How to pass gas quickly during caesarean section

For new mothers who choose to undergo a cesarean section, the doctor will try his best to help you breathe after the operation, that is, to fart. Whether ventilation is performed after giving birth is very important for new mothers, as it can reduce a series of problems caused by abdominal distension after cesarean section. Now that we know the function of the vent tube after cesarean section, new mothers should vent the tube as soon as possible. How can pregnant women who are giving birth to obstetricians and gynecologists vent the tube quickly? Whether the vent is very important for new mothers, according to the cesarean section taboo time, scientific arrangement of cesarean section diet.

Taking reasonable measures to help new mothers relieve themselves and paying attention to a series of problems caused by abdominal distension will be able to better ensure the health of new mothers. Of course, it is recommended that new mothers get out of bed and move around as soon as possible, which will help with exhaust after giving birth. 24 hours after the cesarean section, the new mother can stand up for a while or take a few steps with the help of family members or nurses, and do it 3 to 4 times a day, so as to restore gastrointestinal function as soon as possible.

It is recommended that the new mother's family gently massage the abdomen from top to bottom for the new mother, once every 2 to 3 hours, each time for 10 to 20 minutes. It not only promotes gastrointestinal function, but also helps to discharge residual blood in the uterus and vagina. Finally, the bloating phenomenon can be improved by taking drugs that promote gastrointestinal function orally. Suppositories or clean enemas can be used when necessary. However, since this is relatively difficult for new mothers who have just given birth and may affect the internal environment of the human body, it is not recommended for new mothers to use it unless necessary.

Does a cesarean section require a soft uterus?

It is generally not necessary to soften the uterus during a cesarean section, as the uterus needs to be cut open. Cesarean section is the most common surgical procedure in obstetrics and gynecology. It is a process of surgically cutting open the abdominal cavity and endometrium to deliver one or more fetuses weighing more than 500 grams. Under normal circumstances, the fetus is head down in the uterus. Some fetal positions can pose risks for vaginal birth. For example, placenta previa will block the safe passage of the fetus's birth, and placental abruption will seriously affect the fetus's supply of oxygen and nutrients. In cases where vaginal delivery is risky, performing a cesarean section is beneficial to both mother and baby.

(1) Opening the abdominal cavity: After the surgical site is determined, the patient is cleaned, shaved, disinfected, and anesthetized. First, an arc-shaped incision is made, and then the skin and muscles, external oblique muscles, internal oblique muscles, transverse abdominal muscles, and muscle fascia are cut in layers. If there are any blood vessels, they should be bypassed or bidirectionally ligated. After cutting the retroperitoneum, use medical tweezers to pinch it and make a small cut when cutting the abdomen. Then the patient inserts the middle finger or ring finger of the right hand into the incision, and under the guidance of the right hand, cut the retroperitoneum to an appropriate length to expose the rumen.

(2) Pulling out the uterus: After the retroperitoneum is incised, the patient's arm should be disinfected and washed with saline, and then inserted into the abdomen to examine the uterus, fetus and surrounding organs to check for any rupture or adhesion. Then have an assistant move the rumen forward to expose the uterus. Push the pessary out of the wound. When moving the uterus, the movement should be slow and at a certain angle. Using too much force can easily tear the uterus. After the uterus is pulled out, a block of double-layer sterile gauze should be placed between the uterus and the edge of the wound to prevent the fluid in the uterus from being injected into the abdomen and causing infection.

(3) Uterine incision: After identifying the greater curvature of the uterine angle, bypass the uterine caruncle and cut through the endometrium with one cut. After sufficient ligation of the blood spots in the endometrial wound, the fetal membrane around the wound is carefully separated. If the membrane is filled with amniotic fluid, make a small cut to release the amniotic fluid first. Choose the appropriate location and position to release the fetal fluid. After part of the amniotic fluid has been discharged, use scissors to increase the incision of the amniotic membrane and rotate the cut edges on both sides to the sides of the uterine incision and fix them. In this way, the cut edges of the everted amniotic membrane form a microscopic wound, and the amniotic fluid will not leak into the abdomen when it is discharged, causing pollution.

(4) Pulling out the fetus: When taking out the fetus, follow the incision of the uterus, grasp the tarsal part of the fetus's hind legs or the wrist of the front legs, and slowly pull the fetus out in the most appropriate position and angle. If the wound is very small, it can be enlarged. After pulling out the fetus, the assistant should stabilize the uterus and not let it retract into the abdomen. The pulled-out fetus is cared for as normal calves.

(5) Separation of the placenta: The solution is that if it can be separated, it should be separated completely. If it cannot be separated, the part that has fallen off should be cut off, and the rest should be left in the uterus to be discharged on its own. However, the fetal membranes around the edges of the wound must be separated and cut off, otherwise it will hinder the stitches.