顺产剖腹产（Spontaneous caesarean section）

顺产剖腹产（Spontaneous caesarean section） 顺产剖腹产(Spontaneous caesarean section) Often use production mode Natural vaginal delivery: normal fetal development, maternal pelvis development is normal, good physical condition of pregnant women, by a strong rhythm of ovarian contraction will push the baby in vitro, this is the natural vaginal delivery. Natural vaginal delivery is the most ideal way of production, because it is a normal psychological phenomenon, there is not much damage to the mother and the fetus and mother can recover soon after delivery. Assisted vaginal delivery: in the production process of natural ovarian atony or wait too long time, appropriate to add some accelerated after the drugs to increase ovarian contractility, shorten the production process. If the fetus is too large or uterine atony, maternal physical strength is not enough, must use the episiotomy, fetal head suction device to help production. Assisted vaginal delivery than the natural production of hard but slightly, the doctor will help make maternal smooth production. After caesarean section: if pelvic stenosis, placental abnormalities, abnormal vaginal or water breaking prematurely, the abnormal fetus of pregnant women, the need to end the production as soon as possible should be taken to ensure that the production mode of caesarean section, the mother of enron. Caesarean section is more harmful to the mother. The operation itself is one kind of wound, postpartum recovery than vaginal delivery is slow, and there will be the sequelae of surgery. The production of natural advantages Obviously The production is the natural result of pain, including the fruits fall off when ripe, the psychological reaction, as long as in the normal range, is useful and reasonable choice, and is obviously the natural advantages of production. 1. in the production process, ovarian disciplined systolic and diastolic, the fetal chest also occurred in rhythmic contraction, this process can exercise the baby's heart and lung function, promote the baby lung performance of mature, creating favorable conditions for the baby after the birth of the automatic breathing. 2. natural childbirth, since the birth canal squeeze, fetal airway fluid is mostly for extrusion, after the birth of the gas well into the airway, reduce airway resistance made full preparations, but also contribute to fetal residual lung fluid cleared and receiving. At the same time, this process can also reduce neonatal complications, especially the incidence of aspiration pneumonia. The 3. mother in the production process, the body will secrete a "oxytocin" thing, it can promote the secretion of milk, but also further enhance the feelings between mother and child. 4. natural production, can make women vaginalorifice expansion heavily, conducive to maternal postpartum lochia secretion drainage, postpartum ovarian recovery was also faster. Caesarean section is not the best choice Experts said: cesarean section is a means to solve the difficult production and maternal complications, good use can save maternal life, ensure maternal and child safety, but it is not an ideal and perfect production mode. 1. caesarean section after all the operation, the amount of bleeding of cesarean section is generally 1 times of vaginal bleeding and childbirth, maternal accidental death than normal vaginal delivery number. 2., caesarean section is easy to cause wound infection, amniotic fluid embolism, ovarian injury resection and so on. 3., after cesarean section, the recovery of women is slow, and it is easy to appear in the pelvic cavity mass adhesions caused by chronic abdominal pain and other symptoms. 4. caesarean section will give ovarian scars, bring a lot of harm to give birth or after abortion. 5. cesarean section neonatal respiratory tract often have liquid retention, prone to asphyxia, wet lung, atelectasis and other respiratory complications. 6. psychologists found that caesarean babies at birth, because there is no squeezing through the birth canal, the lack of tactile and proprioceptive learning needs, prone to emotional instability, inattention, movement coordination etc.. For the former studies If you start training helps to give birth from pregnancy, not only fitness function for pregnant women, postpartum is beneficial to the recovery of various parts of the body can also help them successfully give birth to baby in childbirth. The benefits of 3 labor movement 1., promote the pregnant women's blood circulation, increase the amount of oxygen inhalation in the heart and lungs, regulate the nervous system and improve the fatigue state during pregnancy. 2. increase production process plays an important role in muscle strength, such as pelvic floor, abdomen and back muscles, help relax the pelvic joints, make the foundation for the smooth production. 3. helps women in production after the rapid recovery of all parts of the body, such as maintaining muscle elasticity, prevent skin relaxation. 