As we all know, spontaneous delivery of hemp will not leave scars on the stomach, and postpartum recovery will be faster. But don't believe that "the head of the child born by caesarean section is not big", and don't be kidnapped by the pseudo-scientific morality that "everyone can give birth naturally" and "the numbness of natural birth is great". Not all hemp bodies are suitable for natural delivery, and there is no scientific basis for "being smart in natural delivery" ~ Choosing natural delivery or caesarean section depends on the reproduction of hemp and your own wishes. After all, in the hearts of people who love you, your own safety is the most important thing! ! In order to reduce the psychological burden of expectant mothers and choose the way that suits them, I will have a deep understanding of caesarean section during this period, from how to choose, prenatal preparation, surgical process to postpartum care, plus various anatomical conditions before and after, so that expectant mothers can easily enter the delivery room!
What circumstances require caesarean section *A, pregnant women
1, pelvic stenosis, or obstruction of the birth canal, the fetus can't get through, in fact, many petite hemp may encounter this problem when pregnant with a fat baby.
2, placenta previa, placental early stripping, this situation is difficult to produce, easy to bleed during childbirth.
3. First child over 35 years old.
4. The production process is slow or stagnant, and even there are problems in the process, such as threatened uterine rupture and maternal failure.
5. Mother's reproductive tract infection.
6. Fear of uterus with a history of cesarean section, myomectomy or uterine rupture.
7. Bad obstetrical history, such as forceps delivery in the last delivery.
*B, fetus
1, fetal heart sounds continued 160 times, and fetal heart monitoring indicated that the fetus was anoxic and amniotic fluid was polluted.
2. Huge children. It is estimated that the fetal weight is more than 8 kg, and the biparietal diameter of B-ultrasound is too large.
3, the fetus is less than 36 weeks, and less than 5 kg, can not bear vaginal delivery.
4, fetal position is not correct
5. Multiple births
6. umbilical cord prolapse
Generally speaking, pelvic stenosis, fetal malposition and too big baby are common reasons. Among them, "incorrect fetal position" is a problem that many expectant mothers should pay special attention to.
In the third trimester of pregnancy (after 28 weeks of pregnancy), prenatal examination is done every 2 weeks, and fetal position is the focus of the examination.
1, normal fetal position
Under normal circumstances, the fetus is upside down in the womb.
Specifically, there are four categories:
2. Fetal position requiring caesarean section
Abnormal fetal position generally refers to shock, abdominal wall relaxation or polyhydramnios after 30 weeks of pregnancy, and abnormal fetal position in the uterus may lead to abnormal fetal position.
? The kind where the head comes out first-look up or look up
Although some fetuses are also head-down, the baby's head does not bend downward, but becomes overhanging or the occipital bone is at the back (head up or head up), which belongs to fetal malposition.
? Types of Hip/Leg Display
Hip position is the most common, occipital position is the most dangerous.
Improper fetal position will bring different degrees of difficulty and danger to delivery. Placenta previa will block the passage of fetal production, and placental abruption will seriously affect the oxygen and nutrition supply of the fetus. Therefore, when you encounter this situation in labor, you will generally choose caesarean section.
→ Tips: In fact, when the fetal position is not correct in 30-34 weeks, it needs to be corrected. Correcting fetal position is of great significance to prevent dystocia. Ma Ma tried to adjust by "knee-chest recumbent exercise" at home.
? Empty the airbag and loosen the seat belt.
? On the hard bed, bend over, put your knees on the bed, raise your hips, keep your thighs perpendicular to the bed, and keep your chest as close to the bed as possible.
? Every morning and evening 1 time, each time 15 minutes, a total of 1 week. Then go to the hospital for reexamination.
However, if 36 weeks (9 months) has not been adjusted, and natural delivery is risky, then only caesarean section is safe for mother and baby!
What should I do before caesarean section?
1. If there are signs of labor, go to the hospital immediately.
When labor pains occur, you should go to the hospital immediately. If the fetus has entered the birth canal, it is difficult to have a caesarean section. Mothers who have given birth before should pay special attention to this.
There were many mothers who chose caesarean section before, and they chose to make an appointment with the doctor for caesarean section before the labor reaction. It is completely possible ~
2. Pay attention to rest and fasting before operation.
Get enough sleep the night before the operation to avoid excessive tension and anxiety. During the labor process, you can relax by listening to music, reading books and communicating with prospective fathers or other pregnant women. To eat easily digestible food, it is generally necessary to fast for 6-8 hours before operation and prohibit drinking water for 4 hours.
