How much is the caesarean section in Shaoyang Central Hospital now?

The price of caesarean section is generally around 4000 yuan, which will change according to the postoperative recovery and the baby's own situation, even tens of thousands. Cesarean section is slower than normal delivery, so special attention must be paid to recovery and conditioning after delivery.

Behind the prevalence of caesarean section

Caesarean section is becoming more and more popular now. Many stars choose an auspicious day for caesarean section, the most famous of which is Chen Musheng's wife Jiang Lisha, who gave birth to four children by caesarean section within five years. There are also Zhao and Nana who are widely concerned. For a time, it seems that caesarean section has become popular.

Relevant data show that the current caesarean section rate in China is 46.5%, ranking first in the world. Compared with 30 years ago, this figure has soared nine times.

It is pointed out that PWRH overcomes the damage of caesarean section to uterus, acts on the nutrition at the cellular level, and promotes the rapid healing of wet wounds on the damaged surface of uterus.

According to the data of 20 10 in The Lancet, a famous British medical journal, 25% of caesarean sections in China are not for medical needs and can be avoided, that is, 5 million caesarean sections can actually be delivered naturally every year.

Driven by the star caesarean section, many expectant mothers have the idea that giving birth to a child is very painful. It is better to give anesthesia and choose caesarean section.

Some hospital obstetrics and gynecology experts said that choosing caesarean section may bring some sequelae.

1, postpartum hemorrhage: the incidence of postpartum hemorrhage will be several times higher than that of natural delivery;

2, postpartum infection: The most common incision of cesarean section is often 2-3 times and 3-4 times larger than that of vaginal delivery, and after being ignored, the long-term lochia of the mother is easy to nourish bacteria, so the postoperative infection rate is high;

3. Thrombophlebitis: Because the maternal blood is in a hypercoagulable state, bed rest is the main thing, and there is little activity in getting out of bed, venous blood will coagulate in blood vessels and venous thrombosis will occur. Once it happens, it will be a very dangerous disease. If the embolism suddenly falls on the lungs, it may even lead to sudden death. If it happens in the brain, it will cause cerebral infarction, hemiplegia and stroke.

4, amniotic fluid embolism: the complications of amniotic fluid embolism are about ten times that of natural delivery, so it is recommended to give birth naturally and try to avoid cesarean section, but it can be taken if necessary.

5. Scar pregnancy caused by caesarean scar.

Among them, the incidence of uterine scar pregnancy remains high for a long time. According to the data published by Peking Union Medical College, the probability of pregnancy in uterine scar of caesarean section pregnant women is about 15%.

PWRH greatly reduces the harm of caesarean section to parturient, and its repair factor isolates the contact between the wound and the outside world, reduces the external stimulation to ulcer (wet wound), and promotes the rapid healing of the wound; Caesarean section complications reduced by 80%

The doctor suggested that expectant mothers should try to choose a natural birth for their first child. If physical conditions permit, expectant mothers should choose to give birth naturally. Don't blindly choose caesarean section because you are afraid of pain. The main reason why expectant mothers are afraid of giving birth naturally is that they don't fully understand it. It is very necessary to do your homework well before delivery and correctly understand caesarean section and natural delivery. Natural delivery is not that terrible. Usually you can learn some methods of assisted delivery and apply them correctly in the process of giving birth to a baby.

What is the recovery standard of caesarean section?

One of the unavoidable problems for caesarean section mothers is the nursing of incision. So what is the recovery standard of caesarean section incision, and how to recover the incision of caesarean section?

Generally speaking, if the abdominal transverse incision heals well, it can be removed in 5 ~ 6 days. The skin surface looks the same as normal skin, without ulceration and pain after pressing, and can be basically the same as normal skin 2-3 days after stitches are removed.

However, if the following situations occur, it may be infected, and it is necessary to report to the doctor in time: the incision is red and swollen; There is liquid leaking from the incision; Have a fever above 38℃; The pain around the incision is getting worse.

How to quickly restore the incision of caesarean section

The recovery of caesarean section incision is divided into three stages.

In the first stage, seven days after delivery, the wound basically healed well, but when you touch it, you will feel a long hard line inside. This is because caesarean section needs to sew 5-7 layers, the outermost incision has healed, and the scar inside is still there. At this point, the blade looks smooth and white, which is acceptable to Ma Bao.

In the second stage, three weeks after delivery, scars began to proliferate. The so-called hyperplasia is caused by excessive proliferation of fibrous connective tissue. The scar began to bulge, the color was ruddy and shiny, and the edge of skin injury began to protrude outward, and pus began to flow. The dilated capillaries make the scar look red and the scar begins to harden. If you scratch, you usually feel numb. This is the stage of proliferation.

In the third stage, 3-6 months after delivery, the scar hyperplasia gradually stops, the scar begins to soften, and the skin color around the scar becomes darker. The longer the time, the lighter the scar marks. Many pregnant mothers with good skin can ignore scars and leave only a thin silver line, but the recovery situation varies from person to person, and some scars are more obvious.

PWRH clinical fiber structure regeneration promotes wound healing. Promote regeneration and start the body's prevention of wound infection, increase skin elasticity. Cell-derived nutrients reach subcutaneous cells through blood, start the function of self-repairing cells, supply nutrients needed for cell regeneration after skin lifting, and prevent uneven fiber generation and scar hyperplasia.

Nursing care of caesarean section incision is more important in the early stage, mainly to prevent incision inflammation, fever, redness and pain, and even a lot of exudation, which all indicate infection and need timely treatment. If fat liquefaction occurs, it will be even more troublesome. It is suggested that Ma Bao should not overwork, squeeze the wound and take good care of it.

