How to deal with cesarean section incision dehiscence

With the development of medical technology, there are only two ways for women to give birth: natural birth and caesarean section. Generally speaking, if the physical condition of the pregnant woman allows, they will choose to give birth naturally, because natural birth is very good for both the mother and the fetus. If the pregnant woman is in poor health or the fetus has an abnormal position or the umbilical cord is wrapped around the neck, she will choose a caesarean section. Let’s learn how to deal with a cesarean section incision.

1. What to do if the cesarean section wound ruptures

If the wound dehiscence occurs after cesarean section, the wound surface should be checked first to see if there is pus, yellow-white necrosis, or redness, swelling, heat, or pain. If it is just a tear and there is no inflammatory reaction, use normal saline for disinfection and wipe the wound with iodine every day. It is best to lie flat at ordinary times to expose the wound. If there is exudate or sweat in the wound, rinse it with normal saline in time to keep the wound dry. If inflammation or infection occurs. You should use hydrogen peroxide to rinse the wound, and use medical scissors and tweezers to clean the necrotic tissue on the wound, exposing the red flesh inside and use a closing method to promote wound healing. There is no need to bandage the wound at ordinary times, and try to keep the wound dry and exposed. If you need to walk outside or sleep, just wrap it with one or two layers of gauze to prevent the wound from being rubbed by foreign objects.

2. How to care for cesarean section wounds

1. Use less painkillers

When the effect of the anesthetic slowly disappears after cesarean section, the pain in the abdominal wound begins to return, and the pain usually becomes severe a few hours after the operation. In order to ensure good rest and recover as quickly as possible, you can ask your doctor to give you some painkillers on the day of surgery or that night. After that, you need to be more patient and try not to use pain relief drugs, otherwise it will affect the recovery of intestinal motility function. Generally speaking, the pain from the wound will disappear on its own after 3 days. Gently massaging the wound with your fingers for 3 to 5 minutes every day can promote wound healing and reduce scar formation.

2. You should turn over more often after surgery

Anesthetic drugs have a certain inhibitory effect on intestinal peristalsis, which can cause varying degrees of intestinal flatulence and thus abdominal distension, which is not conducive to wound healing. Therefore, after delivery, you should turn over in bed more often to promote the early recovery of paralyzed intestinal muscle peristalsis function and help expel gas in the intestine as soon as possible.

3. It is advisable to take a semi-recumbent position when lying in bed

Since the physical recovery of mothers who undergo cesarean section is much slower than that of those who give birth naturally, mothers who undergo cesarean section are more likely to have difficulty expelling lochia. Therefore, it is recommended that mothers adopt a semi-recumbent position and turn over more often. This can promote the discharge of lochia, avoid accumulation in the uterine cavity and cause infection which affects uterine reduction, and is also beneficial to the healing of the uterine incision.

4. Keep the abdominal incision clean

Within 2 weeks after surgery, avoid getting the abdominal wound wet and do not take a full body shower, but use a sponge bath. You can take a shower after two weeks, but you must not take a sitz bath until the lochia is completely discharged. Do not get the incision wet or dirty before the wound heals. If it gets wet, it must be wiped dry immediately and disinfected with betadine. If the wound becomes red, swollen, hot, or painful, do not squeeze or apply any application patches on it yourself. You should seek medical attention promptly to avoid wound infection and delayed treatment.