What is the process of a C-section in the United States?
In China, before the cesarean section, the mother's family needs to be informed of the possible problems associated with the cesarean section, such as the risks of anesthesia and the possible after-effects of the operation, which is usually told to the mother's family, but it is unlikely to be told to the mother herself for fear of causing maternal stress, and then finally the mother's family is asked to sign the form. But in the U.S., it's basically the attending surgeon running over to talk to the mother, ask about her allergy history, and have her fast for eight hours in preparation for the surgery.
Anesthesia is required before surgery because it is the first step in a successful operation.
The first thing you need to do before surgery is to get an anesthetic, because only a good anesthetic can be considered the first step to a successful surgery. What's different from the anesthesia for C-section in China is that the American C-section anesthesia will first give the mother a small local anesthesia, and then the anesthesia injection will be given, and then the catheter and other preoperative preparations will be made, and the first impression that the operating room in China has is that it is freezing cold, while the operating room in the U.S. also puts on some music to make the mother relax.
In China, basically no matter what kind of surgery, family members are not allowed to go in, for one thing, in order to prevent the bacteria brought in, because the surgical environment needs to be strictly sterilized, and for fear of crowded hands, interfering with the normal play of the doctor, and if you do a cesarean section in the U.S., the woman can let their husbands go in to accompany the delivery, especially the first time to experience cesarean section of the woman, the psychology will be more or less a little nervous, and then the husband of the woman's husband will be a little nervous. Especially if it is your first time to have a cesarean section, you will be a little bit nervous, so it will be much better to have your husband with you at this time. The doctor will let the father personally cut the umbilical cord after the baby is born, after all, the United States is a country that pays more attention to the sense of ceremony.
In China, Cesarean section mothers in the postoperative period generally have analgesic pumps, which is to stop the pain, but many Cesarean section mothers say that the analgesic pumps are not very effective, in the U.S., the doctor is more focused on postoperative analgesia, generally as long as the mother needs, will give mothers to play the analgesic injection, will not let the mother is too difficult to bear. In China, the cesarean mother needs to lie flat for 6 hours after delivery, during which time a nurse will come to turn the mother over, and the next day will let the mother get out of bed to walk, in the U.S. is completely different, 5-6 hours after the operation, the doctor will usually let the mother get out of bed to move around, which is said to be helpful to return to the advocate of peristalsis and ventilation as soon as possible. The most common fear of C-section mothers in China is to have their stomachs pressed after delivery, but in the US there is no such treatment.
All in all, the procedure for a C-section in the US is basically similar to that in China, but the details are different due to differences in customs and body types.
I myself have experienced two cesarean sections in China, and a friend has experienced a cesarean section in the U.S. Seeing that her process is somewhat different from the domestic one, I'll do a little comparison and look at it together.
Whether family members are allowed to enter the operating room
China: family members are not allowed to enter the operating room, the mother went in alone
U.S.: Husbands are allowed to enter the operating room to accompany the labor
Dressing before entering the operating room
China: Wear your own clothes to enter the operating room
U.S.: In the waiting room to put on the clothes given by the hospital, and husbands need to change into specific clothing
The hospital is not allowed to enter the operating room, and the husband will not be allowed to enter the operating room. need to change into specific clothes
Atmosphere in the operating room
China: the doctor will have a chat, parents and friends. There is also communication with the mother, but it is limited to asking questions about how the body is feeling, what the first baby is, and so on. After the birth of the child simply tell the gender, weight.
The United States: the operating room will play music, the doctor is very humorous, after the birth of the child will say that this is a beautiful woman, the future of what brand-name universities and so on, the atmosphere is more relaxed.
Insert a catheter
China: first insert a catheter and then anesthesia
United States: first anesthesia and then insert a catheter
Anesthesia problem
China: anesthesia posture is to lie on the side of the surgical bed, like a shrimp-like shape, for the lower half of the body anesthesia.
USA: Anesthesia is given sitting down.
Fixation
China: hands are fixed, wearing an oxygen mask
U.S.: Husband pulls hands, not wearing an oxygen mask
Cutting the umbilical cord
China: the whole process is handled by the doctor
U.S.: the doctor cut off a part of the umbilical cord, and the rest of the part by the husband to focus on the sense of ceremony.
Surgery time
China: 20 minutes baby is taken out, stitched for half an hour, about 50 minutes
USA: 20 minutes baby is taken out, stitched for 25, about 45 minutes.
Tummy Pressure
China: doctor helps to press the tummy to promote uterine repair
USA: doctor doesn't press the tummy and lets it recover naturally
Lying Flat After the Surgery
China: 6 hours of lying on the floor after the surgery with the pillows removed
USA: no need to lie flat for 6 hours
Hospitalization
China: 1 week in the hospital
USA: 3 days hospitalization
In short, there are still a lot of small details that make C-sections different in China and the United States, but C-sections are very mature, so you don't have to worry about them wherever you are.