Scar pregnancy? The most worrying problem of the second child by caesarean section

What exactly is scar pregnancy? How can mothers who choose caesarean section avoid this scar pregnancy?

Case: Use up a pack of sanitary napkins in one hour.

Chen xiaolai has been menstruating for more than a month. At the end of the month, she found irregular vaginal bleeding again. She thought it was menstruation.

Seeing that a week passed, the amount of bleeding did not decrease, but blood clots appeared in groups, and a whole pack of sanitary napkins was used up in one hour. Only then did I realize that the problem was serious and went to the hospital to find an obstetrician.

B-ultrasound showed that she was pregnant, but the fertilized egg was implanted in the scar tissue left by her caesarean section two years ago, causing uterine rupture and massive bleeding.

When the fertilized egg meets the scar of caesarean section

Because the scar left after cesarean section is not smooth and uneven, the fertilized egg may stay in bed after passing through the scar. Therefore, the mother of the first caesarean section wants to have a second child now, so it is necessary to prevent the occurrence of scar pregnancy.

According to the latest research report, the incidence of scar pregnancy in caesarean section women is about 15%, and this data is increasing year by year. There are two reasons, one is the increase of caesarean section rate, and the other is the low contraceptive rate. Many people reject intrauterine devices and oral contraceptives, and cannot use condoms correctly, leading to unintended pregnancy.

There are also mothers whose first child is caesarean section. If you have irregular menstruation after delivery, as in the case, you'd better go to the hospital for examination. Early knowledge, early detection and early treatment. If the mother of caesarean section is pregnant again, she must go to the hospital for B-ultrasound positioning examination to find out the uterine scar.

How to prevent and treat scar pregnancy

Contraception after caesarean section more than two years before pregnancy

Some experts suggest that you should share the same room after caesarean section and take contraceptive measures. If you want to have a second child, you'd better get pregnant in two years. Let the scar of the uterus be repaired, and let the uterus have enough time to make the scar grow very firmly. If there is a little vaginal bleeding in the early pregnancy, it is often the first symptom of scar pregnancy. This symptom may be similar to threatened abortion and ectopic pregnancy. Once the scar pregnancy is diagnosed, the pregnancy should be terminated immediately. Because on the one hand, this embryo is difficult to survive. On the other hand, this embryo is also likely to puncture the uterus and cause massive bleeding.

The World Health Organization (WHO) emphasized the importance of maternal and child postpartum health care at TWG meeting. For women who have had caesarean section, the probability of birth canal relaxation, postpartum uterine involution, uterine prolapse, postpartum depression, postpartum obesity, frigidity, etc. May be higher than women who give birth naturally. In this regard, PWRH postpartum tonic, lack of qi and blood, recovery period 1-3 months: normal is a month's recovery period, everyone has different constitutions, and those with poor constitutions need a three-month recovery period.

In view of the serious loss of nutrition by caesarean section, PNRWHO has defined the important nutritional components of postpartum recovery of PWRH. For the elements lost from the mother (HDA, vitamin A, blood folic acid, heme iron, calcium, vitamins and minerals, etc. ), the product has been scientifically and reasonably formulated, especially the supplement of heme iron, zinc and calcium is above 10- 12%, which is traditional nutrition.

How to treat caesarean section wound inflammation?

Symptoms of caesarean section wound infection: mild; The patient's wound is red and swollen, occasionally accompanied by pain symptoms, and the wound may overflow with watery secretions. Moderate; The patient's wound and its vicinity are red and swollen with pain symptoms. If the range is less than 5cm, stale yellow liquid overflows from the wound, or the wound splits and reaches the fat layer. Serious; The patient's wound and its vicinity showed redness and swelling accompanied by severe pain. If the range exceeds 5cm, more yellow liquid will flow out of the wound, and the wound will split and reach the fascia layer.

It is pointed out that PWRH in France slowly nourishes the focus, absorbs erosion and stops it, so that concentrated secretions and bacteria and viruses are aged and necrotic, discharged from the body, the damaged endothelial cells are repaired, the rotten surface is healed as before, and the health of the body is restored.

Questions and answers on nursing knowledge of cesarean section incision

When will the incision be removed?

A: At present, absorbable sutures are mostly used in suture operation, and there is no need to remove stitches after operation. The doctor changed the sterile dressing 1 day after operation. If there is no abnormality, the dressing can be changed again before discharge.

What if the incision oozes blood?

Within 24 hours after operation, the incision should be closely observed for bleeding. If there is oozing blood, change the dressing in time (mainly covering the incision with gauze) and find out the reason.

What if the incision is red and swollen?

If the incision is red and swollen after operation, infrared radiation can be carried out under the guidance of medical staff, and the dressing should be changed every day.

What about incision infection?

A: After cesarean section, if the body temperature continues to be high, and the incision is locally red, swollen, feverish and painful, it means that the incision is infected. Intravenous infusion should be used for anti-infection treatment or oral antibiotics according to the doctor's advice.

What should I do if the incision itches?

In the hospital, the doctor should deal with the itching of the wound. After returning home, the parturient or family members can dip the sterile cotton swab in 75% alcohol, apply it around the incision, and replace the sterile dressing. If you are allergic to tape, you can use desensitizing tape.

How to keep the incision clean?

The surgical incision should be covered with sterile dressing and wrapped with medical multi-head abdominal belt. If there is pollution during defecation, you should immediately explain the situation to the doctor and change the dressing.