How many layers is the horizontal knife sewn by caesarean section? Generally speaking, after caesarean section, the incision of uterus should be sewn with two layers (full layer of uterine muscle and serosa), one layer of peritoneum and three layers of abdominal wall (foreskin, subcutaneous tissue and skin). There is generally no shortage of stitches. If the subcutaneous tissue is thin, it can be stitched together with the skin.
Caesarean section should pull out the uterus after cutting the abdominal wall in the first step. After peritoneotomy, the doctor's arm should be disinfected again, washed with normal saline, and then extended into the abdominal cavity to check the uterus, fetus and nearby organs for rupture and adhesion. Then ask the assistant to move the rumen forward to expose the uterus. Slowly pull out the uterus at a certain angle and pull the uterus out of the incision. After cutting the uterus and determining the large curvature of the uterine angle, avoid the uterine caruncle and penetrate the uterine wall all the way. After the bleeding point of the uterine wall incision is completely ligated, carefully separate the fetal membrane near the incision. After the above procedures are completed, the fetus can be taken out. When taking the fetus, grasp the tarsal bone of the hind limb or the wrist of the forelimb along the uterine incision, and slowly pull out the fetus in the most suitable direction and angle.
Causes of itch of postpartum laceration 1 first degree laceration
Except for a little discomfort, it is unlikely to cause other problems, and it will usually get better in a few days. After all, it's just a small wound on the skin, and it's only in sensitive parts. You will meet it when you are sitting (if you sit on a pillow for the first few days, you will feel more comfortable). Once torn, it should be sutured after delivery, so that the muscle tissue can be restored.
Second degree tear
It will cause great pain and may take a week or more to recover, depending on the length and depth of the wound. The midwife will check your stitches regularly. If there is pain, she will also give you paracetamol or similar mild painkillers to relieve the pain. You may feel pain after sitting for a few days, and you may need a pillow or cushion to help you. A fairly deep tear, the so-called third degree tear, will pass through the skin and muscle tissue to reach the rectum.
Third degree tear
Different from first-degree and second-degree tears, it is often caused by large fetus, fast delivery or prolonged vulvar incision. If the third degree tear is not sutured quickly and skillfully, it will cause further complications, because excrement will flow from the intestine to the wound and vagina, causing infection and incontinence.
The third degree tear is likely to cause pain due to deep injury of muscle tissue, which lasts for more than 2 weeks. You need painkillers to relieve the pain, and special inflatable cushions (like rubber rings for children) to make you comfortable when sitting.
The degree and duration of pain during tearing and suturing will be very different. If the torn part causes pain, you should let the midwife know, not try to hold it back. Because pain can indicate whether it is infected or whether the suture is tight, you need to know your pain at any time. It is worth remembering that even if the tear will heal within a week, you will experience discomfort for a long time because of the internal swelling and bruising caused by childbirth.