Cesarean section is to cut open the abdominal wall and uterus to remove the fetus. So, what are the measures for post-cesarean section care? What are the precautions for post-cesarean section care?

Post-cesarean section care

Pay attention to the following points in post-cesarean section care:

1. Pay attention to rest to restore physical strength as soon as possible.

2. Turn over frequently after delivery to promote early exhaustion.

3. Eat as early as possible to make up for the physical loss caused by the surgery.

4. Change clothes frequently to keep your body clean and your vulva clean.

5. Infusion is required in the first two days after delivery to prevent infection.

Nursing measures after cesarean section

Cesarean section is completely different from vaginal delivery. It requires making a 10 cm long incision in the lower abdomen, opening the abdominal cavity, and incision. The uterus, the fetus was removed and then sutured layer by layer. The surgical wound is large and wide, and it is connected to the vagina that harbors bacteria. Therefore, cesarean section is the largest obstetric operation. It has many complications and sequelae. Obstetricians perform this operation only as a last resort. Common complications include fever, uterine bleeding, urinary retention, and intestinal adhesions; the most serious complications include pulmonary embolism and amniotic fluid embolism, which can lead to sudden death; long-term sequelae include chronic salpingitis and resulting ectopic pregnancy, as well as uterine Endometriosis, etc. The prevention of these complications relies on doctors on the one hand and the cooperation of patients on the other. Therefore, strengthening self-care after surgery is very important for smooth recovery. First of all, we should have some understanding of the above-mentioned complications and know their seriousness before we can pay attention to preventive measures.

(1) Adhere to rehydration

Prevent blood concentration and thrombosis. Pregnant women consume more and eat less during the delivery period, and the blood is concentrated. In addition, the blood during pregnancy is hypercoagulable, so it is easy to Thrombus formation can induce pulmonary embolism and lead to sudden death. Therefore, regular infusion is required for 3 days after surgery to replenish water and correct dehydration. In addition, no food or drink is allowed within 6 hours after surgery. After 6 hours, you can eat some liquids such as warm water, millet juice, and steamed eggs. On the second day after surgery, you can usually have normal exhaust after turning over in bed. Before exhaust, you can eat porridge, crucian carp soup, chicken soup, whole soup and other liquids, but avoid eating milk and sweets. After exhausting the gas, you can eat semi-liquid foods such as noodles and Chaos. On the third postoperative day, after the urinary catheter is removed, the patient can get out of bed and eat a normal diet. The infused liquid contains glucose and antibiotics, which can prevent infection and fever and promote wound healing. Do not refuse or ask to reduce the dosage because of fear of pain or boredom.

(2) Try to use upper limb intravenous infusion

Since the glucose and certain drugs in the fluid can stimulate the vein wall and induce thrombosis, once the veins of the lower limbs are damaged and inflamed, it is more likely to cause thrombosis. Thrombosis occurs, so postpartum rehydration is done in the upper limbs. Mothers cannot ask for infusion in the lower limbs for convenience.

(3) Early movement

After the anesthesia wears off, the muscles of the upper and lower limbs can be made to do some contraction and contraction movements, and the operator can get up and move within 6 hours. This can promote blood flow and prevent thrombosis; promote the movement of intestinal segments and prevent intestinal adhesions.

(4) Pay attention to vaginal bleeding

After cesarean section, there is a lot of uterine bleeding. Family members should check the amount of vaginal bleeding from time to time. If it exceeds the menstrual flow, they should notify the doctor and take timely measures to stop bleeding. .

(5) Prevent abdominal wound dehiscence

When coughing, nausea, or vomiting, pressure should be applied on both sides of the wound to prevent sutures from breaking.

(6) Urinate in a timely manner

Indwelling urinary catheters are generally removed after rehydration on the second day after surgery. Urination should be done in a timely manner 3 to 4 hours after removal. If you can't urinate while lying in bed, you should get up and go to the toilet; if that doesn't work, you should inform your doctor until you can urinate unobstructed.

(7) Pay attention to body temperature

Low-grade fever may occur after stopping antibiotics, which is often an early manifestation of reproductive tract inflammation. If it exceeds 37.4 degrees Celsius, it is not appropriate to force the patient to be discharged from the hospital; for those who are discharged without low-grade fever, it is best to take their temperature once a day in the afternoon within 1 week after returning home, so that low-grade fever can be detected early and dealt with in a timely manner.

(8) Beware of late postpartum hemorrhage

Cesarean section patients have uterine wounds, which are more likely to cause fatal bleeding. Late postpartum hemorrhage is also more common, and lochia is obvious after returning home. If the symptoms increase, like menstruation, you should seek medical treatment in time, especially those who live in rural areas and have inconvenient transportation. It is best to go directly to the original delivery hospital for diagnosis and treatment, because it has a better understanding of the maternal condition and can handle it more easily.

(9) Take contraceptive measures in time

Sexual intercourse usually starts 42 days after delivery and 3 days after the lochia is completely gone. It is advisable to use condoms in the early stage, and go to the original surgical hospital 3 months after delivery for IUD insertion. It is particularly dangerous when having an induced abortion.

(10) Pay attention to menstrual wound pain

When there is ectopy in the uterus at the wound site, the menstrual wound will continue to be distended and painful, and it will become more severe every month. Hard lumps may appear. Once such symptoms occur, you should go to the original hospital for treatment in time.

Self-care after cesarean section

1. Strengthening self-care after surgery is very important for smooth recovery.

2. Infusion will be provided within three days after surgery to replenish water and correct dehydration. Six hours after surgery, you can eat liquid foods such as stewed eggs, egg drop soup, lotus root starch, etc. You can eat porridge, crucian carp soup and other semi-liquid foods on the second day after surgery.

3. Early movement is an important measure to prevent intestinal adhesion, thrombosis and sudden death. After the anesthesia wears off, you can do some stretching and contraction movements of the upper and lower limb muscles, and you can get up and move around six hours after the operation.

4. During caesarean section, there is a lot of uterine bleeding. You should pay attention to the amount of vaginal bleeding. If you find that the amount of vaginal bleeding exceeds the menstrual flow, notify the doctor in time.

5. When coughing, nausea, or vomiting, press both sides of the wound to prevent sutures from breaking.

6. Generally, the indwelling urinary catheter can be removed after the rehydration is completed on the second day after the operation. Urination should be done in time 3 to 4 hours after removal. If you can't urinate while lying in bed, you should get up and go to the toilet. If that doesn't work, tell your doctor until you can urinate unobstructed.

7. If the body temperature exceeds 37.4℃, it is not appropriate to force the patient to leave the hospital. Within a week after returning home, it is best to take your temperature every afternoon so that low-grade fever can be detected early and dealt with promptly.

8. Beware of late postpartum hemorrhage: If lochia increases significantly after returning home, like menstruation, you should seek medical treatment in time, especially those who live in rural areas and have inconvenient transportation. It is best to go directly to the original delivery hospital for diagnosis and treatment.

9. Take contraceptive measures in time: Sexual intercourse usually starts 42 days after delivery and after the lochia is completely cleared. It is advisable to use condoms in the early stage, and you should go to the original surgical hospital 3 months after delivery. Because if you have an abortion once you are pregnant, it will be particularly dangerous.

10. Pay attention to menstrual wound pain: Endometriosis is sometimes seen at the wound site, which manifests as persistent swelling and pain at the menstrual wound, which becomes more severe every month, and hard lumps may appear in the later period. Once such symptoms occur, you should go to the hospital as soon as possible.