Cesarean section is to cut open the abdominal wall and uterus to remove the fetus. If the case is properly selected and the operation is performed in time, not only can the life of mother and child be saved, but also the woman can maintain normal production performance and the ability to continue to reproduce offspring; otherwise, not only can the expected effect not be received, but also can cause long-term adverse effects, so careful consideration must be given before performing the operation. Cesarean section is an important method of surgical delivery.
Precautions after cesarean section
It is not advisable to lie down: after the operation, the anesthetic drug disappears and the mother feels pain in the wound, while the flat position is the most sensitive to the pain of uterine contraction, so the side position should be adopted, so that the body and the bed are at an angle of 20-30 degrees, and the quilt or blanket is placed behind the back to reduce the vibration and pulling pain of the incision when the body moves. (Does a cesarean section help a mother keep her body in shape?)
It is not advisable to lie still: after the recovery of consciousness after surgery, physical activities should be carried out. After 24 hours, you should practice turning over, sitting up and getting out of bed slowly, which can enhance gastrointestinal peristalsis and exhaust as early as possible, and also prevent embolism in other parts caused by intestinal adhesions and thrombosis.
It is not advisable to be too full: eating more after caesarean surgery can lead to abdominal distension and increased abdominal pressure, which should not be conducive to recovery. Therefore, you should fast within 6 hours after surgery, and gradually increase the amount of food later.
Timely defecation: After caesarean section, due to pain, the abdomen does not dare to force, the urine and stool can not be excreted in time, easy to cause urinary retention and constipation, so after surgery, the mother should be in accordance with the usual habits of timely defecation.
Prevent cold: cold and cough can affect wound healing and can even cause incision tears. Women who have already had a cold should take medication in time.
In addition, make sure the abdominal incision and perineum are clean, do not scratch when itchy, and do not scrub with unclean objects.
Advantages of caesarean section
1.When vaginal delivery is absolutely impossible for some reasons, cesarean section can save the life of mother and baby. If vaginal delivery is not possible, or if vaginal delivery may be dangerous for the mother or the newborn (fetus), a cesarean section is necessary. In which cases does a pregnant woman need to undergo a cesarean section in order for the mother and child to have a satisfactory outcome? These special circumstances are the indications for cesarean section that we often refer to.
2. The indications for cesarean section are clear and the anesthesia and surgery are generally smooth.
3. If an elective cesarean section is performed, the operation is performed before the contractions start and the mother is spared the pain of the bout.
If there are other diseases in the abdominal cavity, they can be treated together, such as combined ovarian tumors or subplasmic fibroids, which can be removed at the same time.
5.It is also convenient to do ligation surgery.
6.For cases where the uterus should not be preserved, such as severe infection, incomplete uterine rupture, multiple fibroids, etc., the uterus can also be removed at the same time.
7, due to the improvement of the safety of caesarean section in recent years, many pregnancy complications and pregnancy complications of the interruption of pregnancy, clinicians choose caesarean section, reducing the impact of complications and comorbidities on the mother and child.
Disadvantages of cesarean section
1. Cesarean section is mentally and physically traumatic for the mother. Many people feel that cesarean delivery will be easy because they do not have to go through dilation of the birth canal and wish to choose this method of delivery. In fact, caesarean section is already a kind of surgery, there are corresponding dangers, it is best to choose carefully. Although anesthesia accidents during surgery are rare, they can happen.
3, hemorrhage and side injuries may occur during surgery, damage to other organs in the abdomen, and postoperative complications of the urinary, cardiovascular, respiratory and other systems may occur.
4.Immediate or safe during surgery, but poor healing of the uterine incision, late postpartum bleeding, formation of sinus tracts in the abdominal wall, and long-term non-healing of the incision may occur after surgery. Intestinal adhesions or endometriosis, etc.
5.The recovery of the uterus and the whole body after surgery is slower than that of natural delivery.
6, when the pregnancy and delivery again, there is a risk of rupture from the atomic uterine incision, and uterine rupture, if the original incision is not healed well, the delivery also needs to be cut again, so it causes long-term adverse effects.
7, cesarean section of the newborn, there is a possibility of respiratory distress syndrome.
8, cesarean section of the newborn because of the lack of extrusion and birth canal bacteria, direct contact with the outside world, the natural immunity will be worse than the breast-fed infants. Therefore, mothers try to choose breastfeeding after cesarean section, such as can not be achieved, to choose a formula containing probiotics, to help the baby build their own immunity, to reduce the chances of baby disease.
9, after cesarean section, if you want to get pregnant again, at least two years later.
About normal delivery
Normal birth is a type of delivery. It is much better than a cesarean section, at least it is still intact and without defects after birth. This is a great temptation for women who love beauty. A cesarean section is a surgical procedure that can cause damage to the mother. Examples include anesthesia accidents, intraoperative or postoperative bleeding, damage to the bladder, ureter, and intestinal tubes during surgery, and postoperative infections such as peritonitis and sepsis. The rate of postpartum hemorrhage is higher in cesarean section, the rate of puerperal infection is 10 to 20 times higher than that of vaginal delivery, and the maternal mortality rate is 5 times higher than that of vaginal delivery.
Advantages of normal delivery
1.Fast recovery after delivery. You can get out of bed and walk around on the day of delivery. Generally, you can be discharged from the hospital in 3-5 days, and the cost is less.
2. You can eat and breastfeed immediately after delivery.
3.Only perineal wound.
4.Less complications.
5.For the baby, the pulmonary function is exercised from the birth canal, the skin nerve endings are massaged by stimulation, its nervous and sensory system is better developed, and the development of the whole body functions is better.
6.The abdomen recovers quickly and can quickly recover the original flatness.
7.The child’s nerves will not be harmed because of anesthetics.
Disadvantages of normal delivery
1.Premature labor pains, but painless delivery is possible to avoid labor pains.
2.Sudden situation during vaginal birth.
3.Vaginal looseness, but can be avoided by postpartum exercise.
4.The sequelae of pelvic cavity uterine bladder prolapse.
5.After vaginal birth, it can hurt the perineal tissue and even cause infection or hematoma in the vulva.
6.Postpartum bleeding may occur due to poor contraction of the uterus. If postpartum bleeding is uncontrollable, emergency caesarean section is required. In serious cases, the uterus may need to be removed and even life threatening.
7.Postpartum infection or puerperal fever may occur; especially if the water breaks early and the labor process is prolonged.
8.Emergency delivery (less than two hours of labor) will occur. Especially for menstruating mothers and patients with loose cervix.
9.If the fetus is difficult to deliver or the mother’s energy is exhausted, the fetus will be swollen in the head if the mother needs to use forceps or vacuum suction to assist the delivery.
10.The fetus is too heavy, which can easily cause difficult shoulder delivery and can lead to clavicle fracture or brachial plexus injury in the newborn.
11.The production of fetal stool in the amniotic fluid can lead to fetal stool aspiration syndrome in newborns.
12, the fetus in the uterus accident; such as umbilical cord around the neck, knot or prolapse and other phenomena.
13.Embolism of amniotic fluid, which occurs without warning. It cannot be avoided even by cesarean section.