Planned caesarean section when to go to bed. Multiple births and regular caesarean section. Reasons for prescribing a cesarean section

C-section used in cases of impossibility of independent childbirth due to various reasons. After a caesarean section, as after other operations, there are some prohibitions and recommendations during the recovery period. What should not be done after a cesarean section and what can be done in the postoperative period should be known to every woman preparing for surgery.

The first day of the postoperative period

After a caesarean section, a woman is in the ward intensive care. At this time, the woman in labor receives intense rehabilitation therapy. Depending on the woman’s condition, she may be prescribed medications to restore lost blood, antibacterial drugs and medications that restore intestinal function.

You should not eat on the first day after surgery. You can drink water with lemon juice. It is also not recommended to sit down on the first day. All nutrients in the first 24 hours after a cesarean section, the woman receives intravenous drips.

Second day of the postoperative period

If the operation went without complications and the mother’s condition is stable, the young mother is transferred to the postpartum therapy ward on the second day. Every woman who has undergone surgery is advised about therapeutic methods. postoperative treatment. Sutures after cesarean section are treated 2 times a day.

Antibacterial therapy continues. Prohibitions at this time become less strict. The ban on solid foods remains. Mom can already eat broths, natural yogurt, boiled meat, chopped in a blender. You can also drink tea, compotes and fruit drinks. Nutrition should be limited. You need to eat small portions 5-6 times a day.

Starting from the second day, you need to start moving independently. However, abruptly getting out of bed is not recommended. You need to stand up carefully, turning on your side and lowering your feet to the floor. It will be hard in the first days, but physical activity after surgery is very important for speedy recovery all functions of the body.

Causes of various seals on the seam after cesarean section

In addition, starting from the second day after surgery, it is necessary to put the newborn to the breast as often as possible. You need to lift the child carefully, without straining the abdominal muscles. This will help establish lactation and promote rapid contraction of the uterus.

Third day of the postoperative period

On the third day after a caesarean section, the ban on solid food remains. You can gradually include porridge, low-fat cottage cheese, low-fat kefir, steam cutlets, vegetable or fruit puree into your diet. The ban on overeating remains. It is necessary to eat often, but in small doses.

You still can't get out of bed abruptly or strain your muscles. abdominals. Bye postoperative suture If the scar is not healed, you cannot take a shower. The first careful bathing can be done no earlier than the 7th day after surgery. In this case, you should not rub the seam with a washcloth. You can lightly lather it with soap and rinse warm water. It is important to thoroughly dry the seam after bathing with a soft towel. Make sure the seam is dry. On the recommendation of doctors, if necessary, the seam should be treated with antiseptic solutions.

Sutures in the postoperative period

Depending on the suture material that was used during surgery, the sutures may be absorbable or non-absorbable. Today, in most cases, surgeons use suture materials that do not need to be removed after surgery.

The threads dissolve within 2 months after surgery or remain in the patient’s body and do not require removal. At proper care and following all recommendations, the seam quickly tightens and becomes almost invisible within 3-6 months after the intervention.

To avoid problems with stitches, you should not remove the bandage yourself. It is necessary to strictly follow all the recommendations of doctors and follow the instructions of specialists. At in good condition stitches, the woman is discharged home 7–10 days after cesarean section.

Is swelling dangerous after a cesarean section?

Home restoration

Despite the fact that the woman has returned home, she must strictly follow the doctors’ recommendations in the first weeks after the operation. You should not suddenly lift the baby; it is better if you hand him in for feeding. There is no need to do hard work and overwork.

Doctors do not recommend lifting weights and insist that the only thing a woman can lift in the postoperative period is a newborn baby. All other housework related to lifting weights should be entrusted to family and friends.

The diet is gradually returning to the dishes familiar to women. However, the ban on sweets, fried foods, and fatty foods remains. Also, throughout the entire postoperative period, it is prohibited to eat legumes, cabbage, citrus fruits, sausages, canned foods and baked goods.

Later, when the woman has fully recovered from the operation, these products can be introduced into the diet, carefully monitoring the newborn’s reaction. If the child reacts allergic reactions or stomach upset, the ban on certain foods may remain for the entire period breastfeeding.

