Many pregnant women will be more confused when it comes to their second child, will the doctor give the mother a vertical or horizontal cut? The second child cesarean section, will it be more painful?
In fact, the second pregnancy, the doctor will try to choose the original incision, but if the condition of the fetus is different, then the doctor's approach will be different.
What kind of incision will the doctor choose for a second C-section?If the woman had a transverse incision for her first baby, then the doctor will cut off the old scar tissue in the same place, so that there is still only one scar after delivery, no new wounds will be added, and it will look beautiful.
If a pregnant woman had a vertical incision for her first child, then for her second child, the doctor will choose another position on the same straight line for the vertical incision.
Even if the first time the woman was cut horizontally, but if the second child, the fetus is too fat, or the head of the fetus is too large, the transverse incision is too small to facilitate the delivery of the fetus, then the doctor will choose to cut vertically, which can speed up the delivery, to avoid a difficult labor.
Will a second C-section be more painful?
Generally speaking, for a second C-section, the doctor will give the mother anesthesia, so it will not be particularly painful.
In some cases, the pain is so strong that the woman becomes resistant to the anesthetic, and she feels more pain than she did in her first pregnancy.
Some of the pain can be relieved if the mother relaxes enough to not focus on the labor.
For women who are particularly afraid of pain, the doctor will use an analgesic pump or implement a general anesthesia cesarean section, the mother does not need to worry too much.
How do I take care of my incision after a second C-section?
The maternal diet should be light, fried or chili peppers and other inflammatory foods, pregnant women try not to eat.
With a second C-section, if the mother's scar is cut again, it will take more time to recover. Mothers need to protect the wound from infection after delivery, and do not over-exert themselves when breastfeeding, so as not to crack the wound.
Scar wounds will usually be removed after 3-6 days, if it is a cosmetic line, usually 1-2 weeks, the scar wounds will slowly heal, mothers can use scar removal products according to their own body type.
If the scar wound is red, swollen and painful, and pus grows, then it is not recovering well, and the mother should consult a doctor in time.
In the second cesarean section, the doctor usually from the first cesarean section of the scar of the knife, in order to prevent the knife wound healing, will be around the original knife wound scar tissue to remove, and then re-stitched, so most of the cesarean section of the second baby baby mother, belly or a scar, but may be a little bit longer than the last time the The incision is slightly longer than the previous one.
But in some cases, the doctor may choose to cut next to the wound of the first child, for example, the wound of the first child is more serious adhesions, or there is an emergency need to immediately cut out the baby, and so on, there will be a first horizontal cut, the second vertical cut, because the vertical cut when the doctor's field of vision is wider, and take out the baby faster than the horizontal cut, so the baby will be able to get out of the wound, so the doctor will be able to take care of the baby. The speed of the baby is also faster than the horizontal cut.
But whether or not the second baby is cut in the same place, there are 2 scars on the uterus of the mother!
Every pregnant woman who is ready to go into labor will be wondering whether to have a normal delivery or a cesarean section. In fact, the choice of cesarean section of pregnant mothers are more helpless Oh, if the first child is a cesarean section, then you are pregnant with the second child doctor will recommend that you do a cesarean section. As for the C-section surgery to do a horizontal incision or vertical incision depends on the state of the fetus oh.
I gave birth to my first child because the fetus is too large, and then overdue for 11 days no movement, the placenta is a little aging, at that time also thought of their own delivery, but just a few minutes of oxytocin after the fetal heartbeat abnormality, under the high and low, so the doctor recommended that we immediately do the operation of the Cesarean section, at that time did not think of anything too much, my husband went to the signing of the nurse to prepare some of the preparations for the operation, from the first to the second, and then to the second, I was very happy to see the doctor's help. My husband went to sign the papers, and the nurse prepared some preparations for the surgery. From the preparation of the skin to the completion of the surgery, my consciousness was good, but it was a little painful when the doctor gave me anesthesia, and a little hard to take out the fetus. I did a transverse incision Oh, after all, it is the first time to give birth to a child and surgery, the feelings are very complex, but also very worried. I was afraid that I wouldn't make it, and I was worried about the health of the baby. But in the operating room, I heard the doctor say, "It's a boy," and I also heard the baby crying, which calmed me down a lot. After the transfer to the ward, the anesthesia slowly dispersed, the lower limbs began to feel, the incision also tugged and pain, the feeling of rebirth again, move a small movement have to clench their teeth, get up can not get up, when it is really too difficult to bear. Now I think about it, I'm afraid. But I still insisted on getting through it, and now the oldest one is almost 5 years old!
