Concerning childbirth, I believe many people have such a common understanding that they give priority to natural delivery, and then choose caesarean section when there is no condition for natural delivery. The caesarean section we think of is a cut on the belly, but the cut on the belly is not exactly the same, because some women have vertical incisions and some have horizontal incisions. Why? This is of course chosen based on the mother's situation at the time. If we want a smooth delivery during a caesarean section, should we choose a vertical incision or a transverse incision?

In fact, this decision should be left to the doctor, so pregnant mothers do not need to worry about this issue at all. Under normal circumstances, transverse incisions are now chosen, but in the past, or even now, if the mother's situation is more urgent and the fetus needs to be taken out as soon as possible, the doctor will choose vertical incisions according to the situation? Because transverse incisions and vertical incisions Different incisions have their own advantages and disadvantages, but in general, there are generally more transverse incisions now.

The difference between horizontal incision and vertical incision

1. The impact of wound location

In fact, whether it is a horizontal incision or a vertical incision, the location of the incision is Below the belly button?, but the vertical incision will be higher and the horizontal incision will be closer to the pubic bone.

For some women who prefer to wear navel-baring clothing, a transverse incision will be better, and this scar will not be visible even if they wear navel-baring clothing.

If it is a vertical incision, the wound starts a little below the navel. If you wear a navel-baring dress, you will definitely see the wound, and you will feel unsightly. After all, no matter how you recover from a caesarean section wound, it cannot be restored. It's the same as before surgery, and many mothers have obvious wounds in the years after giving birth.

For this point, relatively speaking, horizontal incisions have more advantages than vertical incisions.

2. The difference in pain

Speaking of pain, it should be said that the caesarean section wound is so big, there is no reason why it should not hurt, but if you have to choose between a horizontal incision and a vertical incision, Vertical incisions are more painful.

Because the vertical incision wound is relatively high and the tension of the wound is relatively high, it is easy for the mother to pull it when she moves, so she is more likely to feel pain.

The wound of the transverse incision is lower, so it is not so easy for the mother to pull the wound when she moves. Moreover, the wound tension of the transverse incision is much smaller, so the pain will be weaker.

The 24 hours after a caesarean section is the most painful time, so the mother can use analgesic sticks to relieve pain. She will not give birth to many children in her life, so there is no need to carry them, otherwise it will be really painful. It hurts very much.

3. Wound recovery

If it is compared with the wound of normal delivery, of course the wound of normal delivery is easier to recover, but if it is compared with the horizontal incision and the vertical incision, that is Transverse incisions are easier to recover because the transverse incisions are made along the texture of the muscle, which makes recovery easier.

On the contrary, the vertical incision does not follow the lines of the muscles, so the recovery time will be relatively longer.

4. Amount of bleeding

Make a cut on the belly. This cut is about 10-15cm long, and there are 6-8 layers, so no matter what, it must be There will be some bleeding, but the amount of bleeding will vary depending on the incision.

Many pregnant mothers will now think of the pregnancy line on their belly. In fact, it is the abdominal line alba. In anatomy, operations are often performed along this line. The same is true for caesarean section surgery. It is the most suitable surgical angle, so the vertical incision will make it easier to avoid some blood vessels and nerves under the abdominal wall, and the amount of bleeding will be less.

However, transverse incisions can easily damage the superficial blood vessels and nerves under the abdominal wall, resulting in relatively greater bleeding.

5. Sequelae

Mothers who undergo caesarean section should be more afraid of pelvic adhesions, so six hours after the operation, the doctor will ask the mother to turn over frequently to prevent adhesion. even.

For women with vertical incisions, since the direction of the abdominal cavity and the direction of the uterus are different, the chance of pelvic adhesion will be smaller? In the same way, mothers with transverse incisions are more likely to develop pelvic adhesions because the direction of the abdominal cavity is consistent with the direction of the uterus, and the wound is closer to the uterus.

6. Convenience to the doctor

During the operation, the vertical incision has a better view, which is actually more conducive for the doctor to perform the operation and it is easier to observe the situation inside the abdominal cavity, so when When the fetus or mother has urgent needs and needs to deliver the fetus as soon as possible, vertical incision will be chosen because it will be faster.

The field of view from a transverse incision is not that good, but various examinations are also done before maternal surgery. Under the premise of safety, the operation does not seem so urgent. Even a transverse incision does not hinder the operation? .

7. Regarding suture removal

We know that there are two kinds of threads during caesarean section. One is the absorbable cosmetic thread. This kind of thread is sewn to the mother's body. It can be absorbed by itself, so there is no need to remove the stitches one week after delivery.

The other kind is ordinary silk thread, which cannot be absorbed by the human body. If this kind of thread is used, the mother will need to go to the hospital to have the stitches removed about a week after delivery. This is undoubtedly a small shock to the mother who is afraid of pain.

Because the tension in the abdomen is relatively high, women with vertical incisions generally do not use cosmetic threads. Instead, they choose to use ordinary silk threads. In other words, women with vertical incisions generally need to remove the sutures.

If the mother has a transverse incision, because the tension is not that big, she can choose beauty threads. Of course, not every mother is suitable for beauty threads, so there is only one more choice.

When Lazy Mom had a caesarean section, it was a transverse incision. At that time, the doctor was worried that Lazy Mom could not absorb the beauty sutures, so she directly put ordinary silk threads on her. When they went to remove the sutures, Lazy Mom was really frightened. My throat hurts. After all, it had already hurt once during a caesarean section, and I was really afraid of having the stitches removed. Fortunately, the removal of the stitches was not as painful as expected, and there were only four stitches on the outer layer, so although I was scared, I finally got through it easily.

As parturients, we actually don’t have to think about it that much. If there is no emergency, it is usually a horizontal incision. Nowadays, when we see vertical incisions, they either have an emergency or have had surgery for many years. Now, just like the two friends of the lazy mother, the children are 14 years old, and the wounds on both of them are vertical incisions.

And since it’s time for surgery, what we should be most concerned about is the safety and health of the mother and her fetus. As for whether it is a vertical incision or a horizontal incision, it doesn’t matter at all at this time. After the operation, if the mother wants the wound to recover better and be more beautiful, she must take good care of the wound after delivery, avoid getting water on the wound, avoid infection, pay attention to disinfection, and try to make the wound smoother.

I am a lazy mother, a mother of two children, an original author on multiple platforms, and I have been in the parenting circle for many years. I focus on motherhood, childbirth, and parenting solutions. Follow me to learn more. This article is original and plagiarism will be investigated. The pictures come from the Internet and any infringement will be deleted.