Intimate life in the postoperative period

Depending on the woman’s condition, a ban on sex life may vary from 1.5 to 2 months after cesarean section. This issue must be resolved by the attending physician, based on the examination and the dynamics of recovery in the postoperative period.

If complications occur, such as infection of the suture, inflammation of the uterus, endometriosis, etc., the ban on intimate relations can be extended until full recovery. Anyway, intimate life can be resumed only after the discharge has stopped and the sutures have completely healed.

Sports in the postoperative period

Many women are interested in the question of when to start physical exercise to restore their figure. If women who have given birth on their own can start playing sports immediately after being discharged from the hospital, then with women who have had a caesarean section everything is completely different.

How long can the uterus contract after a cesarean section and how can this process be stimulated?

After surgery, you must wait at least 1.5 months before starting physical exercise. It is necessary to start classes with minimal loads, gradually increasing the number and pace of exercises.

You can do exercises to strengthen your abdominal muscles only with the permission of your doctor.

Before that you can do light gymnastics, which is aimed at raising vitality and mood.

During childbirth, circumstances do not always turn out well. There are situations when a child cannot be born naturally. And then doctors have to interfere with the immutable laws of Mother Nature and do everything possible and impossible in order to save the life of the mother and baby. In particular, with the help of surgery.

All this does not pass without consequences, and often with a second pregnancy it is necessary to schedule a second cesarean section to eliminate the risk of rupture of the suture on the wall of the uterus. However, contrary to myths, surgery in this case is not indicated for everyone.

The doctor decides on a second operation only after a thorough analysis of a wide variety of factors accompanying pregnancy. Everything matters here, mistakes are unacceptable, since the life and health of the woman and child are at stake. Here are the most common indications for a second cesarean section, which usually result in surgical intervention during labor.

Woman's health status:

diseases such as hypertension, asthma;
serious vision problems;
recent traumatic brain injury;
oncology;
pathological disorders of the cardiovascular or central nervous systems;
very narrow, deformed pelvis;
age after 30 years.

Seam features:

longitudinal suture placed during the first cesarean section;
doubtful, if there is a threat of its discrepancy;
Availability connective tissue in the scar area;
abortions after the first caesarean section.

Pregnancy pathologies:

incorrect presentation or large size of the fetus;
multiple births;
After the first operation, too little time has passed: up to 2 years;
post-maturity.

If at least one of the above factors occurs, a cesarean section a second time is inevitable. In other cases, the doctor may allow the woman to give birth naturally. Some of the indications for reoperation are already known in advance (the same chronic diseases), and the young mother knows that she cannot avoid repeated surgery. In this case, she should prepare for such a crucial moment in order to prevent everything dangerous consequences and reduce risks to a minimum.

If you are assigned planned second caesarean section (i.e. indications for its performance were identified during pregnancy), you should know how to prepare for this difficult operation. This will allow you to calm down, set yourself up for a successful outcome, and put your own body and health in order.

This is very important, since in 90% of cases, a young mother’s careless and too frivolous attitude towards repeated surgery leads to dire consequences. As soon as you find out that you are having a second CS, be sure to take the following steps.

During pregnancy

Attend prenatal classes that specifically focus on caesarean sections.
Get ready for what's coming long time stay in hospital. Think in advance about who you will leave your older children, pets, and home to during this period of time.
Think about the issue of partner childbirth. If they do it to you local anesthesia during the second cesarean and you will be awake, you may be more comfortable if your spouse is nearby at this moment.
Regularly undergo examinations prescribed by your gynecologist.
Ask the doctors all the questions you are interested in (what tests are prescribed, at what time the second planned caesarean section is performed, what medications are prescribed to you, if there are any complications, etc.). Do not be shy.
There are cases when during the second cesarean section a woman loses a lot of blood (due to placenta previa, coagulopathy, severe preeclampsia, etc.). In this case, a donor will be required. It would be nice to find him in advance from among your close relatives. This is especially true for those who have rare group blood.

