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Caesarean section nursing five steps, do a good job of postpartum mother less pain, wound recovery quickly, which five steps?
The day before, I was told to fast after 10 in the evening, and water was forbidden after 12 in the evening. I didn't know that the operation was scheduled for bed 5 in the afternoon until the next day. I didn't eat or drink all morning until 1 40 in the afternoon, when the little pusher in the operating room came to pick up people! Pee, go to bed, take nothing, and be pushed away. At that time, the old woman was still a little panicked! /kloc-0: 50, enter the operating room lobby and wait. At two o'clock sharp, I pushed into the operating room 1, and the preoperative preparation began:
1, skin preparation (prepared on the first day of admission)
2, playing anesthetic, so sour that I dare not even think about it. I curled up in the shape of a shrimp. The bed in the operating room is really narrow. ) The anesthesiologist told me that it would hurt a little, so I stabbed it five times with a * * * needle, saying that the bone seam was narrow and difficult to find. It still hurts after psychological preparation! After a while, I felt my ass was hot and my feet were numb!
3, insert the catheter, because the anesthetic has been played, there is no pain.
Before the surgeon comes, the anesthesiologist will pinch his thigh to ask if it hurts, and then pinch his collarbone. I can still feel it. When I feel the need for a knife, I will ask the anesthesiologist to pinch me again. The anesthesiologist said nothing. I'll try again before I start, but by this time I already feel the knife starting to cut away from my stomach!
The most painful thing in the whole process is that when holding the child, I feel that I can't get up in one breath, and the air in my chest is squeezed out. I couldn't help moaning after playing anesthetic. After two rounds of pressing, the baby was finally taken out at three o'clock. Tell me it's a girl!
6. Then start sewing, and you can feel the feeling of pulling. At this time, I suddenly felt sleepy, not particularly sleepy, and I couldn't open my eyes. The anesthesiologist comforted me and said, it doesn't matter. It's good for you to close your eyes and have a rest. But I still dare not sleep. I feel sleepy because I can't wake up when I sleep.
7. After a while, the baby came over and let me lean on my face and send it out.
8. After waiting for the operation to end at four o'clock, I was pushed back to the ward. On the way back, the nurse asked me which floor. At that time, I felt that my mind was blank and I couldn't remember it. After talking for a long time, it seems to be 12 floor!
Arrived at the ward at 9.4 10, and found family members waiting at the door of the delivery room downstairs. I was drunk, too. . .
10, all the messy instruments were plugged in, lying flat for 6 hours, not giving pillows, not drinking water for 2 hours after surgery, and so on. After giving birth to the baby, I naively thought it was nothing! Cry into a dog the next day
I didn't have anesthetic for the first two times, so I didn't feel pain. The third time, the sky suddenly fell, so that the nurses in the back were so scared when they came to see their stomachs that they told me to look at them without pressing them!
The next day, I pulled out my catheter and asked me to get out of bed and urinate within three hours. It took me a whole hour to get out of bed and walk to the toilet. Completely ineffective. Just being pulled up, the incision in the stomach began to ache faintly, like piling! I can't get up quickly. I feel like pulling when I relax. I finally moved to the bed little by little, and my feet couldn't reach the ground. I was particularly helpless at that moment, and I hated myself for why my legs were so short! Let my husband drag me forward one leg at a time, sweating with pain and dripping down my back. When I really stood up, I couldn't stand up straight and I couldn't walk out. I have a lot of runny nose and tears. I asked my husband why he wanted to have a baby, but the moment I saw the baby, I felt everything was worth it!
The most painful thing is not just getting out of bed for the first time after surgery. You can't eat without venting after the operation. After drinking rice soup for three days, people are even more virtual. Every time I get out of bed, I'm sweating like a pig! Radish soup had no effect, and the Simotang oral liquid prescribed by the doctor was not ventilated until the early morning of the third day.
Cesarean section without milk is another problem. The milk began to rise the night before discharge, and the next morning it was as hard as a stone, hot and painful, so you can't touch it! Contact the nurse at home before going home, alas. . .
