To sum up, the nursing after scar-free cesarean section is very important, including the choice of incision, the fineness of skin suture, avoiding contact with water, avoiding incision bleeding and reducing incision tension. Personal physique is also very important.
When I came out of the operating room by caesarean section, I pressed a sandbag-shaped bag on my stomach with medicine on it.
After three days in hospital, I was discharged. When I was in hospital, the doctor came to change the medicine once. Before leaving the hospital, the doctor told me to take off the patch after seven days, and the cosmetic thread used did not need to be removed.
When I came home from the hospital, I basically ignored that piece. Seven days later, I removed the medicine, which was quite shocking. But at least I can get out of bed and move freely in 7 days, which is much more comfortable than before.
Nursing: I am a twin nanny who has been wandering in the parenting circle for 10 years and finally can display her fists and feet. I am a complementary food expert in a circle of friends, an encyclopedia of parenting, and I love life and like to share. I look forward to walking with you, studying with you and growing up together on the way of parenting. Remember to help me like it. Oh, ha, thank you! After cesarean section with less analgesic drugs, the effect of anesthetics gradually subsided. Usually a few hours after the operation, the wound begins to feel pain. At this time, in order to let the mother have a good rest, the doctor will use some painkillers on the day of operation or at night. It is best not to use analgesic drugs after that, because it will affect the recovery of intestinal peristalsis.
The parturient of light diet cesarean section did not disappear due to anesthesia within 6 hours after operation, and the general reaction was low. In order to avoid suffocation and vomiting, pregnant women should temporarily fast. If the mother is really thirsty, she can regularly feed a small amount of warm water. Six hours after operation, you can eat liquid food, such as chicken, duck, fish and bone soup. Before eating, you can moisten your throat with a little warm water, about 50 ml each time. If you have abdominal distension or vomiting, you should get out of bed more or apply peppermint oil around your navel. The first meal should be light and simple, such as porridge and clear soup, and should be less. Cesarean delivery women should try to avoid eating food that is easy to produce gas, while others should take it in moderation according to their personal preferences. Avoid greasy and irritating food, take more cellulose, promote intestinal peristalsis and prevent constipation.
Moderate exercise as long as physical strength permits, you should exercise your limbs after cesarean section. After 24 hours, practice turning over and sitting up, get out of bed and move slowly, and gradually increase the amount of exercise. This can not only promote intestinal peristalsis and lochia, but also promote uterine involution and avoid postoperative intestinal adhesion and thrombophlebitis. Before getting out of bed, you can tie your abdomen with a corset, which will reduce the pain caused by vibration touching the wound when walking.
Women who breastfeed as early as possible will have abdominal distension on 1-4 days after delivery. At this time, breastfeeding can promote uterine contraction, promote lochia discharge and reduce postpartum hemorrhage. However, cesarean section mothers often reduce their willingness to breastfeed because of the pain in the wound. In fact, as long as you lie on your side and breastfeed after surgery, you can reduce the pain and discomfort caused by pulling the wound.
Pay attention to postpartum sanitary cesarean section. Mothers should clean the vulva 1-2 times a day, and pay attention to keeping the abdominal incision clean. In principle, cesarean section women should not take a bath. If the wound is wet with water, it should be disinfected immediately and covered with sterile gauze. Theoretically, it is safer to take a bath, at least wait until the stitches are removed before taking a bath. In addition, attention should be paid to whether the wound is painful when postpartum menstruation recovers, because endometriosis is easy to occur at the wound, which is characterized by persistent swelling and pain at the wound during menstruation and even a lump. Once such symptoms appear, you should go to the hospital as soon as possible.
Pay close attention to lochia in postpartum sexual life. If there is still dark red secretion or lochia two months after delivery, you should go to the hospital for examination to see if the uterus regresses badly, or there is placenta and fetal membrane residue in the uterine cavity, or there is infection. During the puerperium, sexual intercourse is absolutely forbidden. After the puerperium, that is, 42 days after delivery, the postpartum lochia has been clean, and sexual life can be gradually restored, but appropriate contraceptive measures should be taken to prevent pregnancy again. For contraceptives, if the mother is still breastfeeding, it should be used with caution to avoid affecting the child. It is best to consult a professional doctor before use.
When choosing the mode of delivery, many expectant mothers have no choice but to choose caesarean section for various reasons, and wound care after caesarean section has become the key point.
What problems should mother pay attention to when nursing the wound after caesarean section?
For novice mothers, postpartum wound care is a particularly critical issue, so Annabel experts summarized the wound care plan for expectant mothers after caesarean section to help women recover better after childbirth.
Mothers are most concerned about the topic-how long does it take for the incision to heal completely after caesarean section?