4 kinds of exercise contributes to natural childbirth: 1. strengthen the muscles of the shoulder and arm exercises 2. strengthens the buttocks leg muscle muscle movement 3. strengthen the muscles and muscles of the lower back movement 4. exercise to strengthen the pelvic muscles. The yield of interest 1 benefits: vaginal birth, although after more than ten hours of labor pain, but the child's life, immediately feel very relaxed, very quick to move, and then calm, diet, life will soon return to normal, can have enough energy to take care of their babies. Because of a quick recovery, easy early lactation, can good breastfeeding. 2 benefits: natural production short hospitalization time, postpartum maternal and child up to three days can be discharged, by against family care, more conducive to postpartum recovery. Postpartum can also exercise as early as possible, but also conducive to restoration of shape. 3: vaginal delivery can benefit from pain and disadvantages of cesarean section, such as the risk of anesthesia, trauma hemorrhage, surgery, postoperative intestinal flatulence. 4 benefits: in the long run, vaginal delivery after maternal easy choice of contraceptive methods, such as early can put a ring, and a pregnant, to do abortion, do not worry about the problems caused by curettage ovarian scar perforation, and does not occur due to abdominal surgery caused by intestinal adhesion, abdominal wall incision of ovarian endometriosis etc.. After the nurse Anchan Natural childbirth postpartum recovery method The normal production can begin to do the exercise in the postpartum 24 hours. Leg exercises: lie on the back, with one leg flat on the bed, and slowly and slowly bend the other side of the knee while exhaling. Your feet slide close to your body. The interval and extent of sliding should depend on the situation, without pain, sadness, or discomfort. Do the same on the other side of the leg. So repeat 3-4 times for a group, do 2-3 groups every day, in the physical strength gradually restored at the same time, increase the range of action and repeat the number, and finally reach each group 12 times. 3 weeks Houru Xu Kou kou to physical to lift one leg. Supine, back exercises: supine, inhale first, and then exhale at the same time tighten the back muscles, so that the upper back slightly lifted from the bed surface, pay attention to keep the waist, do not leave the bed surface, confrontation for a few seconds, relax, repeat. At the beginning of each group 3-4 times, every day 2-3 groups, in the physical strength gradually restored at the same time, increase the number of repeat, and finally reached 12 times per group. Reminder: these two exercises can be accepted supine position, women do not have to get up can proceed. Common problems in natural childbirth Q1: natural childbirth can affect sexual life? Listen to people say that if their students, because fiercely, the pelvis becomes larger, and the vagina after after slacken have impact on the future of life, is it? A: pregnant mother in pregnant process, because fetal ovarian pelvic larger increases, and this process doesn't matter anchan. But whether it can be restored and the nutritional status of pregnant women during pregnancy and prenatal and postnatal exercises regarding. Some pregnant women are easy fat health, she no matter choose natural labor or cesarean section will be fat. As for vaginal relaxation, as long as the pre - and post natal exercise, the future of sexual life is not affected. Q2: why do you want to have episiotomy? Does the first baby have to be cut on the perineum? Feel terrible, will have any impact? A: it is not the first fetal vaginal delivery to episiotomy, the first fetal maternal perineal, due to tight, The possibility of episiotomy is large, but is generally in the following circumstances need to do episiotomy: large, fetal hypoxia, breech delivery, or the second stage of labor is longer, or have other medical indications for midwifery forceps, suction. It can expand the birth canal, let the baby smoothly and quickly was born, and a neat suture after the easy operation. If a confrontation without side cut, will lead to irregular cracks, suture and stitches after the scars are very irregular, very beautiful; serious, will damage the anal sphincter, causing incontinence after size. Q3: used to pull the baby forceps head will be affected? My friends say that if something is a special case, the doctor will use forceps pulled the baby out hard from the mother's birth canal, so baby don't get hurt? A: many women worry about midwifery forceps would hurt the child, so choose cesarean section, in order to safety. In fact, the probability of using forceps in natural production is very low, in the Kenai million when used, proper operation is no problem. Q4: small and weak? I am only 150 cm tall, really worried about my baby in efforts not enough, whether the use of caesarean section? A: there is no absolute relationship between productivity and health. The contraction of the ovary is the contraction of the autonomic nerve. The force is very large, so that the normal female has the power to produce. The most important thing is to pay attention to the skills. Labor force and ordinary hard is not the same, give birth to two arms holding the handle to butt down the effort, and use the premises. In the whole production process, suitable to local maternal regulation of respiration, relaxed attitude, good transport strength. Of course, if the belly fat in pregnant women is too