The childbearing for Cesarean section

Beginning

 

How is a Cesarean section?

 

Here we will see some advices for the moms who will have his first experience with a Cesarean section as well as a synthetic description of the steps of the childbearing.

First the anesthesia is placed epidural, there will be present a cardiologist that monitoreará permanently to the mom. The surgery consists of an incision in the skin, being able to be the same of (horizontal), or vertical transverse form, I joust on the pubic hair. The abdominal muscles move, rarely they are cut. Then, an incision is done in the wall of the womb, this cut also will be transverse or vertical. Then, the baby is extracted, the umbilical cord is cut. The following step consists of the extraction of the afterbirth. Then, the womb closes with points, which will be re-absorbed by the body of the mom. On the other hand the skin closes with another type of points, which then, when cicatricen, they will be withdrawn by the doctor. During the whole surgery, and after a few hours of the same one, an urinal probe will be left put.

As soon as the baby goes out of the paunch of the mom, one puts it a little bit close to her, then it is taken to his first examination. At present it allows, in some maternities, to deposit the dad to itself in the operations room. The doctors arm a surgical field that the dads not necessary can see. His place will be next to the mom, to accompany it. To the dad surgical clothes will put themselves. In some cases, the baby is allowed to the dad him to give his first bath. This is an unforgettable moment for him, undoubtedly.

 

Recovery after the Cesarean section

Although during the intervention one does not feel any pain, the recovery of the Cesarean section is slightly slower and annoying than that of a natural childbearing. The wound in the womb involves a physical aggression to the organism. Therefore, more care and rest need in the puerperio.

Recovery in the immediate postnatal period:

After the Cesarean section, the mom will have to remain a time in observation. If the surgery has been carried out by anesthesia epidural, it will be moved along with his baby to the room one hour later. If on the other hand general anesthesia has been used for some reason, it will spend a few hours in the revival room until he wakes up, as in any other operation.

In both cases it will have to remain on an empty stomach, hydrated with whey by means of a dripping, until it eliminates the anesthesia and all the organs recover his normal functioning. It is necessary to emphasize that during the intervention the walls and the abdominal muscles are manipulated, and this turns fundamentally the rest of the digestive system.

The fasting time will depend on the evolution of the mom and on the criterion of his doctor. When should he consider it to be opportune, it will indicate him a soft broth, which, if it is well tolerated by the body, will be replaced with a soft diet (purée, fish, cookies, compotes, gelatine, etc.), up to returning to a feeding changed in a few days. Sometimes, a probe is placed in the bladder for some hours to facilitate the micturition. Later, it is convenient that he gets up of the bed as soon as possible and mobilizes the legs to prepare circulatory problems.

When does it happen high?

Until some years ago, the time of the permanence in the hospital after a Caesarean age of one week - when the points were moving back-. Although high it depends much of the protocol on every medical center and, especially, on the opinion of the obstetra, at present the tendency is to give high in 4 or 5 days, whenever the woman has recovered his intestinal functions and there does not appear fever or other complications.

At home they must continue the care and the rest - although also it is recommended to get up with frequency-. Olvidémonos of the tasks of the hearth and let's accept the whole help that they offer to us. The recovery is not going to be easy during the first 15 days, why the body is still very spiteful and the mobility turns out to be limited.

Many gynecologists recommend to use the first weeks a strip of post childbearing. This way the mom feels more suppressed and the most protected belly. On the other hand, there are doctors who dissuade the strip, why they support that it prevents to the muscles of the abdomen from recovering his tone with rapidity.

The scar of the Cesarean section

In a healthy and well nourished woman the points occur rarely cicatrizar in one week. The wound does not need of special care.

It is sufficient in spite of taking a shower, drying the scar carefully and leaving a few minutes to the air. If the incision has been realized by points or conventional staples, it will be necessary to turn the gynecologist so that it withdraws them. If the suture is intradérmica - below the skin - it will not be necessary.

In the first weeks it is normal to feel tension, pain or inconveniences in the abdomen, and to perceive a part of the skin with different sensibility, as if it was asleep. The womb must contract to turn to his normal size - what is known as wrong pains, but, also, it is provided with the aggregate disadvantage of having suffered an incision. If the pain was very intense or an increase of the temperature was appreciated, it is necessary to go to the gynecologist as soon as possible if there had arisen some complication that needs medical attention.

 

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