1, to avoid infection
The first is to keep the wound clean after operation to avoid infection. Postoperative logistics dressing change, keep the wound and the surrounding environment clean and dry; Change clothes and bedding after operation, especially pay attention to changing clean underwear every day. Avoid overstretching or lateral flexion after operation, and try to lie on your side and bend slightly when sleeping, so as to reduce the tension of abdominal wall, help the wound to heal quickly and reduce scar formation.
Step 2 avoid irritation to the wound
Don't stimulate scar hyperplasia when it hurts. Scar hyperplasia and itching are unbearable, but don't scratch or burn, so as not to aggravate itching. When it is unbearable, it can be used externally under the guidance of a doctor, such as fusilide and dexamethasone.
3. Don't uncover the scab prematurely.
Don't expose the scab prematurely, and the wound should be protected from the sun. Premature scabbing is easy to take away epidermal cells that are still in the repair stage, and even tear off dermal tissue, leading to itching again. In addition, newborn skin is easy to leave black pigmentation after being stimulated by ultraviolet rays, and sunlight should also be avoided as much as possible.
4. Local compression after wound healing
Immediately after removing stitches, apply pressure with dressing such as silicone elastic bandage or elastic mesh sleeve, which can effectively prevent scar formation. This is because continuous pressurization can cause local hypoxia of scar, thus inhibiting scar growth. Wax therapy, magnetic therapy and ultrashort wave can also be used to prevent scar formation.
5, quality diet
To strengthen nutrition, eat more lean meat, fish, eggs, milk, fresh fruits and vegetables, and supplement protein, multivitamins and trace elements such as zinc, iron and calcium. Rich and balanced nutrition is the basic guarantee for good wound healing. In addition, avoid spicy food.
6, 1 year to consider surgery.
Some people hope to remove the scar as soon as possible through plastic surgery, but the scar is in an unstable period within six months after surgery, so surgery is not recommended. Instead, conservative methods such as laser, elastic compression, topical or local injection of drugs are used to make the scar as small as possible, even not long. After the scar matures for half a year to one year, if it is still wide and does not grow well enough at this time, then plastic surgery can be used to remove the scar, which is also the most effective method to treat this hypertrophic scar at present.
7, taboo behavior after caesarean section
completely bedridden
Women who have caesarean section are afraid to move easily and stay in bed for a long time because of abdominal wounds. This is a big taboo. Because of long-term bed inactivity, it is easy to leave symptoms such as urinary retention, postpartum constipation, venous thrombosis of lower limbs, postpartum urinary incontinence, pelvic inflammatory disease and uterine prolapse.
Correct method
After the operation, when the anesthesia disappears, you can do simple upper and lower limb stretching activities, practice turning over and sitting up after 24 hours, get out of bed slowly and walk slightly; This can not only enhance gastrointestinal peristalsis and exhaust as soon as possible, but also help to discharge lochia and prevent intestinal adhesion and venous thrombosis.
(2) Hold your urine
Women who have caesarean section are afraid of affecting abdominal wounds, unwilling to get out of bed to urinate, and sometimes prefer to hold back and dare not pee, which is also a big taboo. If it cannot be excreted smoothly, it will easily lead to urinary retention and constipation, and even hemorrhoids.
Correct method
Generally, on the second day after caesarean section, after the influence of narcotic drugs completely disappears, the nurse will help the parturient to remove the indwelling catheter and urinate 3 ~ 4 hours after removal, so as to achieve the purpose of naturally flushing the urinary tract. If you are not used to urinating in bed, you can get out of bed and go to the toilet. If it can't be solved, the new mother should tell the doctor until you can urinate smoothly, otherwise it will easily cause urinary tract infection.
(3) Eat immediately after operation.
A woman who has a caesarean section will be greatly weakened after taking out the fetus. Once out of the operating room, it would be a big mistake for parents to feed the mother to supplement her physical strength. Due to anesthesia and surgical stimulation, it will take some time for gastrointestinal peristalsis to recover after operation. Eating too early will cause abdominal distension, which will lead to gastrointestinal dysfunction and intestinal obstruction in severe cases. Therefore, generally speaking, you should start eating after you are exhausted.
Correct method
After 6 hours of delivery, you can drink a small amount of water. If the lying-in woman has no discomfort such as cough, she can eat a small amount of soft food such as rice soup and noodle soup, but avoid eating gas-producing foods such as sugar, eggs, milk and beans. On the first day after exhaust, liquid foods such as porridge, rice flour, lotus root powder, fruit juice, fish soup and broth are generally the main foods; You can eat ordinary food on the third day.
(4) Take a bath immediately
After giving birth to a child, the maternal body is mixed with sweat, lochia and other secretions, which is very uncomfortable. I really want to take a bath at this time, which is a dangerous behavior and easy to cause wound infection. Women who have caesarean section can't take a bath for at least two weeks, but they can.
Correct method
After caesarean section, the parturient should not take a bath before the wound is removed, and keep the abdominal wound dry and clean. Under normal circumstances, you can take a bath for more than 3 days after delivery in summer and 1 week after delivery in winter, and you can scrub the local area with warm water. But the vulva should be washed 2~3 times a day.