Where does caesarean section usually operate? 1, transverse incision
Also known as "bikini incision" It shows that this kind of incision does not affect the smoothness of abdomen compared with vertical incision, and the incision is low and hidden. You can also wear a bikini with your navel exposed in the future. Generally speaking, the transverse incision of the lower abdomen of cesarean section is generally 2 ~ 3 cm above the pubic symphysis or consistent with the skin texture of the upper and lower abdomen of pubic bone, and the length of the incision is about 10 cm. Transverse incision requires high anesthesia and limited visual field exposure during operation, which makes it impossible to explore widely. Because of pregnancy complications (such as placenta previa, placental abruption, fetal distress, etc.), it is necessary to shorten the operation time, save the life of mother and baby or expand the scope of operation. ) or pregnancy complications (ovarian tumors, large uterine fibroids), it is not conducive to surgery, and even affects the treatment of mother and baby in critical situations. Crosscutting takes a long time and has poor flexibility. Moreover, the cross-cutting wound can no longer be cut, so it is not appropriate for a mother who wants to have a second child to choose cross-cutting.
2. Vertical incision
It refers to the longitudinal extension from the pubic bone to the navel, and the incision is located at the midline of the navel and pubic symphysis, with a length of about 12 cm. The vertical cut scar is longer and the recovery is slower. The operation time is short, the safety is relatively high, and the operation can be performed under local anesthesia in an emergency. Especially if the patient has placenta previa and placenta implantation, vertical incision must be used to increase the safety of the patient. And the probability of abdominal tissue adhesion is low, which is beneficial to the second pregnancy.
How to confinement in cesarean section? Confinement is the top priority after childbirth. For lying-in women, it is very important to restore physical strength, supplement nutrition and heal wounds. In addition, sitting well for the next month has an indirect impact on breast-fed babies, which will affect the quantity and quality of breast milk. Let's take a look at how to confinement in cesarean section.
1, wound care. After cesarean section, in order to protect the wound from bleeding, the doctor will cover the wound with gauze and breathable paper tape, and complete the first dressing change 24 hours after operation. Remind the parturient to keep the wound clean and dry during confinement, do not apply drugs that they think are effective at will, do not touch the wound often, and return to the hospital in time if there is any abnormality in the wound.
2. Perineal care. Because of childbirth, many lochia will be excreted during confinement, so it is very important to clean the perineum. If it is not handled properly, it is easy to produce bacterial infection and lead to gynecological diseases. It is recommended that pregnant women clean vulva after defecation every time, and the washing utensils should be dedicated and disinfected after each use.
3. Uterine care. By pressing the abdomen of the parturient, the uterine contraction and uterine recovery of the parturient can be judged. Proper massage can help to eliminate lochia, and can also enhance uterine contraction and avoid massive bleeding. Therefore, the parturient or family should massage the abdomen properly to help the parturient recover as soon as possible.
4. Body care. Because the parturient with cesarean section has a surgical incision, it will be more difficult to move than the parturient with natural delivery, and anesthetic will inhibit intestinal peristalsis, which is prone to intestinal adhesion and flatulence. This requires lying-in women to turn over more when conditions permit. Remember to move slowly and don't touch the wound. When necessary, family members can help the parturient turn over. In addition, we should also pay attention to the cleanliness of the mother's breasts, because every time the baby drinks milk, it will directly contact the nipple, so every time before and after the baby drinks milk, the mother should clean the breasts and keep them clean. In order to make the breasts normal, it can also help pregnant women massage their breasts and promote milk secretion.
5, diet care. Cesarean delivery women should be light and easy to digest in diet, and it is best to eat more foods rich in dietary fiber, such as cereals and fresh fruits and vegetables, which will help women with gastrointestinal peristalsis and prevent constipation.