1-2 days before surgery

If by the time of the planned date you are not in the hospital, prepare things for the hospital: clothes, toiletries, necessary papers.
Two days before the second cesarean section you will need to give up solid food.
Get a good night's sleep.
You cannot eat or drink for 12 hours: this is due to the anesthesia that is used during cesarean section. If you vomit while under anesthesia, the contents of your stomach may end up in your lungs.
The day before your second cesarean section, take a bath.
Find out what kind of anesthesia you will be given. If you do not want to miss the moment your baby is born and want to stay awake during this time, ask for local anesthesia.
Remove makeup and nail polish.

The preparatory stage for the second caesarean section is very important, as it helps the woman focus on her own body and get her health in order. This usually leads to successful outcome childbirth For your own peace and tranquility future mom can find out in advance how this operation is performed, so as not to be surprised during the process and adequately respond to everything that the doctors suggest to do.

Stages: how the operation works

Usually women going for a second caesarean section do not ask the question of how this operation goes, because they have already experienced all this. The procedures differ little from each other, so there is no need to be afraid of any surprises or anything supernatural. The main steps remain the same.

Preoperative stage

Medical consultation: the doctor should once again discuss the reasons why a second cesarean section is prescribed, its advantages, disadvantages, risks, consequences, and also answer all your questions.
You will be asked to change into a special robe.
The nurse will conduct a mini-examination: check the mother’s blood pressure, pulse, temperature, breathing rate, and the baby’s heartbeat.
Sometimes an enema is given to empty the stomach.
They suggest drinking an antacid drink to prevent regurgitation during surgery.
The nurse will prepare (shave) the pubic area. This is necessary to ensure that hair does not get into the abdomen during surgery, as it can provoke an inflammatory process.
Installation of a drip through which antibiotics (cefotaxime, cefazolin) will enter the body to prevent infection and fluid to prevent dehydration.
Insertion of a Foley catheter into urethra.

Surgical stage

Many people are interested in the question of how the incision is made during the second caesarean section: exactly along the seam that was made the first time.
To avoid blood loss, the doctor cauterizes the torn blood vessels, sucks amniotic fluid from the uterus, takes out the baby.
While the baby is being examined, the doctor removes the placenta and sutures the uterus and skin. This lasts about half an hour.
Applying a bandage over the suture.
Administration of the drug for better reduction uterus.

After this, you may be given a sedative, sleeping pill so that the body can rest and gain strength after suffering stress. During this time, the baby will be looked after by professional and experienced medical staff.

It must be borne in mind that any surgical intervention depends on many factors, so each of them can go its own way, unlike the others. And yet, there are certain features of this operation: what is important for a woman in labor to know about the second cesarean?

Features: what is important to know?

Despite the fact that the woman has already gone through all the stages of a cesarean section during her first pregnancy, the second operation has its own characteristics, which it is better to know about in advance. How long the operation lasts, when it is performed (timing), whether it is necessary to go to the hospital in advance, what anesthesia to agree to - all this is discussed with the doctor 1-2 weeks before the operation. This will avoid unpleasant consequences and reduce recovery period.

How long does it last?

The second cesarean section lasts longer than the first, since the incision is made along the old suture, which is a rough area and not a complete one. skin covering, like before. Besides reoperation requires much more caution.

What anesthesia is used?

During the second caesarean section, more powerful drugs are used for pain relief.

How long does it take to do it?

The most important feature caesarean section scheduled for the second time - the timing of how many weeks the second planned caesarean section is performed. They shift significantly to minimize risks. The larger the belly of the woman in labor, the larger the fetus, the stronger the walls of the uterus will be stretched, and in the end, if you wait too long, it may simply rupture at the seam. Therefore, the operation is performed around 37-39 weeks. However, if the baby’s weight is small, the doctor is quite satisfied with the condition of the suture, he may prescribe more late dates. In any case, the planned date is discussed in advance with the expectant mother.

When should you go to the hospital?

Most often 1-2 weeks before the second Caesarean woman They are admitted to a hospital for conservation in order to avoid unforeseen situations. However, this is not always practiced. If the condition of the mother and baby does not cause concern, she can last days spend at home before giving birth.

