This is an automatically translated article.
The article was professionally consulted by Specialist Doctor II Tran Thi Mai Huong - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital. The doctor has 25 years of experience in examination and treatment in the field of Obstetrics and Gynecology, lower line surgery, laparoscopic surgery.Currently, there are many cases of difficulty in giving birth naturally, thanks to the development of medicine, many pregnant women have decided to have a caesarean section. So what is a cesarean section and in order to be able to "go through labor" successfully, what do pregnant women need to prepare before performing surgery.
1. What is a cesarean section?
Caesarean section (cesarean section), is a medical procedure to bring the baby out through a cut in the mother's abdomen and uterus.Here are some reasons why a mother can't have a normal delivery, a cesarean section is necessary:
Failed in labor, the cervix is not open enough for the baby to move down into the vagina. Your baby's umbilical cord may be pinched or your baby's heartbeat indicates that a normal delivery is not possible. Having a multiple pregnancy such as twins or triplets requiring a cesarean section There is a problem with the placenta The baby's size is too large to make a normal delivery Pregnancy in breech, transverse position... Mother has infections, infections Human immunodeficiency virus or herpes Mother with chronic medical conditions: heart, liver, basedown, or high blood pressure.
Trắc nghiệm: Bạn có hiểu đúng về dấu hiệu mang thai sớm?
Các dấu hiệu mang thai sớm không phải chỉ mỗi trễ kinh mà còn có rất nhiều dấu hiệu khác như xuất huyết âm đạo, ngực căng tức,… Điểm xem bạn biết được bao nhiêu dấu hiệu mang thai sớm thông qua bài trắc nghiệm này nhé!
2. Can I continue with a cesarean delivery if I have had a previous cesarean?
Women who have had a previous caesarean section can have a vaginal birth next time. The decision whether or not to continue with a cesarean section depends on the type of incision made in the previous cesarean section and the number of times a cesarean section has been performed.3. Can a cesarean section be requested?
Some women may require a cesarean section even if there is still the possibility of a vaginal delivery. This decision should be carefully considered and discussed with your doctor because surgery can have unexpected risks and complications. When choosing a cesarean section, the recovery time is also longer than that of a vaginal birth. In addition, the more cesarean sections a woman has, the higher her risk of certain health problems and impact on future pregnancies. This will not be a good choice for women who want to have many children.
Một số phụ nữ có thể yêu cầu sinh mổ ngay cả khi vẫn có khả năng sinh thường
4. What should be prepared before caesarean section?
Before the cesarean section begins, the nurse will place a line into a vein in your arm or hand to give you medicine or water during the surgery. During a cesarean section, your doctor will make an incision in your lower abdomen. Therefore, before surgery, pregnant women need to bathe and clean their lower abdomen to avoid infection. In addition, your doctor will also place a catheter into your urethra to drain your bladder. This procedure helps empty the bladder and reduces the risk of bladder damage during surgery.5. What types of anesthesia are used during the cesarean section?
Types of anesthesia that may be used during a cesarean section include general anesthesia, epidural anesthesia, and spinal anesthesia.If general anesthesia is used, the mother will not be able to remember what happened during sleep after waking up, because this is a procedure using drugs that induce deep sleep.
For the epidural procedure, the lower half of the body will be numb and lose pain sensation in the areas that take the most pressure during labor. During an epidural, your doctor will put numbing medicine into your spine through an injection.
Spinal anesthesia also paralyzes the lower half of the body. The drug will be injected directly into the spinal fluid to cause anesthesia.
6. The process of performing a cesarean section
The doctor will make an incision in the abdomen. The incision can be horizontally across the bikini line or vertically from near the navel to above the pubic bone. Next, your doctor will make another horizontal or vertical incision in the wall of your uterus. Through the incisions, the baby will be brought out, after which, the doctor will remove the placenta, cut the umbilical cord, clean the uterus and sew the cuts one by one with absorbable sutures.
Bác sĩ sẽ rạch một đường trên bụng khi sinh mổ
7. Some complications occur during cesarean section
Some complications occur in a small number of women and can be easily treated:Infections Loss of blood Blood clots in the legs, pelvic organs or lungs Intestinal or bladder damage Reactions to medications Anesthesia is used. Trauma to the baby due to difficult pregnancy, unfavorable position: reverse, horizontal...
8. Expectations after cesarean section
If the mother is awake during surgery, she can hold her baby immediately after the end of labor. The mother will then be taken to the recovery room. Here, the doctor will regularly monitor blood pressure, heart rate, breathing, blood volume and the area of the abdomen that has just been operated on. A lot of people worry if it's okay to breastfeed after a cesarean. In fact, having a cesarean section does not affect breastfeeding much, so mothers can rest assured and start breastfeeding as soon as possible.Immediately after surgery, the catheter is removed from the bladder. During the first few days after surgery, the abdominal incision will be sore, so your doctor will prescribe a pain reliever for you to take after the anesthetic wears off.
Hospitalization time after cesarean section is usually 2-4 days for the body to gradually recover. When you get home, take special care of yourself and limit your activities.
Possible risks during recovery
During recovery, the following can happen:
Mild cramping, especially while breastfeeding Bleeding or a long hospital stay about 4-6 weeks Pain at the incision
Chuột rút nhe, đặc biệt là khi đang cho con bú
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Articles refer to the source Acog.org
