Caesarean Section Postoperative Management

Cesarean Section

A Cesarean section (C-section) is surgery to deliver a baby. The baby is taken out through the mother's abdomen. In the United States, about one in four women have their babies this way. Most C-sections are done when unexpected problems happen during delivery. These include

• Health problems in the mother
• The position of the baby
• Not enough room for the baby to go through the vagina
• Signs of distress in the baby

C-sections are also more common among women carrying more than one baby.
The surgery is relatively safe for mother and baby. Still, it is major surgery and carries risks. It also takes longer to recover from a C-section than from vaginal birth. After healing, the incision may leave a weak spot in the wall of the uterus. This could cause problems with an attempted vaginal birth later. However, more than half of women who have a C-section can give vaginal birth later.

Source : www.nlm.nih.gov


Caesarean Section Postoperative Management

1. Incision wound care: clean with alcohol and betadin then closed with sterile gauze periodically, wound dressings changed and wounds cleaned, notice of how the extension of injury and time of suture removal.
2. Postoperative care
   After surgery is completed, the patient was transferred into a special care room (Recovery Room) for a few days, when the state of postoperative patients with severe, immediately moved to the emergency care unit, after the state of the patient begins to recover to move into the room (where the patient initially treated)
3. Fluid
   Because the first 24 hours, patients with post-operative fasting, then the provision of infusion should be quite a lot and contains electrolytes required to prevent hypertension, dehydration and complications.
4. Diet
   Actually giving a little to drink is to be given at 6-10 hours post-surgery. After the fluid infusion was stopped given strain the puree food, drink juice and milk, then allowed to eat porridge, and finally ordinary food.
5. Painful
   Since the patient aware of the first 24 hours, the pain is felt in the area of ​​operations, to reduce pain, can be given analgesic and sedative drugs.
6. Mobilization
   Mobilization gradually immediately useful to help the course of healing, prevent the occurrence of thrombus and embolism. Leaning right and left to be done since 6-10 hours, after the second day the patient conscious, the patient can be mounted for 3 minutes and were asked to breathe deeply, then exhale with a small cough to loosen respiratory and foster patient confidence, then supine sleeping position transformed into semi-Fowler position.
7. Catheterization
   To prevent irritation and wound contamination by urine, the bladder emptied by catheter.
8. Giving medicines
   • Antibiotics chemotherapy, and anti-inflammatory
   • Preventive medicine for flatulence
9. Skin care
   The things that must be considered in the examination and measurements were done every 4 hours :
   • Vital signs: blood pressure, pulse, respiratory rate
   • The amount of fluid in and out
   • Another examination by type and case
10. Advice after surgery
    • It is advisable not to become pregnant for 2-3 years with the use of contraception
    • Subsequent pregnancies should be monitored with good antenatal
    • It is advisable to give birth in hospital
    • Explain that the next delivery can be spontaneous or surgical, depending on the indication of surgery and subsequent pregnancies.