How should you prepare for a planned caesarean section?
First of all, morally. The woman should, having rejected all emotions and excitements, calm down and be adjusted only to the best. It is necessary to trust your doctor (in fact for him, unlike the patient, this is not the first, but "official" operation) and rejoice that very soon the long-awaited baby will sweetly sing alongside. If all the same unrest is very strong, it is worth talking to her husband, friend, or even a psychologist.
When the date of the operation is very close, for 1-2 weeks, the future mother, having collected everything necessary, goes to the maternity hospital. This is necessary in order to carry out a thorough evaluation of the fetus (ultrasound and cardiotocography), as well as the mother (blood and urine tests, purity of the vagina (a swab is given)). In addition, even if the woman has already done such tests, she will still take blood for blood type and Rh factor. If doctors detect any abnormalities, the woman will undergo medical treatment.
The doctor will also set the exact date of the operation. As a rule, this day is chosen as close as possible to the expected date of birth, taking into account the condition of the woman and the fetus, as well as the wishes of the future mother. Sometimes, if nothing prevents both the condition of both the mother and the child, so that they do not stay in the hospital for a long time, the examination can be completed before hospitalization, and enter the hospital the day before the planned cesarean section, or even directly into the hospital. day of operation.
What happens on the day of the planned caesarean section operation?
As a rule, such operations are conducted in the morning. Less often - in the afternoon. Therefore, in the evening, a woman should take a shower and, if necessary, shave her pubic hair. The food a woman takes for dinner should be light. In the morning, you can not eat at all. In the hospital, a nurse will help to make an enema so that, like before any cavitary operation, cleanse the intestines.
After that, a woman will be interviewed by an anesthesiologist, who will talk about what will happen to her during the operation in terms of anesthesia. Most likely, it will be spinal anesthesia, that is, when the operation is performed under the woman's consciousness. But, if there are any contraindications, the patient will be offered a general anesthesia. Consent to the operation and a certain type of anesthesia is recorded in writing.
How is the planned operation of cesarean section
Shoe covers and a cap are given before entering the operating room, and also ask to wear elastic bandages. The latter are necessary to protect a woman from the development of thrombosis. On the table, the woman lies naked. First, the anesthesiologist enters the medication, then the medical staff puts a dropper and connects the device to measure blood pressure. A urinary catheter is also installed. When all this is ready, the place where the incision will be performed is treated with an antiseptic drug.
As between the face of the woman and the place of operation a screen is installed, next to her, if the woman is conscious, there can be a native person: husband, mother, girlfriend. However, this practice is not allowed in all maternity homes, so about the opportunity to attend a "support group" on such births need to be specified in advance.
The very procedure of extracting a child lasts no more than 10 minutes. This time is enough to cut the abdominal wall and uterus, get the baby and cut the umbilical cord. Then the "cleaning" begins. The doctor separates the placenta, examines the cavity of the uterus and sutures it. Then he puts a seam on the abdominal wall. This seam is treated and a bandage is applied. Top - bubble with iceth. This will reduce bleeding and stimulate uterine contractions. This ends the operation, and the newly mum is transferred to the intensive care unit.
In the intensive care unit, a woman is under the scrutiny of doctors. To quickly recover, recover from surgery and avoid various complications, she is injected with various drugs. First of all, it's antibiotics and various painkillers. The latter begin to enter, as soon as the effect of anesthesia ceases. To normalize the functioning of the gastrointestinal tract, as well as the best reduction of muscle tissue, the uterus is also given the necessary medications. And to make up for the loss of fluid in the body of the newly mum injected physiological solution. At first, a woman can feel pain in the lower abdomen, general weakness, dizziness. Chills and an increased thirst can occur.
In the first 6-8 hours the patient can not but get up, but even sit down. At the end of this time, with the help of relatives or medical personnel you can sit on the bed. The ration of the "operated mother" is not particularly chic. First, in the first day, you can drink only water. Already on the second you can treat yourself to low-fat chicken broth (when cooking the first water drain) and liquid porridges (especially oatmeal). The so-called "normal" food can be consumed from the third week, and for now it is necessary to love and diet food.
In a day, a woman from the intensive care unit is transferred to the postpartum department. There she is with the baby. If there is no kind of complication, the mother can easily cope with simple tasks: feed the child, wash it, change it. But, even if the state of health is good, you should not overstrain yourself.
Approximately 2-3 days after the planned cesarean section, stop anesthesia. But the area of ??the stitch is treated every day with a disinfectant solution. Sometimes a woman has problems with the intestines. In such cases, the doctor prescribes laxatives. It can be both a habitual enema and glycerin suppositories. After 4-6 days a woman needs to take blood and urine tests, conduct an ultrasound scan of the scar, the uterus, and also the appendages and adjacent organs. The gynecologist will conduct an external examination to make sure that everything is in order. If there are no complaints about the state of health of the mother and baby, approximately through them will write out home.
Behavior of a woman at home after PKC
Being at home, such a woman needs help especially, because she is simply not allowed to perform a lot of work. Especially you need to think about the assistant if the family already has a child. If the oldest is 2-3 years old, he will demand mother's attention and care with extreme persistence. A woman should try to pay attention to the first child, avoiding taking him in her arms. It is especially contraindicated to be nervous.
Going to a more familiar diet, you still need to monitor the diet. In this regard, you should consult not only with your doctor, but also with a pediatrician.
After a planned cesarean section in 1-2 weeks you can take a shower. But the bath (not hot!) - only after 1, 5 months.
It is necessary to explain to her husband that, at least for 2 months, a woman is contraindicated in heavy physical activities and sex. Last but not least, you need to think about contraception. The next pregnancy can be planned not earlier than in 2 years.