It feels like having a baby is a series of levels. After this level, there is still the next level waiting for you. Fortunately, it's all over now, and it's slowly on the right track. The baby is an angel. The baby sleeps after eating, not noisy! Never bothered me during pregnancy, and I was so obedient when I was born. It's worthwhile to come out to play! Let's talk about how to care for the wound after caesarean section.
Four steps of caesarean section recovery
Step 1: Within 6 hours after delivery (6 hours after removing the pillow).
Fasting: After the operation, gas accumulates in the intestinal cavity, so you can't eat immediately.
Feeding: try to feed your baby colostrum, stimulate uterine contraction and inhibit bleeding through their sucking.
Posture: tilt your head to one side, lie flat, without a pillow.
Sandbag: press the abdomen to reduce bleeding.
Step 2: The first day after delivery (6 hours later)
Analgesia: After the anesthetic effect subsides, appropriate analgesia is needed.
Posture: Take a lateral position, with a quilt or blanket on the back, so that the body leans slightly at 20 ~ 30 degrees.
Eating: You can drink less water 6 hours after delivery and eat semi-liquid food the next day (but you can't drink milk or eat sugary food before exhausting).
Step 3: The first week after delivery.
Wound: Change dressing and remove stitches on time, and pay attention to the condition of the incision and surrounding skin.
Drinking water: drink plenty of water.
Diet: semi-liquid, every meal should be nutritious and easy to digest.
Defecation: Develop good habits, defecate in time, and don't put too much pressure on the abdomen.
Rubbing: This should be done before taking out stitches to avoid the wound contacting with water.
Step 4: After leaving the hospital and going home.
Observe lochia, pay attention to the wound, massage the uterus, prohibit sexual intercourse and exercise moderately.
Note: Postpartum psychological recovery should not be underestimated.
Mom needs to actively face the problems of obesity, loss of appetite, upset and loss, and don't have negative emotions.
Step 5: Abdomen in time after delivery.
Now I understand why so many treasure moms in the circle say that they want to use this artifact after childbirth! ! ! Haha, the artifact is very comfortable and convenient to wear, and it is not as troublesome as wrapping gauze. It is very convenient to feed and hold the baby. The happiest thing is that I have used the artifact for more than two months and lost 35 pounds. What a sister Lin who really fell from the world! In fact, losing weight is really not suitable for everyone. Since I am a mortal, I don't think I can stand the pain of losing weight, but every day all roads lead to Rome, which is not what I want!
Both my children were delivered by caesarean section.
Postpartum care is generally more important, so we must pay attention to:
1. Lie on your back 6 hours after operation, and press the wound with a salt bag in your abdomen. And need to massage the uterus regularly,
To promote the discharge of congestion.
Lying flat after operation can prevent headache and cough.
Pressing the wound with a salt bag can relieve the pain appropriately.
Prevent the wound from splitting.
You can drink a proper amount of water after 2.6 hours.
But be careful to put a nursing pad under your ass.
Press the uterus regularly.
Promote the smooth discharge of blood stasis in uterus.
3. Remove the catheter 24 hours after operation.
At this time, 2 to 3 hours after the catheter is pulled out,
Women should urinate by themselves,
Pay attention to getting out of bed and walking around.
Promote intestinal peristalsis and facilitate gas discharge.
You can eat smoothly. 、
4, breast care
After the parturient gets out of bed and walks around,
You need to apply a hot towel to your breasts.
Let the baby eat milk early.
Because colostrum is more precious to babies.
Early uterine aspiration can also promote uterine contraction.
It is also beneficial and harmless to the mother.
5, leg care
Because women rarely get out of bed and walk around,
Family members must regularly massage the legs for the parturient.
Or do an air massage or something.
Prevent varicose veins.
Caesarean section nursing five steps, do a good job of postpartum mother less pain, wound recovery quickly, which five steps?
Many pregnant mothers have to choose caesarean section for various reasons. Although the process of delivery is less painful than natural delivery, postpartum recovery is slow, and urinary, cardiovascular and respiratory complications will occur. Therefore, if you want to recover quickly after delivery, you must take scientific care and do these five steps well.