3. Be admitted to the hospital at least one day before the operation.
The hospital stay for caesarean section preparation is determined by the doctor according to the fetal condition, and the hospital stay is the day before the operation as agreed. Do a good job in cleaning the abdomen, vulva and umbilical fossa. Vital signs were measured before operation, fetal heart rate 120 ~ 160 beats/min.
4. Before operation, the nurse will make the following preparations for her mother, cooperate well, and don't be nervous ~
When blood transfusion is needed during operation, 2 ~ 3 ml of venous blood is taken for blood matching;
Scrape hair from abdomen, waist, etc. with a razor;
Prevention of bleeding by intramuscular injection
Catheter placement
Preliminary disinfection of abdominal skin
5. Then wait by your side ~
After the two important choices in caesarean section enter the operation, Ma Ma can be safely handed over to the doctor. But there are always questions about "anesthesia" and "transverse cutting and vertical cutting" in caesarean section, just to popularize science ~
1, anesthesia-local or general?
In an emergency, general anesthesia is helpful for rapid operation and reducing accidents. In non-emergency situations, regional anesthesia is generally the first choice for surgery.
Epidural anesthesia (local anesthesia) is commonly used in hospitals at present; Anesthesiologists usually insert an epidural catheter gently between the third and fourth lumbar vertebrae. The drug is slowly released through the tube, and the expectant mother stays awake, but the pain disappears. The benefits of this anesthesia method are very obvious. The anesthesia tube can be kept after operation, and analgesic pump can be used for 24 hours after operation, which can effectively relieve postoperative pain.
2. Cut the uterus-crosscutting or vertical cutting?
The doctor will touch the lower part of the uterus, locate the fetal head, and then start caesarean section. Horizontal incision is more suitable for the normal physical condition of parturient, and vertical incision is beneficial to the treatment of special and emergency situations during delivery.
*a: transverse incision
When a doctor performs a caesarean section, he will make a small horizontal incision above the pubic hair line of the parturient, which is also called "bikini incision".
→ Advantages of transverse incision
? As the name implies, "bikini incision" is very small and low, mostly under the side of underwear, which is not easy to be noticed. Many hemp plants that love beauty insist on natural delivery because they don't want to leave scars. It's no problem to wear a bikini for cross-cutting scars! Postpartum repair, the scar is too light to see clearly, hold back your fear!
? The second pregnancy can choose a natural delivery, and the risk of uterine rupture is lower than 1%, which is super safe ~
? The wound conforms to the growth direction of dermatoglyphics, which is beneficial to suture and postoperative healing, and it is more comfortable to hold the baby and feed.
X. Disadvantages of transverse incision
? The operation takes a long time and requires high anesthesia, so it is more appropriate to make an appointment with a doctor before operation.
? The incision is small, and the exposure field during operation is limited, so it is impossible to explore extensively in special and emergency situations. (However, as long as you check in advance, there will be basically no problem if your mother is healthy. )
*b: vertical incision
When a doctor performs a caesarean section, he will make a vertical incision along the abdominal line between the pubic mound and the navel.
→ Advantages of vertical incision
? The suture is rapid, the surgical field of vision is good, the incision can be prolonged according to the situation, which is beneficial to the rapid removal of the fetus and is suitable for the treatment of special situations and emergencies.
? The operation time is short and the anesthesia is simple.
Disadvantages of ×× vertical incision
? After the operation, most people will grow a thick scar, which is the "centipede scar" in traditional cognition, and the recovery is relatively slow.
? You can't take natural delivery when you give birth again, and there is a danger of uterine rupture.
How to care for caesarean section 1, wound care
* 1, prenatal reasonable nutrition diet, not overeating, scientific weight gain.
The natural lines of the lower abdomen skin are horizontal, so the tension of the transverse wound is small, and the scar will look better after suture; The tension of the direct cut wound is large, and the scar will naturally be ugly than the transverse cut wound.
However, if you eat too much during pregnancy, you will be overweight. If the fat layer is too thick, it will not be easy to cross-cut. The wound will be particularly large and the scar will naturally be big and ugly.
*2. The small sweet potato with scar constitution should communicate with the doctor in advance and adopt more suitable technology and products in the operation.
The price is definitely more expensive, but the small sweet potato with scar constitution will leave a mark even if it is an ordinary minor injury, and the scar of caesarean section will definitely be more exaggerated, so be sure to consult a doctor before the operation.
*3, eat more fresh fruits and vegetables, eggs, milk and other foods rich in vitamins C, E and essential amino acids.
This can promote blood circulation and improve the metabolic function of epidermis. It is also beneficial to wound healing and reduces the occurrence of scars. Eat less or don't eat irritating foods such as peppers, onions and garlic to prevent itching from aggravating scars.
