Preparation for cesarean section

If a woman chooses to have a caesarean section before giving birth, there are many things to pay attention to before and after the caesarean section. Especially before a cesarean section, because the female body needs to adapt to the impact of the cesarean section process on its body, a lot of preparations must be made before a cesarean section in order to reduce the risk of the operation and make the operation go better. Next, I will introduce to you the preparations before cesarean section.

Preparation 1: Blood type test

Implementation method:

When the pregnant mother is admitted to the hospital and before the operation, venous blood will be drawn and the blood type will be tested in the laboratory.

reason:

Blood typing is helpful for timely cross-matching of blood during surgery and rescue of hemorrhagic shock. The pregnancy lasts for 40 weeks, during which various complications may occur: incomplete miscarriage in early pregnancy, placenta previa and early placental abruption in late pregnancy, and excessive uterine bleeding caused by uterine atony or abnormal placental abruption after delivery, all of which may put the pregnant mother into a state of shock. Timely blood matching and transfusion are very important for rescue work, and every second counts and is the key to success. For example, it is very difficult to obtain blood from people with Rh negative factors, and we need to know about it early so that we can make emergency blood preparations in advance.

It is convenient to detect blood type incompatibility between mother and baby in time. If a pregnant mother with type O blood is married with type A, B or AB blood, or if the pregnant mother is Rh negative and her spouse is Rh positive, mother-fetal blood type incompatibility and neonatal hemolytic disease may occur. Knowing it early will help us monitor and treat neonatal hemolytic disease and reduce harm to the baby.

What pregnant mothers need to do:

If you have a history of blood transfusion or pregnancy, be sure to tell your doctor.

Remember your blood type. If you don't know or have any questions, ask your doctor immediately.

If a blood transfusion is required, ask what blood type the recipient is receiving the transfusion to see if it matches the blood type you remember.

Preparation 2: Catheterization

Implementation method:

Two or three hours before going to the operating room, the nurse will disinfect the pregnant mother's perineum and then insert a thin sterile catheter into the urethra into the bladder to drain the urine. The catheter is fixed to the surgical gown with tape and connected to a urine bag at the end.

reason:

Cesarean section is performed in the pelvic cavity, and the bladder is located in front of the uterus. When the bladder is full, it may affect the exposure of the surgical field of view and may easily cause accidental injury during the operation. Therefore, an indwelling catheter needs to be placed before the operation to empty the bladder.

In addition, the placement of a urinary catheter is also to prevent the relaxation of the urethral sphincter of the pregnant mother after anesthesia, causing urinary incontinence or inconvenience of urination after surgery. It is also convenient for monitoring urine output after surgery.

What pregnant mothers need to do:

When pregnant mothers change their lying positions, they should always consider the position of the catheter and be careful not to compress or twist the catheter.

If the urine bag is half full, it should be drained out immediately. There is a small switch at the bottom of the urine bag, and the urine will flow out when it is pulled out. There is also the milliliter number on the urine bag, pregnant mothers should write it down.

Generally, the indwelling urinary catheter can be removed after the infusion is completed on the second day after the operation, and urination should be timely 3-4 hours after removal. Try not to urinate in bed, and drink plenty of water to promote urination to avoid urinary tract infection. If you cannot urinate, tell your doctor until you can urinate freely.