Traditional Culture Encyclopedia - Lucky day inquiry - A pregnant woman in Guangzhou underwent cesarean section without anesthesia. What are the anesthetic sequelae of cesarean section?
A pregnant woman in Guangzhou underwent cesarean section without anesthesia. What are the anesthetic sequelae of cesarean section?
1, pregnant women do not need anesthesia for caesarean section.
A few days ago, the obstetric diagnosis of the hospital found that a maternal umbilical cord prolapse, the fetus may die at any time. The situation is so critical that it is too late to give anesthesia. The doctor decisively performed anesthesia-free cesarean section for the parturient! It took only 4 minutes from pushing the pregnant woman into the delivery room to the doctor cutting the uterus and taking out the baby. The mother who endured severe pain and gave birth to a baby was also praised.
The person in charge of the hospital told the reporter that a few days ago, Peng, deputy chief physician of obstetrics, received a patient with premature rupture of membranes, who was pregnant for 34+4 weeks and was not yet full-term. Because these patients are prone to infection, intrauterine hypoxia and even intrauterine death, Peng immediately arranged for them to be admitted to hospital for observation.
Monitoring after hospitalization showed that the patient's fetal heart rate was too fast, and the possibility of fetal hypoxia was not ruled out. The doctor advised her to have a cesarean section as soon as possible, but the family still wanted to observe it again. After the patient changed body position, Peng auscultated the fetal heart again and found that the fetal heart slowed down to 60~70 beats/min, which was suspected to be acute fetal distress. Considering that the patient has a history of premature rupture of membranes, Peng is worried about the terrible umbilical cord prolapse. If so, the baby may be stillborn at any time.
Peng immediately ordered the doctor to examine the patient further, and at the same time asked all doctors and nurses to take their positions and prepare for rescue. Sure enough, the result of further examination is umbilical cord prolapse!
Peng decided to perform caesarean section on pregnant women immediately-only when the child is taken out in the shortest time can the child survive. Time is pressing, there is no time to anesthetize pregnant women. The doctor had to cut open the uterus to take out the baby without anesthesia.
Without anesthesia for cesarean section, pregnant women may have various dangerous situations because of pain, and the baby may not be able to do it. This is a great test for both doctors and parturients! A group of brave doctors and a great mother worked together to create a miracle-it took only 4 minutes from pushing pregnant women into the delivery room to the doctor cutting the palace to take out the baby.
There was a clear cry of the baby in the delivery room, a baby boy weighing 2050 grams! At this time, the anesthesiologist also rushed to the delivery room and gave the parturient a general anesthesia. The great mother finally fell asleep with peace of mind after experiencing great pain and happiness.
2, cesarean section anesthesia sequelae
Sequelae of anesthesia in caesarean section: relief of anesthesia after operation
After anesthesia, the operation officially began. After the operation, the parturient was pushed into the recovery room and stayed in the recovery room for 1 ~ 2 hours according to the anesthesia method used. If the parturient uses epidural anesthesia or spinal anesthesia, it should be in
The recovery room stays until the lower body regains consciousness and can twist legs. If you take general anesthesia, you should stay in the recovery room until you fully regain consciousness.
Sequela of caesarean section anesthesia 2: pain after anesthesia
If the pregnant woman has had a trial delivery before caesarean section, and the regular contraction of the uterus causes intense pain, and the pregnant woman is very tired, then after anesthesia, with the disappearance of the uterine contraction pain, the pain is relieved, and some pregnant women will fall asleep immediately, and the anesthesia effect is very good.
However, there are also cases where the anesthetic effect is not good, so take the fetus and; When washing the abdominal cavity (so-called water spraying), the pain caused by pulling is very uncomfortable. The doctor will use some analgesic and sedative drugs to relieve the pain of the parturient after the baby gives birth, so that the parturient will have a strong drowsiness and thus relieve the pain.
Sequela of anesthesia for caesarean section III: Adverse consequences caused by anesthesia
According to medical statistics, since the 1990s, the rate of caesarean section has obviously increased. Although various diagnosis, treatment and rescue techniques of premature infants have been improved, the mortality rate of caesarean section children is still high. This is because caesarean section is easy to cause infection, and even during anesthesia, it may cause various complications, so from the beginning of anesthesia, the danger of mother and baby begins together. Because of this, the national health department has very strict regulations on narcotic drugs. The danger of general anesthesia is also very prominent.