How long does it take to recover?

It is imperative to keep in mind that recovery after a second cesarean section not only takes longer, but is also much more difficult. The skin has been excised in the same place again, so it will take longer to heal than the first time. The stitch may be sore and oozing for 1-2 weeks. The uterus will also contract longer, causing unpleasant, uncomfortable sensations. It will even be possible to remove the belly after the second caesarean section only after 1.5-2 months through minor physical exercise(and only with the doctor's permission). But if you stick to it, everything will go faster.

The above listed features of the second cesarean section need to be known to the woman in labor so that she feels calm and confident. Her state of mind before giving birth is very important. This will affect not only the outcome of the operation, but also the duration of the recovery period. Another important point is the risks associated with repeated surgery.

Consequences

Doctors do not always tell the expectant mother why a second cesarean section is dangerous, so that she is prepared for possible undesirable consequences of this operation. Therefore, it will be better if you find out about this yourself in advance. The risks vary and depend on the mother’s health status, intrauterine development baby, the course of pregnancy, features of the first cesarean section.

Consequences for the mother:

violations menstrual cycle;
, inflammation in the suture area;
injury to the intestines, bladder, ureters;
infertility;
after the second cesarean section, the frequency of complications such as thrombophlebitis (most often pelvic veins), anemia, endometritis increases;
removal of the uterus due to severe bleeding;
high risk of complications in the next pregnancy.

Consequences for the child:

violation cerebral circulation;
due to the prolonged effects of anesthesia (the second cesarean lasts longer than the first).

Any doctor, when asked whether it is possible to give birth after a second caesarean section, will answer that it is not advisable because large quantity complications and negative consequences. Many hospitals even offer women sterilization procedures to prevent future pregnancies. Of course, there are happy exceptions when “Caesareans” are born for the third and even fourth time, but you need to understand that these are isolated cases that you don’t need to focus on.

Did you find out that you are having a second cesarean section? Do not panic: in close cooperation with your doctor, following all his recommendations and proper preparation the operation will take place without complications. The main thing is the life that you managed to save and give to the little man.

Natural childbirth is the usual way of birth provided by nature. But sometimes, for a number of reasons, giving birth naturally can be dangerous to the life and health of a woman and her child. In this case, doctors solve the problem surgically and resort to a method such as a planned caesarean section. This is the name for a delivery operation common in obstetric practice. Its meaning is that the child is removed through an incision in the uterus. Despite the fact that it is performed frequently and saves the lives of thousands of children, complications after it also occur.

Sometimes the operation is performed urgently. Emergency surgical delivery is resorted to if in the process natural birth complications arose, life threatening and the health of the child or mother.

A planned caesarean section is an operation that is prescribed during pregnancy. It is carried out only for serious indications. When is a planned caesarean section prescribed, at what time is the operation performed and how to avoid complications?

Indications are divided into absolute, that is, those in which the possibility of spontaneous childbirth is excluded, and relative.

List of absolute indications:

fruit whose weight exceeds 4,500 g;
previous cervical surgery;
the presence of two or more scars on the uterus or failure of one of them;
deformation pelvic bones due to previous injuries;
breech presentation of the fetus, if its weight exceeds 3600 g;
twins, if one of the fetuses is in a breech position;
the fetus is in a transverse position.

List of relative indications:

uterine fibroids;
high myopia;
diabetes;
the presence of malignant or benign tumors;
weak labor activity.

As a rule, the decision on a planned caesarean section is made if there is at least one absolute reading or a collection of relative ones. If the indications are only relative, it is necessary to weigh the risk of surgery and the risk of complications that may occur during natural childbirth.

When is the operation performed?

At what time a planned caesarean section is performed is decided by the doctor in each specific case, but there are still certain recommended limits. It is necessary to compare the date of the last menstruation, how many weeks the fetus is developed, and what condition the placenta is in.

Based on this information, they decide when exactly to start delivery.

