If the expected date of delivery is not up, but there is no fasting, can I have a caesarean section?

Tell me about my friend's case: she had a caesarean section. At that time, it was because the baby's umbilical cord wrapped around the neck twice and the fetal head did not fall off, so it was urgently transferred to caesarean section. At first, she tried to give birth naturally, and she also ate a lot of things on the way, such as chocolate, egg soup and noodles. Fortunately, there was nothing unusual after the operation, and I waited for the exhaust to eat.

Sima, my wound is smooth, too. At that time, my mother-in-law kept urging me to eat more because I had to recharge my batteries in the hospital. After I went to the delivery room, I was also trying to cooperate with the doctor, but the baby just didn't want to come out. Finally, the fetus was deprived of oxygen and had to switch to caesarean section.

Therefore, it is possible to have a caesarean section without fasting, but at that time, the situation was more dangerous, and the doctor would distinguish the importance, so for the safety of mother and child, a caesarean section was necessary. If it is a planned caesarean section, it is absolutely necessary to fast and cooperate.

Why do you fast before caesarean section?

1. vomiting

Caesarean section was performed under anesthesia. Because of the influence of anesthetics, some pregnant mothers will have vomiting symptoms. However, if the pregnant mother does not fast, these vomits will block the trachea at any time, causing suffocation.

2. Intestinal adhesion

If there is no fasting before caesarean section and there is food in the stomach, it is easy to cause intestinal adhesion and intestinal infection after caesarean section because the food is not digested and emptied.

3. Wait for exhaust after caesarean section.

After caesarean section, wait for the exhaust before eating. If you eat too much, it is likely to aggravate the difficulty of exhaust and affect the recovery of the maternal body. If you can't exhaust after delivery, you can't eat. It is very painful for mother to endure the pain of the wound when she is hungry.

Therefore, if you are going to have a caesarean section, you must follow the doctor's advice and abstain from food and water for 8 hours before operation, so as not to affect the operation process.

That's my answer, I hope I can help you!

Two weeks before and after the expected date of delivery is a full-term baby. As for the topic of no fasting before cesarean section, this is generally only applicable to emergency cesarean section.

The so-called emergency cesarean section refers to a way that has threatened the safety of mother and baby and needs to race against time to deliver the fetus. Mainly includes the following:

Class L cesarean section: the fetus is in distress in the uterus, or the mother has umbilical cord prolapse, placental abruption, or massive hemorrhage of placenta previa. These situations require emergency cesarean section, also known as L-shaped cesarean section.

Class II cesarean section: Class II cesarean section refers to the high risk of mother and baby, but it does not endanger the life safety of mother and baby. For example, if the parturient mother has pregnancy-induced hypertension, amniotic fluid pollution, asymmetry of the head and pelvis is found at the beginning of delivery, or the labor process is stagnant during natural delivery, then cesarean section should also be prepared.

There are other classifications of lll and lv, which are not as urgent as the first two, so I will not introduce them here.

The emergence of emergency cesarean section is an emergency, and it is normal not to fast.

Generally speaking, cesarean section requires fasting for 6 8 hours before operation, and the minimum water ban is 4 hours. The main purpose of fasting is to prevent nausea and vomiting during maternal surgery and avoid maternal aspiration.

When having an emergency cesarean section, there is no problem of fasting. Because it is an emergency, under the premise of considering the safety of mother and baby, anesthesiologists will also have some special treatments during anesthesia.

Generally speaking, the parturient is less than 6 8 hours on an empty stomach, and the anesthesiologist will treat the parturient as a complete patient. Before the formal anesthesia operation, the doctor will prepare an aspirator and add sedative or hypnotic drugs if necessary, but this requires the prior informed consent of the mother and her family.

In short: it is normal for a baby to give birth prematurely before the expected date of delivery, not an emergency cesarean section. Only when the parturient meets the above12 emergency cesarean section indications, emergency cesarean section is needed. As for whether to fast or not, the parturient need not worry, and the anesthesiologist will find a way to deal with it.