Nursing care after cesarean section
1. Pay attention to rest.
Due to the trauma after caesarean section and the effect of anesthetic drugs, new mothers usually feel very tired, so they should pay attention to bed rest at this time. New mothers who have had cesarean section under epidural anesthesia should rest in supine position after operation and change to semi-supine position after about 6 hours.
Step 2 avoid lying still
Generally speaking, you can exercise 6 hours after cesarean section. New mothers can do what they can, such as raising their legs, arms and waist, and don't pull the wound. If the body allows, you can start to practice turning over, promote the recovery of paralyzed intestinal muscle function as soon as possible, and let the gas in the intestine be discharged as soon as possible.
Get up early to participate in activities.
Generally, on the second day after operation, after the catheter is removed, in order to prevent intestinal adhesion and promote urination and lochia as soon as possible, the new mother can try to get out of bed and walk around with the edge of the bed. Getting out of bed after operation may be very painful, so you should pay attention to moving slowly. You'd better have family to help you. If you feel unwell such as fever, you should stop your activities immediately.
4. Pay attention to urinating.
After cesarean section, catheters are often placed in new mothers. Pay attention to urine volume and urine color. If there is hematuria or decreased urine volume, you should tell the medical staff in time.
5. Urine as early as possible to prevent urinary retention.
After pulling out the catheter, cesarean section women should actively prepare for urination, such as drinking more water, walking more, applying hot towels or hot water bottles to the lower abdomen, or turning on the faucet to promote urination by using the sound of water flow.
Cleaning and nursing of wound after cesarean section
1. Sterilize the wound.
Change the gauze and medicine at the wound regularly. When changing, first wipe the wound with 75% alcohol for disinfection. The new mother should also wipe the wound with 75% alcohol after bathing and clean it.
Itching is a normal phenomenon. Don't scratch with your hands. You can scrub around the wound with a sterile cotton swab dipped in 75% alcohol to stop itching.
2. 10 postpartum, try to avoid the wound from getting wet.
You can't take a bath before delivery 10 day to avoid wound infection and inflammation. New mothers sweat a lot after delivery, so they can often take a bath and change clothes to ensure cleanliness. /kloc-After 0/0 days, if the wound is healed without swelling or cracking, you can take a bath, but it won't take long.
3. The range of motion should not be too large
Caesarean section wounds are generally crossed. Avoid strenuous activities and less activities, but get out of bed regularly, gradually increase the amount of activities, do not lift heavy objects, avoid excessive stretching, pay attention to the backward movement, and avoid coughing and laughing. We should hold both sides of the knife edge with our hands, and it is best to take a slightly flexed posture when resting.
4. The situation that needs attention
Under normal circumstances, the wound will not feel too uncomfortable, but if there is exudate or pain, you need to inform the medical staff in time to deal with it. If you leave the hospital, you can use normal saline gauze to drain and rinse with normal saline, and at the same time increase the number of dressing changes. If exudation is serious, you should go to the hospital for treatment.
After anesthesia, the wound began to ache, and the pain was relieved after 2-3 days. If the pain continues to be abnormal, such as when the wound is red, swollen and hot, it is likely that the wound is inflamed and needs to be treated by a doctor in time.
5. Pay attention to postpartum diet conditioning
Eating more foods that are beneficial to wound recovery, within 1 week after delivery, can improve the quality of food in protein. Such as milk, eggs, etc. High protein can promote wound healing as soon as possible.
Eat more crude fiber food to prevent constipation and affect perineal wounds. When you are constipated, eating more bananas is beneficial to laxative. Postpartum new mothers can eat more foods rich in vitamins such as fruits, eggs, lean meat and skin, which can promote blood circulation and improve the metabolic function of epidermis, which is not only conducive to wound repair, but also can prevent scar itching.
In short, the nursing work after caesarean section is still very important, and there may be sequelae if you are not careful.
Within 6 hours after delivery
1. Go to the pillow and lie flat during postpartum rest, and tilt your head to one side to prevent postoperative headache and aspiration of vomit.