Sometimes doctors in the maternity hospital, when asked by a patient when a planned caesarean section is performed, answer that it is advisable to wait until the first light contractions begin. In this case, the woman is hospitalized in the maternity hospital in advance so as not to miss the onset of labor.

A pregnancy is considered full term when it reaches 37 weeks. Therefore, it is too early to perform surgery before this time. On the other hand, after 37 weeks, contractions can start at any time.

They try to bring the date of a planned caesarean section as close as possible to the expected date of birth. But, since by the end of the term the placenta ages and begins to perform its functions worse, in order to prevent it from occurring in the fetus, the operation is prescribed for a period of 38-39 weeks.

It is at this time that the woman is hospitalized in the antenatal department maternity hospital to undergo all necessary tests before surgery.

The surgical method of childbirth is not a contraindication to repeated pregnancies. But if a woman already has a scar on the uterus, it means that the second child will be born in the same way. Monitoring the pregnant woman in this case is especially careful.

A second planned cesarean section is also performed at 38-39 weeks, but if the doctor has doubts about the consistency of the first scar, he may decide to operate on the patient earlier.

Preparing for a caesarean section

It is necessary to prepare for the arrival of a baby in this unusual way. Usually, when a planned caesarean section is performed, the pregnant woman is hospitalized a couple of weeks before the expected date of birth.

They will take urine and blood tests from her, determine her blood type and Rh factor, and check the vaginal smear for purity. It is also necessary to monitor the condition of the fetus. For this purpose, ultrasonography and cardiotocography (CTG). Based on these studies, conclusions are drawn about the well-being of the child in the womb.

The specific date and time of the operation is determined by the doctor, having in hand the results of all tests and studies. Usually all planned operations are carried out in the first half of the day. The day before the appointed date, the anesthesiologist meets with the patient to discuss what type of anesthesia will be used and find out if the woman is allergic to any medications.

On the eve of a caesarean section, the diet should be light, and after 18-19 hours it is forbidden not only to eat, but also to drink.

In the morning, a cleansing enema is performed and the hairline on the pubis. Care must be taken to prevent deep vein thrombosis. For this purpose, the legs are bandaged with an elastic bandage or the woman in labor is asked to wear special ones.

The patient is wheeled into the operating room on a gurney. A catheter is inserted into the urethra on the operating table and removed in the recovery room. The lower abdomen is treated antiseptic solution, at the level chest a special screen is installed to block the woman’s view of the surgical field.

Progress of the operation

To reduce anxiety before surgery, it is helpful to know how a planned caesarean section is performed. After administering anesthesia, the surgeon makes two incisions. The first incision is to cut through the abdominal wall, fat, and connective tissue. The second incision is the uterus.

The incision can be of two types:

Transverse (horizontal). Produced slightly above the pubis. With this type of incision, there is a low probability that the intestines or bladder will be hit by a scalpel. The recovery period is easier, the formation of hernias is minimized, and the healed suture looks quite aesthetically pleasing.
Longitudinal (vertical). This incision extends from the pubic bone to the navel, providing good access to internal organs. Abdomen cut longitudinally if the operation needs to be performed urgently.

A planned caesarean section, no matter how long it is performed, provided there is no threat to the life of the fetus, is performed more often using a horizontal incision.

The surgeon removes the placenta from the uterus, and the incision is sutured using synthetic materials. The integrity of the abdominal wall is restored in the same way. A cosmetic stitch remains in the lower abdomen. Afterwards it is disinfected and a protective bandage is applied.

If no complications arise during the surgeons’ work, the operation lasts from 20 to 40 minutes, after which the patient is transferred to the recovery room.

Possible complications and their prevention

Complications may occur during surgical childbirth and in the postoperative period. They do not depend on the period at which a planned caesarean section is performed.

