Caesarean section is performed as an alternative to vaginal delivery which can be harmful to the mother or baby
It is already programmed or taking the decision in the course of delivery, currently many Caesarean sections, are held mostly in health private, and mainly as an alternative to vaginal delivery which can be harmful for the woman or her baby. The World Health Organization recommends that it is not exceeded 15% of Caesarean sections, but according to the latest data from the Organization for cooperation and economic development (OECD) countries with much higher figures: 49% in Mexico, a 46.2% in Chile, 37, 7% in Italy, 31.4% in the USA, or 24.9% in Spain For example.
Therefore, many health agencies aim to avoid these interventions whenever possible, and are establishing standards and protocols to preserve vaginal birth. In Spain, mainly thanks to the development of the strategy of attention to Normal delivery implanted in the national health system, is beginning to see a change of trend and she is being made to reduce the percentages.
Although the choice of a cesarean always is the responsibility of the gynecological professionals and serves strictly medical reasons, let us not forget that it is a surgical intervention (under anesthesia) which is the opening of the abdominal wall and uterus, which carries its risks and implies a more annoying postoperative. The woman will have to remain hospitalized about three or four days and then must go regaining normality gradually, with certain precautions and specific care.
Step by step procedure in the hospital
After caesarean section, moved the mother to a room of resuscitation or unit recovery Post anesthetic (Pacu), where he stayed three hours under medical supervision. There “postanesthesia recovery, the risk of bleeding, and uterine contraction”, are valued as specified by Miriam the bridge Yagüe, specialist in Gynecology and obstetrics of the Hospital Clinico San Carlos in Madrid.
Many hospitals are already implementing protocols of humanization of caesarean section to ensure that, whenever possible, the woman is with her baby, and even with his partner, from the beginning; What is very beneficial, especially at the psychological level. “At the first time surrenders to the woman his son to launch the method Kangaroo or skin to skin and start, if possible, with breastfeeding in the same operating room. Both mother and the newborn pass at the service of Resuscitation in the same bed and remain there together until the small is transferred momentarily to the Neonatology Service to give first aid. Although, since it was born, the baby is also accompanied by a doctor and a nurse of the Neonatology Service, who value its location at all times while skin with skin with his mother”, explains the big doctor Jesus, head of section of support to the delivery of the service of gynaecology and obstetrics of the Hospital Universitario 12 de Octubre.
Later newly released MOM goes to the room, where the team of nurses and obstetricians are responsible for controlling the constants and watch everything goes well, since in these first hours it is probed and not you can eat or drink, by receiving the nutrients by IV (than usual is that the dropper and the probe are not withdrawn until a minimum of 12 hours later).
In addition, as they pass the effects of the anesthesia begins to feel pain in the area, by which you will be given pain relievers or soothing. Then moves to a diet semi-liquid and mainly during hospitalization “care focuses on the care of the surgical wound and to help women be established breastfeeding,” says big Jesus.
Finally, seeks woman to join and start walking as soon as possible, to facilitate intestinal transit and blood circulation, and so it is more agile, be gaining self-confidence, and feel able to care for your baby more quickly.
And as Dr. Miriam de Yagüe bridge, “it is possible, in some centres, a shorter hospital stay duration, for example, two days, starting early ambulation. This way will get reduce the rate of complications in the emotional sphere, as a result of a long-lasting income”.
Hospitals tend to encourage early lactation also in the case of Caesarean sections, whenever possible
Found that the main problem who have Caesarean sections in relation to successful breastfeeding is due to the separation of the mother and her baby at birth, thus delaying the time of the first shot. Not doing so well from the beginning tends to lead to complications, both for women and for small: milk production is affected by the frequency and duration of the outlets, and baby costs you more cling well to chest. Therefore, hospitals tend to encourage early lactation also in the case of Caesarean sections, whenever possible.
In this sense, the specialist in Gynecology and obstetrics of the Hospital Clinico San Carlos in Madrid, Miriam de Yagüe bridge, believes that “not must be delayed the initiation of breastfeeding because we find ourselves before a surgery. I.e., the mother should begin skin to skin contact, as soon as possible, even in the operating room if it is logistically feasible.
The moment where re-join mother with her baby is ideal to start breastfeeding, since teamwork (mother and child) is fundamentally so that this process be properly established”. In addition, many hospitals have a midwife specialist nursing “that collaborates with the mother, for a correct installation of the same. This figure is essential, because the patient feels very wrapped and always has someone who can support you “, says the doctor of the bridge.
Logically, another obstacle to carry out breastfeeding is that the woman is tired and has distressed the area where caesarean section has been made. However, with the advice of the matron or staff physician will find a position comfortable breastfeeding which does not pose any problem (for example, lying) and even may help a cushion of infancy allowing him to bring the baby to the breast, while resting in her womb.