If caesarean section can't complete delivery for various reasons, it is usually recommended to perform surgery a few days in advance. There are still a few days before the expected date of delivery, and the problem is not big, which has no effect on the fetus. After all, more than 37 weeks is a full-term baby, and the baby close to the expected date of delivery is mature.

Do you need to fast before caesarean section?

Before caesarean section, you must fast for 6~8 hours, and ban water 4 hours in advance. If you are really thirsty, you can wet your throat with saliva.

If the expected date of delivery is not up, but there is no fasting, can I have a caesarean section?

Generally speaking, doctors will advise mothers with indications of caesarean section to have caesarean section at 38-39 weeks of pregnancy, but some mothers have signs of labor before the expected date of delivery. If the fetus and pregnant woman are in critical condition, the doctor will take an emergency caesarean section.

What are the hazards of not fasting pregnant women by caesarean section?

1. Nausea and vomiting. Caesarean doctors require pregnant women to fast for 8- 10 hours and try not to eat at 8- 10 in the evening, which is also to ensure the smooth operation. Otherwise, pregnant women will have a caesarean section after eating, and under the action of anesthetic, the mother will be particularly uncomfortable and vomit.

2. Intestinal adhesion. Prenatal eating of pregnant women will lead to abnormal adhesion between intestinal tubes, and even lead to intestinal obstruction of pregnant women.

3. Poor breathing. Pregnant women have undigested food in their stomachs. During the operation, gastric acid is easy to reflux. After being anesthetized, pregnant women can't cough up obstruction smoothly, which may easily lead to dyspnea and even suffocation. Moreover, the residue is easily inhaled into the lungs by pregnant women, threatening the safety of pregnant women and fetuses.

Pregnant women have not fasted, can they have a caesarean section?

If the pregnant woman bleeds or the fetal heart rate drops, then an emergency caesarean section is needed. At this time, even if the pregnant woman has eaten before, the doctor can't control it. After all, in a pinch, you must save a life first.

If the pregnant woman is only physically tired and has weak contractions, but the fetus is in good condition, then the doctor will ask the pregnant woman to fast for at least 4 hours, or suck the food out of her stomach on an empty stomach.

Although caesarean section requires maternal fasting, in the case of emergency caesarean section, doctors will also observe the situation of maternal and fetus. After all, it is rare for pregnant women not to fast for intestinal adhesion or complications, so don't worry too much. Everything is subject to the doctor's decision.

T: If the due date is not up, but there is no fasting, can I have a caesarean section?

In reality, you must have encountered or considered such a thing: a pregnant woman in labor is trying to eat hard food to make herself more energetic for natural delivery. Results She needed an emergency caesarean section in an emergency, but in our common sense and the doctor's advice for pregnant women with caesarean section, she should fast for at least 6-8 hours before caesarean section.

So when the theory conflicts with the reality, can we have an emergency caesarean section without fasting?

Reasons for fasting before caesarean section

Anesthesia is needed before caesarean section. According to individual circumstances, there are spinal/epidural anesthesia or general anesthesia. The main purpose of fasting water is to prevent pregnant women from nausea and vomiting because of full stomach, and then the possibility of aspiration. At the same time, fasting water is also for pregnant women to have better comfort during caesarean section.

During pregnancy, the expanding uterus occupies most of the abdominal space of pregnant women, which makes the stomach support very high and slows down the emptying speed of the stomach. Therefore, pregnant women are also very likely to be full (eat a little), so the risk of inhaling vomit into the lungs by mistake is higher, threatening the lives of mother and child.

Anesthesia mode of caesarean section

Clinically, spinal anesthesia/epidural anesthesia is the main anesthesia method for anterograde cesarean section. Only a few pregnant women may need general anesthesia, but no matter which anesthesia method, they still need 6-8 hours of water fasting in China.

What should I do if I ate something before emergency laparotomy?

