What should I do if I have a gynecological wound?

Many mothers will be left with ugly scars after choosing cesarean section. These are also wounds left for their babies, but how should these wounds be treated? How can I avoid getting infected? How can I take care of myself so that I can get better quickly? So today, let's talk about what to do if you have a gynecological wound.

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A caesarean section is different from a vaginal delivery. It requires making a 10-centimeter incision in the lower abdomen, opening the abdomen and uterus, taking out the fetus and then suturing it up. The surgical wound is large and the wound surface is wide, and it is connected to the vagina which harbors bacteria, so cesarean section is the largest obstetric surgery with many complications and sequelae. Common complications include fever, uterine bleeding, urinary retention, and intestinal adhesions; the most serious complications include pulmonary embolism and amniotic fluid embolism, which can lead to sudden death; indefinite sequelae include chronic salpingitis and the resulting ectopic pregnancy, as well as endometriosis. Therefore, strengthening self-care after surgery is very important for a smooth recovery.

8 Key Points for Postpartum Wound Care

Adhere to fluid replacement to prevent blood concentration and thrombosis: Pregnant women consume more and eat less during the trial labor period, which leads to blood concentration. In addition, the blood is highly coagulable during pregnancy, so it is easy to form blood clots, induce pulmonary embolism, and cause sudden death. Therefore, intravenous infusion is often given within three days after surgery to replenish water and correct dehydration. In addition, you can eat some liquid foods such as stewed eggs, egg drop soup, lotus root powder, etc. six hours after the operation. The second day after the operation is usually normal and you can eat semi-liquid food such as porridge and crucian carp soup.

Urinary retention: Onions and garlic can help treat postpartum urinary retention.

Early mobility: This is an important measure to prevent intestinal adhesion, thrombosis and sudden death. After the anesthesia wears off, the muscles of the upper and lower limbs can be contracted and relaxed, and you can get up and move around six hours after the operation. This can promote blood flow and intestinal activity, prevent thrombosis, and prevent intestinal adhesion.

Pay attention to vaginal bleeding: Caesarean section will cause more uterine bleeding. Family members should check the amount of vaginal bleeding from time to time. If it exceeds the menstrual amount, they should notify the doctor and take timely measures to stop the bleeding.

Prevent abdominal wounds from splitting: When coughing, feeling nauseous or vomiting, press down on both sides of the wound to prevent the stitches from breaking.

Amniotic fluid embolism: Beware of amniotic fluid embolism during childbirth

Urinate promptly: The indwelling urinary catheter is usually removed after the fluid replacement is completed on the second day after surgery, and urination should be promptly 3-4 hours after removal. If you cannot urinate in bed, you should get up and go to the toilet. If you still cannot urinate, you should tell your doctor until you can urinate freely.

Pay attention to body temperature: low fever may occur after stopping antibiotics, which is often an early sign of genital tract inflammation. If the temperature exceeds 37.4 degrees, it is not advisable to force discharge from the hospital; if there is no low fever, it is best to measure the body temperature once a day within a week after returning home so that the low fever can be detected and treated in time. It is not advisable to wait until the fever reaches a high level before going to the emergency room for medical treatment, because treatment is more difficult at that time and it is easy to turn into chronic salpingitis, causing secondary infertility or ectopic pregnancy.

Be careful of late postpartum hemorrhage: There is a wound on the uterus during cesarean section, which is more likely to cause fatal massive bleeding. It is also more common in the late postpartum period. If the lochia increases significantly after returning home, like menstruation, you should seek medical attention in time, especially for those who live in rural areas with inconvenient transportation. It is best to go directly to the original delivery hospital for diagnosis and treatment, because the mother's condition will be understood and it will be easier to deal with.

Take contraceptive measures in time: sexual intercourse usually starts 42 days after delivery, when the lochia is completely clean. It is advisable to use condoms in the early stage, and you should go to the original surgery hospital to have the IUD placed 3 months after delivery. Because if you get pregnant and have an abortion, it will be very dangerous.

Pay attention to the pain in the wound during menstruation: Endometriosis is sometimes seen at the wound site, which manifests as persistent swelling and pain in the wound during menstruation, and becomes more severe every month, and hard lumps may appear in the later stage. If such symptoms occur, you should go to the hospital as soon as possible.

The current high cesarean section rate is extremely abnormal. Many cesarean sections are requested by patients themselves, and the complications caused by this are numerous and difficult to prevent. Therefore, pregnant women should not request this operation. Natural childbirth is a smooth birth with very few postpartum complications. It is something that rational and determined pregnant women should strive for. If pregnant women cannot give birth naturally, then they should respect the opinions of obstetricians on when to have a caesarean section.

The above is the care method for what to do if you have a cesarean section wound. I wonder if you understand it? Ladies, if you choose a cesarean section, please remember to pay more attention to rest and eat well.