Caesarean section is a surgical procedure in which a newborn is removed from a woman's uterus through an incision in the front of the abdomen. This operation is resorted to if the pregnancy is complicated, and natural childbirth becomes dangerous for a woman.
The main indications for elective surgery are a high degree of myopia, severe forms of diabetes mellitus, Rh-conflict, abnormal fetal position, placenta previa and anatomically narrow pelvis of a pregnant woman. Also, the indication will be severe late toxicosis, the presence of scars on the uterus after previous operations and various abnormalities in the development of the uterus.
With a planned operation, a woman is sent to the hospital in advance. Directly on the day of the operation, all the necessary procedures (enema, shower) are carried out, in the morning you can not eat or drink. The caesarean section is performed under general anesthesia. If it is planned, then epidural anesthesia is often used, in which anesthetic medicine is injected into the spinal canal. After 10-15 minutes, sensitivity is lost below the injection site. At the request of the woman or for medical reasons, she can be given general anesthesia. The disadvantage of such anesthesia is that the woman is injected with several drugs in stages and the risk of complications for the child is higher. In addition, a woman will be able to see her baby only a few hours after birth.
With epidural anesthesia, the woman remains conscious and can immediately see the newborn
After anesthesia is given, the surgeon makes an incision in the skin and uterus, then he opens the fetal bladder and the baby is removed. In case of epidural anesthesia, the newborn is immediately shown to the mother. Next, the surgeon removes the placenta, ligates the vessels and sutures. At the same time, the nurse is given a dropper with a uterine-reducing drug. The whole operation, if it proceeds without complications, lasts 40-45 minutes.
Most often, a transverse incision is made, it heals well and subsequently is almost invisible
After the operation, the woman is under the supervision of doctors in the intensive care unit for 24 hours, where a dynamic measurement of blood pressure, pulse, control of the functioning of the bladder and the amount of discharge is carried out, pain relievers and antibiotics are prescribed. Then she is transferred to a regular ward, on the second day you can walk and breastfeed.
On the first day, nothing is allowed to eat, you can drink water, on the second day, liquid porridge and low-fat broth are allowed. Almost always, after the operation, problems arise with the stool, it is desirable that it be no later than 4-5 days, otherwise, due to the pressure of the intestines, the uterus will contract poorly. Sometimes the use of enemas or suppositories with glycerin is required. The stitches are usually removed on the 5th day, and after 6 days the mother and baby are discharged home.
For a faster recovery, a woman is recommended to wear a postpartum bandage, while the seam will be fixed more correctly, the muscles will tone up faster, and the excessive load will be removed from the spine. But you can't wear it all the time, since the muscles must work independently. It is also advisable to perform specific exercises for the muscles of the pelvis and perineum. To prevent inflammation, it is recommended to lubricate the seam with calendula ointment or tea tree oil 2 times a day.
