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Cesarskie cięcie

Kategoria: Ciąża, Poród i połóg Dodano: 3.1.2010 (18:25)

Autor: zobacz wszystkie artykuły autora

titleCesarskie cięcie to operacja, która ma na celu ratowanie życia matki i dziecka. Takie jest założenie. Dziś jednak bardzo często cesarka staje się po prostu sposobem na rodzenie bez bólu czy uniknięcie ran krocza. Prezentujemy fakty, które pozwolą zobaczyć, jak poważna to interwencja medyczna.

Wskazania

Czasem - o tym, że kobieta będzie rodzić przez cesarskie cięcie - wiadomo już przed poczęciem. Przyczyny wiążą się ze stanem zdrowia matki (poważna wada serca, duża krótkowzroczność, wysokie ciśnienie, epilepsja, cukrzyca) bądź budową narządów rodnych (np. wadliwie zbudowana macica). Także zakażenia dróg rodnych są przeciwwskazaniem do rodzenia siłami natury.

W trakcie prowadzenia ciąży ginekolog może zdecydować o tym, że poród musi dokonać się operacyjnie. Te sytuacje to:

  • ciąża mnoga
  • niewłaściwe ułożenie płodu
  • waga dziecka poniżej 2500g lub powyżej 4000g (u pierworódek)
  • łożysko przodujące

Najwięcej jednak przypadków wskazań do cesarskiego cięcia wiąże się już z postępowaniem akcji porodowej. Zaburzenia tętna malucha sugerujące niedotlenienie, zakażenie wewnątrzmaciczne czy zahamowanie postępu porodu zagrażają życiu dziecka. Natychmiastowej interwencji medycznej wymagają też krwotok czy wypadnięcie pępowiny. Nie ma wtedy czasu na dyskusje, rozważanie „za i przeciw", należy zaufać lekarzowi i podjąć szybką decyzję.

Przebieg operacji

Na sześć godzin przed cesarskim cięciem mama musi powstrzymać się od jedzenia i picia. Jeśli operacja wykonywana jest nagle, podaje się leki neutralizujące soki trawienne. Następnie goli się włosy z podbrzusza. W ramach przygotowań do operacji konieczne jest założenie cewnika do pęcherza moczowego oraz wenflonu do żyły, przez który zostanie podane znieczulenie zewnątrzoponowe lub podpajęczynówkowe.

Operacja zaś polega na tym, że lekarz wykonuje poprzeczne cięcie o długości około 15 centymetrów nad linią włosów łonowych. Przecina skórę, kolejne powłoki brzuszne oraz macicę, aby wyjąć noworodka.

Kobiety po cesarce nie trafiają - jak wszystkie świeżo upieczone mamy - na sale poporodowe. Muszą być obserwowane przez dobę lub dwie i w tym celu leżą na specjalnie przygotowanych salach.

Ruch i jedzenie

Pierwszych dwanaście godzin kobieta musi przeleżeć. Potem jest stopniowo pionizowana pod okiem położnej lub rehabilitanta. Zachęca się ją do aktywności ruchowej. Nie zmienia to jednak faktu, że pobyt w szpitalu może trwać około siedmiu dni.

Pierwsze posiłki to zazwyczaj kleik i sucharki. Przez kolejnych kilka dni mama powinna być na diecie lekkostrawnej.

zobacz wszystkie

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