How to do cesarean section for the second time

With the opening of the two-child policy, more and more families are preparing to have a second child. Some women gave birth to their first child by caesarean section. Generally speaking, if the first child is delivered by caesarean section, the second child will also be delivered by caesarean section. Women who have given birth know that there are some precautions when doing a caesarean section, especially when doing a second caesarean section, more attention should be paid.

How to perform cesarean section for the second time?

If you experience abdominal pain, seek medical attention as soon as possible: a scarred uterus may rupture spontaneously in the late stages of pregnancy. When the uterus ruptures, abdominal pain of varying severity will occur. Sometimes, even if the abdominal pain is relatively mild, the uterus has already ruptured, so you must be vigilant.

Avoid abdominal pressure in the late pregnancy: To prevent the scar from cracking, you should also pay attention to protecting it and not squeezing it. In the late stages of pregnancy, you should avoid crowded places, do housework in moderation, sleep on your back or side, and have an adequate sexual life without putting pressure on your abdomen.

Pay attention to fetal movement: Fetal movement is the movement of the fetus in the uterus. The speed of fetal movement is an early indicator of whether the fetus is safe in the uterus. Normally during pregnancy there will be three to five fetal movements per hour or at least ten times a day. After a caesarean section, a scarred uterus with a slight rupture or placental abnormality can cause fetal death.

Things to note after the second cesarean section:

1. It is not advisable to lie flat: After the operation, the effect of the anesthetic disappears and the mother feels pain in the wound. The supine position is most sensitive to the pain of uterine contraction, so she should lie on her side with the body at an angle of 20-30 degrees to the bed, and put a quilt or blanket behind her to reduce the vibration and pulling pain of the incision when the body moves.

2. It is not advisable to lie still: After consciousness is restored after the operation, you should engage in limb activities. After 24 hours, you should practice turning over, sitting up, and getting out of bed and moving slowly. This can enhance gastrointestinal motility, expel gas as soon as possible, and prevent intestinal adhesion and thrombosis that may cause embolism in other parts of the body.

3. Do not eat too much: eating too much after cesarean section will cause abdominal distension and increased abdominal pressure, which will hinder recovery. Therefore, you should fast within 6 hours after surgery, and then gradually increase your food intake.

4. Timely bowel movements: After a caesarean section, due to the pain, the mother is afraid to exert force on the abdomen, and urination and defecation cannot be excreted in time, which can easily cause urinary retention and constipation. Therefore, the mother should urinate and defecate in time according to her usual habits after the operation.

5. Prevent colds: Colds and coughs can affect wound healing, and severe coughs can even cause wound tears. Pregnant women who have caught a cold should take medication promptly.

In addition, make sure the abdominal incision and perineum are clean. Do not scratch when it itches, and do not scrub with unclean items.