What is the process of a C-section in the United States?
Although they are both cesarean sections, there is a relatively big difference between a Chinese cesarean section and a US cesarean section, because of the different geographic regions.
Preparing for a C-section
In China, most of the consent forms related to C-sections are signed by the mother's medical power of attorney and entrusted to a family member to sign the form, which will be the family member who will do the choosing if there is an unforeseen circumstance during the delivery of the pregnant woman.
In the United States: all documents requiring a signature for a C-section are signed by the mother herself.
In China, only private hospitals are allowed to accompany the labor.
In the U.S., doctors will allow family members to accompany the labor, and in the case of a normal birth, family members can also videotape the birth.
Differences in the C-section process
In China: the mother is lying down to be anesthetized, and the C-section usually begins after the anesthesia takes effect.
In the United States: the mother is sitting anesthesia, if the mother still feel pain after anesthesia, then the doctor will increase the dosage of anesthesia, and when the mother does not feel the pain, before starting the operation, the delivery over, will not feel the pain.
Postpartum recovery after cesarean section
In China: hospitalization for cesarean section usually takes 6 days.
In the United States, C-section hospitalization is 3-5 days, depending on individual recovery.
In China: After delivery, the mother needs to have her stomach pressed, and be given contractions to remove the blood from her body. In the United States: During the hospitalization, the doctor will give the mother a painkilling injection every day, and when she is discharged, painkillers will also be prescribed.
In China: after a cesarean section, you need to rest for six hours after surgery before the mother can get off the floor.
In the United States: after a cesarean section, the doctor will advise the mother to get out of bed early, 5-6 hours to get down to the ground, which will help the mother's body to recover, and the day after the cesarean section, the urinary catheter will be removed.
I have a cousin who had a cesarean section for her first child and a cesarean section for her second child in the U.S. At that time, I asked her if the cesarean section was the same in the U.S. and China. The answer I got from my cousin was that cesarean section itself was introduced from abroad, and the whole process of cesarean section in China and the United States is basically the same, but there are some differences in details.
Differences in surgical environments
Some hospitals in China allow you to wear your own clothes during a cesarean section, while in the United States you must wear a gown, and if you are accompanied by a family member, you must also wear the clothes given by the hospital.
In the United States, a cesarean section can be performed by a family member who is not allowed to accompany the patient during the surgery.
In the operating room, there is usually only the sound of the doctor's voice and the sound of the instruments. However, in the United States, in order to reduce maternal tension, fear and anxiety during Cesarean section, soothing music is played in the operating room, and music therapy is practiced on the mother in order to achieve the purpose of psychological intervention.
Differences in surgical procedures
The overall process of cesarean section surgery in China and the United States is the same, both are fasting for 8 hours before the operation, and then sign the surgical risk statement, surgical consent form and other written documents, and then enter the operating room, listen to the fetal heartbeat, anesthesia, cesarean section to remove the fetus, placenta extraction, suture wounds, and so on.
The difference may be that the U.S. pays more attention to rituals, and if there is a family member accompanying the patient in the operating room, the doctor will only cut a part of the band when he cuts it, and then the family member will cut it himself. Even the doctor will take pictures of the mother, the baby and the accompanying family members.
My cousin's feedback is that the wound closure is taken in a different way, the domestic is to use the line suture, and the U.S. uses a medical nail suture. In fact, there are hospitals in China that use nail sutures, which are actually similar.
Differences in post-operative care
In short, the U.S. cesarean section procedure is basically the same as the domestic, but there are differences in some details. But the overall comparison is that the United States feels more humane when it comes to Cesarean sections, such as having family members accompany them, playing music, and administering post-operative medication for pain relief.
About Cesarean section, in fact, the time of the earliest recorded Cesarean section surgery, is more than 2,400 years ago in China, with the development of medical technology, the United States and other European and American Western countries Cesarean section gradually tends to be more professional, our modern Cesarean section is also derived from the United States and other Western countries, so even if how to customize the Cesarean section of the process of the difference is not too big, after all, is the same family with the same origin, the use of medical technology, a lot of countries have been the same as the United States and other Western countries. The use of technology, many countries are introduced to each other, learn from each other, only in some small details are different.
So what is the process of a C-section in the United States?
1, prenatal checkups: The United States prenatal checkups are different from China, in China, is the pregnant woman looking for hospitals, and then registered in the hospital queue waiting for the maternity, and the United States is different, in the United States, is the pregnant mother first doctor, the United States of America, a lot of doctors have their own private clinics, so the United States of America pregnant woman maternity is to go to look for the right doctor, to find the right doctor to go to the maternity checkups.
