HOW TO REDUCE PAIN AND SCAR COMPLAINTS AFTER Caesarean Section
Just as diseases increase day by day, advances in medicine are increasing at the same rate. Developed techniques, devices, and examination methods are being developed day by day. Reproduction and birth are instinctive impulses inherent in living beings. . Just like eating and drinking. After a difficult pregnancy journey of 9 months and 10 days, it is time for the baby to be born. Normal birth or cesarean birth? We may not be able to decide on this until the baby is born. Because everything is normal, the baby's progress through the canal may stop, the baby's partner may be separated early, or there may be cord compression. Of course, if the baby is not delivered immediately, it will cause the baby's death. In this case, cesarean section will come into play. Ultimately, it is an unnatural form of birth, but it is definitely a medical necessity. It is a method that should be done. After a cesarean delivery, it will be more troublesome, problems such as skin incision scars, excessive bleeding, wound infections, extreme pain afterwards, problems in standing up, slowing down of bowel movements, resulting in abdominal swelling and inability to go to the toilet. It will come. Is this a problem that has to happen? Of course not. There are methods to reduce these complaints, and even the patient can be given the right to 7-8 caesarean sections (as the number of caesarean sections increases, pregnancy complications also increase). What are they, 1 - It is important to perform the caesarean section surgery as quickly as possible, ideally 15-20 minutes (provided that the appropriate conditions are met), that is, the speed and attention of the surgeon is very important. It is necessary to use as few stitches as possible and not to use too much cautery, which we call blood stopper. Impairment of the blood supply to the uterus is related to the excessive stitching and stitching technique. This will lead to the problem called isthmocele in the future and cause complaints such as severe pain, breakthrough bleeding and infertility. Sterility rules should be given utmost importance, due to the risk of inflammation after cesarean section. Among the methods that reduce pain, a different technique is extraperitoneal cesarean section, that is, cesarean section performed without entering the abdomen. With this method, cesarean section is performed without touching the intestines, bowel movements return to normal quickly after birth and the pain is less. Another important situation is the next period after cesarean section. making it suitable for pregnancy and birth. This is so important, especially in the 2-3rd week. During cesareans, adhesions and thinning of the uterus may occur. Instead of having a caesarean section, the adhesions should be opened immediately after the birth of the baby, the thinnings in the uterus should be removed and repaired again. This causes the patient's pain to decrease after birth, to get up quickly and to have a more comfortable next pregnancy. Of course, these are the things the surgeon will do, do these only determine the condition after the cesarean section? Of course not. Factors such as the patient's pain threshold, being overweight, etc. also affect the patient. Can scars be removed after cesarean section? The scar is minimized by applying as much of the natural lines of the body as possible, using less cautery, and applying aesthetic stitches with fewer stitches. As a result, we minimize the scar with special creams 1 week after the cesarean section.
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