thick, the strength can not be achieved, so that pregnant women should control their weight. Q5: the size and shape of the pelvis has any impact on the baby? A: the size and shape of the pelvis is an important factor in determining whether the vaginal delivery, pelvic abnormalities and abnormal fetal position relative to the absolute or cephalopelvic disproportion, which leads to the production of. The first antenatal examination of pregnant women, need routine external pelvic measurement preliminary screening before and after labor labor such as a production of Cheng Yichang, also need real-time vaginal examination, pelvic measurement, real-time detection of cephalopelvic disproportion were treated accordingly. Other important factors also affect the size of fetal vaginal delivery, macrosomia and cesarean delivery rate increased significantly, but also prone to neonatal shoulder production. Q6: really have sex to give birth to help? Overdue. Yet, some people say love is conducive to early production, to do so? A: pregnant late should stop right, because it can cause premature rupture caused by intrauterine infection or threat to maternal and child safety. Everyday normal menstruation, after careful inspection to verify the expected accuracy, overdue within two weeks of birth is still normal, so pregnant women need not worry about, should be under the guidance of doctors in the hospital every 3 days to check again, to find fetal distress and abnormal, overdue 7 ~ 10 days should be produced into the hospital, real time induction of labor, so as to avoid the occurrence of overdue pregnancy caused fetal distress and macrosomia. Although the natural childbirth is the most natural way of production, there are a lot of benefits to the female and fetus; though, cesarean section is we have to make a choice. However, there are still a lot of time have to say "is the error of cesarean section". Doctors choose cesarean section conditions are generally divided into three categories: first, there is a crisis in the fetus, for the rapid separation of the fetus from the injury and surgery. The most common case, placental prolapse, placental abruption, fetal distress; second, in order to pass the bad health, improve the pregnant females to suspend or save the life of the pregnant woman; third is difficult to produce natural childbirth cannot solve production, such as fetal position is transverse and sincipitoposterior position etc.. In the many cases mentioned above, Cesarean section is not difficult to show to have more advantages than natural childbirth, because of this, the cesarean section in the perinatal period, many existing difficult problems ripe. What preparations can be made if you have to face a cesarean section? The production process of many mothers, is full of mysterious, look forward to, especially in cesarean section. If the mother is near birth, but was told, must choose cesarean section. How should the expectant mother prepare herself? Preparation of cesarean section One day before the implementation of the cesarean section, no more tools after dinner. Do not drink water 6~8 hours before surgery so as to avoid vomiting after anesthesia and cause aspiration. The lower abdomen is washed, sterilized, and removed. 30 minutes before the general surgery, the nurse will insert a catheter for the pregnant woman through the urethral orifice and connect the drain bag. This is in order not to swell in bladder surgery hinder doctor's vision, and can stop the occurrence of bladder injury. Selection of anesthesia mode Generally, according to the women's own condition during the operation, general anesthesia, regional anesthesia (epidural anesthesia, lumbar anesthesia) or local anesthesia can be used. Urgent cases often choose local anesthesia to fetal childbirth, and general anesthesia. If the situation is acceptable, anesthesia is generally accepted. Undergo surgery The doctor will fold in the abdominal wall incision incision 1 ptosis. The second incision is on the wall of the ovary, and when the amniotic membrane is opened, the baby can be taken out. Sometimes doctors in order to help the child delivery, can use the palm of the hand under the oppression of your abdomen. Surgical knife can accommodate two longitudinal or transverse. Slitting knife scar is obvious, generally not willing to accept the beauty of women this way, but less separation of surface longitudinal incision group, compared with less damage, wide vision surgery, emergency operation is serious and amalgamative disease and complications often accept the surgery way. Transverse incision decency is better, but in the operation of community separation area in greater damage compared with longitudinal incision is great, because it is difficult to extend the incision, so rarely accept this kind of emergency surgery incision. The healing of the two wounds is not markedly different. Suture of wound Ovarian incisions, peritoneum, and layers of tissue are stitched together. General cutting edge will accept intradermal suture to ensure beauty. Severe edema of the skin, subcutaneous fat thicker mothers, sometimes suture with silk suture, 7 days after the demolition. Postoperative recuperation Within 3 days after the operation, the mother should