What Is a Wound Expert?

If the childbirth is not smooth, a lateral incision is required, that is, a perineal incision, which refers to making an oblique incision in the perineum. Orthotopic lateral cut can quickly reduce the resistance of the soft birth canal, speed up the production, and prevent maternal perineal tears and protect the maternal pelvic floor muscles. The wound left by an antenatal side cut is an antenatal side cut.

Orthotopic lateral cut wound

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If the childbirth is not smooth, a lateral incision is required, that is, a perineal incision, which refers to making an oblique incision in the perineum. Orthotopic lateral cut can quickly reduce the resistance of the soft birth canal, speed up the production, and prevent maternal perineal tears and protect the maternal pelvic floor muscles. The wound left by an antenatal side cut is an antenatal side cut.

nickname

Side cut

Visiting department

obstetrics

Multiple groups

Maternal

Common locations

perineum

If you have a problem with delivery, if you are not smooth, you need to cut sideways. Orthotopic lateral incision is the perineal lateral incision, which refers to making an oblique incision in the perineum. Nowadays, many of them will be laterally cut. Some surveys show that 90% of the natural births have a lateral cut. In fact, not all of the natural births require a lateral cut, only when necessary. Side cutting, obstetricians will weigh the pros and cons, and take full account of the health of the mother and baby before deciding whether to need side cutting. In fact, the collateral cut can quickly reduce the resistance of the soft birth canal, speed up the production, and prevent maternal perineal tears and protect the pelvic floor muscles. The wound left by an antenatal side cut is an antenatal side cut.

Do you have to cut sideways?

Many people are most concerned about the side-effects when they want to give birth, because they will be very painful. Do you have to cut sideways? In fact, lateral resection is not a routine operation of vaginal delivery, and it is not necessary to perform lateral resection with delivery. Only the doctor weighs the pros and cons and fully considers the health of the mother and baby before performing the lateral resection.

Generally speaking, only in these 8 cases, side cuts need to be cut:

1. The perineum is tighter during delivery, and the vaginal opening is narrower, the perineum is longer, the perineum has poor elasticity, the tissue is tough, the perineum is not fully expanded or the perineum has inflammation and edema. It is estimated that the fetus will inevitably occur during delivery. Severe tearing of the genitals above degree.

2. The fetus is large, the fetal head is not in the correct position, the pelvis is not correct, and the productivity is not strong, the fetal head is blocked in the perineum.

3. In the case of elderly women over 35 years of age, or with high-risk pregnancy such as heart disease and pregnancy hypertension syndrome, in order to reduce the physical exertion of the mother, shorten the labor process, and reduce the threat of childbirth to the mother and child, when the fetal head falls to the perineum At this time, a perineal incision is required.

4. The uterine mouth is fully opened and the fetal head is low, but the fetus has obvious hypoxia, the fetal heart rate changes abnormally, or the heartbeat rhythm is uneven, and the amniotic fluid is cloudy or mixed with fetal stool.

5, assisted with labor forceps, assisted with fetal head aspirator or primary vaginal delivery via vaginal delivery;

6, after the mother had previously undergone lateral resection surgery or repair after a large scar, poor perineal expansion, etc .;

7. Maternal patients with heart disease, diabetes and other diseases need to shorten the second stage of labor;

8, premature birth, intrauterine growth retardation or intrauterine distress need to give birth as soon as possible.

The sidecut wound does not hurt

When the fetal head is quickly exposed to the vaginal opening, the baby will be judged to be too big, and it will cause severe tearing of the mother's perineum.

If a lateral incision is needed, the doctor will take the lithotomy position of the bladder, and use bilateral genital nerve block anesthesia. When the uterine contraction occurs, the obstetrician's left hand and index finger penetrate deep into the vagina to support the left vaginal wall, and use the perineal cut to cut from the perineum to the midline. Cut the overcast to the left 45 °.

Sometimes it may be 60 ° ~ 70 ° to avoid damage to the rectum. Lateral incision wounds are usually 4 to 5 cm. After the incision, the doctor will use gauze to compress the hemostasis, and if necessary, clamp and ligate to stop the hemostasis. The speed of side cutting is very fast. The obstetrician will use medical scissors to cut quickly and instantly. If you have severe pain, you may not know that you are cutting sideways.

In addition, if local anesthesia is injected, it will not hurt at all. In addition, after the fetus is born, it will be repaired and sutured layer by layer according to the anatomical level. Because of local anesthesia during suture, it is not painful.

How long will it take to cut the wound sideways

Side cut wounds will be uncomfortable within 1-2 weeks after the operation, but will be much more comfortable afterwards.

How does a sidecut wound get better?

Orthotopic lateral cut wounds must be well taken care of, otherwise it is easy to cause wound infections and endanger the health of the mother. If you are breastfeeding, drug treatment is generally not recommended. Now I will teach you how to better take care of orthotopic lateral cut wounds.

1. Post-partum high-fiber foods, drink plenty of water, eat more fresh vegetables and fruits, drink more fish soup, trotter soup, do not eat too much meat, spicy stimuli, and food that is not easily digested, so as to avoid constipation.

2. Change the sanitary napkins and maternity towels frequently to keep the vulva clean to avoid wound infection, and to avoid lochia soaking the wound all the time, which is not conducive to wound healing. It is necessary to disinfect the wound every day.

3. Get out of bed early after giving birth. Be careful not to squat forcibly within a few days after removing the stitches. When receiving stool, collect the perineum and hips before sitting on the toilet to prevent the perineal wound from splitting; Compression of the wound staggers the incision epidermis; avoid falls or excessive abduction of the thigh to cause the wound to crack again; it is not advisable to go to the hospital when the wound is removed, because the wound is cracked on the day of the removal.

4. Avoid hematoma in the wound. If the incision is always painful, it may be a hematoma. It is best to let the doctor prescribe medicine and apply it to reduce swelling and pain.

5. Don't lift heavy objects: During confinement, don't lift heavy objects, and don't do physical chores or sports.

6. It is not recommended to have the same room within six weeks after delivery.

7. After the wound is healed, pain, induration, pustules, or sutures are not absorbed. You need to use Tudu debridement cream to help the thread head discharge and deep anti-inflammatory.

Will the sidecut wounds affect the sex life?

Many people worry that cirrhosis will damage the nerves in the vagina, leave the suture knots in the vagina, make the vagina loose, and affect the sexual life after delivery. Is this really the case?

Experts say it doesn't. Because the lateral incision only made a few centimeter incision in the external vaginal opening, the wound was very small and immediately sutured, and it soon healed.

The skin outside the wound is cut with a silk suture. The incision usually grows and is removed after five or six days. The hungry wound in the vagina is sutured with a sheep intestine. Does not remain in the vagina.

In addition, the elastic fibers in the vagina are like rubber bands. When you pull hard with your hands, it will stretch, and when you let go, it will return to its original shape. Therefore, the side-cutting wound does not affect vaginal elasticity, nor does it make the vagina loose.

During delivery, the fetal head will expand the elastic fibers in the vagina. After delivery, the elastic fibers in the vagina contract and return to their prenatal state.