How many layers of sutures are needed for cesarean section and in what cases should cesarean section be performed?

Generally, 8 layers of sutures are required for cesarean section. The pain of natural childbirth is not something that many women can bear. In addition, some fetuses are too heavy, which makes it impossible for pregnant women to give birth naturally. There are even other reasons. However, the wound caused by cesarean section is very large, and the scar left is also very obvious. Therefore, cesarean section is not a must. We can choose not to do it. Then, in what cases should cesarean section be performed?

1. How many layers of sutures are needed for a caesarean section?

The answer is 8 layers. In some cases, cesarean section requires two incisions, the uterus and the abdominal wall. Generally, the uterus needs to be sutured in three layers, and the abdominal wall incision needs to be sutured in three layers. If the abdominal wall fat is too thick, four layers are required.

After a caesarean section, six to seven layers are usually sutured from the uterus to the outermost layer, including the endometrial layer, uterine muscle layer, uterine outer layer, muscle layer, fat layer, skin, etc.

2. In what situations is a caesarean section necessary?

1. Pregnant women

1) Pelvic stenosis or pelvic tumor. Because the birth canal is blocked, a full-term fetus cannot pass through.

2) Antepartum hemorrhage. For example, placenta previa, placental abruption, in order to avoid heavy bleeding during delivery, or the need to terminate delivery immediately.

3) Elderly primiparas. For women over 35 years old who have many complications and weak uterine contractions during delivery, cesarean section can be considered.

4) Labor progresses slowly or stagnates.

5) The mother’s reproductive tract is infected, such as genital warts.

6) Problems occur during delivery, such as threatened uterine rupture, maternal failure, etc.

7) Scarred uterus. The mother has a history of cesarean section, myomectomy or uterine rupture.

8) Adverse obstetric history. For example, the previous delivery was a forceps delivery, a stillbirth, etc.

2. Fetal

1) Fetal distress. The fetal heart rate is continuously <120 or >160 times, the fetal heart rate monitoring indicates fetal hypoxia, and the amniotic fluid is stained with meconium. 2) Macrosomia. The estimated fetal weight is over 4000 grams.

3) Fetuses with intrauterine growth restriction, usually fetuses less than 36 weeks and less than 5 pounds, who are not expected to tolerate vaginal delivery. 4) Abnormal fetal position, such as transverse position, breech position, etc.

5) Multiple pregnancy.

6) Fetal malformation or fetal tumor, such as conjoined twins.

7) Umbilical cord prolapse.

How many layers are sutured during a cesarean section depends on the size of the fetus and the status of the operation. Generally, 4 to 8 layers can solve the problem. The mother may feel less pain than a natural birth, but the recovery time will be longer. Generally, if a natural birth is possible, it is recommended to do so, which can reduce the side effects of the operation.