Cesarean section — recovery after surgery
As with any abdominal surgery after cesarean section in need of repair and long rehabilitation period. To recovery after surgery went without complications, should strictly follow all the recommendations of doctors, to take care of the seam in a timely manner participate in required specialists to do gentle exercise.
Surgical delivery is carried out in cases where natural childbirth is a danger to life and health of mother and child. Despite the fact that caesarean section is one of the safest and most common operations, the percentage of complications from it high enough, but to restore the young mother will need much more time than in case of physiological labour.
The postoperative period
After surgery, the puerpera is in an operational unit under the supervision of an anesthesiologist, an obstetrician-gynecologist and other specialists. In the absence of contraindications after 6 hours after birth is recommended to perform simple exercises:
- carefully turning from side to side, without rising from the bed;
- stroking belly clockwise, without affecting the surgical area;
- stroking the chest, flanks, and lower back movements from the bottom up;
- stretch and relax the buttocks and thighs;
- holding up a palm region of the seam, slightly to cough and do deep belly breaths;
- pull the toes themselves;
- without lifting the heels to rotate the feet;
- slightly bend your knees, alternately gliding soles on the sheet.
To prevent stagnation, edema, adhesion processes and thromboembolism requires a certain motor mode. During the rehabilitation exercise should be performed several times a day, increasing the intensity and number of movements.
It is not necessary to do calisthenics by force or if you feel unwell, but neglecting physical activity is impossible. It should be remembered that slight dizziness and weakness is normal after surgery.
By the end of the first day after cesarean section can stand on its feet with the help of nurses. You need to climb carefully, not making any sudden movements and all the while holding on to the headboard. Before you take the first step, it is recommended to stand a little and make sure in their own abilities. The seam began to disperse, walking should be increased gradually, and to get out of bed always with a straight back and slightly bent forward.
On the second day with no complaints the woman was transferred to a General ward post-Natal therapy.
During their stay in the hospital as a medical support prescribed the following medications:
- painkillers for two to three days after childbirth;
- antibiotics in the prevention of infectious complications (most often used after an emergency delivery);
- tools to speed up the contractions of the uterus;
- medications to normalize the function of stomach and intestines;
- antiseptics for processing of the seam.
Sutures since the external abdominal wall and remove approximately 7 – 8 days after cesarean section. With the exception of subcutaneous stitches that dissolve on their own within a few weeks after applying. Take a shower and wet the seam is allowed only after the scar is formed. The surgical area should not be rubbed with the sponge, and after washing necessarily wipe dry with a cloth or soft towel and treat with antiseptic agents.
The most common complications of surgical birth include:
- damage in the seam area (inflammation, infection, prolonged pain syndrome);
- infectious and inflammatory lesions of the pelvic organs (adnexitis, parametritis, endometritis);
- anemia as a result of extensive blood loss;
- umbilical hernia, diastasis;
- adhesion formation in the abdominal cavity affecting the uterus, ovaries, intestines;
- prolonged healing of the dissected wall of the uterus.
A significant part of the possible consequences helps to avoid a effective drug therapy with the use of new-generation antibiotics and other drugs in accordance with doctor’s orders.
Among the obligatory measures before surgery is to consult the expectant mother with an anesthesiologist and other professionals which enables to minimize the risk of complications given the state of women’s health, presence of chronic diseases and hereditary predisposition.
Among the short-term and generally do not require special treatment of the effects of surgical intervention include weakness, drowsiness, dizziness and nausea.
If the anesthesia used General anesthesia, many patients in the first hours after cesarean section, a cough, dry and sore throat. With a strong cough is needed to hold the seam with your hand or squeeze the belly pillow. Another common problem is difficulty urinating, which may trigger mounted along the catheter.
If the time delay of urine is more than 12 hours, you must notify the observing specialist. In that case, when to urinate is still not out, the doctor would have to resort to the catheter, and the patient will need to consult nephrologist.
Caesarean does not go unnoticed and for newborns. In their lungs and the Airways frequently precipitates a small amount of mucus and amniotic fluid, which can trigger the growth of pathogens and the development of pneumonia.
If surgical intervention took place under General anesthesia, a small part of the drugs time to get into the baby’s blood, causing lethargy, drowsiness and weakness. Sometimes there are cases of asphyxia and breathing problems in the side effect of anesthetics.
Adaptation to environmental conditions is slower than naturally born babies. Established that the remote consequences of transactions can be hyperactivity, a short delay of growth and weight gain.
On the first day of the rehabilitation period nutrients come in the body of the mother intravenously. To stimulate digestion allowed to drink small amounts of clean water without gas with a slice of lemon.
Then, in the diet of women appears liquid food: chicken or beef broth, vegetable broth, diluted yogurt or low-fat plain yogurt. On the third day you can take in food viscous porridge, boiled minced meat diet (beef, rabbit, Turkey), grated cheese. From drinks allowed weak tea, juice, jelly. By the fourth day the menu includes rye bread, mashed potatoes, thin soup, steamed fish, some fruits.
Starting from the fifth day after cesarean section the patient can return to normal diet, which excludes alcohol, canned food, sausage, muffins, sweets, fried and fatty foods. Fruits, vegetables and other possible allergens should enter into the diet with caution while observing the condition of the newborn. In case of intestinal disorders or an allergic reaction in toddler, his mother will need to follow a strict diet and to consult a pediatrician.
