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In the hearts of many people, caesarean section is to cut a knife in the stomach, compared to the dozen or so levels of pain in normal labor, it is a little better, but you believe me, when you understand the real caesarean section process, I am afraid you will not think so.
Before entering the operating room
Caesarean section requires preparation a day in advance. Expectant mothers should first clean themselves, rest early, do not stay up late, and maintain a good mental state.
Maternal fasting is strict for 4-6 hours before surgery, and not a glass of water can be drunk! Preoperative fasting is a routine requirement to avoid gastric regurgitation from attracting respiratory obstruction and aspiration pneumonia by mistake, or even death by asphyxia.
It has been reported in the literature that the incidence of regurgitation aspiration associated with adult anesthesia is 5 in 10,000, and the incidence of regurgitation aspiration in pregnant women is much higher than that of adults in general. Mainly because pregnancy causes a decrease in the tone of the lower esophageal sphincter, as the uterus enlarges, the stomach is pushed upwards, making it more prone to vomiting.
Before entering the operating room, change into a surgical gown and remove all jewelry, such as necklaces, rings, watches, etc.
General caesarean section surgery requires an indwelling urinary catheter, which can be inserted in the ward before the operation or after entering the operating room.
The indwelling catheter is because the woman needs anesthesia and cannot urinate spontaneously, and if the bladder is in a full state during the caesarean section, it is easy to be injured by mistake during the operation.
Intraoperative delivery process
During the operation, an anesthesiologist, midwife and doctor accompany the mother.
If a urinary catheter has already been inserted in the ward, anesthesia is performed directly after entering the operating room. The anesthesiologist will make the woman lie on her side in the shape of a shrimp, disinfect it, and inject an anesthetic into a needle of about 9 centimeters through the spinal space. Anesthesia is generally only a pain that pierces the skin, and the mother should not be afraid, must maintain a curled up posture and cannot move!
It should be noted that the caesarean section is a hemi-numb, and during the operation, the woman is awake. If the mother feels cold, trembling, fatigue, nausea, or pain, be sure to inform the doctor in time.
After the anesthesia, the mother should quickly lie flat. After the doctor disinfects the surgical site and spreads the towel, the operation officially begins.
First, the doctor cuts the abdominal cavity.
The length of the abdominal incision is generally about 10 cm. The doctor will try to reduce the length of the incision as much as possible, so that the child's head can just pass through, so that the incision is both beautiful and simulates the process of squeezing the birth canal of the fetus.
The process of incising the abdominal cavity is not "one knife in place", usually caesarean section is from the outside to the inside, sequentially cutting the skin epidermis, subcutaneous fat layer, rectus abdominoid tendon sheath, abdominal wall muscle layer, peritoneal layer, uterine oar membrane, sub-paddle muscle layer, cutting seven layers of tissue to see the fetus.
If there is no emergency caesarean section, there is a dangerous situation if the child is not delivered as soon as possible, and the doctor will minimize the caesarean section
Damage to the woman's body during the process.
For example, when the rectus abdominis layer and the uterine layer are cut, instead of cutting about 10 cm with a knife, an incision of less than 10 cm is cut, and the doctor standing at both ends of the operating table pulls the incision to both ends like a tug-of-war. This is less damaging to the woman's body than a one-size-fits-all cut. It is during this process that the mother feels that the doctor is pulling on her muscles.
Secondly, the peritoneal layer is incised, and after seeing the uterus, the doctor will reach into the uterus to explore whether the fetus and nearby organs are broken and adhesion, and the uterus will be incised after the detection is normal.
After the uterus is cut, the doctor will go one hand deep into the uterus to find the deep head. The doctor's hand is placed under the fetal head to form a slope while applying pressure to the woman's upper abdomen, slowly pushing the child out and then cutting off the umbilical cord.
The process from opening the abdominal cavity to removing the child takes more than 10 minutes if it is fast, and the entire caesarean section operation lasts about 1-2 hours, and the time spent by surgery lies in the suture.
Intraoperative suturing process
Many women think that the child will start suturing as soon as it is removed, but in fact, the doctor also needs to clean the uterus.
The first step in cleaning the uterus is to remove the placenta. The placenta is not pulled out by the umbilical cord, so the way of pulling is easy to cause heavy bleeding. The placenta itself will naturally peel off the uterus, and when the bleeding from the incision is not serious and there are no other special circumstances, the doctor will simulate the natural peeling of the placenta to remove the placenta.
The second step is to clean up the remaining amniotic fluid and blood in the uterus before the suture begins.
The suture process is from the inside to the outside, sequentially suturing the pre-sutured uterine muscle layer, uterine paddle membrane, peritoneal layer paddle abdominal wall muscle layer, rectus abscess tendon sheath, subcutaneous fat layer, skin epidermis, a total of 7 layers of tissue.
After the suture is completed, the operation is over, the doctor observes that there is no abnormality, and the mother can be pushed back to the ward.
However, this is not the end, and the real pain will not come until the anesthetic effect is over.
In fact, the arrival of every new life is a race between every mother and the god of death, one born to die, one to live and die, so please remember, to the only woman in the world who will fight for you, say thank you, you love her!