Does caesarean section need stitches? During caesarean section suture, the suture materials used vary from person to person. Some patients choose to use collagen thread, while others choose to use ordinary thread.
If the operation uses ordinary thread, in order to make the suture not easy to crack, three stitches are usually sewn during the operation. Go to the hospital for stitches 5 days after caesarean section, usually no more than one week.
However, if collagen thread is used in the operation, the suture will be automatically absorbed by the body after the operation, and there is no need to remove the suture later, but the rest time may be longer than that of the mother who uses ordinary thread, and she can't walk around until 7 days after giving birth.
In addition, because the suture has been removed or the collagen thread has been absorbed, it means that the wound has healed, and then the parturient can cover the suture with gauze for two days, which can speed up the removal of the scar left at the suture. Avoid abdominal muscle exertion in a short time after operation, otherwise it is easy to form incisional hernia. At the same time, we should maintain local hygiene, avoid getting wet and polluting wounds, eat a balanced diet, and eat less or no spicy food.
The process of caesarean section mainly includes: cutting the abdominal wall, pulling out the uterus, cutting the uterus, pulling out the fetus, stripping the placenta, suturing the uterus, suturing the abdominal wall, and diminishing inflammation after operation.
In the last few steps of the operation, anti-inflammatory powder will be evenly scattered in the uterus before suturing the uterus. The uterus is usually closed twice, the first time with full-thickness continuous suture and the second time with serosa muscle layer buried suture. The abdominal wall should be sutured immediately, and the abdominal cavity should be cleaned before suture. After the abdominal incision is arranged, the peritoneum is sutured first, generally with catgut suture, then the muscles are sutured layer by layer, and finally the skin nodules are sutured.
How to nurse the wound after delivery? Natural childbirth usually leaves a wound left by a vaginal tear or a lateral perineal incision. Natural delivery has fewer postpartum complications and the relative recovery speed is faster than caesarean section. Usually 1 ~ 2 weeks or so, the pain has disappeared. Although the operation is small, the wound is located at the junction of urethral orifice, vaginal orifice and anus, and it is easy to heal due to some special circumstances after delivery, so there should be places that need special attention in nursing. Prevention of vulvar infection.
1. Change sanitary napkins frequently to avoid getting wet. The wound will be difficult to heal if it is soaked in wet sanitary napkins.
2. Wash perineum with warm water every day, especially after defecation, wipe and rinse vulva with bromoxynil cotton. Never wipe from back to front, but from front to back to prevent the perineal incision from cracking after suture removal.
3, get out of bed early after delivery, eat more fresh fruits and vegetables, drink more soup such as fish soup and trotter soup, do not eat spicy food, and keep defecation smooth.
4. When constipation is difficult to solve, don't force air intake. You can use Kaisailu to help defecate.
5. Within a few days after taking out stitches, don't squat hard. For example, when defecating, you should first converge the perineum and buttocks, and then sit on the toilet. Holding your breath is often the cause of perineal wound dehiscence.
6. When sitting, the body's center of gravity is to the right to prevent the wound from being compressed and the incision epidermis is staggered.
7. Avoid falling or excessive abduction of the thigh, which will lead to the re-opening of the wound.
8. The wound dehiscence should not be discharged on the same day, because the wound dehiscence mostly occurs on the day of taking out the wound to avoid hematoma.
9. In the first few days after operation, the parturient should lie on the right side, so that the accumulated blood in the wound can flow out of the wound to avoid hematoma, and it can also prevent endometrial debris in lochia from flowing into the wound to form endometriosis.
10. Pay attention to the incision after operation. If there is pain in the wound within 1-2 hours after operation, and it tends to get worse, you should contact your doctor immediately. It is likely that the bleeding was not enough before suture, resulting in hematoma.