What details should be paid attention to in cesarean section care

Cesarean section is a common obstetric surgery. For some women, cesarean section is a necessary option when natural childbirth is not suitable or there are risks. Post-cesarean section care is very important and requires attention to many details to ensure the recovery of the mother and the health of the baby.

Maternal monitoring:

Monitor the mother's condition: Closely monitor the mother's vital signs, including blood pressure, heart rate, respiration, and uterine contractions, and promptly detect and deal with any abnormalities.

Postoperative bleeding observation: Pay attention to whether the mother has abnormal vaginal bleeding, and promptly evaluate and treat postoperative bleeding.

Pain medication :

After cesarean section, the effect of anesthetic gradually disappears, and the pain of the abdominal wound begins to recover. Generally, the wound begins to hurt severely a few hours after the operation. In order to have a good rest and recover as soon as possible, you can ask the doctor to give you some painkillers on the day or night of the operation. After that, it is best not to overuse painkillers to avoid affecting the recovery of intestinal peristalsis. Generally speaking, the pain of the wound will disappear on its own after 3 days.

Wound care:

Wound care after cesarean section is crucial. To avoid infection, mothers should keep the wound dry and clean and avoid contact with water or foreign objects. Regularly changing wound dressings helps keep the wound clean and dry and promotes wound healing. Mothers should carefully observe the wound, paying special attention to any abnormalities such as bleeding, exudation, or redness and swelling. If any abnormalities are found, they should report to medical staff immediately.

Turning over after surgery :

Anesthetic drugs may inhibit intestinal peristalsis after surgery, leading to intestinal flatulence and a feeling of bloating. To help alleviate this situation, mothers should turn over more often after surgery. Turning over helps stimulate intestinal peristalsis, promotes the discharge of intestinal gas, and helps intestinal function return to normal as soon as possible. In addition to turning over multiple times, other methods can also be considered to relieve intestinal flatulence and discomfort. About 12 hours after surgery, mothers can drink some senna water, which promotes intestinal peristalsis and relieves constipation, helping to reduce bloating and discharge gas in the intestines.

Activity and Nutrition:

Early activity is very important for maternal recovery. Under the guidance of medical staff, starting early activity at an appropriate time after surgery can help promote blood circulation, prevent thrombosis, improve lung function, restore muscle strength, and reduce the occurrence of postoperative complications. Early activity includes moderate walking, simple stretching exercises, and deep breathing exercises. Under the guidance of medical staff, mothers can gradually increase the time and intensity, but avoid strenuous exercise and weight bearing.

In terms of diet, a balanced diet is crucial for the recovery of the mother. Medical staff will provide a nutritional diet plan that meets the needs of the mother, including the intake of protein, vitamins, minerals, etc., to help restore physical strength and promote wound healing. At the same time, spicy and irritating foods should be avoided to avoid gastrointestinal discomfort or affecting wound healing. Adequate drinking of water is also very important, which promotes intestinal peristalsis and helps prevent problems such as constipation and bloating.

Pay attention to urination and defecation:

It is very important to pay attention to urination and defecation after cesarean section. In order to facilitate the operation, a urinary catheter is usually placed before cesarean section. 24-48 hours after the operation, the effect of anesthetic drugs gradually weakens, and the bladder muscle function recovers. At this time, the urinary catheter can be removed. When you feel the need to urinate, take the initiative to urinate on your own, and do not hold urine to prevent urinary retention from causing infection and bladder problems. Holding urine for a long time will increase the burden on the bladder, and it is also easy to cause bladder spasm and increase the risk of urinary incontinence.

In addition, mothers also need to pay attention to preventing constipation. After cesarean section, due to body stimulation and hormonal changes, mothers are prone to constipation problems. Constipation will not only affect the mother's comfort, but also increase abdominal pressure, which will have an adverse effect on wound healing.

Breastfeeding and breast care :

After cesarean section, mothers should find a comfortable position suitable for themselves and their babies to ensure that the baby can suck fully and avoid nipple injury or milk blockage. Postoperative breast care is more important. Mothers should avoid holding back milk for a long time and keep their breasts dry to avoid mastitis. At the same time, mothers can gently clean their nipples and breasts with warm water before breastfeeding to ensure cleanliness. If you find that your nipples are cracked or painful, you can use appropriate care products, such as nipple cream, to help restore the skin and relieve discomfort.

In short, post-cesarean section care is extremely important. Paying attention to every detail during the post-operative care process can ensure the safety and health of the mother. The mother should also strictly follow the guidance of medical staff, report any abnormal conditions in a timely manner, take good personal care, and promote her own recovery. (Li Jing, Lingshou County People's Hospital, Shijiazhuang City, Hebei Province)