After the first cesarean section, the doctor said to take three to five years to have a second, who had thought that last year I gave birth to a second, and then did a cesarean section, and then the original cut on the open. I'm not going to lie, after I found out I was pregnant with my second child, I thought about how to get through the post-operative anesthesia every day, and every time I thought about it, my scalp tingled. However, my family's second is not yet due date on the reaction, only 39 + 1 days on the red, go to the hospital doctor said quickly for hospitalization, and then surgery, after all, I am a scarred uterus, and is the age of the mother. So we must immediately arrange for surgery, this time to do surgery without fear and panic, very calmly went to the operating room, now the medical equipment and medical technology is much better than before, I went into the operating room from the operating room to come out only 50 minutes, oh, very fast. Maybe in the original cut, so a little faster it, this time after the anesthesia scattered also did not have the first child pain, the next day on their own out of bed slowly walking to go Oh. The recovery is quite fast, my husband also said, is not experienced on the pain well! So don't be in a hurry to have another child if you have a cesarean section! You should pay more attention to rest and nutrition and not to move too heavy things, and so on.
Finally, I told you that the above three pictures were taken after I gave birth to my second child, so don't laugh at me! The first thing you need to do is to get your hands dirty!
Nowadays, there are a lot of families who want to choose to have a second child, but of course, for mothers who have gone through the process of giving birth once, it's all about how to choose the mode of delivery for the second time.
Although normal labor has many advantages, but for the first child is a cesarean section of the mother or more will be more appropriate to choose a cesarean section. And for older mothers, taking the risk of having a normal delivery increases the risk to themselves and their babies.
For these reasons, many mothers still choose to have a C-section for their second child. The question that arises is, if you choose a C-section for your second child, will the incision overlap with the incision for your first child?
Since this is a topic of great interest to second-time moms, let's talk about it.
01, depending on the recovery of the scar of the first child
For mothers who want to choose a cesarean section in the delivery of their second child, they will consider a very realistic problem, that is, the first child is a cesarean section, and left a scar, in the second child to choose a cesarean section, then this time the Where will the incision be located this time?
If it were possible, it would be to make another incision on the first one, so as not to have two visible scars on your belly. So how do you make that happen for a second-trimester mom?
- Depending on the recovery from the first child's C-section
For a C-section post-partum scar, it leaves a mark on the wound after the surgery, and after about 2-3 weeks of scarring, the scar begins to proliferate with a new jumble of nerve endings. The scar proliferation period lasts about 3 months to 6 months.
During this period, a mother who has had a C-section needs to make the necessary adjustments in all aspects of her life. Although C-section wounds are healing better and better as surgical techniques continue to improve, it is after all surgery and cannot be performed without scarring.
The size of the wound and the depth of the scar are related to the circumstances of the surgery, the size of the fetus, the quality of the mother's skin and many other factors. Generally, it takes 1 1/2 to 2 years to achieve a good recovery.
Therefore, when a mother chooses to have a C-section for her second child, and wants to have a second incision on top of the incision of her first child, she needs to give her first C-section scar a certain amount of time to recover, and take good care of herself in every aspect of her life during the recovery period.
02. How do I take care of myself after a C-section?
First, after the cesarean section, you have to turn over more
In fact, for the cesarean section after surgery, the recovery work is also very necessary. Whether it's a C-section for the first child who wants to recover well and prepare for the second child in the future, or a C-section for the second child, you need to get good postoperative care.
The cesarean section can irritate the bowel, and with the effects of anesthesia, mothers can experience varying degrees of flatulence after a cesarean section, and may feel bloated. This is a good idea, but it is important for the mother to do more of this to reduce the discomfort.
Two, as early as possible after the cesarean section activities
Here to remind the mother of the cesarean section, after the removal of the catheter, if you feel physically able to withstand the situation, you can try to get out of bed as early as possible, to go to the appropriate activities.
And if possible, slowly increase the amount of exercise, this practice can to some extent promote the mother's postpartum physical recovery. Problems like bowel movements, uterus, improvement of postoperative intestinal adhesions and thrombophlebitis.
The second child is the idea of many mothers, hoping to be able to add another son to the original family of three, will indeed bring a lot of joy to the existing family. However, there are some very real issues that need to be faced when welcoming a second child, like the delivery method of the second child would be one of them, and we hope that today's account will be beneficial to you.
Once a cesarean section, the era of the second cesarean section is gone, although, after the cesarean section vaginal trial of labor has become the current fashion, many hospitals are currently promoting the cesarean section vaginal trial of labor, but many mothers will still choose to cesarean section again for another cesarean section, mothers will not think about cesarean section of the complications of what will be more concerned about the incision will choose. The incision will be how to choose.