2. Early breastfeeding promotes uterine contraction and makes the wound recover as soon as possible.
3. Fasting for 6 hours after delivery. If you are thirsty, you can moisten your lips with a cotton swab dipped in water.
6-24 hours after delivery
1.6 hours later, you can go to the pillow and take a lateral position.
2. After the anesthetic passes through the neck, an analgesic pump can be used to relieve the pain.
3./kloc-After 0/2 hours, do physical activities with the help of family members. After 24 hours, you can practice turning over and sitting up, getting out of bed and moving slowly, and exhausting as soon as possible.
4. Urinate as soon as possible, usually 24 hours after delivery, unplug the catheter for 3-4 hours and try to urinate.
5. Pay attention to hygiene, change sanitary napkins frequently and keep them clean.
In the joy of welcoming the baby, the new mother should not forget to take good care of her body. Only by doing daily care can she recover as soon as possible and avoid leaving regrets in the future.
First of all, I am a second-born caesarean section mother. Now I am on the first 1 1 day of confinement. Personally, I think I am experienced in answering this question. First child, caesarean section, second child or caesarean section. I began to answer questions.
Step one. After getting off the operating table and returning to the ward, lie flat for six hours. Never use a pillow. Do not drink water for six hours. But if you are too thirsty, you can ask your family to dip some water in your mouth with a cotton swab. In the process of lying flat, your family can help you and your mother rub your feet. Your leg has been numb because of anesthesia, so hurry up and let it regain consciousness.
Step two. After lying flat for six hours, you can start to turn left and right in bed. Let you accelerate the exhaust. You can try stretching your legs. I flip. I'll make your intestines squirm, and then you can vent. You can't drink rice soup and porridge until you are exhausted.
Step three. The catheter will be pulled out the next day, and then the mother needs to get out of bed by herself. Don't be impatient when you get up, but get down slowly. You can sit up first. Then you must have family to support you, or you will faint! There is also a knife pain! If there is an analgesic pump. The next day, the incision didn't hurt much.
Step four. You can rest after getting out of bed, and then try to get out of bed. Start walking around. Make your stomach squirm.
Step five. The doctor will change your dressing when you are in hospital! You can disinfect yourself with iodophor when you get home.
I hope my answer is helpful to you. Thank you.
Use the tummy belt as soon as possible
Because in the process of cesarean section, the doctor will cut 7 layers of tissue to take out the fetus, but only the necessary 3 layers of tissue will be sutured after operation, and the wound will recover slowly. Therefore, after cesarean section 1 week or so, Ma Bao should put on the abdomen band as soon as possible, which can help stop bleeding and fix the wound, and is of great help to physical recovery. However, Ma Bao must polish his eyes when choosing a tummy belt, and choose one with strong breathability, which will not make the wound too stuffy, and the elastic fabric is not irritating, which will make Ma Bao more comfortable to wear.
Clean the wound correctly.
The incision of cesarean section is generally between 12- 15 cm, because the wound is relatively large, and poor postpartum care is easy to cause inflammation and infection. Therefore, after the operation, Ma Bao must pay attention to cleaning the incision, and can't directly touch the water for 3 days after the operation. You can gently wipe it with a medical cotton swab. However, after childbirth, Bao Ma has to nurse the baby, so it is necessary to clean the baby's limbs before feeding to prevent the wound from being contaminated when in contact with her mother. Ma Bao can also prepare some baby wipes. The ingredients are natural and mild, and will not cause irritation to the skin. Not only is it more hygienic to rub the baby's skin, but it can also be used by Ma Bao after delivery.
Stay on your side when you sleep.
After caesarean section, Ma Bao lies on his side as far as possible, except lying flat when pressing his abdomen that day. Because lying on the side can relieve the tension of abdominal muscles, prevent the incision from tearing, and also promote the discharge of lochia and help the body recover better. In addition, during postpartum recovery, try to avoid laughing and coughing, which are easy to tear the wound.
Don't scratch with your hands.
