How to prepare for Caesarean section? Scheduled operation. Preoperative preparation. Psychological attitude

Pregnancy is a magical time for every woman. All nine months the future mummy waits for the birth of her child and, of course, hopes that the birth will be good. How the process of the birth of the baby occurs, many factors affect: how was pregnancy, the choice of the hospital and, of course, the treating doctor. It is he who will make a decision about which route will be delivered.

What is a caesarean section?

Often there are cases when natural birth can become a threat to the life of the mother and her future child. In such a situation, the doctor decides to conduct operational delivery.

Cesarean section is the method of surgical delivery, in which the fetus is extracted from the abdomen of the woman with the help of a cut on the abdominal cavity, as well as the uterus.

Types of Caesarean

There are two types of surgical delivery:

1. Planned. The decision to conduct the surgery in a planned manner is taken by the doctor even during the pregnancy of the woman in childbirth. It is prescribed if there is a medical indication.
2. Unscheduled. Conducting an unscheduled operation is possible in the process of childbirth, when there are any difficulties and dangers for the life of the mother and her child.

Indication for the operation

Caesarean section surgery involves the presence of certain indications. They can be divided into three types:

1. Absolute - conditions that assume that births are naturally impossible.

• Narrow pelvis - the treating doctor measures the width of the pelvicbones at the first examination in the polyclinic, so when making such a diagnosis a woman can immediately begin to prepare for an operation intervention. How to prepare for caesarean section, she will be explained by her own doctor.
• Presence of a mechanical obstacle that will interfere with the passage of the fetus (eg, swelling, placenta previa).
• The possibility of rupturing the uterus. Such a situation can arise in the presence of stitches (for example, if the first birth took place with the help of an operation).
• Detachment of the placenta.

2. Relative - the conditions assuming that the risk for the occurrence of complications and threats to the health of mom and baby is small and natural delivery is possible. They, as a rule, are not connected with the course of pregnancy and can cause complications during childbirth. These are, for example, problems with eyesight, kidneys, heart, cancer, and others.

3. Urgent - the conditions that have arisen during childbirth, threatening the life and health of the future mother and child (for example, if the labor activity is very weak or completely stopped).

Scheduled cesarean: timing

The day of operation is assigned depending on thewell-being of a woman, as well as the condition and development of a child. If the pregnancy is good and without pathologies, then caesarean is prescribed for the next day to the proposed childbirth.

Two weeks before the proposed eventThe gynecologist who observed the course of the entire pregnancy gives the mother in the direction of hospitalization and explains how to prepare for the caesarean section so that it is easier for a woman to transfer the process psychologically. In addition, the future mother can attend psychological seminars, which take place at polyclinics. It will also help to understand and transfer the forthcoming process.

Preparing for an operation

Preoperative preparation for cesarean sectionbegins with an early placement in the hospital. Here the woman undergoes the necessary examination and remains under the supervision of the attending physician several days before the operation. Previously, she is introduced to the course of the operation, and also tells how to prepare for Caesarean section.

The woman takes all the necessary tests, learns aboutits tolerability of anesthesia and the presence of allergies to medications, make an ultrasound examination to determine the willingness of the baby to give birth.

The day before surgery, dinner shouldtake place no later than 18 hours. In the morning before the operation, even the use of liquid is prohibited. For Caesarean, the woman in childbirth should go with an empty stomach. Operational delivery is usually given in the morning hours.

How is surgery performed?

As the cesarean passes, the doctor explains the woman in childbirththe day before. On the appointed day, the woman goes to hygienic procedures. Here, they make a cleansing enema, and shave the necessary parts of the body. Some time is given to put on compression stockings. After this, the preparation for cesarean section is over, and the mother is sent to the operating room.

Types of anesthesia

Before an operation, a woman is anesthetized. There are two types of anesthesia:

• Epidural anesthesia.
• General anesthesia.

Epidural anesthesia involves the introduction ofan anesthetic in the spinal cord with a needle. This procedure is not painful, rather unpleasant. All sensations pass very quickly, and the sensitivity disappears within a few minutes.

General anesthesia is a method that is not used so often. It is used when there is a need to start the process faster than epidural anesthesia begins to function.

After the administration of an anesthetic,operational process. The doctor cuts the stomach, pushes the muscles, then makes a cut on the uterus and opens the fetal bladder. After the extraction of the baby, the sewing process begins. Stitches are applied to the uterus with the help of threads, which themselves after a few months will dissolve. Then the stitch is placed on the abdomen. The whole operation takes no more than forty minutes. As you go through cesarean, you now know.

After the operation: condition, diet

After an operative interventionthe woman remains in the hospital for a period of not less than seven days. All this time she is under the supervision of medical personnel, who produces all the necessary procedures and provides her and the baby with care.

The first hours after cesarean are the heaviest. The patient is in the intensive care unit in a supine position. Some time she was given painkillers and restorative drugs. To sit down it is authorized only later six-eight hours after operation. The next day, the woman is transferred to a regular ward.

The diet after the operation is quite strict, but onlyfirst time. On the first day, a generous drink is recommended, and drinking soda water is not worth it. On the second day after cesarean, the use of liquid food (soups, mashed potatoes and broths) is allowed. If the woman feels well, then on the third day she is allowed to start a normal diet suitable for all newly mums.

Home care and precautions

After discharge from the hospital will have to complysome precautions. So, from taking a bath, visiting the pool and swimming in the reservoirs will have to be abandoned for at least a few months, until the healing of the joints takes place.

Active physical activity is also contraindicated for at least two months. Women who have undergone cesarean section, can not be lifted at first and carry anything heavier than a child.

To return to a normal sexual life, you canonly in a month and a half or two months. During this time the body will have time to recover. In parallel, it is necessary to decide on future methods of protection, since the next pregnancy after surgery is possible no earlier than two years later.

Psychological training

How to prepare for a cesarean psychologicallysection? Despite the fact that doctors negatively relate to the process of cesarean section, today operational delivery is a possible process not only in the presence of indications, but also at the will of the future mother. Preparation for caesarean section involves weighing all the pros and cons of the procedure.

Pros of caesarean:

• Absence of trauma to the sexual system of a woman.
• The process is painless due to anesthesia.
• The procedure takes no more than forty minutes, whereas the naturally occurring birth can take many hours.
• You can see the baby right after the operation, as well as with natural childbirth.

Minuses:

• Longer period of postoperative rehabilitation and finding under the supervision of a doctor.
• Stitches on the abdomen and uterus that will last a lifetime.
• Some mummies note that the first months do not feel psychological intimacy with the baby, referring to the process of artificial birth.
• A long period of complete physical recovery (restriction of water procedures, physical activity and sexual relations).

In order to be ready morally to the process,it is worth reading the relevant literature, you can ask your doctor to tell you how to prepare for Caesarean section, and also how the operation itself is. From the mouth of a doctor who has been with you for nine months, it will sound safer and help to relax.

In the process of giving birth, the main role is played by the psychological mood, so calm down, and everything else will be done by nature itself and your doctor.