Before answering this question, let's first understand the type of abdominal incision for cesarean section, which is divided into horizontal abdominal incision and vertical abdominal incision.
Under normal circumstances, the second cesarean section will often choose the incision entry of the first child, that is, will, the original is a horizontal incision, again cesarean section or horizontal incision entry, the original is a vertical incision, again cesarean section or vertical incision entry. But, the problem is this but, when there is an emergency cesarean section with an aggressive placenta praevia, severe hypoxia at birth, umbilical cord prolapse, etc., the transverse incision may be changed to a vertical incision entry, and a vertical incision of the abdomen is easier to expose and easier to maneuver.
If the incision is vertical, then the cesarean section is still vertical, if the scar at the last incision is not obvious, enter directly through the original incision, if the scar at the last incision is obvious, then remove the original scar tissue and enter the incision again.
To summarize, under normal circumstances, the original route into the abdominal cavity is usually followed, but when there is an emergency, the horizontal incision may become a vertical incision. Good luck with the pregnancy.
I had two c-sections, and the second incision was made on top of the first incision, which is called a scarred uterus in the doctor's words, and it's a lot more complicated to deal with the incision in the second pregnancy than in the first one, so don't ask me why I'm so clear about it, because my second experience is something that I'll never forget.
I remember that before the anesthesiologist gave me anesthesia, he told me that your blood pressure is low, I dare not give you too much anesthesia, you a moment a little bit of patience, then just focus on the nervousness, and did not pay too much attention to the anesthesiologist's words.
The operation began, but my feeling is very different from the first baby anyway, I remember the first baby, after anesthesia, people began to be confused, feel like dreaming, but this time it is not the same, my consciousness is very awake, the doctor cut the stomach, I also clearly hear, like zipper, or tear fabric, hissing sound.
I heard the doctors discussing this amniotic fluid, which is so clear! Then ...... I felt the heart-breaking pain coming from my stomach, and kept pressing and turning, I couldn't stand it, how so painful ah! The anesthesiologist replied: your blood pressure is too low, I do not dare to give you too much anesthesia, you endure, a moment will be fine, but I can not help it, you help me add anesthesia! How can I do that? I have to be responsible for your safety! It's okay, you add it for me! Because you this is the second Caesarean section, the surgical process is much more complicated than before, the doctor to help you take out the child, but also have to turn over all the organs in your uterus one by one to check clearly, and then put it back to you, for one thing. I'm afraid that you have any residue inside, and secondly, I have to check whether you are back to normal after the surgery of your first child.
Then how come it's still not good for so long! I really can't hold on any longer, don't worry! The doctor has already started to polish your wound, and it's okay to polish it and sew it up. Because you have a second incision, the doctor will have to cut and polish the edges of the last incision and sew it up with new meat after your original incision is opened, otherwise it won't be easy to heal.
Okay! Although the cesarean section of this time I was in pain, but the anesthesiologist to explain to me really let me see, after the doctor asked me, you are quite strong well! The doctor asked me afterward, "You're pretty tough!" Other people are curious about what they've given birth to! Why aren't you curious at all? I'm not curious about anything! I'm in so much pain, I don't want to be curious about that! The first thing you need to do is to get your hands on a new pair of shoes or boots.
The anesthesiologist smiled and said, "We'll tell you the good news because you're so strong and calm! You are as good as you wish to put together a good word yo! See! Your strength has paid off, congratulations! Next, get some rest!
That cesarean section process is really, now I think of it all scared, death do not try that feeling again, but still quite thankful to the doctor and anesthesiologist at that time, they are quite patient, quite enthusiastic, when the doctor is really great, they are so calm.
Cesarean section, as the name suggests, is a common operation to cut open the uterus to remove the fetus.
There are two types of surgical incisions, one is a transverse incision, in the pubic symphysis of three to four transverse fingers, for about 10cm transverse incision, in turn, into the abdominal cavity; to reach the lower part of the uterus, and then according to the specific circumstances of the uterus, and in this lower part of the uterus and choose to transverse incision or vertical incision, into the uterine cavity, artificial rupture of the membranes, sucking up the amniotic fluid, prolonging the uterine incision, pulling out the baby; and then stripped of the placenta, cleaned up the uterine cavity, suturing uterine incision, and close the abdominal cavity in turn. It's not easy.
The other is a longitudinal incision, which is a longitudinal incision from the abdominal wall into the abdominal cavity, and then in the lower part of the uterus, you can still choose to have a transverse incision in the lower part of the uterus or a longitudinal incision, depending on the circumstances. The procedure is completed as described above.