If the maternal and fetal signs are temporarily stable, it is not necessary to complete the operation in a few minutes: you can wait for a while and make more adequate preoperative preparation and anesthesia;

If the situation is urgent, but pregnant women don't eat much: as long as a few biscuits or chocolate or a little red bull, spinal anesthesia/epidural anesthesia can be preferred according to the doctor's judgment, so that pregnant women can always stay awake during the operation and keep the airway reflex normal, that is, foreign bodies can be discharged in time when vomiting; Or give some drugs to prevent nausea and vomiting to reduce the chance of vomiting;

If the pregnant woman vomits a lot during the operation, it may lead to aspiration by mistake. Anesthesiologists should carry out emergency general anesthesia according to their own judgment, and tracheal intubation should protect the airway to achieve life first.

If the situation is urgent but the pregnant woman eats a lot of food, she should empty her stomach, induce vomiting or insert a gastric tube;

If the situation is very urgent, such as uterine rupture, placental abruption, severe turbidity of amniotic fluid and other fatal situations, medical staff will take local anesthetics with quick effect, such as inhalation or intravenous anesthesia, and take the fetus out within a few minutes to save the lives of the fetus and the mother, while the probability of aspiration and food reflux is temporarily ignored;

Therefore, pregnant women who are in labor do not have to be in labor. Even if there is an emergency, the improvement of medical technology now makes the survival rate of mother and baby higher and higher. For those who have been diagnosed with caesarean section, it is best to give up drinking for 6-8 hours according to the doctor's advice, and wet your mouth with water when you are thirsty, instead of drinking water in big gulps.

We anesthesiologists have always encountered an embarrassing phenomenon, that is, we require pregnant women to fast for 6-8 hours before cesarean section, but most pregnant women will eat extra food to increase their physical strength before delivery.

The next question is, can pregnant women have caesarean section? Can you give me anesthesia?

... amniotic fluid embolism rescue ...

The problem of fasting of lying-in women

Because lying-in women are different from normal people, they need more energy and eat more. The emptying time of the stomach will be prolonged, and the moral peristalsis of the gastrointestinal tract will also be affected, so most cases should be treated as satiety.

Whether it is passive or active, women who need cesarean section should not eat before going to the hospital. After arriving at the hospital, you must consult an obstetrician about how to eat and prepare for the next cesarean section.

For pregnant women who go to the hospital for trial delivery, if the conditions for trial delivery are ideal, they can eat normally under the guidance of obstetricians. However, pregnant women with poor experimental conditions need to eat correctly, eat less indigestible and easy-to-empty food, and eat more easy-to-empty high-energy food to prepare for cesarean section at any time.

Whether the parturient eats or not, our anesthesiologists will treat the parturient as a patient with a full stomach. After all, there are more cases of lying-in women vomiting than other patients. Preventing vomiting and aspiration is an important step in cesarean section anesthesia.

For women who give birth painlessly, our advice is not to eat a lot of food that is not easy to digest and empty.

Cesarean anesthesia without fasting

In some smaller hospitals, or even some larger hospitals, some anesthesiologists may be afraid to give anesthesia to pregnant women, so we occasionally hear that some pregnant women have local anesthesia for cesarean section after eating, which is really heartbreaking.

For pregnant women, you can actually choose spinal anesthesia (semi-anesthesia). Anesthesiologists should control the patient's anesthesia level and blood pressure, reduce the use of opioid analgesics and drugs that increase vomiting, so that the probability of vomiting in pregnant women will be relatively small, and it is not easy for sober pregnant women to vomit and inhale by mistake. Therefore, semi-anesthesia of pregnant women is basically safe, but it is a little more dangerous than that of women on an empty stomach. On the whole, don't worry.

... obesity is the enemy of anesthesia ...

