What's the difference between horizontal incision and vertical incision of caesarean section? What harm does it do to the parturient?

When pregnant women face childbirth, they should choose the mode of delivery according to their own situation. One of them is natural delivery, which is what we often call caesarean section, and the other is the delivery mode they choose when there is no way to have a natural delivery.

Many people may not know that caesarean section is a knife in the abdomen, but this knife is divided into horizontal incision and vertical incision.

So what's the difference between a horizontal incision and a vertical incision for caesarean section?

Difference one

Usually arranged caesarean section, generally choose transverse incision. Vertical incisions are generally used in more urgent situations.

When Bauer was born, he was forced to have a caesarean section because of lack of amniotic fluid, but it was not a very urgent situation at that time, so a transverse incision was used.

A few days ago, I accidentally saw a friend's caesarean section wound, which was a vertical incision. Because my friend encountered a very urgent situation at that time ~ the fetus was seriously hypoxic and needed to be taken out as soon as possible, so a vertical incision was adopted.

But now caesarean section generally adopts transverse incision.

Difference 2

If it is a transverse incision, the doctor's view of the uterus will be worse. If it is a vertical incision, it will be easier for doctors to see the situation in the uterus, and the operation difficulty is lower than that of a horizontal incision.

So this is why a vertical incision is needed in an emergency, because only in this way can the baby be taken out as soon as possible to avoid accidents.

Difference three

The wound of the transverse incision is relatively low, so it is not easy to pull and feel pain at ordinary times, and because the grain of the transverse incision is along the skin, the transverse incision will be more conducive to recovery. Because the wound of vertical incision is relatively high, it is easy to be involved and painful at ordinary times, and the edge line of vertical incision is not consistent, which is not as easy to recover as horizontal incision.

Difference 4

The wound of the transverse incision is closer to the uterus, which is more likely to cause adhesion when the uterus and the wound recover. The vertical incision wound is not so close to the uterus, so the chance of wound adhesion is reduced.

However, mothers do not have to worry too much. Although there is the possibility of postpartum adhesion, it is not high. As long as you pay attention to the turnaround of production and logistics, you don't have to worry about this problem.

Difference five

The transverse incision is easy to damage the superficial vein under the abdominal wall, so the amount of bleeding is more. Relatively speaking, vertical incision is dominant and the amount of bleeding will be less.

Difference six

Because the horizontal incision tension is small, the parturient can use the beauty thread, while the vertical incision tension is large, so the beauty thread cannot be used.

Moreover, because the wound position is different, the wound of the transverse incision is in the lower abdomen, so it does not affect the lying-in woman who loves beauty to put on the navel dress after recovery. The wound of vertical incision is relatively high and can only be worn conservatively.

Although they are all caesarean sections, there are many differences. However, we don't need to worry about this problem. Under normal circumstances, when we go to the hospital, we always make a transverse incision. Women who need caesarean section may wish to think about what to do after delivery to make the wound recover as soon as possible and turn back into a line instead of becoming a centipede.

It's just that pregnant women need to know whether it's a horizontal incision or a vertical incision, and finally the doctor has the final say.