Are the incisions for two caesarean sections the same? Are the incisions for two caesarean sections in the same position?

Medical technology is becoming more and more advanced. Caesarean sections have solved many problems for mothers during childbirth and have also fulfilled the wishes of many families to have children. Below, the editor of No. 5.com will show you whether the incisions for two caesarean sections are the same. Are the incisions for two caesarean sections in the same position?

Now that the second-child policy has been opened, whether the first child should be delivered by cesarean section or natural birth has become a hot topic. Because if the first child is delivered by cesarean section, it is more difficult to deliver the second child naturally. Therefore, many mothers who had a cesarean section for their first child still had another cesarean section when they wanted a second child.

We all know that there are two types of cesarean sections. One is the horizontal type, which means that an opening similar to a smiling mouth is made parallel to the shoulder line, and the length is usually 10-15 cm. This method is more popular with pregnant mothers because the wound is more beautiful and it is also lower, making it difficult for others to notice. In terms of health, a horizontal incision will basically not form an abdominal hernia, and there are fewer minor diseases after surgery. However, the restrictions on the horizontal incision are also relatively strict. The field of view after the opening is relatively small, and pregnant mothers with obese physiques cannot use a horizontal incision.

Another cesarean section method is a relatively easy vertical incision, which is convenient for doctors to observe the physical condition of the pregnant woman and the fetus. The opening is basically just below the navel, with a cut of about 15 cm (slightly larger than a transverse incision). This method is more troublesome in postoperative care, and it is easy to leave unsightly pregnancy scars, and the chance of abdominal hernia is higher than a transverse incision. (Thin people still have an advantage!)

The above two incisions are mostly opened from the original incision when you give birth to your second child, so contrary to natural childbirth, cesarean section for the second child is more painful than the first child. The same incision is opened twice, so it will naturally heal more slowly, and the postpartum care work for the second child will be more. The incision of the cesarean section for the first child will heal in about 4-6 months, and it will basically not be visible. But the recovery of the second child can take up to 8 months or even a year, especially in the summer when the recovery of cesarean section is slower.

1. Replace sanitary products in time, such as sanitary napkins, panty liners, underwear, etc., to avoid postoperative infection.

2. Turn over more often and do appropriate activities. Cesarean section uses special drugs, and the gastrointestinal function recovers relatively slowly. These activities can allow the intestines to "ventilate" as soon as possible and avoid abdominal distension.

3. Don’t get too excited. When we laugh or cry, our abdominal muscles are mobilized more. The cesarean section wound is located in this area. The constant shaking of the muscles is not conducive to the closure of the wound.

3 advantages of transverse incision:

1. Because the incision is located low, it can be hidden under the underwear after healing. The horizontal arc shape of the incision matches the skin texture, which looks beautiful and is easily liked by young mothers.

2. After transverse incision surgery, the traction is lighter when standing up or lying down, so the degree of postoperative pain is lighter.

3. For obese pregnant women with thick abdominal walls, the postoperative morbidity rate of transverse incision is lower than that of longitudinal incision, the wound healing is better than that of longitudinal incision, and fat liquefaction occurs less frequently.

5 disadvantages of transverse incision:

1. The operation is time-consuming and requires high anesthesia, so it is more suitable for elective surgery.

2. The extension of the incision is limited, the field of view exposed during surgery is limited, and extensive exploration is not possible.

3. The time from skin incision to fetal delivery is longer than that from longitudinal incision.

4. Due to the length of the wound, the delivery of the fetal head is more difficult than that of a longitudinal incision.

5. The adhesion of each layer of the incision after surgery is more serious than that of the longitudinal incision, and the second surgery is relatively more difficult than the longitudinal incision.

Five advantages of vertical incision:

1. When umbilical cord prolapse or severe fetal heart rate abnormalities occur and the fetus needs to be delivered immediately, a longitudinal incision is often used.

2. It is easier to remove the fetal head without pressing the uterine fundus, and there is rarely any difficulty in removing the head.

3. For patients diagnosed with concurrent myoma, ovarian tumor or surgical conditions requiring surgical exploration before surgery, vertical incision cesarean section is appropriate.

4. The operation time is shorter than that of transverse incision, and in emergency, it can even be performed under local anesthesia.

5. The chance of adhesion of abdominal wall tissue is low. For those who have higher fertility requirements, it is better to choose vertical incision.

Three disadvantages of vertical incision:

1. The abdominal wall scars are obvious and unsightly, especially for those with scar-prone physiques.

2. Standing and lying down require heavy pulling, so new mothers feel more pain after the operation.

3. More patients suffer from poor wound healing than those with transverse incisions, especially those with thick abdominal walls, who may experience problems such as fat liquefaction or infection.

Both transverse and vertical incisions have their own advantages and disadvantages. Which one is better for mothers? At present, in some large hospitals in big cities, doctors usually perform transverse incisions in the lower abdomen. Because whether from the perspective of postpartum recovery or the long-term goal of having a second child, transverse incisions are better than vertical incisions. Moreover, the use rate of cesarean section in my country is very high at present, and the skills of doctors have been greatly improved, which can make up for the disadvantages of transverse incisions.

1. Eating soy products and drinking green tea regularly can supplement plant estrogen and reduce the risk of endometrial cancer to 46%.

2. Swimming is the best way to exercise the uterus: it strengthens blood circulation, promotes metabolism, and can effectively avoid the adverse effects of the earth's gravity on the uterus. It is recommended to swim for 2 hours a week.

3. Exercises to increase uterine function and prevent intrauterine bleeding and uterine prolapse: Kneel on the bed with your knees apart, your waist straight, and your chest and face as close to the bed as possible, and hold for 5 minutes. Then lie on the bed and do abdominal and hip lifting exercises to feel the uterus contracting with your body.