How long after cesarean section can I do pelvic floor muscle repair

Because of pregnancy, women's pelvic repair is likely to become loose, which may cause urinary incontinence, vaginal prolapse, uterine prolapse and other pelvic abnormalities. Therefore, many women will do postpartum pelvic repair after giving birth to make the body more repaired. So how long after a cesarean section can the pelvic floor muscle be repaired?

How long after a cesarean section can I do pelvic floor muscle repair?

1. The golden period for postpartum pelvic repair: Postpartum pelvic repair can be done after the cesarean section wound has healed. The best time for postpartum repair is within 42 days to 6 months after giving birth. Postpartum pelvic repair can also restore the blood and qi of the female body, and can clear out the residual toxins in the body. Therefore, it is necessary to do postpartum pelvic repair in time.

2. Ideal period for postpartum pelvic repair: 6-18 months after cesarean section is the most ideal surgical recovery period for postpartum pelvic repair. After the training of postpartum pelvic repair in the golden period, the toxins in the human body have been well eliminated, and the blood gas level has gradually recovered. Therefore, this is an ideal time for physical injury and postpartum pelvic repair.

3. The effective period of postpartum pelvic repair: One and a half to three years after cesarean section is the late stage of postpartum pelvic repair for women. During this period, comprehensive body conditioning should be carried out so that all functions of the body can achieve the best balanced state. Pregnant women can practice yoga to help postpartum pelvic repair and repair the separation of waist muscles caused by pregnancy.

The best time for cesarean section:

The study found that babies born by caesarean section at 37 or 38 weeks were twice as likely to have health problems, such as breathing problems, infections, low blood sugar or need for critical care, as those born by caesarean section at 39 weeks. Moreover, the proportion of complications in the former is significantly higher than that in the latter.

What preparations should be made before cesarean section:

1. Estimation of surgical treatment risks

Surgery is both a measure to implement treatment and a process that causes trauma. Therefore, it is necessary to make a more adequate assessment of the risk factors of anesthesia before surgery to ensure the safety of surgery.

2. Be fully prepared

Almost all pregnant women and their relatives experience significant changes in their mental state before surgery. This is because obstetric surgery is usually required for pregnant women who have acute onset of symptoms, great pain, and multiple complications, which causes the patient to have a strong understanding of life and death and to be fearful and restless.

According to statistics, 60% of patients have concerns about surgery before surgery; more than 50% are very afraid of surgery; 31% to 38% worry that surgery will be detrimental to their health or life; 17% are afraid of anesthesia; and 12% are worried about postoperative pain and vomiting and cannot bear it.

The most common psychological reaction of pregnant women before surgical treatment is anxiety caused by fear. As the surgical period approaches, the psychological burden of pregnant mothers becomes increasingly serious, resulting in a complex psychological change of wanting to have surgery as soon as possible but also wanting to give up surgery.

Mild anxiety before surgery reflects the normal psychological adaptability of pregnant women, while severe anxiety is not good for surgery and recovery. Therefore, we should fully understand, correctly deal with and promptly correct this abnormal psychological change, which will help alleviate the anxiety of pregnant mothers and enhance their self-confidence in welcoming the birth of new life normally.

3. Advance preparation of the body

Good preoperative preparation is an important condition to improve pregnant mothers' tolerance to surgery and reduce postoperative complications. The main aspects of physical preparation are: 1. Correcting anemia and bleeding tendency; 2. Maintaining water, electrolytes and acids and alkalis; 3. Improving health and hypoproteinemia; 4. Actively dealing with complications.

Preoperative examination A series of tests are required before the operation, including the pregnant woman's body temperature, pulse rate, respiration, blood pressure, medical history, current routine physical examination results, blood profile, liver function test, HIV virus infection, hepatitis C, and syphilis, in order to determine the physical condition of the pregnant woman and the fetus. The hospitalization time for cesarean section preparation is determined by the doctor based on the condition of the fetus. The patient is hospitalized one day before the operation as promised to receive pre-operative preparation. Before the operation, the electrocardiogram was monitored and the fetal heart rate was listened to. The fetal heart rate was normal between 120 and 160 beats/min.

4. Avoid eating before surgery

The most serious complications of anesthesia are vomiting and reflux, which can cause gastric contents to be accidentally aspirated into the bronchi, resulting in reflex tracheal obstruction and death of the patient. Therefore, it is very important for pregnant women who are preparing for a cesarean section to fast before the operation. Generally, pregnant women are required to fast for 4 hours before the operation to avoid accidents during the operation.

The dinner on the eve of surgery should be light, and you should never eat after midnight to ensure gastrointestinal cleanliness and reduce intraoperative infection.

5. Advance preparation of surgical treatment plan

The design of the surgical treatment plan is a key step in the preparation before surgery. The surgical treatment plan includes: operation time, anesthesia method, wound selection and surgical method.