Because of the wide range of caesarean section wounds, the epidermal wounds can heal in 5-7 days after operation, but it takes about 4-6 weeks to fully recover. Generally, the wound will be a red scar in a year and a half, which feels a little hard and itches when it rains on cloudy days. This is a chronic inflammation in the process of wound healing, which will basically turn into a white soft scar after one and a half years. If the mother does not belong to the scar constitution, and the postoperative recovery is good, it is basically invisible.
Nursing points of incision after cesarean section;
1. Just like vaginal delivery wounds, keep them clean and dry to avoid infection.
Be sure to check the abdominal incision every day and disinfect the wound.
Within two weeks after operation, avoid the abdominal incision from getting wet. New mothers can use a wet towel to wipe the bath, and basin bath must be prohibited before lochia is discharged.
After leaving the hospital, the breathable tape attached to the wound can be removed after one week, and you can take a shower. After the operation, the doctor will put a layer of cosmetic glue on the wound and then cover it with gauze. Gauze can be removed after 4 days, or it must be removed immediately when it is wet. The cosmetic glue will be torn off in about a week and replaced with breathable paper tape. )
Within 1 week after operation, the body temperature should be measured twice a day (if the new mother feels unwell, the number of body temperature measurements should be increased).
Once the wound appears local redness, swelling, heat and cracking, or purulent secretion appears, or the whole body has a fever (even if your wound looks fine), you must go to the hospital as soon as possible.
2. Encourage new mothers to take more walks after operation.
Walking can help new mothers restore the function of gastrointestinal system as soon as possible.
3, less activity, don't lift heavy objects.
Rest as much as possible when you get home, but get up and walk regularly. Walking can promote postoperative recovery and help prevent complications such as thrombosis, as long as it is not excessive. You can start slowly and gradually increase the amount of activity.
It's best to hold the baby less when confinement, not to mention anything heavier than the baby, so as not to squeeze the wound. It also prevents the occurrence of backache and leg pain in the future.
4. Try to avoid scars.
Massage the wound gently with your fingers for 3-5 minutes every day, which can effectively reduce scar formation.
Avoiding direct sunlight on the wound will deepen the color of the scar.
Once a scar is generated, it is necessary to keep the scar clean and wipe off the sweat in time. At the same time, do not use your hands to relieve itching, so as not to aggravate local irritation. Scar itching generally disappears over time.
When leaving the hospital, the doctor will put a bandage on the new mother's wound. This cosmetic bag can only be posted for 3 days at most, and it must be torn off then. Many new mothers are afraid that the wound will rub when it is exposed to the outside. In fact, they can wear maternity underwear to cover their wounds before giving birth.
In addition, at present, most wounds are sutured with catgut. In case the thread is exposed, mother should not cut it with scissors or try to smoke it, and let the doctor solve it after 42 days of postpartum review.
Diet to help women heal postpartum wounds;
Postpartum mothers will experience lochia discharge period and wound healing period, and postpartum 1-2 weeks is the key period of recovery, so mothers also need to pay attention to their diet.
1, lochia period
Diet should not be tonic, should be light and soft, eat less longan, ginseng and other supplements.
2, the wound healing period
Don't eat fried, barbecue and spicy food, such as Chili sauce, pepper and other heavy spices. In addition, carbonated drinks and sugary drinks should also be avoided. You can eat milk, lean meat, eggs, carrots, tomatoes and other foods containing protein and vitamins, and avoid eating peppers, onions, garlic, leeks and other foods.
For a mother, giving birth to a child is already a very hard and great thing. Therefore, in postpartum care, as family members and husbands, we should pay more attention than usual, so that the maternal body can recover as soon as possible.
How to nurse the incision of caesarean section after delivery? Nowadays, many mothers choose caesarean section, which can avoid the pain of uterine contraction and the pain of peeling the placenta by hand. However, things are always relative. Caesarean section reduces the pain of uterine contraction, pelvic opening and birth canal opening, but increases the pain of incision recovery in the later period.
Don't just cut two knives easily for caesarean section, only cut the stomach and uterus. But when sewing, you have to sew 7 layers. Each layer needs to be carefully stitched. The pain caused by this kind of wound can be imagined, and it also has a great influence on postpartum recovery.
Compared with natural delivery, the incidence of postpartum sequelae of caesarean section mothers will be much higher, so in order to avoid this situation, mothers need to be more careful in nursing. Specifically, the following points should be paid attention to in the nursing of caesarean section mothers' wounds: 1. Keep the wound dry and hygienic. Although at first, the wound was protected by gauze, it was inevitable that it would be soaked by water or sweat. At this time, mom should dry it in time and put on anti-inflammatory drugs when necessary.
2. Keep the diet nutritious and light. After caesarean section, the maternal diet should be light, so as not to affect the wound recovery. In addition, there should be enough protein to promote faster wound healing.
3. Keep a certain amount of exercise. Although my mother needs to stay in bed after caesarean section, there should still be some exercise. For example, turning over in bed and moving down a few steps if possible is also very helpful for the recovery of the wound.