Regardless of the incision made in the previous pregnancy, the surgical scar will always be removed in this surgery, so why remove the original scar? The reason is that the scar has poor blood flow to the skin, which affects the healing of the skin in this incision. Then the original wound is re-entered. Because the first cesarean section is more or less adhesive, the surgery becomes more difficult and risky. In severe cases of adhesions, the bladder and bowel can be damaged, so it is better to listen to your doctor's advice and opt for a normal delivery if there are no abnormalities in your first child.
I'm serious about answering the question, so if you like it, give me a shout out
A mom-to-be once asked me, "I had a C-section with a vertical incision, so you won't give me a horizontal incision with a C-section for my second child, will you?"
"If you want a cross on your belly, that's fine oh!" I replied.
Of course, this is a joke. The incision for a c-section with a second child and the incision for a first child will essentially overlap.
How do you choose an incision for a C-section?There are just two types of incisions for a C-section: horizontal and vertical. The choice of whether we choose a horizontal or vertical incision is determined by two main factors.
One is to choose an incision that is less damaging to the human body from the human anatomy, and a vertical incision is one that conforms to the human anatomy, causes less damage to blood vessels and nerves, and is better for postoperative wound recovery.
The other choice is the aesthetic one, and the location of the horizontal incision is in the pubic symphysis of the female two horizontal fingers, relatively hidden, wearing underwear basically invisible.
Generally, for the first caesarean section, the surgeon will choose a vertical incision, but the mother's opinion will be taken into account, and most of the time, the incision will be a horizontal one. And the second C-section, first of all, will be the first C-section left behind the scar removed, and then a layer by layer incision. In short, the skin incisions will basically "overlap", so moms-to-be don't have to worry too much about the aesthetics!
I'm a second-time mom, and both of my kids were born by C-section, and one of the incisions was made on the original incision of the first child, and I also consulted with the doctor, and he said that it was on the original scar of the first child that I was reopened and stitched up again. Personally, I felt that the wound healed faster the first time, and the pain after the C-section was less severe than with my second child! The recovery was also better for the first baby, while the second baby's stomach was still very hard to go down for a long time after the operation! This could also have to do with both age at birth and recovery! Even though I used cosmetic injections both times, I still have a scar on my stomach, maybe this has something to do with the fact that I have a scarred body.
For mothers who have had a cesarean section, there are a lot of concerns about having a second child, such as can the second child still be delivered? If the second child is still a cesarean section, will it leave two scars on the stomach? What are the differences between the C-section methods? The first time I saw the movie, it was a very good one, but the second time I saw it, it was a very good one.
How to open a C-section for a second childMany mothers worry that if the first child is a C-section, the second child is also a C-section, if there will be two scars on the stomach? This do not have to worry about oh. Generally the second child C-section and the first child C-section location is the same, will not give birth to a second child mother belly to leave a wound. The surface of the skin is still from the original part of the knife, and will be your last scar removed, so the healing is still in the old position to leave a scar.
Cesarean section(1) Straight
Surgical method: A cut of about 15 centimeters is made directly below the navel in the center.
Advantages: If there is any accident during the surgery, it is easy to increase the size of the wound, the scope of the surgery will be clearer and the time is faster.
Disadvantages: The appearance of the wound is not as good, and because the scar is pulled to bear more pressure, a straight wound is also more likely to grow scar tissue or produce an abdominal hernia.
(2) Horizontal
Surgical method: A wound of about 10-15 centimeters is made horizontally in the lower part of the abdomen at the upper edge of the pubic bone, where the upper edge of the pubic hair is located, like a smile sign.
Advantages: The wound is more beautiful and less likely to produce abdominal hernias and scar tissue.
Disadvantages: The field of view of the wound will be reduced, and it is not suitable for other complex surgeries or for obese patients.
The basic principle in deciding on the mode of repeat delivery
The principle in choosing the mode of repeat delivery is: do the factors that led to the previous cesarean section still exist?
1, the pelvic factor: if the first delivery is due to pelvic factors and you choose a cesarean section, then the second delivery will certainly need to use a cesarean section - because of the pelvic constraints of the factors still exist;
2, the fetal position factor: if the first delivery is due to the factors of fetal breech and choose a cesarean section, and this time, the fetal position factor is not the same, but it is the same.
3, fetal heart factor: if the first time because of the fetal heart is not good and choose cesarean section, and this time the fetus is very good, then you can fight for the opportunity to give birth to their own.