A surgery appointment is made at the hospital for the surgery of a patient who is decided to have a cesarean section. The patient should not eat anything after 24:00 the night before. The patient must remain hungry and thirsty for 6 hours before the surgery time.
The patient must remove his/her jewelry when coming to the hospital for surgery. If there is any nail polish on her nails, she should remove it.
In terms of pre-operative preparations, she should be in the hospital at least 1 hour before the surgery.
Necessary preparations for cesarean section are made by the nurse in the patient's room. The file is removed and the patient's history is taken. The surgical area is checked and cleaned. Necessary blood count and bleeding-coagulation tests are performed on the patient. NST is performed.
The patient is dressed in a nightgown, a hair cap is worn and taken to the operating room on a stretcher. The patient's relatives can accompany the patient to the door of the operating room. In the operating room, the patient is first given a serum. Then, an epidural catheter is inserted by the anesthesiologist. Meanwhile, the surgical team washes their hands with antiseptic solution and puts on sterile surgical gowns.
First, the patient's urinary catheter is inserted, then the anterior abdominal wall is cleaned from the sub-chest level to the knees with a sterile solution called batticon, and it is covered so that the surgery area remains open.
When the anesthesiologist indicates that the patient is ready, the gynecologist starts the surgery. Seven layers of incisions are made, controlling bleeding in turn. First, the skin, subcutaneous tissue, fascia, muscles, outer abdominal membrane, membrane above the uterus and the muscle layer of the uterus are cut sequentially and carefully.
When the muscle layer of the uterus is cut, this distance is widened sideways with the index fingers of both hands. and the baby's amniotic sac is reached. The pouch is burst and the baby's head is taken out, the whole body is taken out by holding the neck, the mouth and nose are cleaned, the cord is cut and the baby is delivered to the pediatrician. Then, the placenta is removed, the inside of the uterus is cleaned, and the necessary medications are administered.
All cut layers are closed one by one by sewing with special threads, following bleeding control. Skin stitches are sewn aesthetically in a way that the thread is not visible from the outside. These stitches are self-dissolving and do not need to be removed. The patient's skin is dressed and bandaged. It is closed with . The patient is now ready to go to her room to be with her baby.
Once in the patient's room, nurses constantly check the mother's blood pressure, pulse and temperature, bleeding control and urine output. Serum, antibiotics and painkillers recommended by the gynecologist are applied to the patient.
The patient can start to eat liquid food orally 4-6 hours after the surgery, and can stand up after 6-8 hours. On the first day, light liquid foods such as compote, water, biscuits and tea are usually given. In the meantime, the baby should breastfeed at least every 2 hours to ensure milk flow. If the patient has pain, additional painkillers can be applied.
Gas pains after the first day of cesarean section. can start. The patient should move around frequently to burp comfortably. After the first day, the patient can be given light meals such as soup. If necessary, medications may be given to help the gas pass easily.
The mother who burped on the second day of the surgery felt relieved, her pain decreased, and her breast milk increased. The patient's dressings are changed and antibiotics are administered. The pediatrician performs the necessary checks on the baby and explains his recommendations. It is now time for the patient to go home.
It is recommended that the patient continue the necessary antibiotics, painkillers and vitamins at home. The patient is advised to stay away from heavy activities at home.
It is recommended to monitor bleeding,2. After the day, bathing in the form of a standing shower is allowed.
Sexual intercourse is prohibited for at least 40 days.
Entering the pool and the sea is also prohibited for 40 days.
It is recommended to stay away from gas-causing foods. It is recommended to eat more liquid foods, soups and compotes. It is recommended to stay away from cold, acidic and caffeinated drinks. During this period, the mother should use special care creams for nipple care and breastfeed the milk from her breasts regularly. Otherwise, infection and wounds may occur on the nipple. If the milk in the breasts cannot be drained regularly, fullness and milk fever may develop in the breasts.
It is recommended to consume at least 4-5 liters of liquid food a day within 24 hours. Because water and juicy products produce milk the most.
It is recommended to have a check-up within 1 week-10 days.
During this period, the mother should not be particularly stressed. Because stress and sadness decrease breast milk. It may cause it to slow down or even cause it to stop.
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