"I'm going to have a cesarean section tomorrow, and I'm going to take the opportunity to have a good meal tonight, with a wave of mutton, cake, fried chicken, ice cream, ......After experiencing a series of morning sickness, obesity, edema, hypertension and other complications during pregnancy, Ms. Zhao finally saw the light of day, survived the day of delivery and unloading, and enjoyed a handful of delicious food before the operation.
Congratulations, mother and child are safe and the surgery went well. ”
In the first two days after surgery, the mother refused to get out of bed because of pain, resulting in poor exhaust, and she was given enemas and other conventional methods**, with occasional gas, and on the second night after surgery, she suddenly began to feel nausea, vomiting, and unbearable abdominal distention, and her blood pressure, which had been stable, also rose to more than 160 100mmHg. Seeing that the patient's abdomen was distended like a bulge, he could not lie flat, and his blood pressure remained high, the night shift doctor gave a complete head CT and abdominal x-ray, and initially considered that the patient was due to a series of symptoms caused by incomplete intestinal obstruction. Intravenous pump of antihypertensive drugs to control blood pressure, and ask the Chinese medicine department to perform acupuncture** to promote exhaust, under the close attention and careful care of all the medical staff in the second obstetrics department, two days later, I finally saw a relaxed expression on Ms. Zhao's face. The bloating gradually decreased, the gas problem was finally resolved, and the blood pressure was controlled. On the day of discharge, Ms. Zhao and her family sent us a pennant to express their gratitude: "Thank you so much, you have excellent medical skills and take such good care of me, I am sorry for you." ”
Gastrointestinal flatulence is the "first obstacle" after cesarean section, which is caused by a variety of reasons that the excess gas accumulated in the intestine cannot be discharged from the body, mainly manifested as abdominal distention, abdominal pain, nausea and vomiting, the degree of abdominal distension is directly related to the severity of intestinal gas accumulation, and in severe cases, intestinal obstruction will occur. The main causes of abdominal distension after cesarean section are as follows: decreased gastrointestinal peristalsis during pregnancy, prolonged emptying time, easy to cause abdominal distension and constipation;Severe pain in postoperative contractions and incisions leads to reduced maternal activity or even bedridden, slowing down intestinal peristalsisAt the same time, the direct stimulation of surgical operations, intraoperative high-quality substances and postoperative analgesic drugs can interfere with the physiological function of the gastrointestinal tract and cause intestinal paralysis, which greatly increases the probability of postoperative intestinal flatulence.
After cesarean section, women should get out of bed as soon as possible, which can not only promote systemic blood circulation and prevent thrombosis, but also promote gastrointestinal peristalsis to reduce intestinal flatulence, prevent intestinal adhesions, and reduce the occurrence of intestinal obstruction
1.A small amount of warm water and rice soup can be drunk 6 hours after surgery to promote intestinal peristalsis
2.6 hours after the operation, the bed will be turned over, and the head of the bed should be shaken up appropriately, which can help to exhaust gas, prevent pelvic and abdominal organ adhesions, and get out of bed as soon as possible to move
3.You can choose the appropriate method to massage the abdomen to promote gastrointestinal peristalsis, the mother lies on the bed, relaxes the whole body, stacks both hands on the navel, gently massages from top to bottom, breathes naturally, once every 2-3 hours, each time lasts 10-20 minutes;
4.Appropriate medications can be selected to promote gas: neostigmine 1 mg intramuscular injection, glycerin or warm saline enema, chewing gum, and drinking sesame oil in moderation can effectively relieve flatulence symptoms and promote gas.
5.Traditional Chinese medicine acupuncture, moxibustion and other related ** can be used to promote exhaust;
6.For pregnant women with elective cesarean section, try to eat some high-energy, less residue, and easy-to-digest diet before surgery, and fast and water for 6 hours before surgery.
In order to ensure the recovery effect of pregnant women after cesarean section, we need to do a good job in health education, increase the awareness of the importance of early postoperative bed activities, so that the maternal time of getting out of bed and the first exhaust time are advanced. Health education can change the Xi of maternal life, prevent constipation, and effectively prevent or reduce the occurrence of postoperative intestinal flatulence.
Text|Second Department of Obstetrics Li Siyu.