During the wound healing period, due to the continuous growth of muscle tissue, the wound will feel slightly itchy, which is a normal performance. But no matter how itchy the wound is, Ma Bao can't scratch it with his hands, because there are many bacteria on his hands, which can easily infect the wound. In addition, if Ma Bao moves too hard, there may be a risk of tearing the wound. In fact, when the wound itches, Ma Bao can wipe it with a cotton swab dipped in medical alcohol, which can effectively relieve itching.
Nursing care of caesarean section wound is not a trivial matter. If Ma Bao is too careless and ignores these details, it may lead to wound infection and terrible consequences.
Early activities
For Ma Bao, there will be a wound after caesarean section, and a little movement will be unbearable, but when pulling out the catheter the next day, you should exercise as soon as possible. For example, you can stretch your limbs in bed first, and then slowly try to get out of bed. The movements must be slow and gentle. You can sit by the bed for a while and try to get out of bed after dinner. Don't be afraid to go to the ground for fear of pulling the wound and causing pain. This is not only not conducive to postpartum recovery, but also causes venous thrombosis of lower limbs.
have a good rest
After giving birth, many relatives will visit the mother and newborn one after another. At this time, it should be agreed in advance not to disturb the rest of the mother too much. After delivery, maternal families should pay more attention to maternal health and avoid disturbing rest. Only a good rest can make the parturient recover better.
Watch your diet.
Pay special attention to the diet after caesarean section. Choose light and digestible food within two weeks after delivery, and you can also eat more things that promote breast milk. Don't give pregnant mothers too much tonic, which will also cause milk deposition and lochia. Make the body weaker, which is not conducive to recovery.
Open the milk early
After caesarean section, pregnant mothers should be allowed to feed their children in time. This can better promote the mother to secrete milk, and the baby's sucking demand is the strongest within half an hour after delivery. At this time, breastfeeding can also better promote Ma Bao's physical recovery.
Take care of the wound
Pay attention to prepare loose and comfortable clothes for Ma Bao. And don't make big moves after childbirth to reduce the pulling on the wound. And pay attention to choose the material of clothes, don't choose some inferior clothes that will lose hair, to prevent foreign bodies from entering the wound and causing infection.
Ma Bao can promote the recovery of the wound and body by doing the following things. She will be discharged from the hospital and go home in about a week, but Ma Bao should remember to pay attention to the cleaning of the wound and the daily care after returning home, so that Ma Bao can suffer less.
The pain in the early stage of caesarean section will be slightly lighter than that in natural delivery, but the subsequent recovery will be slower. Usually stay in hospital for about 5 to 6 days. During this week, the parturient should also take good care of her body, and some nursing points and precautions in a week must be known to the parturient and nursing staff to avoid improper nursing and slow recovery after delivery.
Matters needing attention on the first day of nursing 1. Pay more attention to uterine contraction and vaginal bleeding on the first day after caesarean section and within 6 hours after delivery. 2. After 6 hours of caesarean section, you can drink some exhaust soup, such as radish soup, and pay attention to replacing the puerperal. 3. On the first day after caesarean section, head leans to one side to avoid headache. No pillow, you can lie flat on the pillow after 6 hours. 4. After caesarean section 12 hours, the family should help the mother turn over and move her legs.
The next day, nursing precautions 1. After the catheter is pulled out, you can urinate in time to keep the vulva clean. 2, diet, you can eat rice soup, noodle soup and so on. And you can't drink milk or sugary food.
On the third day, nursing precautions 1. On the third day after delivery, the body basically adapted to the pain of contractions. At this time, the breast began to feel swollen slowly, so pay attention to the dredging of the breast. 2, pay attention to the baby's breast posture is correct, and the correct way of breastfeeding, should let the baby suck more, and promote the timely discharge of milk. On the fourth day, nursing precautions 1. It is still necessary to pay attention to the baby's breastfeeding situation and suck more milk for the baby to avoid improper feeding methods and breast damage. 2, insist on getting out of bed and walking more. At this time, the maternal body has recovered a lot. Although you can do many things, you still don't bend over to avoid low back pain. 3. Pay attention to the lochia.
