Elective caesarean section: preparing for surgery
Elective caesarean section is a serious, but fairly safe and standard operation. Of course, the outcome largely depends on the professionalism of the surgeons and anesthesiologists. However not last role is played by preparation of the expectant mother during pregnancy and immediately before surgery. The fulfillment of all requirements of a doctor and following certain rules will help avoid possible complications.
Elective caesarean section preparation
Childbirth – a physiological process, the willingness of women to which the inherent nature. However, there are cases when during pregnancy, experts reveal the expectant mother or the baby severe abnormalities that threaten their health or life. In this case, giving birth naturally is unacceptable.
To avoid unnecessary risks, the decision on surgical intervention. In this case, the success of planned cesarean section (PCs) largely depends on the training of future mother during pregnancy and immediately before surgery.
Cesarean section: indications and timing
Absolute indications for surgery are complete placenta previa, severe extragenital diseases, insolvent scar on the uterus, anatomically narrow pelvis and the presence of a barrier to the passage of the child through the birth canal of the mother (tumor, scar contraction of the cervix).
Relative indications are considered to be a situation where a natural delivery is possible, but is accompanied with a certain risk of possible complications. This includes first and foremost some chronic diseases of the mother, preeclampsia, breech presentation of the fetus. In this case, the question of whether the cesarean section will be decided by a specialist, observing the flow of this pregnancy.
The timing of surgery are selected individually and depend on the health status of women and the fetus. In the absence of specific indications of cesarean section, usually conducted over one to two weeks before the expected delivery date or expedited at the beginning of fights. The child at this period is considered full term.
Preparing for surgery during pregnancy
In fact, preparations for a future operation should start immediately after final decision about the necessity of its implementation.
Preparation during pregnancy involves the following:
- Treatment of all acute and chronic diseases that can adversely affect the course of surgery, the duration of the recovery period or the health of the unborn child.
- Strict compliance with all requirements of the observing gynecologist.
- Timely delivery of analyses of blood and urine, the execution of all assigned instrumentation, and other research.
- The anesthesiologist and other specialists if necessary.
- Maintaining a healthy lifestyle, proper nutrition, adequate sleep.
- The visit of the special training courses for childbirth to PKS.
On the choice of the hospital where the surgery will be performed should also think in advance, considering all the features of this facility.
Preparing for hospitalization
About 2 weeks before the scheduled date of hospitalization, the woman receives a direction to the hospital.
During this time she must pass control tests, including:
- urinalysis and blood;
- biochemical examination of blood;
- the establishment of RH factor and blood group;
- screening for HIV, hepatitis, syphilis;
- review smear on the flora;
- the cultures from the cervical canal;
- Ultrasound of the fetus;
- cardiotocography (CTG);
- dopplerometric research;
- the consultation;
- other research indicated.
As a rule, the hospitalization takes place a few days before the appointed surgeon of period PX. This is necessary in order to specialists can perform an additional check of the health of the mother and child to carry out if necessary medical treatment and to make a final decision about the features of surgery, type of anesthesia, etc.
On the appointed day a woman in labor should come to the hospital with the necessary list of documents: exchange card, referral for hospitalization, passport, insurance policy, the results of all the analyses and conclusions of experts. The exact list of things should be clarified in advance.
Usually a allowed to take the following:
- clothing: Bathrobe, chemise with a plunging neckline, the special bra;
- rubber or leather Slippers;
- hygiene for mother and child;
- disposable tableware;
The day before surgery
Preparing for planned cesarean section includes an additional interview of the patient with the surgeon and anesthesiologist. Experts talk about the course of the operation and features of reconstruction period, and also specify, does not suffer if the mother allergic to certain drugs. Then the expectant mother must sign the consent for surgery.
The last day before the advent of the baby born is recommended in the most relaxed atmosphere. The new mother should sleep and gain strength. As a rule, the doctor prescribes her a single dose of a mild sedative.
Also, before the operation should conduct the necessary complex of hygiene: take a shower, to remove excess pubic hair.
On the day of surgery
Elective surgery, as a rule, appointed in the early morning. Approximately 2 – 3 hours expectant mother is invited to the last one before operation inspection and cleansing enema. She then tightly wrapped around the legs with special elastic bandages that will prevent possible formation of blood clots deep vein. Instead of bandages you can use compression stockings.
The mother is dressed in a special gown, cap and Shoe covers, then placed on a gurney and transported to the operating room. With a prior approval of a doctor is only allowed to take a phone and some water without gas.
Into the bladder during the operation, a catheter is inserted, allowing to avoid the complications of kidneys. After that, the mother put an IV with antibiotics and inserted the epidural. The anesthesiologist asks the woman to take a position and introduces the drug into the area between the vertebrae. Unpleasant feelings last for a few moments, then the woman ceases to feel the lower part of the body.
General anesthesia is used rarely and only for specific medical indications.
While waiting for the anesthesia circulating nurse handles the mothers abdomen with antiseptic and sets at the level of her breast a special screen, so she could not see the process of delivery.
Directly cesarean section continues, usually short-lived. The abdominal incision is made (if surgical intervention is repeated, it is in the old seam, or as close to it), the child is extracted, cut the umbilical cord and give the obstetricians and the neonatologists of weighing, processing and providing necessary assistance.
The most difficult and longest period of the operation – the imposition of internal and external stitches. The professionalism of the surgeon in this case will depend not only on the appearance of the incision but also to the duration of the recovery period.
In the absence of complications, the total operation time is 20 to 40 minutes. Usually within the first 24 hours the woman spends in intensive care, then transferred to a General ward. During his stay in the hospital, the patient receives required drugs for pain relief, uterine contractions and antibiotics for special reasons.
Features of the recovery period
Cesarean section is a serious, but safe abdominal surgery. Fear not need surgical delivery not only saves the life of mother and child, but also allows them to avoid possible health problems. Annually by the PCB, the light appears from 15 to 30% of children, and, as a rule, they are no different from babies born naturally.
Of course, the mother’s body surgery is stress. However, the recovery period will not be long, if you follow some rules:
- follow instructions of the doctor;
- to take prescribed medication;
- avoid high physical loads;
- to properly care for the seam.