cooperate with the infusion to make up the water and correct the dehydration. General use of postoperative exhaust as a meal sign, fast 6 hours, slow to 1~2 days. Because the anesthesia effect will weaken the peristalsis of the intestinal involuntary, exhaust means intestinal digestion function has been restored. Women may be eating some custard, Egg & vegetable soup, lotus root starch and other liquid food. Can also eat porridge, crucian carp soup and other semi liquid food. After the operation, doctors will encourage their early activities to promote peristalsis and restore intestinal adhesions as soon as possible. At the same time, the catheter can be removed early. After operation, 1~2 change of incision will be carried out, and can be discharged 3~5 days after general operation. Cesarean section, ovarian bleeding more, should pay attention to the amount of vaginal bleeding, such as more than the amount of menstruation, notify the doctor in real time. Preparation of cesarean section Cesarean section should not be abused before. Such as Korea ginseng, ginseng, and squid and other food. Because the ginseng has strong heart and exciting effect, squid contains rich organic acids - EPA, which can inhibit the coagulation of platelets, and it is bad for postoperative hemostasis and wound healing. Pregnant women need to be admitted to the hospital the day before the scheduled cesarean section. Because usually regular surgery should be repeatedly explicitly recognize the way of operation, repeatedly reminded to pay attention to the incident and guard against possible mutations. For example, if you have severe anemia, you can have blood or blood transfusions. If you have an abnormal electrocardiogram, Prior consultation, cardiac medicine or anesthesia re evaluation, etc.. In the preoperative, pregnant mother to take off wear, no makeup, not wearing dentures and contact lenses, and fasting (including boiling water) 8 hours after anesthesia, lest cause vomiting, causing aspiration pneumonia. Advantages and disadvantages of cesarean section Cesarean section to choose There are both advantages and disadvantages., stable. Leon: cesarean section as a more efficient way with the expulsion of the fetus, its security is improved, more and more easily acceptable to patients. stay Some cases of cesarean birth, fetal safety did improve, such as the fetal heart is not good, if not immediately cesarean, and wait for a long time or to give birth with suction forceps or so, neonatal asphyxia or death time will be great, and immediately cesarean section, the risk will be much smaller. Cons: cesarean section is not assured, anesthesia accident, reduce blood pressure during anesthesia, can cause fetal hypoxia or hypoxia increased fetal original, operative blood loss than the normal vaginal birth, postoperative intestinal flatulence, urinary retention, fever, urinary tract infection, wound infection exists all the time. In the long run, postoperative intestinal adhesions may be delayed, put a ring to postpartum for half a year, the near future if the postoperative abortion, plus the incision scar perforation to ovarian problems such as vaginal birth again pregnancy, birth, ovarian division may, in most cases of cesarean section again a great possibility. Nursing care of cesarean section Although in the caesarean section to reduce maternal prenatal pain and increased fetal safety production is better than natural childbirth, but its disadvantages are also many. The first is the maternal postoperative recovery is much slower than the natural childbirth, knife complete healing and recovery needs 1 to 2 months, or even longer. If an intraoperative accident or postoperative infection of the blade, it will bring more trouble. In particular, should be clearly pointed out that a C-section baby intelligent mind and physical strong argument among some people spread, that is not scientific and not according to the. On the contrary, according to the study, caesarean section in the neonatal cord blood, immune globulin content is lower than the natural childbirth newborn, lower content of complement resistant. So, newborns born with C-section are more susceptible to infection. From the perspective of suckling caesarean section than natural childbirth. However, if a pregnant woman has a cesarean section indications, such as pelvic deformity, breech presentation, placenta previa, elderly primipara, macrosomia, natural childbirth may be difficult, prone to production, it should be by the doctor according to the specific situation of pregnant women, whether by caesarean section. In modern medical conditions, caesarean section is generally safe. Therefore, when caesarean section must be performed, the pregnant women and their families should take the initiative to cooperate with doctors and undergo the operation happily. The caesarean section will have some damage to the maternal body, so women should know some knowledge of self health care, in order to facilitate early rehabilitation. 