Common complications are the following:

Major blood loss. If a woman gives birth on her own, acceptable blood loss 250 ml of blood is considered, and during surgical delivery a woman can lose up to one liter of it. If the blood loss is too great, a transfusion will be required. The most dangerous consequence of heavy bleeding, which cannot be stopped - the need to remove the uterus.
Formation of adhesions. This is the name for seals made of connective tissue that “fuse” one organ with another, for example, the uterus with the intestines or intestinal loops with each other. After abdominal intervention, adhesions almost always form, but if there are too many of them, chronic pain in the abdominal area. If adhesions form in fallopian tubes, the risk of developing an ectopic pregnancy increases.
Endometritis is an inflammation of the uterine cavity caused by the entry of pathogenic bacteria into it. Symptoms of endometritis can manifest themselves both on the first day after surgery and on the 10th day after childbirth.
Inflammatory processes in the suture area due to infection entering the suture. If you don't start on time antibacterial therapy, surgery may be required.
Seam divergence. It can be triggered by a woman lifting heavy weights (over 4 kilograms), and the dehiscence of the seam is a consequence of the development of infection in it.

To prevent complications, doctors take measures even before operations begin. To prevent the development of endometritis, the woman is given an antibiotic injection before the operation.

Antibacterial therapy continues for several days after. You can prevent the formation of adhesions by attending physiotherapy and doing special gymnastics.

Recovery period

After childbirth, the uterus returns to its previous state after 6-8 weeks. But the recovery period after surgical birth lasts longer than after natural ones. After all, the uterus is injured, and the suture does not always heal safely.

In many ways, the recovery period depends on how the planned caesarean section went and how successfully it was done.

At the end of the operation, the patient is moved to the recovery room or intensive care unit. To prevent the occurrence infectious complications, carry out antibacterial therapy.

To relieve pain, anesthetic injections are given. Both general and spinal anesthesia slow down intestinal function, so in the first 24 hours after the intervention it is only permissible to drink water.

But already on the second day you can eat chicken broth with crackers, kefir, and yogurt without additives. For 6-7 days you should follow the same diet as after any abdominal surgery: no fatty, fried, or spicy foods. After this period, you can return to your usual diet.

Constipation is highly undesirable. The use of laxative products is recommended, but if this does not help, you will have to resort to the use of laxatives. If a woman is breastfeeding, the annotation should indicate that use during breastfeeding is permitted.

While a woman is in the maternity hospital, her postoperative suture is treated daily.

After discharge, you need to continue to do this yourself with the help of hydrogen peroxide and brilliant green. If the suture festers, ichor comes out of it, or shooting pains appear, you need to tell the doctor about it.

Before deciding whether it is necessary to have a planned cesarean section and at what time it is best to perform it, the doctor must analyze all the indications from the mother and child, and also take into account the likely adverse consequences for women’s health.

This operation seems simple to many women, but in order for it to go well, the doctor must be highly qualified, and the woman in labor must follow all recommendations regarding the recovery period.

Useful video about planned caesarean section

Replies

Mom, how are babies born?” asks four-year-old Nastya.
“The uncle cuts the belly, takes out the baby doll and that’s it,” the mother answers, deciding not to initiate her young daughter into all the intricacies of a real birth. But there is still some truth in her story, because great amount babies on the planet were born this way - through a caesarean section.

Why does a woman have a caesarean section? Firstly, there are cases when this is required by conditions that have arisen spontaneously, related to the state of health of the mother or baby, or some other emergency situations. Secondly, there are planned operations, the need for which women know long before giving birth. We will talk about them in this article.

How should you prepare for a planned caesarean section?

First of all, morally. A woman should, throwing away all emotions and worries, calm down and tune in only to the best. You need to trust your doctor (after all, for him, unlike the patient, this is not the first, but a “new” operation) and rejoice in the fact that very soon the long-awaited baby will be snoring sweetly next to you. If, nevertheless, the worries are very strong, you should talk to your husband, girlfriend, or even a psychologist.

When the date of the operation is already very close, 1-2 weeks in advance, the expectant mother, having collected everything she needs, goes to maternity hospital. This is necessary in order to thoroughly conduct examinations to assess the condition of the fetus (ultrasound and cardiotocography), as well as the mother (blood and urine tests, degree of vaginal cleanliness (smear test)). In addition, even if a woman has already done similar tests, her blood will still be taken to determine her blood type and Rh factor. If doctors find any abnormalities, the woman will be treated with medication.