4. Other actions such as coughing, laughing and sneezing should also be avoided. If you must do it, be careful not to push too hard.
Generally speaking, the wounds of parturient women after caesarean section need careful protection, so that they can recover faster and will not leave any sequelae for themselves. For women who have had cesarean section, the most concerned after operation is probably how to care for the baby and the wound. In fact, during hospitalization, the nursing, cleaning and dressing change of wounds are generally done by nurses. You don't need to be too nervous, just relax and have a good rest and cooperate well.
Keep the wound clean and dry after operation. Don't wet the gauze casually. If you want to wipe your body, you should also avoid the position of the wound gauze. In a short time after operation, the upper abdominal belt will be used to compress the wound to prevent bleeding and reduce tension, but it will usually be removed the next day.
Maternal women can wear high-waisted underwear to protect the wound, but they should pay attention to the fact that the high-waisted underwear is not too tight, and it is best not to wear an abdominal belt. The sultry air tightness is not conducive to wound healing, and may also lead to infection. Choose clean, loose and comfortable high-waisted underwear.
At present, there is basically no need to remove stitches in cesarean section wounds. If the stitches can be removed five days after operation, you can live a normal life after discharge, but it is best not to do heavy physical labor or exercise within 42 days after operation, that is, the puerperium.
After the wound heals, you can live a normal life. Due to the use of absorbable suture, some women may have cable laying reaction, which is also commonly known as bow head. The wound will itch. If there are obvious problems such as redness and exudation, it is best to go to the hospital for disinfection.
Share my caesarean section experience-8.47 kg girl.
Maternity Hospital: Shunyi District Maternal and Child
Mode of production: caesarean section
The bag has just been returned: 2 frocks, a sleeping bag, two lists, a hat, a foot cover and a nursing suit.
The baby is almost two months old. Let's talk about my experience of caesarean section to prepare for my mother's caesarean section. My due date is April 6th, and the last BC value is biparietal diameter 9.8, femur length 7.5 and abdominal circumference 36.5. The doctor estimated that he weighed about 8 kg 220, and the pelvic measurement should be 8.0. The doctor said that I could have a try, because my friend who gave birth to a child said that the doctor's estimate was light, so I asked someone to find the obstetrician to dissect me. On the morning of April 5, I went through the hospitalization procedure. You can't eat or drink after 0/2 o'clock in the evening/kloc-. If I have to eat at around 1 1, I will be hungry after eating at 9 o'clock. I get up at 6 am to take my blood pressure and temperature. I drew blood at 8 o'clock. I went to the operating room at half past nine. At that time, I was naked. The doctor covered me with a quilt. When I go in, the anesthesiologist will ask you if you need a pain stick. It must be done. Although it's at my own expense, it won't hurt very much. 10, my daughter was born on time and weighed 8.47 kg. The doctor said she was like a full-moon child, 53 cm long. After returning to the ward, my body has been shaking. It's not really cold. After a while, I will sweat a lot. The nurse will give you something to press on your stomach, and then come back after an hour or two to press your stomach to help the dirty blood flow out. This is the most painful thing. I screamed in pain, and I was scared when I saw the nurse coming. If you get through it, there won't be much pain. You can drink water after lying flat for 8 hours, radish soup after 10 hours, porridge after exhaustion, and it is best to drink millet porridge for 2 days. On the third day, start eating digested food, preferably pasta. At this time, you can drink some fish soup and pig's foot soup. Help the baby suck when there is no milk. Although it hurts, I insist on gritting my teeth. Don't eat too much at first. If you are hungry for a long time, eating a lot will upset your stomach. Be sure to urinate as soon as possible. The more you hold your urine, the more uncomfortable it is when you receive it. That's about it. I hope Ma Bao, who is preparing for caesarean section, will put down her mental burden.
postpartum care
Keep it clean and dry to avoid infection.
1. Don't wet your skin for one week after you go home, so as not to wet the wound.
2. The breathable adhesive tape attached to the wound after discharge can be removed after one week, and you can take a shower.
3. Once the wound appears local redness, swelling, heat and cracking, or purulent secretion appears, or the whole body has a fever (even if your wound looks good), you must go to the hospital for examination as soon as possible.
Exercise less and don't lift heavy objects.
1. Rest as much as possible after you go home, but get up and walk regularly. Walking can promote postoperative recovery and help prevent complications such as thrombosis, as long as it is not excessive. You can start slowly and gradually increase the amount of activity.
2, it is best to hold the baby less during confinement, not to mention items heavier than the baby, so as not to squeeze into the wound. It also prevents the occurrence of backache and leg pain in the future.
Try to avoid scar formation.
