Cesarean section is the special operation done on the pregnant mother to bring her child out of her uterus in the external world. Nowadays, the frequency of this operation has increased a lot, specially in some Asian countries where Gynecologists are few compared to the pregnant women. In Bangladesh, most of the pregnant women undergo cesarean section in the private hospitals and clinics. But, most of the women have a little knowledge about this operation and the special care after this operation. In this post from sujonhera.com, you will know about the 10 must-to-know things for every new mother after cesarean section. So, let’s see, what are those.
1. Duration Of Hospital Stay: Normally, patients are discharged from hospitals on the third post-operative day (POD). The first POD is the day after the operation day. A very few patients may be kept more than 3 days. Those are done if the patients have infections or the newborn babies have any problems. These 3 days are very important for the pregnant mother. As the scar mark is week during this time, they should not perform heavy works at all.
2. Per-vaginal Bleeding: The principal concern for every post-operative mother should be the flow of blood through vagina. Normally, the flow of blood is more after the operation and starts to reduce in quantity gradually. It may remain for 6 weeks after the operation with one or more gap days. So, if any mother experiences per-vaginal blood flow after a month of the operation, she should not panic at all. During the hospital days, she should notice the amount, color and odor of the blood. If the amount is excessive, the color is dark and the odor is foul smelling, she should tell the Gynecologist without any delay. These are the symptoms of the infections.
3. Breast Feeding: The main concern about the baby should be the breast feeding. In the recent studies, it is globally proved that exclusive breast feeding for 6 months is essential for a healthy baby. So, the mother should feed her baby at least every 1-2 hours and it should be started as soon as she can after the operation. Many women don’t want to feed their babies frequently. In those cases, milk is gathered in their breasts and they faces mastalgia (pain in the breast), heaviness in the breast and many other symptoms. If the mother has excess milk after feeding the baby, she can eject the milk and keep it in a sterilized feeder. The ejected milk can be given to the baby for the next 12 hours if it is stored in a refrigerator. However, the cold milk should not be given. Rather, it should be made warm by placing the feeder in a bowel full of warm water.
4. Catheter, Cannula & Foods: Some Gynecologists prefer catheter before the operation whether some others prefer to omit it. If your doctor gives you a catheter, it should be removed on the 1st POD. Otherwise, urinary tract infections (UTI) may occur. If your doctor does not give you a catheter, you have to void urine in urinals lying on the bed. The mother is kept NPO (nothing per oral) or NBM (nothing by mouth) from 4-8 hours before the operation. During the operation, a saline is given to the patient. About 3 liters of saline is passed for the next 24 hours to the patient. This amount is calculated according to the patient’s weight. The mother will be asked to drink water at any time by the Gynecologist. Then, she should drink water followed by liquid foods and then solid foods. The cannula will be kept for the next one or two days. It is done for the intravenous injections.
5. Defecation: The mother will feel the urgency of defecation on the 1st POD. By this time, she can use commodes. So, there will be no difficulties. If she experiences constipation, she must tell the doctor about it. The doctor will prescribe her medicines which will loosen the mother’s stools.
6. Moving And Walking: The patient should not move too much after the operation. But, she can walk on the first POD. She should walk very slowly with one or two persons supporting her.
7. Anesthetic Problems: Sub-Arachnoid Block (SAB) is used during operation in most of the cases. The effect of the anesthesia may remain for 7 days after the operation. The patient may feel heaviness and pain in the head, neck and back of the chest. She may experience shivering also. If any of these symptoms are seen, immediately call the doctor on duty. Some patients also complain about leg swelling. They can avoid it by placing two pillows below their legs during sleeping.
8. The wound: The wound will be repaired gradually. Your bandage will be removed after 7-10 days after the operation following the removal of the suture if applicable. You should not rub or clean the wound with water or anything like these for the next few days advised by your doctor. The scar mark will be visible for the next few months. Gradually it will go away. But, don’t use any oil or spot removing cream for 6 weeks after the operation. After 6 weeks, you can use those.
9. Restarting Normal Works: For the first 2-3 weeks after the operation, the mother should not pick up anything weighting more than her baby. She should not perform physical exercise for at least 4-6 weeks. And she must not do intercourse for minimum 6 weeks.
10. Vaccination: The baby is a guest to this unknown world, which is full of germs. The baby does not have any protection for those. So, the mother must take care of the vaccination course. Along with this, she should take vitamin A capsule.
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