Need a side cut? What mothers-to-be need to know about childbirth

Side cut, is during the of delivery, in the vaginal mouth can see the fetus, in the vagina the left side of the mouth, tilt 45 degrees cut open an opening The cut-out section includes the skin, muscles, and part of the vaginal mucous membrane The opening length is about 4 to 5 cm Side cuts are not done with a general scalpel or shear, and doctors use special "side cut" for side-cutting On the natural the birth need side-cutting network has been debated, some people think that anyway direct vaginal mouth will also tear, not as direct side cut is conducive to wound healing, some people think that side cut against the laws of nature, and even some people kick edges "side cut" for the industry sub-rules, on this issue, Director Li Yingtao has his own views "Medical intervention is to avoid more harm during natural childbirth, and it is critical that we assess whether this can give birth completely naturally." Li Yingtao said, "First of all, to assess the mother's factors, if it is said that because of the vulva will be tighter, will be vulva length, the fetus huge reasons, estimated that the delivery process may cause serious tearing, then it is certainly side-cutting; Li stressed that all medical assistance is based on simulating normal human physiology, the doctor's responsibility is to detect the case condition, after appropriate medical intervention to ensure the health of the mother and fetus It is understood that at present, Guangzhou Medical University affiliated with the third hospital delivery surgery about 40% to 60% of the side cut rate, need not need to cut or emphasize individualization at the same time there are indications What is lateral chnopathy? 1, will have inflammation When there is no cure for vaginitis during pregnancy, inflammation makes it cyllopy and vaginal congestion heema, tissue brittleness increases, lack of elasticity, to side cut 2, will be short, that is, from the vaginal mouth to the anus distance is too short, once the occurrence of a crack, will wear and tear the anus sphincter and rectum, in order to avoid such things, preventive side-cutting, to avoid serious lacerations 3, the fetus is too large, vaginal mouth relative to the larger fetal head through a certain difficulty, to side cut 4, when the fetal head has been exposed, contraction when the fetal heart drops, the occurrence of intrauterine distress, in order to get the fetus out of the risk of hypoxia as soon as possible, the need for side cutting 5, when the fetal head has reached the pelvic floor, because the fetal intrauterine distress or uterine weakness, the need to use the birther pliers or fetal head attractor to assist in the delivery, so give side cutting, so as not to crack 6, when the mother has pregnancy hypertension syndrome, heart disease and other complications, in order to avoid the mother's long-term efforts, so take side cut to shorten the second birth, reduce the harm to the mother 7, when the second delivery process is extended, in order to give birth to the fetus as soon as possible, so as to avoid the fetus in the vagina for a long time under pressure, so need side cutting The opening time of the vulva side cut is generally chosen between the two contractions, the fetal head in the vaginal mouth exposed diameter of about 3-4 cm, under the vulva anaesthetic in the left row of the vulva 45 degrees cut, about 4-5 cm long Can prevent the relaxation of the pelvic floor after the post-partum, to avoid post-partum bladder puffing, rectal puffing and urinary incontinence Generally cut four layers: vaginal mucosa, muscles (will be shallow cross muscle, part of the muscle), will be subcutaneous fat, will be yin skin After the birth of the fetus and placenta, after the midwife carefully examined the cervix, vaginal wall and will be vulva side-cutting wound, to layer by layer stitching, restore the original anatomical relationship, layer-to-layer alignment, some midwives with buried stitches to stitch the wound, some midwives with external stitches to stitch the skin, stitched the skin as well as the beginning (Complete)