How to prepare for caesarean section? Planned operation. Preoperative preparation. Psychological attitude

Pregnancy is a magical time for every woman. All nine months the future mummy is waiting for the birth of her child and, of course, hopes that the birth will pass well. The way in which the process of the baby's birth takes place is influenced by many factors: how the pregnancy took place, the choice of the maternity hospital and, of course, the attending physician. 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 an operational delivery.

Cesarean section is a method of surgical delivery, in which the fetus is extracted from the woman's abdomen with 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 operation in a planned manner is taken by the doctor even during the pregnancy of the mother in childbirth. It is prescribed if there is a medical indication.
2. Unplanned. An unscheduled operation is possible in the course of childbirth, when there are any difficulties and dangers to 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, assuming that births are naturally impossible.

• Narrow pelvis - the attending physician measures the width of the pelvic bone at the first examination in the polyclinic, so when making such a diagnosis a woman can immediately start preparing for an operation intervention. How to prepare for Caesarean section, she will be explained by her own doctor.
• Presence of a mechanical obstruction 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 seams (for example, if the first births were performed with the help of an operation).
• Detachment of the placenta.

2. Relative - the conditions assuming that the risk for the occurrence of complications and the threat to the health of the mother and baby is small and the carrying out of natural childbirth 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 arose during delivery, 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 appointed depending on the state of health of the woman, as well as the condition and development of the 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 event, the gynecologist who observed the course of the entire pregnancy gives the woman in childbirth direction for hospitalization and explains how to prepare for Caesarean section so that it would be 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 section begins with an early placement in the hospital. Here the woman undergoes the necessary examination and remains under the supervision of the attending physician a few days before the operation. Preliminary it 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 about the tolerability of her anesthesia and the presence of allergies to medications, make an ultrasound examination to determine the willingness of the baby for childbirth.

The day before the surgery, dinner should be held not 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 labor on the eve. 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 the compression stockings. After that, 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 administration of an 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, the operating process begins. 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. On the uterus, sutures are applied 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 the operative intervention, the 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. For some time she was given painkillers and restorative medications. You can only sit six or eight hours after the operation. The next day the woman is transferred to a regular ward.

The diet after the operation is quite strict, but only the first time. On the first day, a generous drink is recommended, and you should not drink carbonated water. On the second day after cesarean, the use of liquid food (soups, mashed potatoes and broths) is allowed. If the woman's well-being is normal, 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, you will need to follow certain precautions. So, from taking a bath, visiting the pool and swimming in the reservoirs will have to give up 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 wear anything heavier than a child.

To return to a normal sexual life it is possible only in one and a half-two months. During this time the body will have time to recover. In parallel, it is necessary to determine the future methods of protection, since the next pregnancy after the operation is possible not earlier than two years later.

Psychological training

How to prepare psychologically for Caesarean section? 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 cesarean:

• No injuries to the reproductive 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 kid 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 goes. 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.