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 expectant mother.

Sometimes, if nothing interferes and the condition of both the mother and the child is satisfactory, so as not to be in the maternity hospital for a long time, the examination can be completed before hospitalization, and the hospital can be admitted the day before the planned cesarean section or even directly on the day of the operation.

What happens on the day of a planned caesarean section?

As a rule, such operations are carried out in the morning. Less often - during the day. 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. You can't eat at all in the morning. In the hospital, the nurse will help you make sure that, as before any abdominal surgery, cleanse the intestines.

After this, an anesthesiologist will have a conversation with the woman, who will talk about what and how will happen to her during the operation in terms of pain relief. Most likely it will be spinal anesthesia, that is, when the operation is performed while the woman is conscious. But, if there are any contraindications, the patient will be offered general anesthesia. Consent for surgery and certain type anesthesia is recorded in writing.

How is a planned caesarean section performed?

Before entering the operating room, the woman is given shoe covers and a cap, and is also asked to wear elastic bandages. The latter are necessary to protect a woman from developing thrombosis. A woman lies naked on the table. First, the anesthesiologist administers the drug, then the medical staff inserts an IV and connects the measuring device blood pressure. A catheter is also installed to drain urine. When all this is ready, the place where the incision will be made is treated with an antiseptic drug.

Since a screen is placed between the woman’s face and the operation site, next to her, if the woman is conscious, there may be a loved one: husband, mother, friend. True, this practice is not allowed in all maternity hospitals, so the possibility of having a “support group” present at such births must be clarified in advance.

The procedure for removing the child itself lasts no more than 10 minutes. This time is enough to cut abdominal wall and the uterus, remove the baby and cut the umbilical cord. Then the “cleaning” begins. The doctor separates the placenta, examines the uterine cavity and stitches it up. Then he goes to the abdominal wall. This seam is processed and a bandage is applied. On top is an ice pack. This will reduce bleeding and stimulate uterine contractions. At this point the operation ends, and the new mother is transferred to the intensive care unit.

Postoperative period

In the intensive care ward, the woman is under the close attention of doctors. To get back to normal sooner and avoid various complications, they inject her various drugs. First of all, these are antibiotics and various painkillers. The latter begin to be administered as soon as the anesthesia wears off. To normalize functioning gastrointestinal tract, as well as better contraction of the muscle tissue of the uterus, also provide the necessary medications. And to replenish fluid loss, a new mother is given saline. At first, a woman may feel pain in the lower abdomen, general weakness, dizziness. Chills and increased thirst are possible.

In the first 6-8 hours, the patient is not allowed to not only get up, but even sit down. After this time, with the help of relatives or medical staff, you can sit up in bed. not particularly chic. At first, on the first day, you can only drink water. Already on the second day you can pamper yourself with low-fat chicken broth (drain off the first water during cooking) and liquid porridges (especially Oatmeal will do). So-called “normal” food can be consumed from the third week, but for now you need to love dietary food.

A day later, the woman is transferred from the intensive care ward to the postpartum ward. There she is with the baby. If there are no complications, the mother can easily cope with simple tasks: feeding the baby, washing him, changing him. But, even if you feel good, you still shouldn’t overwork.

Approximately 2-3 days after the planned one, pain relief is stopped. But the seam area is carefully treated every day disinfectant solution. Sometimes a woman begins to have intestinal problems. In such cases, the doctor will prescribe laxatives. This can be either a regular enema or glycerin suppositories. After 4-6 days, the woman needs to undergo blood and urine tests, undergo an ultrasound scan of the scar, uterus, as well as appendages and adjacent organs. The gynecologist will conduct an external examination to make sure everything is in order. If the health workers have no complaints about the health of the mother and baby, they will be discharged home approximately.

Woman's behavior at home after PCS

While at home, such a woman especially needs help, because she is simply contraindicated to do a lot of work. You especially need to think about an assistant if there is already a child in the family. If the eldest is 2-3 years old, he will demand his mother’s attention and care with extreme persistence. A woman should try to pay attention to her first child, avoiding picking him up. It is especially contraindicated to be nervous.