2, to determine the cesarean section: China's cesarean section, the need for pregnant women's gestational weeks of 38 weeks, while the United States, is the need for pregnant women to 39 weeks of pregnancy to carry out a cesarean section, pregnant women's gestational weeks to meet the requirements of the cesarean section, China's waiting for the doctor to arrange a cesarean section time, in addition to a few acquaintances can be chosen by themselves, most of the doctor according to the situation of the mother, as well as the hospital of other women in labor! The first thing you need to do is to make sure that you have a good idea of what you want to do.
In the United States, after 39 weeks, you can decide when to have a cesarean section, as long as the cost is sufficient, you can have a cesarean section at two or three o'clock in the morning.
3, cesarean section hospitals: China and the United States system, different national conditions, hospitals operate differently, it has been said that the U.S. doctor has his own clinic, before the birth of the mother are looking for a doctor to go to his private clinic obstetrics, and so on to the operation, you can choose to cooperate with the doctor's hospital, because each doctor has one or two hospitals to cooperate with, so you can choose your own.
And China is the people's hospital, mostly public hospitals, generally pregnant women will choose to give birth in the maternity hospital, there are some maternity hospitals and production hospitals are different.
4, cesarean section process: The United States cesarean section process with China is basically similar, there is no big difference, to say the difference, it may be the insertion of urinary catheter is different, the United States is the first to play anesthesia, and then use the tool to touch the maternal umbilicus, to confirm that the anesthesia works, and then insert the urinary catheter of the steps, and some of the hospitals in China are also the steps, but most of the hospitals are inserted urinary catheter, and then only to play the anesthesia.
There is also the use of painkillers, U.S. hospitals generally use a certain amount of painkillers according to the situation, China rarely use painkillers, after all, painkillers have a certain harm to the body.
5, surgical costs: Cesarean section surgery costs higher than the cost of normal delivery, the United States and China are the same, after all, Cesarean section surgery is more complex, but the payment of surgical costs, the two countries are still not the same point, China is to pay for the cost of the operation, while the United States can pay for the cost of the operation after the operation, if you are discharged from the hospital and still did not pay the cost, the hospital will send the bill to the home, after receiving the bill for the operation! The hospital will send the bill to the family, and the surgery will be performed after the bill is received. If the patient is unable to pay, he or she can negotiate with the hospital to pay a symbolic part of the fee, and the remaining part will be paid by the social welfare organization.
6, the choice of operating time: China's cesarean section operation is basically carried out during the day, except for a few special circumstances of the mother, and the U.S. hospitals are different, the U.S. hospitals are sufficiently market-oriented, the choice of the time of the operation, you can get personalized service, as long as you need to, and then the cost of keeping up with the cesarean section you want to when it is all right.
7, family members accompanying the delivery: the United States is allowed to accompany the family during the cesarean section, most of the father to be accompanied, while China's cesarean section surgery is not allowed to accompany the delivery, in this regard, the United States hospitals are relatively humanized.
In short, cesarean section belongs to Western medicine, Western medicine is a lineage, so the difference between the two countries will not be too big, really on the difference, that is, the social system and national conditions are not the same, and then a lot of prenatal and postnatal specific matters are different!
The mother-to-be who chooses to have a C-section will have to understand the process of C-section, and will be able to meet her baby with confidence after she understands it.
Process 1: Anesthesia
Once the anesthesia has taken effect, the doctor will make an incision (usually a horizontal bikini shaped incision) in your lower abdomen, just above the pubic hair line. If you are still awake, you can feel the "cut" without pain.
Procedure 2: Caesarean section
A second incision (vertical or horizontal) is made in your uterus. The amniotic sac is opened. If it hasn't ruptured yet, the fluid is suctioned out. You may hear a gurgling or clattering sound as the fluid flows.
Process 3: Delivering the baby
Usually, the doctor takes the baby out by hand or quietly with midwife's forceps while an assistant squeezes the pregnant woman's uterus. Since the baby's meninges are hard, you can feel him being dragged out. If you really want to see the birth of your baby, you can ask the doctor if he/she can lower the partitions slightly so that you can see the labor, but you will still not be able to see it clearly enough. If the umbilical cord is long enough, you can ask the doctor to give you a quick glance. The umbilical cord is then quickly cut, and your placenta is removed while your baby is carefully handled.
Procedure 4: Stitches
The doctor will quickly examine your genitals and stitch up the incision. The uterine incisions will be closed with absorbable stitches, so they don't have to be removed later. The incisions in the abdomen are usually closed with regular stitches.
Your doctor will give you a dose of oxytocin, either intramuscularly or intravenously, which helps the uterus contract and stops bleeding. Intravenous antibiotics reduce the possibility of infection.