1. Gently massage the wound with your fingers for 3-5 minutes every day, which can effectively reduce scar formation.
2. Avoid direct exposure of the wound to sunlight and deepen the color of the scar.
3. Once scarred, keep the scar clean and wipe the sweat in time. At the same time, do not use your hands to relieve itching, so as not to aggravate local irritation. Scar itching generally disappears over time.
Pay attention to physical recovery
Because after a woman gives birth to a baby, her abdomen is too loose, and her stomach will run out and increase. Not only does it affect the appearance, but it may also cause female diseases because of fat accumulation. Once a pregnant woman gives birth to a baby, all the organs of the body will move down, and there will be belly, gynecological diseases, gastrointestinal discomfort, premature aging and other related symptoms. Therefore, it is necessary to bind at this time, which can shrink the abdomen, prevent visceral sagging and prevent female diseases. Obstetrician, recommended, Mai Weijia, 35 plus 72 plus 8 1 finally 10 1 ...
From three aspects, share how to recuperate the body and raise the wound after delivery. I wish every child in Ma Bao and Ma Bao peace and health.
Exercise after caesarean section
65438+ 0-2 weeks after delivery, keep enough sleep and exercise moderately. Before the wound is healed, it is advisable to take a lateral position, so that the body and bed are 20? 30, reduce the pain of traction on uterine and abdominal wounds. On the day after operation, after anesthesia, you need to do physical exercise. After 1d, you should practice turning over and sitting up. After the catheter is removed, you should get out of bed and exercise properly to promote blood circulation of lower limbs, increase defecation, avoid deep venous thrombosis of lower limbs, reduce the occurrence of intestinal adhesion, and promote urination, defecation and lochia. Seven days after operation, you can stretch your arms, kick your legs and contract the pelvic floor muscles in bed to promote postpartum rehabilitation.
Postpartum pain nursing
Due to the large incision of caesarean section, when cough, nausea, vomiting and other symptoms increase abdominal pressure, both sides of the wound should be pressed to prevent the suture from breaking. For example, maternal pain, it is necessary to choose the appropriate analgesic method according to the specific pain situation of maternal. For example, low-dose dolantin can improve the postoperative pain symptoms of lying-in women, so that they can breastfeed and recover after delivery in a relaxed and comfortable state.
Postpartum diet nursing
Fasting for 6 hours after operation. After the parturient exhausts, give a liquid diet first to reduce the exhausted food, such as sugar and milk. 1 week, gastrointestinal function should be completely restored. Nutrition should be strengthened immediately, and foods with high protein and vitamins should be supplemented appropriately according to patients' appetite and eating habits to maintain a balanced diet. The supply of various nutrients is as follows: ① The total energy increases by 500 kcal per day and 800 kcal per month after delivery/kloc-0; /kloc-every day after 0/month; ② The intake of carbohydrates is 300g per day, such as rice and noodles. You can choose; ③ Fat supply accounts for 20% of total energy? 30%; ④ The daily supply of protein is 85g, of which eggs, fish, milk, shrimp, bean products and other high-quality protein are the main products; ⑤ The daily iodine supply is 200ug, and seafood such as kelp and mermaid can be selected; ⑤ The daily supply of iron is 25mg, and liver and blood can be selected; ⑦ The calcium supply is1200mg; ; (8) Vegetables and fruits reach more than 300g per person per day; The supply of the above nutrients not only ensures the recovery of the maternal body, but also meets the needs of breastfeeding.
Breastfeeding nursing
When babies suck, they should suck one breast first, and then suck the other breast. When the milk is insufficient, encourage the parturient to adjust the diet appropriately. Let the baby breast-feed as soon as possible. Through the baby's sucking, it can stimulate the maternal hypothalamus to secrete prolactin, which is conducive to the secretion of milk. Through the baby's sucking, it can stimulate nerve reflex to cause uterine contraction and help the uterus recover.
Postpartum defecation nursing
After caesarean section, due to pain, the parturient can't excrete urine and urine in time, which is easy to cause urinary retention and constipation. Therefore, the parturient should drink plenty of water after operation and wash the urethra to prevent infection. The parturient who underwent urination training before delivery should urinate by themselves according to the training method. The puerpera should clean the vulva after defecation. There will be sweating after delivery, because you can't take a bath before taking out the wound, so you should change clothes every day to keep the abdominal wound dry and clean, and you can scrub it with warm water.
Postpartum pelvic care
The relaxation factors secreted by the body during pregnancy cause pelvic dilatation, and the pelvis reaches the most relaxed state during delivery, and the uterus is also in a drooping state. From 2 months, you can tighten the pelvis with a bandage, which usually takes 6 months.
Lochiorrhea after caesarean section
Postpartum lochia usually lasts for nearly 6 weeks, the color gradually changes from bright red to pink, and then it is super yellow and super white. If postpartum hemorrhage lasts for more than 4 days like menstruation, it is necessary to report to the doctor to find out the reason and treat it.