Some pregnant women will find that the scar of their second child by caesarean section is much uglier than that of their first child. This is because the second-born women often take it lightly and supplement it excessively, or because the abdominal muscles are too loose to recover after multiple pregnancies, which will cause the lower abdomen to protrude and increase the tension of the wound, and the scar is particularly obvious. Many ignorant mothers will blame the second doctor for not sewing up the wound. This is really a great injustice! Others, such as swollen crab feet, postpartum wound infection, or women's rejection of subcutaneous suture, will be ugly.
Preparation before caesarean section
Once caesarean section is decided, nutrition should be strengthened before and after delivery. Fresh fruits, vegetables, eggs, milk, lean meat, skins and other foods rich in vitamins C, E and essential amino acids can promote blood circulation and improve epidermal metabolic function. Avoid spicy foods such as peppers, onions and garlic to prevent itching. Some chronic diseases, such as malnutrition, anemia and diabetes. , are not conducive to wound healing, but conducive to scar formation, so we should actively treat. Thoroughly clean the whole body before operation and use antibiotics preventively; Postoperative logistics dressing change, keep the wound and the surrounding environment clean and dry, so as to avoid infection and hematoma and delay wound healing.
Choose your own caesarean section before delivery.
(1) straight operation method: make a wound about 15 cm in the middle of navel.
Advantages: if there is an emergency during the operation, it is convenient to expand the wound, the scope of operation is clearer and the time is faster.
Disadvantages: the appearance of the wound is not good. In addition, because scars are pulled under greater pressure, straight wounds are more likely to grow scar tissue or produce abdominal hernia.
(2) Horizontal type
Surgical method: horizontally draw a wound about 10 ~ 15 cm on the upper edge of pubic bone under abdomen, which looks like a smile sign.
Advantages: the wound is more beautiful, and it is less likely to produce abdominal hernia and scar tissue.
Disadvantages: the wound field of vision will be reduced, which is not suitable for other complicated operations or obese patients.
How to prevent ugly scars after caesarean section;
When it comes to scars, it is necessary to understand two different concepts of wound management: dry management (or dry healing) and wet management (or wet healing).
Traditional wound management methods mostly belong to "dry management", that is, to keep the wound dry and scabbed as soon as possible. Although the wound heals after the scab falls off, there is a great possibility of leaving scars. Compared with the "dry management" of the wound, "wet management" means that the wound is always in a wet state during the healing process and does not scab when healing.