Post-birth and post-cut incision care

The article was consulted professionally by Specialist I Pham Thi Yen – Obstetrician and Gynecologist – Share99 Hai Phong International Health Hub.

Cesarean section is a common solution that is now chosen by many pregnant women to limit pain and some complications compared to normal birth. However, post-birth incision care requires care and care to avoid infection.

Whether cesarean section or normal birth, post-birth care and monitoring are important, but if you choose a cesarean section, you need to pay more attention to the incision after the cut just because this incision is very susceptible to infection.

1.1 First week after birth

In the first days of caesareansection, the mother will be cared for by obstetrician as well as perform daily incision cleaning. Besides, mothers will also be prescribed antibiotics, analgesic,uterus shrinkage drugs … to avoid the possibility of infection and complications after birth.

When she returns home from the hospital, she will begin to feel soreness around the perineum. This pain can persist or only throbbing for a while. Once there, you can use an ice pack to apply the area around the incision to reduce painful swelling.

On the 3rd day, the incision can open the dressing and let it dry naturally. When bathing, you should only wipe people with a soft cotton towel dipped in warm water to avoid touching the incision. It should also be noted that, if the incision is too painful, you need to tell your doctor immediately to be prescribed painkillers suitable for maternity. In addition, it is advisable to pay attention to some tips in the care of post-birth incisions as follows:

• Use soft cotton towels (used for children) to wipe people, especially in the area where the surgery has been operated.
• Wipe from the front to the back to avoid infection.
• Some over-the-counter painkillers such as Motrin (Ibuprofen) will be able to help alleviate the discomfort from the incision.
• Anesthetic sprays can be used for newborn mothers.

1.2 2nd week 1/2

When entering the 2nd week, doctors will prescribe a cirrhecting (usually after 5 days for the first caesarean section and after 7-8 days if the cesarean section is 2nd or more). For incisions stitched with self-peppering, this cutting process is not required. If the incision is stable, the maternity will be returned home for care. Therefore, mothers after giving birth should also remember to take care of the following incisions only at home as follows:

• Bathe with warm water and avoid bathing for too long, it is not recommended to soak the body in the bath, which will wet the wound.
• Use a cotton towel with a soft, clean material that permeates the incision after bathing, without the need for a closed bandage.
• Always keep and care for dry post-birth incisions, betadin or povidine solution 10% can be used to apply, promote scar recovery and avoid incision infections.

Within 6 hours after birth, the mother absolutely must not eat anything, only drink filtered water, eat diluted porridge … until the start of "farting" to eat more dense dishes. Besides, it is also necessary to pay attention:

• Do not eat a lot of sugar, flour or products from soybeans: prone to constipation ,flatulence.
• Due to the effects of anesthesia,flatulence and constipation can persist within 3-5 days, so drink plenty of water.
• From about the 2nd day 10 days 10 days, mothers can eat normally, should eat a lot of greens, foods rich in calcium and protein, drink plenty of water.
• Avoid welding feeds or fishy-smelling food such as seafood… because they can make it difficult to clot at the incision, making the wound longer to heal and increasing the likelihood of infection.
• Abstain from eating vegetables, chicken, plastic rice such as glutinous rice, chicken egg white … What foods cause pus inflammation and keloids after calving.

Although post-birth incision care is always carefully advised by doctors, there is still the possibility of undesirable risks. In case of experiencing one of the following symptoms, see your doctor immediately:

• Severe pain in the surgical position.
• Around the red and swollen stitches.
• See pus in or around the wound.
• High fever above 39 degrees Celsius.

To relieve pain and limit complications after cesarean section, Share99 International Health Hub applies painless delivery methods to cesarean sections. A team of professional anesthesithesithesitics will be anesthetic with an ultrasound machine in the treatment of post-surgery pain. The results of the most recent anegesic effectivenessity assessment show that: All cesarean sections do not have to use morphine, post-birth pain during movement and living is almost no longer recorded.

Dr Pham Thi Yen has 11 years of experience in examination and treatment in the field of Obstetrics and Gynecology. Doctors with strengths and insights in:

• Examination and consultation of common pregnancies, pathology pregnancies, high-risk pregnancies
• Examination and treatment of gynecologic diseases: cervical inflammation, cervical glands
• Laparoscopic surgery of gynecological diseases : extra-uterine pregnancy, uterine tumor , ovarian tumor
• Surgery for breast tumors, vaginal, cervical tumors
• Obstetric surgery : pregnancy surgery, examination
• Treatment of female endormonal disorders of all ages: puberty, reproduction age; pre-menopause.

Source: verywellfamily