1, early ambulation is the main link to help the ovary shrink, promote wound healing and prevent intestinal adhesion. During the operation, the abdominal cavity opens and a part of the air enters the abdominal cavity, but the postoperative activities are usually small, which weakens the peristalsis and causes flatulence and adhesion. Don't lie to maternal, postoperative anesthesia disappeared after regaining consciousness, to carry out activities of the body. 24 hours after pulling out the catheter, as soon as possible to get out of bed, can increase peristalsis, early exhaust, prevent intestinal adhesion and thrombosis. At the same time, longitude, blood circulation growth, promote ovarian contraction, conducive to early wound healing. 2, pay attention to the wound exudate and infection, keep the wound around the cleaning, exudate more time, real-time medical personnel to see, and change dressings. Do not scratch when itching, to prevent the wound infection purulent. If the wound pain and local hair hard, with hand touch wave dynamic, indicating the wound infection purulent, should be early diagnosis and treatment. 3, pay attention to diet nutrition is the 1 important aspects of maternal rehabilitation, After feeding to assume the responsibility of maternal infant, should pay attention to diet, eat the doctor. Postpartum fatigue, anorexia and other symptoms is a normal reaction, don't worry. Eat digestible food. You can't eat more gas before bloating. After the exhaust, you can eat the same nutritious food as normal women. Four, pay attention to hygiene. Parturient caesarean section postpartum resistance is low, such as careless hygiene, easy to cause infection. In addition to brushing teeth, washing the face and washing hands, the female can change the perineum pad in time and wet clothes with sweat and milk. The sanitary articles should be disinfected and changed frequently. Do not prematurely remove the crusts from the wound. Before the wound is removed, use warm water to scrub the whole body. After removing stitches, you can take a bath, but take a shower as appropriate. Five, take contraceptive methods in real time. General sex began at 42 days postpartum, lochia is completely clean. Early to use condoms, should go to the original hospital 3 months postpartum intrauterine surgery. If a pregnancy, do abortion, particularly hurt. 6, cesarean section and vaginal birth mother's mother, in order to prevent wound pain in rehabilitation or accidentally tear, postpartum recovery operation, initially in the breath, wait until after the wound healed, and then to the larger movement body stretch. Common problems of cesarean section Q1: before pregnancy moderate cervical erosion, must use cesarean section? I am now 37 weeks, all the normal check what, before but I have moderate cervical erosion, will not affect the production of the essentials? Do you have a C-section? A: if the examination is normal, the lifting of the cervical cancer, cervical erosion is not a simple indication of cesarean section, vaginal birth. Pregnancy due to elevated levels of hormones in the body, leading to the appearance of the original cervical erosion increased, pregnant mammy do not have to worry about. Q2: had a cesarean section, again be pregnant production when appropriate? The first baby, I was using caesarean section, and now are preparing to have second children, can I talk about the relevant attention? A: women who have a history of caesarean birth or have a history of ovarian fibroids should be re pregnant for two years after the operation. The scar of ovarian pregnant women are not absolute indications for cesarean section, pregnant women can still vaginal birth, but the production process needs close monitoring, to prevent ovarian split. If selective caesarean section again, general 38 weeks surgery. Q3: do children born in caesarean section tend to suffer from ADHD? It's almost due. Because the placenta is around the neck 3 times, the doctor suggests a cesarean section. I heard that caesarean section baby is often prone to ADHD, is that so? A: there is speculation about this problem in the world, but the long-term effect of caesarean section on the offspring is still uncertain and needs further study. So don't worry too much. Do it according to the doctor's advice! Q4: is Caesarean section good before birth or after childbirth? Because of excessive amniotic fluid, baby placenta around the neck, I plan to cesarean section, I would like to ask how is the choice of cesarean section day? A: if no matter what cesarean section, no matter what to advance, generally can do surgery between pregnant 38-40 weeks, if there is too much amniotic fluid, placenta around the neck, the doctor will according to the specific characteristics of your proposal. As for cesarean section in pregnant mother 40 weeks later, the general is intent on production, not production characteristics but after childbirth, waiting impatiently for more. Q5: small Sanyang mother should cesarean section or Anchan? I am small Sanyang pregnant women, fully considered from the baby's point of view, I should choose what kind of jobs? A: small Sanyang not cesarean section features to suffer from small Sanyang pregnant mother, can also choose vaginal delivery. Generally speaking, the small three Yang will not have any effect on the female body, but only after the baby is born, the hepatitis B vaccine and the immunoglobulin vaccine are needed, Active immunization and non active immunization were performed.