On the fifth day, nursing precautions 1. On the fifth day, basically, the scar of the transverse incision will be removed or absorbed by the suction line. More attention should be paid to the care and disinfection of wounds in the later stage. 2. On the fifth day, there may be slight breast pain. At this time, let the baby smoke more, and at the same time help to reduce swelling.
Six or seven days' nursing precautions 1. Pay more attention to the cleaning and disinfection of wounds after returning home. 2, eat more foods rich in vitamin C and vitamin E, as well as high-protein foods to help pregnant women recover better. 3. Postpartum diet should follow the order of arrangement, adjustment and supplement for proper tonic and aftercare, and gradually tonic.
The parturient who delivered by caesarean section is still hard, especially in the first three days after delivery in the hospital. It's actually quite painful. Family members, especially the new father, must give more encouragement and care to the parturient.
After giving birth by caesarean section, the parturient should not only try to adapt to the hectic life of giving birth, but also endure the pain of wounds and abdomen and physical weakness. If you want to get a good recovery, you must get enough sleep in the first two weeks. The more you rest, the faster you will recover.
1, exhaust.
After caesarean section anesthesia, the exhaust proves that the stomach and intestines have slowly resumed operation, and then the mother can eat. Family members can help mother turn over, massage abdomen (also can promote uterine contraction, which is beneficial to uterine recovery) and promote exhaust. You can also boil water with white radish to help you get rid of gas. Most mothers will exhaust within 48 hours after delivery.
2. Early urination and defecation.
Remove the catheter on the second day after operation, and pay attention to defecation in time after extubation, preferably within 4 hours. Some mothers are worried about pulling the wound because it hurts, which is not conducive to recovery. In fact, bladder compression can easily lead to the phenomenon of mother's urinary retention. In addition to preventing urinary retention, timely urination can also prevent uterine contraction from being hindered by bladder swelling, thus affecting uterine recovery.
3. Diet.
Six hours after caesarean section, mother can eat liquid food without sugar and milk, but be careful not to eat too much at a time. You can eat semi-liquid food 12 hours after operation, and you can eat normally after exhaustion, but you should also eat light food that is easy to digest (such as porridge and cooked noodles) first, and eat less and more meals to avoid causing too much pressure on your stomach.
4. Get up early.
After 6-8 hours, you can turn over with the help of your family. The mother who had a caesarean section the next day can ask her family to help her walk slowly for three or four steps. Early exercise can promote blood circulation, help lochia excrete, stimulate uterine contraction, and be beneficial to uterine recovery. Lying in bed can take a deep breath, which will promote physical recovery and organ reset, and can also move your hands and feet.
5, wound care.
When I was in the hospital, the doctor would check the recovery of the wound every day to see if there was redness, induration and exudate. It takes 5-7 days to remove the stitches. Wounds must be disinfected and kept dry every day. When taking a bath, you can apply gauze or waterproof stickers to the wound to prevent water from going straight to the wound, and dry the water immediately after washing.
Don't rush to do housework after delivery, especially in the early stage of the second month. It's best not to lift any heavy objects except babies. You can do moderate exercise first, which will help strengthen your physical strength and avoid constipation and flatulence. If you want to recover faster, you should keep a happy mood, have a balanced diet and get enough sleep.
Tell me about your own experience. Bauer has been 4 months, and both children have been delivered by caesarean section. The boss will know less and suffer more. Bauer will be much better, 1, strictly according to the doctor's advice, according to the time the doctor said, fasting and drinking water before operation; 2. After the operation, lie flat and move gently according to the doctor's requirements; 3, exhaust as soon as possible 4, defecate as soon as possible 5, try not to eat too greasy 6, feed the child as soon as possible.
First, pay attention to wound hygiene to prevent infection.
Second, pay attention to rest, walk properly, and speed up wound healing.
Third, pay more attention to your diet. Some soups are helpful for wound healing, so you can drink more. Like black fish soup.
Fourth, it is not advisable to be too full and defecate in time.
Fifth, go to the hospital 42 days after delivery to check the wound healing.
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