*4. Prepare related products that help to repair wounds, inhibit scar growth and fade scars.
Part B: Avoid scarred minefields
? 1. Avoid strenuous activities before and after taking out stitches. When sleeping at night, it is best to rest in a slightly flexed position on your side to reduce abdominal tension.
? It is common sense not to let your stomach touch water before the scab falls off completely. So try to sweat as little as possible, and it is best to stay in an air-conditioned room in summer.
? 3. Don't expose the scab on the blade prematurely! The scab needs to mature and fall off naturally, and manual pulling may stimulate the wound, produce itching and form pigmentation.
? 4, scar itching should be handled with caution, don't scratch! You can apply some topical drugs, such as dexamethasone, to relieve itching. Be sure not to shave! Otherwise, it will irritate the skin, leading to serious hyperplasia and tingling.
? 5. Don't forget to protect yourself from the sun! The stimulation of ultraviolet rays will not only make the repaired wound itch, affect the recovery speed, but also directly lead to pigmentation!
? 6. Don't use water with too high temperature for bathing! Hot water can also stimulate the recovering skin and aggravate itching. On the contrary, if Ma Ma feels the scar stings, she can apply cold compress ~
Part c: reliable "anti-scar" cheats
1, compression therapy
→ After the stitches are removed from the wound, you can use beauty tape or silica gel sheet to press on the healed wound, which can reduce the tension of the wound and make the scar flat and thin.
2, massage therapy
→ After the wound scabs, rubbing the scar with the palm root can soften the hard scar and improve the scar with the tendency of swelling or contracture.
* Tip:
Some hemp wounds are covered with ginger, scallion, levovitamin C and pearl powder, which can reduce pigmentation. Baby Potato advises not to believe in these "beauty methods" because the tender meat of the wound is actually very fragile and easily stimulated by many ingredients. If you must use it, ask the doctor first.
2, postoperative physical care
* Within 6 hours after delivery.
? Lying posture: the mother who returns to the ward after operation needs to tilt her head to one side and lie flat on the pillow.
? Breastfeeding in time: The baby's sucking can promote uterine contraction, reduce bleeding and make the wound recover as soon as possible.
? Fasting: Fasting within 6 hours after operation. Because the operation stimulates the intestine, the intestinal peristalsis slows down, there is gas in the intestinal cavity, and abdominal distension will occur after operation.
* The first day after delivery (after 6 hours)
? Lying posture: You can use a pillow after lying on your back for 6 hours. It is best to lie on your side. You can put a quilt or blanket on your back to relieve the pain during activities.
? Ways to relieve pain: After the anesthetic has passed, the abdominal wound will feel pain. You can ask the doctor to prescribe some medicine or use analgesic pump to relieve the pain.
? Eat: After 6 hours of caesarean section, you can drink some exhaust soup, such as radish soup, which can replenish water in your body. After caesarean section, special nutrition powder should be added to replenish the lost protein as soon as possible to promote wound healing and milk secretion.
Attention! Sugar, beans, starch and other foods that are easy to ferment and produce more gas should be eaten less or not to prevent abdominal distension.
? Exercise as early as possible:/kloc-After 0/2 hours, the lying-in woman can change her position, turn over and move her legs with the help of her family or nurses. After 24 hours, practice turning over, sitting up, getting out of bed and walking slowly. If conditions permit, you should take a walk in the field. Exercise can promote blood circulation, make the wound heal faster, enhance gastrointestinal peristalsis, exhaust as soon as possible, and prevent intestinal adhesion and thrombosis from causing embolism in other parts.
* The first week after delivery
? Drink more water: within three to five days after delivery, my mother's body is still very weak, and she may feel constipation and swelling, which is caused by anesthesia and needs to drink more water.
? Timely defecation: after caesarean section, due to pain, the abdomen does not dare to exert force, and the urine can not be discharged in time, which is easy to cause urinary retention and constipation. Therefore, it is more important to urinate and urinate in time according to the normal schedule.
? Eat:
First, when the parturient is exhausted, the diet can be changed to semi-liquid, and the food is nutritious and easy to digest.
B, 72 hours after the operation, you can drink moon soup, such as pigeon soup and black fish soup, which can not only help the body to recover, but also help to produce milk. Remember to remove the oil slick after cooking.
