C-section is the birth of patients whose normal birth would be dangerous for the mother and/or baby, through an incision made in the abdomen. The purpose of this article is to ensure that the patient is aware of what he/she will encounter during the cesarean section surgery.
If the surgery is planned in advance, the patient should fast the night before the surgery and, if possible, should be admitted to the hospital without eating or drinking any fluids, such as fasting. This precaution is to prevent stomach contents from passing into the lungs if the patient receives general anesthesia. Patients who will receive spinal or epidural anesthesia should come hungry because sometimes these anesthesias do not work and it may be necessary to switch to general anesthesia. When the patient arrives, the perineum is generally cleaned. If our patient is hesitant about this, we recommend that he clean the incision area where he will be operated on a few days before. There are some routine tests that need to be performed on each patient before the surgery, depending on the location of the operation and the doctor performing the surgery, and we do this sometimes on the morning of the surgery, sometimes a few days before.
A liquid called enema is applied to the patient to empty the intestines before the surgery; This is important for the patient's post-operative comfort (Some of our doctors do not require enemas and catheters).
When the patient enters the operating room, he sees more people around the table than he expected and sometimes he gets scared. These people are an anesthesiologist, anesthesia technician, assistant doctor, 2 nurses and a technician. These are the minimum necessary people; having these people is necessary for your health. The anesthesia type previously decided upon by the anesthesiologist and the patient is applied. If the patient wants general anesthesia (to sleep completely), we first prepare the patient and put him to sleep after wiping his abdomen with antiseptic substances so that the child is not affected by the anesthetic substances. If spinal anesthesia is to be performed, the patient is seated, local anesthesia is applied to the waist, and then the anesthetic agent is applied and the patient does not feel pain. The patient is then laid on his back and prepared for the surgery.
During the surgery, first the skin and then the subcutaneous tissue are removed. After the intervention in the front layer of the abdomen, which we call Fascia, the abdominal cavity is reached. It reaches the amniotic membrane of the child from the womb, which we call uterus. The amniotic membrane is emptied. Then, if the child comes with a head, the surgeon holds the child's head with his hand and guides the head. The assistant feels the uterus on the abdominal wall and pushes the child from the child's butt. If the child comes with its butt, the surgeon grabs the child's butt and removes it himself.
After the child comes out, the child's partner, called the placenta, is removed manually. Then, this entire intervention area is stitched in accordance with its anatomical structure. Meanwhile, the bleeding areas are held and tied. Doctors in our clinic generally close the skin with subcutis, popularly called aesthetic stitches. After the skin is covered, the patient is taken out of the operating room and taken to his room.
POST-OPERATIVE CARE
DAY 0: The day of the surgery is the zeroth day. The patient generally does not take anything by mouth for 6 hours and starts taking liquid foods after 6 hours. After 6 hours, the patient is taken out of bed and walked. The catheter is removed sometimes after 6 hours and sometimes after 24 hours, depending on the situation. The patient breastfeeds her baby as soon as she is taken to bed.
DAY 1: The patient's stitch area is dressed. After the dressing, sometimes the seam is left open and sometimes it can be closed. This varies depending on the doctor. If the patient burps, he can be discharged. Generally, in surgeries performed in private hospitals, the patient can be discharged on this day because the patient pays a fee according to the number of days he stays.
DAY 2: If the patient has not burped until today, the patient is discharged when he burps. He is called for a check-up after 1 week. The baby's screening tests are performed, which are described in other texts.
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