Is vertical incision for caesarean section good?

After experiencing physical discomfort and worrying about the baby's development, the pregnant woman will eventually welcome the birth of her baby. When it comes to the baby's birth, it is also a choice between natural birth and caesarean section. When you have to choose a caesarean section, the choice is between horizontal incision or vertical incision. In fact, the first caesarean section is a vertical incision because it is safer. Let me tell you about the pros and cons of vertical incision for cesarean section.

Five advantages of vertical incision :

1. The time from skin incision to fetal delivery is shorter than that of transverse incision, which is especially suitable for emergency situations. For example, when umbilical cord prolapse or severe fetal heart rate abnormalities occur and the fetus needs to be delivered immediately, longitudinal incision is often used.

2. It is easier to remove the fetal head without pressing the uterine fundus, and there is rarely any difficulty in removing the head.

3. The surgical field of view is fully exposed and the incision can be extended depending on the situation. Therefore, for patients diagnosed with combined fibroids, ovarian tumors, or surgical conditions requiring surgical exploration before surgery, a longitudinal incision cesarean section is appropriate.

4. The operation time is shorter than that of transverse incision, and it can even be performed under local anesthesia in emergency situations.

5. The chance of adhesion of abdominal wall tissue is low. For those who have high fertility requirements, it is better to choose vertical incision.

Disadvantages of vertical incision:

1. The abdominal wall scars are obvious and unsightly, especially for those with scar-prone physiques.

2. The stretching when standing up and lying down is heavier, so the mother feels more pain.

3. More patients suffer from poor wound healing than those with transverse incisions, especially those with thick abdominal walls, who may suffer from fat liquefaction or infection.

Experts advise: If pregnant women only want to give birth to 1-2 times, pay attention to aesthetics or have thick abdominal walls, they can choose a horizontal incision. However, if they hope to have more children or have obstetrics, gynecology or surgical complications, it is more appropriate to choose a vertical incision. In emergency situations, the doctor will decide and usually choose a vertical incision.

5 key points for nursing abdominal incision after cesarean section

Abdominal wounds take 7 days to heal, so care before the wound heals is particularly important.

1. The wound after surgery is covered with sterile dressings, but there will inevitably be a small amount of bloody exudation on the wound surface, which is easy to breed bacteria. Therefore, the wound surface needs to be cleaned on the second day after surgery and replaced with a new sterilized dressing.

2. If the dressing is contaminated by lochia, etc., it should be changed at any time.

3. By the 7th day after the operation, the wound has healed and the dressing covering the surface can be removed, exposing the wound and the mother can take a shower.

4. If it is summer and the weather is hot and it is easy to sweat, the wound needs to be cleaned in the next few days, and attention should be paid to whether there are signs of infection such as local redness, swelling and tenderness.

5. If the mother has a scar-prone constitution, the wound will gradually become thicker after healing, bulge on the skin surface, and scar hyperplasia will occur. Generally, silicone gel can be applied to the wound surface from the 10th day after the operation to reduce scar hyperplasia.