What is faces the side straightly to cut?

What is faces the side straightly to cut?
1,What is that a side is cut? It is actually the abbreviation of cutting skill of side of perineum that the side is cut. It means in the course of giving birth to, when the foetus' head will show the vagina soon, carry on local anaesthesia near the perineum, then cut and cut and have a meeting overcastly with the purpose-built side, make the birth canal wide, so that the foetus' output. 2,What situations must cut the side? Generally,perineum of lying-in woman is fine in elasticity, foetus quite, fetus is normal and not producing by smooth Cheng in heart, the doctor will not cut the side. But if have following the intersection of several and situation, side cut might on unavoidable: Perineum elasticity bad vaginal mouth narrow and small or perineum department have situations such as inflammation, edema,etc., it is estimated that a serious tearing of perineum will unavoidably happen when being given birth to to foetuses. Foetus relatively large, fetus the intersection of head and position, in addition, produce strength to be strong, child hair is being hindered to the perineum. The advanced age ready-to-be mother over 35, or amalgamate heart disease, pregnant hypertension and syndrome when it is high to endanger gestation, in order to reduce the physical demands, shorten and produce Cheng, reduce the threat of giving a birth to mother and baby, when the fetus head dropped the perineum department, would make the side to cut soon. Uterus mouth turn on the whole already, fetus head position lower even, but the foetus has obvious oxygen deficiency phenomena, the unusual change takes place in the foetus' heart rate, or the heartbeat rhythm is not even, and the amniotic fluid is muddy or mixed with the fetus and relieved oneself. While relying on the midwifery of the obstetric forceps. If the above-mentioned these kinds of situations appear, must not hesitate, should try hard to cooperate with the doctor, cut the side as soon as possible. 3,Want to try hard to prevent the side from being cut, what homework can the ready-to-be mother do? Should move through the rational diet, in right amount to control the weight first, in order to avoid foetuses are too big; In addition, can also practise (practise the column of seeing the ninth issue of 2009 and " building up body of the method in pregnancy period ") through the bottom skin of pelvis To strengthen strength and elasticity of relevant position muscles, thus help you to give a birth smoothly. 4,Will the side be very painful when cut? It can't be. Because will inject the anaesthetic thing (sometimes, if your perineum position has been already numb first generally before the side is cut, and because of the oppression of baby's head, become very thin, doctors can make the side to cut for you on condition that use analgesic, the situation call that pressure sometimes side cut) . After the baby was born in, the doctor will give one more dose of office anaesthetic to you, when guaranteed to be making the side and cutting the wound to sew up, your perineum one is in totally numb state, do not have pain sense. 5,If I do not want the side to be cut, how to communicate with the doctor? Should cut the side at the time of production on earth, it has been the question of the dispute all the time. Hold agreeing partly the doctor on opinion thinks, domestic woman's cavum pelvis is small, the vulva is relatively urgent, perineum cut skill help, finish, produce Cheng, level by wound torn naturally to prevent from earlier; The doctor holding the objection partly thinks, produced naturally and originally came slowly soon, so long as much a little waits patiently, the malleability of prolonging of the perineum will show naturally. For one knife let oneself to be unlikely to suffer muddleheaded, communicate with doctor in advance while being necessary. Generally, doctors will tell you or your family various questions that may appear in front of you enter the delivery room, and let you sign on the letter of consent of operation, in order to be can be when causing danger, save the time to communicate. You can utilize this opportunity, tell them your ideas, for example: If the situation is allowed, can not do the side to cut; Whether you would like to assume the risk that the perineum tore etc.. However, as a midwife, my suggestion is, the ready-to-be mother should decide according to the situation at the time of the childbirth. If has used strength much times, the foetus' head can't succeed in being given birth to yet, you should really cooperate with the doctor to cut the side actively; But if your palace neck condition is very good, moreover, by seeing the foetus' head after strength three or four times, if the doctor proposes wanting the side to be cut at this moment, you might as well send for a doctor and give you several chances to try again very courteously, and express if it is not all right, you will cooperate actively. However, should a little get hold of, our aim is, the security of foetus and mother is the first's. 6,How long could the side want to cut the wound to fully recover? Usually, the minor wound would not ache in 3- 4 days, and the wound was not only infected, can heal in about about 4 weeks. 7,What questions are needed paying attention to in the wound is attended to? Mainly prevent the bacterial infection of wound: The new mother should wash the perineum department after defecation and urination with the warm boiled water, and dip in and do gently with the clean towel. Strike and do backward in the past each time, avoided taking the bacterium of the rectum to the vagina. Keep the wound dry: If lavatory, have behind the bath, want, pat perineum department and blot the moisture with the clean, soft towel. Must guard against exerting oneself: Don't defecate hard, so as not to sew up the wound and split open again. While defecating, had better adopt and sit the tendency and and try hard to shorten time. Don't carry the heavy object: In the will it be one month postpartum, don't mention and cite the heavy object, don't do any and consume a large number of physical house work and sport. Swelling and aching can use the excellent iodine: Split wounded serious and the intersection of wound and person who swell and ache, can add excellent iodine into water, hold bath, or by baking the light and accelerating restoring the speed (excellent iodine and can sterilize, the roast light promotes the blood circulation with the high temperature) ; Wound swell and ache terribly person, can also wet to apply with 50% the intersection of sulfic acid and magnesium. In addition, if the wound presents several kinds of following situations, should send for a doctor to deal with in time. *Wound hematoma: The blade position pains seriously in 1- 2 hours after sewing up, and heavier and heavier, even presenting the rectum weighs down the bloated sense. *The wound is infected: 2-3 days after producing, red, swollen, hot, symptom of aching etc. appears in the wound part, with hardening sometimes, there is suppuration nature secretion while pushing. *The wound splits open after taking out stitches: Specific new mother splits open after taking out stitches, have already left hospital at this moment, should go to the hospital to check and deal with immediately. 8,What does the side need paying attention to on diet after cutting? Should notice that take in more high fiber, food apt to digest, pay attention to supplementary and enough moisture (2000 ml for every day) ,In order to avoid the emergence of constipation, thus prevent the side from cutting the wound and splitting open. 9,Cut relation in urinary incontinence and side postpartum? Vagina give a birth, no matter perineum cut when the production, baby can pass birth canal while being same. Will appear postpartum urinary incontinence give a birth, in fact with the intersection of pelvis and size, the intersection of baby and size, produce speed Cheng factor, have something to do of ready-to-be mother. It produces Cheng to be too long, baby stay until time of birth canal long, time that open too long vagina, whether do not have absolute relation to cut or not in apter emergence which cause urinary incontinence postpartum, this and perineum.

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