Sequelae of anesthesia in caesarean section Ⅳ: Complications caused by anesthesia
If local anesthesia is used in caesarean section, some parturients may feel severe headache, while others may feel back pain. Different symptoms vary from person to person. During general anesthesia, you may feel dizzy, dry and sour throat, or feel nausea and vomiting. If morphine is used for anesthesia, the parturient may feel itchy all over the body, and these side effects will gradually disappear within 24 ~ 48 hours after delivery.
Sequela of caesarean section anesthesia 5: unexpected situation in anesthesia
In the process of local anesthesia, epidural anesthesia is often used as an anesthesia method, which will interfere with the blood circulation system to a certain extent and must be used with caution. If this anesthesia method is used for pregnant women with pregnancy-induced hypertension syndrome, anemia, decompensated heart and uncooperative, accidents are likely to occur, endangering the life safety of mother and baby.
General anesthesia requires tracheal intubation. However, due to the physiological changes of pregnant women, endotracheal intubation is difficult. Once the intubation fails, the pregnant woman will be in danger. Although narcotic drugs can alleviate the pain of parturient, they also have some side effects. In the process of selection, we must be cautious so as not to cause unnecessary harm to mother and baby.
3. Little knowledge of caesarean section.
The best time for caesarean section.
There are many reasons for expectant mothers to choose caesarean section, such as choosing auspicious days to welcome their babies and fearing the pain of natural delivery. Some pregnant women may have to have caesarean section because of their age and fetal size. In short, there are not a few women who adopt this delivery method, and when caesarean section is best is a topic that expectant mothers are particularly concerned about.
Healthy expectant mother: after 39 weeks of pregnancy
Generally speaking, a healthy expectant mother can have a caesarean section after the fetus is 39 weeks old. At this time, most of the babies are mature and in a relatively stable state, and the possibility of suffering from various neonatal diseases after birth is smaller than that of children born earlier. According to the existing scientific research, most fetuses are full-term after 37 weeks of pregnancy, while normal pregnancy is about 40 weeks. Therefore, the timing of caesarean section in 39 weeks is just right.
Special pregnant women: not earlier than 36 weeks
Some pregnant women do have some special circumstances and have to have laparotomy in advance, but the time should not be earlier than the 36th week of pregnancy. If the fetus is forcibly removed before it is mature, many health problems are likely to occur, and the consequences are unimaginable.
Regarding the specific date of caesarean section, the answer is different for every pregnant woman, because individual differences have a great influence. In short, expectant mothers must seriously consult doctors' opinions, and don't stick to their own opinions.
Prenatal preparation
Like natural delivery, before caesarean section, pregnant women should be prepared to avoid being caught off guard:
Prenatal examination is essential: pregnant mothers should actively do prenatal examination, such as fetal heart monitoring, B-ultrasound, etc., so that doctors can timely and effectively understand the baby's situation in the womb and the physical condition of pregnant mothers, which can effectively avoid some dangers in the operation.
Just-right bags should be prepared: before going to the hospital to give birth, pregnant mothers should prepare just-right bags, their daily necessities, sanitary products and some necessary items for their babies, as well as pregnancy test reports and medical records, so that doctors can further understand the situation of pregnant mothers and fetuses.
Don't leave the ward at will: When pregnant mothers go to the hospital for labor, try not to leave the ward at will. First, the nurse may come at any time to prepare the pregnant mother for blood collection, skin preparation and blood drawing. The second is to prevent pregnant mothers from going out. Unexpected situation.
A comprehensive understanding of caesarean section: Before the operation, let the family members and pregnant mothers have a comprehensive understanding of caesarean section, and at the same time, the prenatal doctor will explain the risks of caesarean section to the family members, so that the family members can be fully psychologically prepared.
Pregnant mothers should adjust their mentality before operation: pregnant mothers should actively adjust their mentality before operation, because pregnant mothers will face unfamiliar operating environment and worry about the baby, which will make pregnant mothers feel nervous and affect the normal operation. Therefore, prenatal family members should actively help pregnant mothers to relieve their nervousness.
Be careful not to bring accessories before the operation: pregnant mothers should try not to bring accessories with them before the operation, let alone apply nail polish and makeup. The makeup and makeup of pregnant mothers will affect their judgment on the situation of pregnant mothers throughout their lives. In addition, some metal fittings will not only affect their lifetime use, but also may be lost during surgery.
If you have a baby by caesarean section, you must inject anesthetic. The dosage of injected anesthetic is within the safe range, but it will bring some sequelae to the parturient, which varies according to the individual's physical condition. A expectant mother had a caesarean section without anesthesia. Maternal love is really great. The mother is very brave and has suffered so much for the health of her unborn child.
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