When switching to a more familiar diet, you still need to monitor your diet. In this regard, you should consult not only your doctor, but also your pediatrician.

After a planned caesarean section, you can shower after 1-2 weeks. But a bath (not a hot one!) - only after 1.5 months.

It is necessary to explain to the husband that, for at least 2 months, large physical exercise and sexual intercourse. Last but not least, you need to think about contraception. Next pregnancy You can plan no earlier than in 2 years.

Especially for Olga Rizak

From Guest

Hello everyone, my first caesarean section was an emergency, although I was preparing to give birth, I went through contractions myself, then the doctor came, looked at the chair and said urgently to the operating table - the umbilical loops had prolapsed, they held it with their hands, the operation went quickly, the anesthesia was good, but the postoperative period was difficult, it was difficult for everything to heal ....then after 2 years I had a planned cesarean section due to the fact that the speed was small between the first and second... unlike the first, everything healed quickly and very well... and now another 4 years have passed, now I’m waiting for the 3rd I think the baby will also have a planned cesarean section... but of course it’s better to give birth yourself, especially if you don’t have any complications...))))

Timing, duration and progress of the operation

All pregnant women experience fear before childbirth. And it’s even worse if the birth takes place not naturally, but by caesarean section. But to make it not so scary, let's figure out why a caesarean section is performed, at what time the operation is usually performed, how long it takes and consider the entire course of the operation.

During pregnancy monitoring, the doctor makes a recommendation on how the birth should proceed. If a woman’s pregnancy is progressing normally, then most likely the birth will take place naturally. If there are any abnormalities during pregnancy or during the birth itself, then doctors may decide to perform the birth by cesarean section.

There are emergency and planned caesarean sections:

prescribed during pregnancy. In this case, the woman in labor prepares for the operation in advance, goes through everything necessary examinations and at a predetermined stage of pregnancy is admitted to the pathology department. Most frequent indications for a planned caesarean section are:

premature placental abruption;
hemolytic disease fetus;
multiple pregnancy;
severe form of gestosis;
absolutely narrow pelvis;
transverse position of the fetus, etc.

Emergency caesarean section carried out in case of unforeseen complications directly during childbirth that threaten the health of the mother or child. The health of both the child and the mother may depend on the timeliness of the decision to perform the operation. In such situations, the qualifications of the doctor and the determination of the woman in labor are very important (after all, the operation cannot be performed without her consent).

Optimal timing

A planned caesarean section is usually performed at 40 weeks of pregnancy. This optimal time for the operation - if the fetus is of sufficient weight, it is already considered full-term, and the child’s lungs are developed enough for him to breathe independently.

With a repeat caesarean section, the timing of the operation is shifted downwards - it is done a couple of weeks earlier than the planned date of birth, usually the 38th week of pregnancy.

This approach allows you to avoid the onset of contractions, which reduces the risk of various complications during surgery. Remember that only a doctor can correctly determine at what time to perform a cesarean section in each specific case.

Preparing for surgery

A woman in labor who is scheduled for a planned cesarean section is usually sent to the hospital about a week before the operation. If a woman wants to stay at home, she can come to the hospital on the day the operation will take place. But this is permissible only in the absence of severe complications and when good health mother and child.

Postoperative period

After surgery, painkillers are usually prescribed because the woman experiences severe painful sensations after caesarean section. Also, depending on the woman’s condition, the doctor may prescribe different medications, for example, antibiotics, or supplements that improve the functioning of the gastrointestinal tract.

You can get up after surgery no earlier than six hours later. It is also recommended to buy a postoperative bandage, which will greatly improve the condition when walking.

Nutrition after surgery must be special - on the first day after a caesarean section, you can only drink plain water.

On the second day, a woman can try soups, cereals and other liquid foods.

On the third day, at proper recovery, you can eat any food that is allowed during lactation.

If you are still scheduled for a planned caesarean section, then you should not be afraid. Most often, fear of cesarean section occurs due to insufficient awareness of the operation. Knowing exactly what she has to go through, it is much easier for a woman to psychologically prepare herself for the upcoming events.