Often in women giving birth by caesarean section, marked delay in the supply of breast milk and its small volume. This may be due to the late start of the applying of the newborn to the breast, and a gross violation of natural triggers lactation.
If the milk does not come on the 4 – 5th day after birth, the pediatrician may advise you to finish feeding the baby artificial mixture until then, until the mother’s body is not normal synthesis of prolactin.
Need as early as possible to establish breastfeeding, frequently putting the baby to your breast. Pulling the nipple, the newborn not only stimulates the mammary glands, but also causes the uterus to contract intensely, getting rid of all unnecessary, thereby helping the woman to recover faster.
Approved poses for breast-feeding after abdominal surgery – lying on side or sitting. Under the baby’s back for convenience, you can put a folded blanket or pillow. After feeding, it is desirable to grease nipples with special means (Drops, Ml) for the prevention of cracks.
The restoration of the house
If no complications, discharge from hospital takes place on the 3rd – 5th day. Recovery after surgery is not yet complete, so the woman recommended sparing mode, completely eliminating physical activity for 2 months and lifting weights weighing more than 3 to 4 kg. the Child should be picked up, hugging her.
To avoid possible divergence of the joint and accelerate the process of uterine contractions, it is desirable to periodically postpartum brace. Walking up the stairs, frequent bending and prolonged standing during this period you want to restrict.
The ban on sex life after a C-section last from 1.5 to 2 months depending on the health of women. Complications occur, intimate relations can be resumed after full recovery and only with the permission of the doctor.
Daily hygienic procedures during the first weeks after the surgery should include care of the seam. As a rule, application of dressings after discharge is not required, but recommended treatment with antiseptics or drugs, accelerating the healing of wounds, in accordance with doctor’s appointments.
Sometimes after a few months in the scar may appear the so-called ligature fistulas arising from the rejection of the tissue suture. Initially they are small swellings that increase in size and become inflamed. In this case, you must contact the surgeon to remove any residual threads and processing of the rumen. If the abdominal scar a few months after giving birth looks rough and sloppy correction you can spend in the beauty parlor after consulting a doctor.
Special attention should be paid to the appearance and amount of lochia – discharge, terminating within 6 – 7 weeks after birth.
You should immediately contact your gynecologist if you experience the following symptoms:
- abrupt cessation of selections. This alarming symptom is often a symptom of cervical spasm and can lead to the development of endometritis and even sepsis;
- abdominal pain, accompanied by fever, chills and a sharp deterioration of health;
- abundant blood loss;
- cause itching and unpleasant odor;
- the presence of large clots in vaginal secretions;
- bleeding persisting for more than 6 weeks.
After 10 – 14 days after discharge you must see a gynecologist to conduct a follow-up exam and ultrasound. The doctor should monitor the state of the external seam of the uterus and internal organs after childbirth and to choose contraception and, if necessary, prescribe medications. Following the reception in the antenatal clinic includes routine inspection after the cessation of the lochia.
Further, the frequency of visits to the gynecologist depends on the speed of recovery of the reproductive system and the presence of complications. After 8 – 10 months after the operation the woman should have an ultrasound for a comprehensive study of the uterus to eliminate fibroids and others, as well as assessment of the scar and the possibility of subsequent pregnancies.
Exercise and sport
To recover after childbirth, will help physical exercise and gymnastics. To start it a few weeks later after complete healing of the joint, and only in good health, no complaints and contraindications. Remember that any abdominal exercises and stomach area can only be done with permission of the gynecologist or the surgeon.
The load must be increased gradually, avoiding intense workouts, which lead to deterioration of the taste of breast milk due to the increased production of lactic acid. Do not get too often to do exercises to strengthen the shoulder girdle and upper torso, as they can significantly reduce lactation or to trigger the development of lactose.
For recovery of useful walking, yoga, long walks and swimming in the pool.
Exercises to perform at home should be aimed primarily at strengthening the back muscles and toning:
- the slopes of the body forward and sideways;
- the bridge from a lying position;
- retraction of the abdominal muscles in a sitting position;
- twisting of the body in the lying and standing position;
- successive rotation of the hands, wrists, elbows and shoulders;
- strap with emphasis on bent at the elbows;
- walking on bent legs and on the toes;
- gentle squats;
- leg swings forward and sideways;
- the rotation of the feet;
- the rotation of the pelvis in a circle.
Immediately after birth it is recommended to start doing Kegel exercises to strengthen pelvic floor muscles, which accelerates the process of uterine contractions and normalizes the process of urination. A few times during the day with the power to compress and relax the muscles of the perineum and vagina with different duration and intensity.
Caesarean section has implications for planning future pregnancies. Recovery vessels, nerve endings and muscle tissue in the area of incision of the uterus in the absence of complications occur within 1 to 2 years. Therefore, conception can be planned not earlier than in 2 years to exclude the possibility of a rupture of the scar.
Way of re-delivery will depend on the consistency of the seam. However, in most cases, physiological childbirth after surgical intervention are not recommended. The incision during the second cesarean section performed at the place of the existing scar or as close as possible to him. The duration of rehabilitation after repeated operations increases.
So for a short time to restore their health, physical condition, and reproductive function, it is necessary to strictly follow all recommendations of the doctor and to take responsibility for their way of life.