For pregnant women, the risk of general anesthesia will be greater. Because most pregnant women are obese, it is relatively difficult to supply oxygen to the mask, and some gases easily enter the stomach, thus increasing the pressure on the stomach and causing food reflux and aspiration; In addition, fetal oppression of gastrointestinal tract will greatly increase the risk of vomiting and aspiration during general anesthesia. Therefore, in an emergency, especially in the evening emergency, special attention should be paid to the general anesthesia operation of cesarean section for pregnant women. Be sure to tell the anesthesiologist what the parturient ate. Let's face it seriously together.

Other effects after anesthesia for full cesarean section

We all know that the common problems of lying-in women are pain, vomiting, difficulty in defecation and so on. Anesthesia will slow down the gastrointestinal peristalsis of the parturient, and the operation itself will also reduce the gastrointestinal function. However, maternal physical activity and gastrointestinal function will be reduced due to pain, and multiple factors will lead to abdominal distension, abdominal pain, vomiting and constipation. These are not conducive to maternal physical recovery. For lying-in women, eating is a knowledge, so we should study hard.

... don't enter the ICU because of carelessness ...

abstract

From my clinical experience, almost all cesarean section women who vomited during the operation did not fast correctly, but there was no case of serious aspiration due to cesarean section in our hospital. Personally, I will never refuse to give anesthesia to pregnant women, but the anesthesiologist must do a good job of intervention.

Pregnant women can have cesarean section, but for better and faster recovery, please follow the advice of obstetricians or anesthesiologists and eat correctly and scientifically.

With the popularization of popular science, many treasure mothers should know that they need intestinal preparation the day before operation, and generally fast after 10 pm before operation. That's right, it is convenient to manage the gastrointestinal tract, and it also avoids vomiting caused by anesthesia during the operation the next day, so that food in the stomach enters the airway, which is what we call aspiration.

If the due date is not up, but there is no fasting, can I have a caesarean section?

The answer is yes. If there is a precious mother who needs an emergency cesarean section, there is no need to fast. To make a more appropriate analogy, a baby mother is giving birth, and there is no obvious progress in the labor process after several hours. Vaginal examination showed that the cervix was open for 6cm4 hours, the fetal position was LOP (occipital posterior position), the spine was exposed 2cm, the tumor was 3*5cm, and the skull was overlapped. Considering the asymmetry between the head and pelvis, an emergency cesarean section is needed. At this time, pregnancy can only be terminated by emergency cesarean section, which does not mean that it will not lead to aspiration, but there is no way at present. If cesarean section is not performed at this time, it will lead to other more serious complications.

To sum up, intestinal preparation is often needed before planned cesarean section, but it is not necessary for emergency operation, because there is no event preparation at all, so the risk of emergency cesarean section will be greater than that of elective cesarean section. Good luck with your pregnancy.

Just had a caesarean section for 27 days. I didn't fast. Of course, I had an emergency caesarean section.

In the morning, the doctor asked the hospital to observe and naturally began. After noon 12, the blood test showed that the bile acid level was 0.0 1. The doctor suggested induced labor, so oxytocin began to drip after lunch 1 point. My mother always told me to eat more and save my strength, fearing that I would lose my strength when I was born, so I began to eat fruit snacks from noon 1 p.m. Anyway, my mouth is not idle. I ate two egg tarts and a loaf of bread around 4 pm. Results At about 4: 30, the fetal monitor showed that the fetal heart suddenly fell off. The doctor suggested caesarean section, entering the operating room a few minutes after five o'clock, disinfection and intubation anesthesia. The doctor hurried to speed up and the baby was born at 5: 30. Fortunately, mother and daughter are safe.

When I was preparing for the operation, I said I ate something, just a loaf of bread and two egg tarts. The attending doctor said it doesn't matter, and now I can't care so much. The fetal heart rate is abnormal.

In short, go to the hospital and listen to the doctor.