C. Do not add any irritating seasonings such as pepper, fennel, onion, garlic, ginger, etc. for one week.
3. Resume exercise after caesarean section:
On the 20th of the second month, I began to practice Pilates formally. My physical fitness test data in the first class is very poor. All pregnant women will have these problems, and mothers who have given birth can test them themselves. Separation of rectus abdominis (easy to accumulate fat and grow a belly in the future), relaxation of pelvic floor muscles (some are not serious, most of them will still affect life), pelvic enlargement (mother's smell caused by big ass), rib eversion, uterine prolapse, and chest prolapse caused by late breastfeeding. My rectus abdominis has separated three fingers, which is very serious. I have read the little red book before, and a mother said that the separation of rectus abdominis can hardly heal. I want to say that now my rectus abdominis has recovered, and the widest part is only half a finger. Whether the stomach can be tightened depends on whether the rectus abdominis can be recovered.
Method of detecting rectus abdominis: Lie flat on the bed, take a deep breath and slowly raise the upper body, then touch the abdominal white line above and below the navel and press your fingers to reach it. Three fingers is serious, which is my state at that time. Many mothers don't know the separation of rectus abdominis, thinking that they can tighten the loose abdomen with sit-ups, which will actually aggravate the separation.
Rectus abdominis recovery method: 1. Take a deep breath and bulge your stomach; Breathe slowly, feel the deep muscles tighten layer by layer, and circulate the ribs. 15- 20 times a day, 3 groups. When you don't feel anything at first, you can push your abdomen inward with your hands. 2. Support at four points, inhale and relax, exhale and forcibly retract the abdomen, as if there is a belt holding the abdomen and tightening it constantly. There is also a flat support, and the movements can be practiced with keep.
The recovery of pelvis is also very important, and the most important feeling in girlhood lies in the buttocks. Write a special method of pelvic retraction next time.
This is what I look like 68 days after delivery. There is still a long way to go before I am satisfied. Keep going. I will continue to update when the vest line appears.
This bed is called a reformer, which is used by secret angels to train. Queen Sun Li loves reformers, and of course, there are professional equipment such as kicking bucket and Cadillac. But a reformer is enough for the little fairies to spin and jump for a year.
Yesterday's newly measured circumference, the thickest part of the waist is 8 cm smaller than that after delivery, and the pelvis has fully recovered. Before I got pregnant, I took a pair of tight jeans to try on, without any pressure. The circumference of each part has become smaller, but sadly, the weight has only dropped by one kilogram. The coach told me that I would lose my weight in a month. Well, anyway, my whole body is tighter and straighter than before, and I am looking forward to the sense of accomplishment of losing weight in a month.
What's it like to have a caesarean section? In fact, many expectant mothers want to give birth naturally at first, but they may encounter some situations before or during childbirth. For the safety of yourself and your baby, you need a caesarean section. In fact, there are still many numbness caused by "two sins"
? If there is something wrong with the birth canal, fetus, uterine contraction and maternal status, the fetus must be taken out by caesarean section immediately. Common situations are:
1) delivery is very slow.
2) After delivery, the fetal position turns wrong and the fetal head does not fall.
3) Fetal distress or abnormal bleeding.
4) Umbilical cord compression or umbilical cord prolapse.
5) Using forceps or cupping to assist delivery failed.
6) Complications of pregnancy-induced hypertension or diabetes.
7) Older women have cardiovascular diseases.
8) If the amniotic fluid is turbid for the second time, caesarean section should be performed as soon as possible to avoid fetal hypoxia and suffocation.
Q: How long can I have sex after caesarean section?
A: 42 days after delivery, both mother and baby should have a comprehensive examination. Normal postpartum examination can restore a sweet sex life without shame. But we should pay attention to taking contraceptive measures.
Q: How long can it be regenerated after caesarean section?
A: Generally, you will get pregnant after two years, so as not to cause physical discomfort. Getting pregnant again too early can be dangerous.
Q: What about the pain of caesarean section?
A: Generally, the wound of caesarean section will heal in about two weeks, and the pain will disappear. If you have symptoms of pain or redness for a long time, you should go to the hospital to check whether there is abdominal adhesion or infection.
Q: Will caesarean section affect the quality of sexual life?
A: After all ~ not ~ yes ~
Q: How long can I take a bath after caesarean section?
A: Generally speaking, after caesarean section, you can take a bath in summer 1 week and in winter for about 2 weeks, depending on the recovery of your body wounds. If the wound has not healed, bathing may make the wound infected.
Q: How long does it take to menstruate after delivery?
A: The recovery of postpartum menstruation varies from person to person. You can come as early as one month after delivery, and as late as one year or a year and a half after delivery. After that, your menstruation will be irregular because of the hormone regulation of your body.
Q: How long will postpartum lochia be clean?
A: Under normal circumstances, lochia can be discharged within three weeks after delivery. If it's still dripping for more than three weeks, it's called lochia and you need to see a doctor.