Is it better to have a caesarean section with a horizontal or vertical incision?

When women are giving birth, they should choose a method of delivery that suits them based on their specific circumstances. For some women with poor physical constitutions, it is easy to have a difficult delivery, so choosing a cesarean section is the best option, which is helpful to both themselves and the fetus. So is it better to have a horizontal or vertical cesarean section? This is something that many women are not clear about. The following is a detailed introduction to this issue so that you can have some understanding.

Is it better to have a horizontal or vertical incision for cesarean section?

Comparison of the advantages and disadvantages of cesarean section transverse and vertical incision

1. Types of Caesarean Section Wounds

1. Transverse wound: The height of the wound is about 3 to 4 centimeters above the pubic symphysis, and the length of the wound is about 10 to 15 centimeters. The skin, subcutaneous tissue, and fascia are all cut transversely, but the rectus abdominis muscle is cut longitudinally at the midline to enter the abdominal cavity.

2. Longitudinal incision: The wound is located on the midline between the navel and the pubic symphysis, and the length of the wound is about 15 cm.

Whether to make a horizontal or vertical incision is just a matter of choosing the surgical incision. The transverse incision method was pioneered by the Israelis. It is mainly beneficial for early catheter removal after surgery, and the incision has less pressure due to gravity, which is conducive to recovery. Regardless of whether it is a horizontal or vertical incision, you must wait three years before becoming pregnant again, otherwise uterine rupture and other phenomena are likely to occur.

Caesarean section incision sequence

In fact, a cesarean section is not a process of taking out the fetus with just one incision. The method of cesarean section is to first make a wound of about 15 centimeters in the lower abdomen of the pregnant mother, and then cut the subcutaneous fat, fascia, abdominal muscles, peritoneum, uterine muscle layer in sequence, and finally cut the amniotic fluid cavity to deliver the fetus. After removing the placenta, the above layers are sutured in sequence, and finally the abdominal skin is sutured with absorbable fine sutures.

2. Open the wound of the uterine wall

The last cut in a cesarean section, which is the way to cut the uterus, can be divided into four types:

1. Traditional straight cut (classical)

2. Low-transverse

3. Low-vertical

4. T-shape method (T-shape).

Lower uterine segment transverse incision

The transverse incision in the lower segment of the uterus is about 10 centimeters. The fetus is delivered after the water breaks, and then the uterine muscle layer is sutured with a two-layer suture method, and the peritoneum is sutured back with a third layer. Advantages of this approach include:

1. Reduce the chance of peritonitis or abdominal adhesion.

2. The muscle layer here is thinner and bleeding is less.

3. The incision here is not within the range of strong uterine contraction during childbirth, so there is less chance of wound rupture.

After understanding whether horizontal or vertical incision is better for cesarean section, women can discuss this issue before giving birth, so that the delivery can proceed smoothly. However, in order to make the cesarean section smoother, it is also necessary to arrange diet and daily routine reasonably before giving birth.