I just didn't move after the due date, and then I took an injection of oxytocin and ate it while playing. Later, the baby's fetal heart went bad. The doctor said to have a caesarean section quickly. The feeling during the operation … fresh in my memory, I can't move my lower body, and I feel sick in my mouth. The doctor actually cut open my stomach and asked me if it hurt. I said no, he said yes, no. Now the operation has started, and then he said that my stomach is full of meat. There was a feeling that I was going to die, and then the doctor pressed it, and suddenly the child cried, and my tears came out. Then tell me the time, show me it's my daughter, and then I get dressed and carry it out. I sewed it in the operating room, but it's actually fine. It's just that the child was so uncomfortable when he came out, and he took a few pills in the middle. I don't know what that is. Now my daughter is one year old and over two months old.

If the expected date of delivery is not up, but there is no fasting, can I have a caesarean section?

This question can be answered in two sentences: "it is urgent" and "the lesser of the two evils".

Let's first understand the reasons why caesarean section needs fasting.

1. Eating before delivery by caesarean section may cause aspiration pneumonia or even asphyxia.

The influence of anesthetic and the stimulation of internal organs may cause vomiting by caesarean section. If you eat before delivery, vomit may block the respiratory tract and lead to suffocation. At the same time, vomit and strongly acidic gastric juice may cause aspiration pneumonia and even respiratory failure once they are sucked back into the lungs by the abdomen.

Under normal circumstances, pregnant women under general anesthesia are unconscious and prone to aspiration. Semi-anesthetized pregnant women are more conscious, so this phenomenon is unlikely to occur, but once the semi-anesthesia effect is not very good, problems may occur.

2. Prenatal feeding by caesarean section may lead to intestinal adhesion.

Prenatal eating can easily lead to flatulence, and moving the intestine during caesarean section can easily lead to accidental injury of the intestine and adhesion between the intestines.

Therefore, in order to be safe, it is generally required to fast for at least 6 8 hours before caesarean section.

The "urgent task"-the requirement of prenatal fasting for caesarean section, should make concessions for the life safety of pregnant women and fetuses.

There is an old saying in China that "everything is urgent", which means that when things are urgent, we should make some changes according to the situation and not stick to dogma.

There is a kind of caesarean section called emergency caesarean section, which refers to the situation that the life safety of pregnant women and fetuses is in crisis and the fetuses must be taken out by caesarean section immediately to save the lives of pregnant women and fetuses.

For example, serious fetal distress, umbilical cord prolapse, serious amniotic fluid pollution, uterine rupture, maternal bleeding and other conditions will seriously endanger the lives of pregnant women and fetuses, and emergency caesarean section must be carried out. In front of life, the small probability of aspiration pneumonia and intestinal adhesion caused by fasting can be ignored.

If the situation is not as serious as emergency caesarean section, but you can't wait for fasting for so long, and pregnant women eat a lot, you can choose to induce vomiting to reduce the harm of fasting.

Rules are dead, people are alive, emergency and life safety are always the first, and the rule of fasting by caesarean section is sidelined.

"The lesser of two evils"-the doctor will evaluate the risk of immediate caesarean section and waiting for fasting, and choose the one that is more beneficial to pregnant women and fetuses.

In addition to some cases of emergency caesarean section, there are often some cases that may not be so urgent:

Pregnant women have no indication of natural delivery, so they can only choose caesarean section and start it in advance before the agreed caesarean section time;

During the natural delivery of pregnant women, the uterine opening is delayed, the induced labor is useless, the labor process cannot continue, or the fetal heart rate is abnormal.

In this case, pregnant women should tell their doctors their food intake realistically, and doctors will evaluate whether direct surgery is more dangerous or waiting for fasting, and choose surgery that is better for pregnant women and fetuses and less dangerous. Such as vomiting, such as compromise, fasting for 3 hours to empty the stomach and so on.

In case of emergency, listen to the doctor, and I believe the doctor will make a more professional judgment.

To sum up, if the expected date of delivery is not reached, the doctor will choose direct caesarean section. If the pregnant woman and fetus are in good condition, the doctor may recommend fasting for several hours before caesarean section.