For sisters who are pregnant for the first time, everything is strange and new. Although there is fear and nervousness when giving birth, it is more about the surprise of the new mother and the love for the upcoming child. With the end of the joy of the arrival of the child, I found that my body hurt everywhere. Especially sisters who have had a lateral episiotomy will continue to experience pain and swelling until the wound heals. Today we're going to talk about episiotomy
Not every pregnant woman will have an episiotomy, and the doctor will choose to have a lateral incision when the following conditions occur.
1. Maternal factors:Some diseases such as heart disease and high blood pressure in pregnant women;When the labor process is too long and the physical strength is insufficient.
2. Fetal factors:If the fetus has distress syndrome, premature babies or overweight giant babies (4000g), it is possible to have lateral incision to assist the fetus to come out of the birth canal due to natural delivery.
3. Perineal anatomy:If the perineal elasticity of the mother is poor, the baby cannot be stretched out enough, and there is local edema or severe inflammation, lateral incision is required.
4. When forceps delivery is required:In spontaneous delivery, if forceps are needed to assist in delivery, lateral incision is required to facilitate forceps operation.
The midwife evaluates the mother's condition and the fetus, and if a lateral incision is required, the midwife will inform the woman of the need for lateral incision and begin to prepare for lateral resection.
Before the lateral incision, the woman is anesthetized. The combination of anesthetics and contractions will greatly reduce the pain caused by lateral incision. Therefore, when the midwife performs a lateral incision, the woman should avoid excessive stress.
According to the requirements of midwifery, it is necessary for the mother to correct the posture and avoid twisting left and right, so as to facilitate the selection and positioning of the midwife's contralateral incision angle. The side-cutting process is quick and can be done in a matter of seconds.
When the production is complete, the lateral incision wound is sutured. Under normal circumstances, the suture of the side incision can be completed in 20 minutes, and the mother only needs to cooperate with peace of mind.
Lateral incision wounds in 4-5 cm need to be layered and gradually sutured. Whether the lateral incision is sutured well or not is directly related to the ability to control stool and sexual satisfaction after childbirth. If the woman responds to the pain of the wound during the suturing process, the midwife will add an appropriate amount of anesthetic according to the situation.
As mentioned above, lateral incision is not performed by every woman. We can pay attention to the following points when we are pregnant, which can effectively reduce the probability of lateral incision.
, weight control
Reasonable weight gain can make the baby develop healthily and will not become macrosomia, which is more conducive to natural delivery and can reduce the occurrence of excessive head circumference and the need for lateral incision.
Methods: It is recommended to eat small and frequent meals during pregnancy and to gain no more than 05kg。Specific weight control varies from person to person, so please consult your own prenatal doctor for details.
, appropriate aerobic exercise
Choose aerobic exercise that suits you, burn excess calories, control your weight, and exercise your pelvic floor muscles.
Method: During pregnancy, choose a brisk walking method, which is suitable for the intensity of sweating slightly. 2 times a day for 30 minutes. You can also adjust the duration of exercise according to your physical strength.
, Kegel movement
The enlarged uterus during pregnancy increases the pressure on the pelvic floor muscles. contraction exercises help to improve the elasticity and extensibility of local muscles. During natural delivery, the pelvic floor muscles can better release more space for the fetus to be delivered, reducing the possibility of lateral incision.
Method: Imagine holding your urine 5-10 times in a row and quickly, then hold it tight for 10 seconds, relax for a while, and proceed for the next 10 seconds. 10 sets a day, taking care not to hold your breath during training.
Episiotomy was very common in the past, and it was not a life-threatening procedure for the mother and baby, so there is no need to be too afraid. As long as you pay more attention to the above points during pregnancy, so that the baby develops healthily, there will naturally be no need for lateral incision during delivery
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