In these cases, the support and individualized follow-up of breastfeeding is more necessary than ever.
After a c-section, MOM must have patience, and don’t hesitate to ask for help whenever you need it
“To receive the discharge from hospital postoperative period ends and begins a necessary period of convalescence, i.e., of recovery. Therefore recommended not to make efforts, not take heavy weights, a diet balanced and soft, hydrate properly, and walking every day, without excesses. “I.e., recent MOM careful to make the recovery of caesarean section as quickly as possible, but without forcing the body”, recommended Miriam the bridge Yagüe, specialist in Gynecology and obstetrics of the Hospital Clinico San Carlos in Madrid.
We must try to make a fairly normal life as soon as possible, but do not forget that the body has undergone abdominal surgery and costs you a bit more to recover in the case of a vaginal birth. For example, as points out the big doctor Jesus, head of section of support to the delivery of the service of gynaecology and obstetrics of the Hospital Universitario 12 de Octubre “the uterus returns to its position and normal size a month or a month and a half”.
Therefore, the postpartum period can be a bit more cumbersome and quarantine can extend up to six weeks, during which the woman may continue to have mild discomfort and vaginal bleeding (if these are abundant and the pain is very intense, should go to your doctor). So, MOM must have patience, and above all the early days, do not hesitate to ask for help whenever you need it (for example, when it comes to take her baby, Crouch, or do certain tasks requiring physical effort).
In addition, once chosen a suitable and comfortable position, it will continue to with breastfeeding, and both MOM and your little one will enjoy this special practice until she desired.
Caesarean section wound care
After having gone through a caesarean section, obviously to what is necessary to pay special dedication is to continue healing the wound. According to Miriam the bridge Yagüe, specialist in Gynecology and obstetrics of the Hospital Clinico San Carlos in Madrid, “surgical wounds are easier to take care of what initially may one arise. Cleaning must be done with water and a neutral pH SOAP, without drag and, above all, keeping the area well dry. “That Yes, sometimes you need cleaning with an antiseptic product by history or risk of infection”. This will be recommended by the hospital staff, or by the nurses of the health centre, which is people who are going to control the evolution of the injury “a week after the surgery” (valuing also the withdrawal of points at that time). And it is that, if a resorbable suture has not been used, we have to go to the Medical Center to remove us points.
It is important to insist that the wound should be dried well (even you can use a hairdryer) and “If the woman has no discomfort, the best is to keep it air”, indicates the big doctor Jesus, head of section of support to the delivery of the service of gynaecology and obstetrics of the Hospital Universitario 12 de Octubre.
That Yes, the woman must be very attentive to possible signs of alarm. It is normal that wound pique, pull, or keep it a little annoying, but must go to the doctor if the pain is over, if you feel burning in the abdominal area, if there is a significant redness, if the wound oozes or bleeds, if you have a fever of more than 38 ° C, or if strong headaches suffer. Also have to resort to a medical professional if the vaginal bleeding is very abundant or has bad smell.
It is normal that the skin surrounding the scar, notes insensitive and numb; but don’t worry, because you’ll go gradually regaining sensation in the area.
Although it depends on the evolution and the physical condition in which the female is, two months after the caesarean section may be a completely normal life
Little by little we will be finding better and more forcefully, but we must wait a little exercise. The specialist in Gynecology and obstetrics of the Hospital Clinico San Carlos in Madrid, Miriam the bridge Yagüe, explains: “the realization of exercise to recover the figure or the physical background is recommended that not be carry out before quarantine, since the uterus and abdomen should heal properly. Like the use strips or other tools to reduce the abdominal perimeter, which should not be used, unless, until three or four weeks after caesarean section.”
Meanwhile, big Jesus, head of section of support to the delivery of the service of gynaecology and obstetrics of the Hospital Universitario 12 de Octubre, indicates that “depends on the evolution of women and fitness you are, but what is convenient is to begin a month or a month and a half to make light abdominal exercises, to progress little by little.” After two months you can make a completely normal life”.
In the sexual area also will have to wait to pass quarantine: “just like in any delivery, are not recommended sex before the period of quarantine, not only because of the physical activity involved, but also the risk of infections rise”, specifies Miriam de la Puente.
Also may be necessary a recovery at a psychological level, because as says this specialist of the Hospital Clinico San Carlos in Madrid “a caesarean section may have a significant impact on women, because of the expectations that arise when we are pregnant and believe that we are more mothers give birth vaginally. But it is clear that this is not so; you’re mother whether vaginal or abdominal route”.
As we have seen, hospitals are increasingly to make the experience less traumatic as possible, through various measures which are very welcome. This is the way.