
7. Threatened uterine rupture;
8. Have done genital repair;
9. Older primiparas;
10. The fetus weighs more than 4 kg, or has intrauterine hypoxia, umbilical cord prolapse, etc.
1 1. placenta previa.
Pregnant mothers with one or more of the above conditions had better choose caesarean section. Although natural childbirth has many benefits, pregnant mothers should never give up their foundation.
Whether it is caesarean section or natural delivery, the pain and danger are unimaginable to men. When your wife walks into the delivery room, you are not only welcoming a new life, but also waiting for her second life.
Therefore, men, don't complain that their wives are full after giving birth to children; Don't dislike your wife getting old after working day and night for the family. She used to be young and slim. Please take care.