Pay attention to the warning signs of redness, swelling, heat and pain! How to properly care for caesarean section wounds?

Pay attention to the warning signs of redness, swelling, heat and pain! How to properly care for caesarean section wounds? "Once you have a caesarean section, you will have to have caesarean section for the rest of your life?", "A caesarean section is safer than a natural birth?", "Doctor, my caesarean section wound is red and swollen, is something wrong?" According to statistics, every 3 people in the country One of the mothers had a caesarean section. However, there are different opinions on the Internet about post-operative wound care. What details should be paid attention to to avoid wound suppuration and dehiscence, and try not to leave ugly scars? Hear what the experts do right.

Cesarean section, also known as emperor's incision, is a surgical operation to incise the mother's abdomen and uterus to deliver the baby. It is mostly used when the baby's fetal heart rate is unstable or the mother's body is endangered when the baby is about to be delivered. A caesarean section will be chosen only if there is life and health, or a caesarean section for the previous pregnancy. Cesarean section can be divided into emergency and non-urgent. The former includes fetal distress, umbilical cord prolapse, placenta previa with massive bleeding, early placental separation and dystocia; the latter is common when the fetus is in an abnormal fetal position and the mother's pelvic cavity is too small to allow the baby's head to pass. Giant baby, previous caesarean section, etc.

Wang Leming, director of the obstetrics and gynecology department of Wanfang Hospital, said that the incision position for caesarean section is two finger widths above the pubic bone, and can be divided into transverse and longitudinal incisions. The former is called a bikini incision, which is the most common and It has the highest acceptance rate because the incision is located at the edge of the vagina, so the scar can be hidden and less obvious; however, in emergency situations, a longitudinal incision must be made along the lower edge of the belly button to above the pubic bone, which is the fastest way to deliver the baby. .

Among the caesarean sections in which the lower uterine segment is incised, there is another type called "extraperitoneal caesarean section". Without opening the peritoneum or entering the abdominal cavity, the bladder can be pushed down to find the lower uterine segment. knife. Director Wang Leming emphasized: "The fetus delivered by extraperitoneal caesarean section should not be too large, otherwise the bladder may be ruptured if you are not careful. The advantage is that it can avoid adhesion and infection. This method will be recommended only when antibiotics are not developed in the early stage."

Generally speaking, the entire caesarean section procedure takes about 30 to 60 minutes. In an emergency caesarean section, the mother must quickly undergo general anesthesia. The fetus is usually born within 3 to 5 minutes. The rest of the time is mostly used to repair the uterine and abdominal wounds. The recovery period for a wound of 10 to 15 cm is about 1 week

If time permits, the doctor must assess the size of the child before the operation and use this as a basis for determining the size of the incision. For caesarean section wounds weighing more than 3700G About 10 to 15 centimeters. Director Wang Leming reminded that if the incision is too small, the doctor cannot catch the baby. If the incision is delayed for too long, the baby will be at risk of hypoxia, and the mother will suffer in vain during labor. Never do it for the sake of appearance. Sacrifice safety.

National health insurance stipulates that the hospital stay is 3 days for natural birth and 5 days for caesarean section. However, the wound recovery time for caesarean section depends on the nursing situation. Generally speaking, after epidermal wound surgery, the length of hospital stay is 3 days. It will slowly recover within about 1 week and can be restored within 2 weeks. As for the complete recovery of the uterine incision, it will take about half a year.

For moms who had a caesarean section, the main reason why there is a saying that "one caesarean section will require caesarean section for life" is that they are worried about uterine rupture. In early laparotomy, the abdomen is cut vertically from above the uterus. This is also The most vulnerable part of the uterus to rupture, "low lower segment transection" has been frequently used in recent years. The chance of uterine rupture in future childbirth is about 0.2%, so as long as the pelvis is wide enough, the fetus is of moderate size, and there are no other dangers that require a caesarean section In this case, mothers of second children can discuss with their doctors whether to give birth naturally.

Extended reading: Wound care, lochia removal, warm water sitz bath, quickly understand the key points of postpartum care. The wound should be kept dry and pay attention to redness, swelling, heat and pain.

How to take care of the wound after caesarean section? Director Wang Leming suggested that in order to prevent infection, avoid exposing the wound to water for 1 week. If the mother cannot help but want to take a bath, she can put a waterproof patch on the wound area, keep it dry, and disinfect it with betadine solution; 6 weeks after the operation Wound dressings containing hydrogel ingredients can be used to maintain the wound in a state conducive to epithelial cell migration and accelerate wound healing.

The existing dressing technology will automatically de-adhesive after absorbing wound exudate. Once it is found that it cannot fit properly, it should be replaced. After 6 weeks, a scar patch with stable adhesion can be used to closely adhere to the wound and provide appropriate dressing. Pressure, slow down the pressure on the skin near the scar, make the covered scar less likely to protrude and expand, and prevent scar formation.

Director Wang Leming emphasized: "If you find redness, swelling, burning, pain, foul-smelling discharge, and fever in the wound, it means there may be a bacterial infection. It is best to seek medical treatment as soon as possible. Do not apply medicine on your own or ignore it to avoid worsening of the wound." In addition, caesarean section may also cause intra-abdominal adhesion problems, which may cause gastrointestinal discomfort symptoms later on. There are also special anti-adhesion patches for intra-abdominal intestinal adhesion, hoping to reduce the incidence of adhesion. Artificial dressings help recovery and avoid scarring

During the wound healing process, fibroblasts in the skin layer will produce collagen and grow new scar tissue. At this time, if bacteria invade and cause infection and inflammation, it will prolong Wound healing time, in addition, excessive proliferation of collagen tissue will also leave scars on the wound. Director Wang Leming bluntly said that the beauty and ugliness of a wound, in principle, depend on the innate constitution and acquired care. How to choose artificial dressing? Generally speaking, cosmetic tape is used to prevent wound dehiscence. It can be used when the sutures have just been removed, but it should not exceed 2 weeks at most. If you want the wound to become thinner and flatter, you need to apply silicone sheet or scar removal gel and other dressings. Scars can be smoothed, and artificial skin can be used when there is tissue fluid in the wound. Director Wang Leming explained: "Artificial dressings are self-paid items, and there will be a price difference due to the material of the dressing and the composition of the coating. But generally speaking, the wound recovery with a dressing is better than without it." Use it well. ”

In addition, the congenital constitution will also affect the recovery situation. If you are born with a constitution of swollen feet, or are allergic to sutures, the wound scar will continue to proliferate, resulting in obvious The chance of scarring is higher. Director Wang Leming reminded that mothers after caesarean section can eat more high-protein foods such as fish to help the wound heal. They should avoid sexual foods before the wound recovers. Smoking and alcohol are considered contraband. It is recommended to eat confinement meals in the first two weeks. It is not advisable to eat food containing alcohol.