Just after checking the room this morning, Miao brother wrote today’s medical history in the office. At this time, the three-bed mother came to the office to find Miao brother, “Doctor, can I have a caesarean section? When I came to the hospital, I heard others say that the childbirth would be cut sideways. I was born fast and did n’t have to suffer from contractions for so long. So, I want to have a cesarean section. ”Obviously, Miao brother is not the first time to face such a question. Which one can make pregnant mothers suffer less? Of course it’s side cutting! First of all, pregnant mothers need to understand that not every woman who goes into labor needs a perineal side excision, but only in some special circumstances, such as: perineum is too tight or the fetus is too large, and emergency needs to end the delivery quickly Wait. Even if lateral incision is unavoidable, compared with caesarean section, lateral incision causes less harm to the mother. First, only the skin and muscles of the perineum are cut through the side incision, and the cesarean section generally needs to cut the skin, muscle, fascia, peritoneum and serosa and myometrium. Pelvic abdominal adhesions. And the incision length of the lateral incision is only 4 ~ 5 cm, and the surgical incision of the cesarean section is about 12 ~ 18 cm. From this comparison, it is obvious that the cesarean section is more harmful to the mother. Second, when performing a lateral perineal resection, only local anesthesia is required; while cesarean section generally requires lumbar anesthesia, the choice of lumbar puncture site and the control of anesthetic amount are more difficult than local anesthesia, and the risk of anesthesia is higher. Third, although the surgical incision of the lateral incision is in the perineal area, the daily care of the mothers is slightly more difficult, but the recovery time of the postpartum women undergoing the lateral incision is significantly shorter than that of the women who have undergone cesarean section, and the recovery after the birth is faster. Fourth, from an aesthetic point of view, a knife cut on the side of the perineum will basically not affect the beauty of the woman; while a cesarean section is cut on the abdomen, when swimming or wearing a navel, it will greatly affect the appearance of the woman’s abdomen . Miaoge believes that women who can give birth should not choose Caesarean section firmly, and our doctors do not recommend Caesarean section without medical indication.
Often pregnant mothers ask if they will cut sideways when they give birth, of course not, not everyone cuts when giving birth. Perineal lateral resection will be considered when the following conditions occur: 1. The perineum is tight, the elasticity is poor, the perineum is short, or the vaginal inflammation is heavy, then the possibility of severe laceration is high; When it is necessary to attract midwives or shoulder dystocia requires intravaginal operation, it needs to be cut to increase the space of birth canal. 3. When there is fetal distress, it should be delivered quickly, and cutting the yin can achieve a quick purpose. 4. The perineum does not have time to expand when it is in urgent labor or when the productivity is too strong. If it is not cut, it may cause severe perineal lacerations. 5. For some cases that need to shorten the second stage of labor (that is, the stage from the opening of the uterus to the delivery of the fetus), such as mothers with hypertension or heart disease, previous cesarean section or uterine fibroids removal, or maternal physical strength When the unsupported productivity is very poor, you need to choose perineal resection. If the perineal conditions are good and the fetus is not large, you can of course do not need a side cut if you can deliver smoothly. How can side cutting be prevented? First of all, pay attention to a balanced diet during pregnancy, control body weight, and avoid excessive fetal size. Second, strengthen exercise during pregnancy, preserve physical strength during delivery, and ensure adequate productivity during the second stage of labor. Actively cooperate with the doctor during delivery, follow the doctor’s guidance, and use the correct force to avoid Excessive exertion or improper exertion can cause severe perineal lacerations; regular obstetric examination during pregnancy, and timely treatment if vaginitis and perineum are present; in addition, anal contraction can be performed during pregnancy to improve the elasticity of the perineal vaginal tissue.