The slogan of entering the operating room process

Full illustration of caesarean section scene record → enter the operating room to shoot, real presentation! Caesarean section, as a necessary medical means, often makes prospective parents feel strange and afraid! The interview team of "Baby and Mom" magazine exclusively went into the operating room of Taian Hospital to shoot the whole process, which made you feel like you were in a caesarean section! Step 1: Install the catheter, scrape it clean and lay sterile sheets. Qiu Murong, the nursing director in the waiting room of Taian Hospital, explained that fetal heart sounds would be heard before anesthesia. After the parturient is anesthetized, the nursing staff will help to install the catheter, scrape off part of the catheter, sterilize the operation site, and lay sterile sheets on the parturient to prepare for the operation.

Step 2: Confirm the identity and operation reason again. Next, the doctor enters the operating room to confirm whether the cause of caesarean section exists. Lin Peiying, director of Obstetrics and Gynecology Department of Tai 'an Hospital, stressed that if a pregnant woman who needs caesarean section because of abnormal fetal position turns negative on the operating table, she will communicate with her mother at this time, and she can decide to have caesarean section at her own expense or change to a natural delivery.

On the other hand, the doctor will reconfirm the patient's identity, doctor's identity, anesthesia method, reason and location with the mother before invasive medical treatment.

Step 3: Determine the role of anesthesia. Lai Yan Jun, head of anesthesia department of Tai 'an Hospital, said that before the formal operation, the anesthesiologist would first measure the anesthesia height, wipe the forehead and abdomen of the parturient with alcohol cotton, ask which side is cooler, and conduct a warm sensation blocking test. Because the height of the fetus in the stomach is close to the position from the top to the stomach, it is necessary to anesthetize the nerve plexus distribution of the sixth segment of the thoracic vertebra, that is, to feel numb under the costal margin, so that the mother will not feel obvious discomfort during the operation. After the temperature test is completed, the anesthesiologist will pinch the pain difference between the maternal arm and each skin segment below the costal margin to test whether the pain block has been achieved, and finally ask the maternal to try to lift her foot to test whether the motor nerve has also been blocked. Most sensory and motor nerves can be blocked simultaneously. Theoretically, the feet should not be lifted for the time being, and anesthesia is effective.

Obstetricians and gynecologists will clamp the skin with sharp clips before the operation to ensure that there is no pain before the operation begins.

Extended reading: semi-conscious after operation? ! Is anesthesia safe during childbirth?

Step 4: Go under the knife and enter the peritoneal cavity. The doctor will cut the subcutaneous tissue and muscle layer by layer to open the fascia and then enter the peritoneal cavity. First, open a small hole to touch it, and make sure it doesn't stick to your hands and the bladder is not very high. Then you can open the wound and put in equipment to open the wound. Gauze and gauze towels will be placed on both sides of the uterus so that blood, amniotic fluid and meconium will not flow into the abdominal cavity after flowing out.

Step 5: Cut the uterus and give birth to the baby. Then, cut the uterus and give birth to the baby. The baby is born with amniotic fluid, so the doctor will suck amniotic fluid from the baby's body and nose and confirm whether it is a boy or a girl. If mommy takes a look at the baby, she will give it to the delivery room nurse to take care of the newborn immediately.

Step 6: cut the umbilical cord, take out the full picture of the placental caesarean section site record → enter the operating room to shoot, and present it truly! Step 7: Suture the uterus and then sew the uterine muscles layer by layer. Director Lin Peiying said that the standard process is to sew two layers.

Step 8: Put in the anti-sticking sheet. Anti-sticking sheet is a self-funded project. If a pregnant woman buys an anti-adhesion patch at her own expense, it will be put in after the uterus is sutured. Director Lin Peiying emphasized that if parturients have caesarean section due to infection, and if they have fever due to intrauterine inflammation, they tend not to stick anti-sticking patches to avoid additional risk of infection.

Further reading: planning caesarean section must look at the methods of postoperative recovery, pain relief and scar prevention. You can't get out of bed without fear of postpartum pain!

Step 9: Suture the abdomen. There are many ways to sew the belly, such as nailing and three-second glue. Director Lin Peiying is used to sewing the abdomen with a thread that can be absorbed by the human body. Different ways have different opinions, as long as doctors communicate well with pregnant women.

Step 10: Cover the wound with gauze or dressing.

After abdominal suture, the doctor covers the wound with gauze or dressing. Director Lin Peiying believes that from the perspective of sensory control, it is best to cover the wound within 48 hours without touching the wound, which is one of the necessary measures to reduce wound infection.

Step 1 1: Skin contact between mother and child on the delivery platform. Nurse Qiu Murong said that the newborn and mommy had skin contact on the delivery table, and the baby was placed on mommy's chest and abdomen for skin contact. This has many benefits for the baby, including a stable body temperature, and a calm mind and relatively stable mood when hearing mommy's heartbeat. Tai 'an Hospital is a hospital certified in good faith for mothers and babies. According to its benchmark, the skin contact of delivery platform after caesarean section is at least 10 minutes.

Mommy's experience: skin contact is very important! Mother Yu said that although she was curious about the baby's appearance when she was pregnant, she didn't have much emotion when she first saw the baby, but "when the baby leaned on her cheek, made skin contact and felt his body temperature, she suddenly felt moved! I think it is very meaningful and important to have skin contact with the takeaway platform. 」

Director Lin Peiying emphasized that all nurse practitioners in the delivery room hold the Newborn First Aid Permit, which can give the most immediate nursing assessment and measures after the baby is born, such as premature delivery, fetal distress or high-risk pregnant women. And will inform the pediatrician in advance to stand by before caesarean section. The baby is on the neonatal treatment table. What is the key point of nursing?

Point 1: Dry the baby and keep warm. The first thing is to dry the baby in advance. There is a baking lamp on the neonatal treatment table, which can help the baby keep warm.

Key point 2: apgar newborn score Next, after checking the baby's appearance, the nurses will evaluate the baby's condition according to Apgar score standard. Qiu Murong, the head nurse, explained that at two time points after birth 1 minute and 5 minutes, the baby was graded according to five items: skin color, breathing, heartbeat, reflex and muscle tension.

Key point 3: evaluate whether there is cleft palate or anus. Director Lin Peiying stressed that the nursing staff would count the fingers and toes of the baby and specially open the baby's mouth to see if there was cleft palate and whether there was * * *, because it was difficult to diagnose cleft palate and anus before delivery.

Fourth point: Weighing and covering footprints will eventually help the baby weigh and cover footprints. After wearing the bracelet and anklet, it will be held by the mother for skin contact with the delivery platform.

Can my father accompany me during caesarean section? Director Lin Peiying said that she allowed her father to accompany her in the delivery room operating room, but not all medical institutions allowed it. If her father wants to accompany her for caesarean section, he can consult with the obstetrician first. Dad can hold mom's hand to help take pictures when giving birth. Dad's whole company can not only give mommy spiritual comfort, but also feel really different when seeing the baby born. Nurse Qiu Murong believes that no matter whether it is caesarean section or natural delivery, dad can always accompany his mother, which can support his mother and relieve her tension and anxiety.