PREPARATIONS AND THINGS TO DO BEFORE CESAREAN

There are some preparations that must be done at the patient's home in the days before the cesarean surgery and applied in the hospital on the day of hospitalization. Although most of these are similar to preparations in other surgeries, there are also some differences due to the birth in cesarean section. The preparations mentioned below are valid for the cesareans that have been determined before. In some cases, as a cesarean decision can be made urgently, in those cases it is necessary to undergo surgery without these preparations.
Preparations to be made at home before going to the hospital:
- It is generally recommended to take a shower the day before the operation. The purpose of this is that the operation area is cleaner and the risk of infection decreases.
- It is recommended not to shave or wax the abdomen and pubic (genital) area one week before cesarean surgery. It increases the risk of wound infection in shaving or waxing. On the day of the surgery, if necessary, hairs on the operating area are shaved by the staff.
- Patients using diseases such as diabetes, hypertension, goiter, asthma and patients who take medication must take their medication with them when they go to the hospital.
- When going to the hospital, take your birthday bag and other materials necessary for the baby.
- When you go to the hospital for a cesarean section, you should definitely bring the file containing your pregnancy-related follow-up papers and analyzes with you.
- You should not take any medications (including painkillers) randomly, except for cigarettes, alcohol and medication recommended by your doctor 24 hours before surgery. (Smoking and alcohol should never be taken during pregnancy.)
- You should consult your doctor about how long you should stop heparin and other blood thinners during pregnancy.
How many hours before caesarean should eat?
- The patient has to enter the surgery with an 8-hour fast. In other words, no food, drink or water should be taken 8 hours before the operation. If the operation is to be done in the morning, a light dinner must be eaten the night before, and after 11-12 at night, food and drink must be stopped. Too heavy meals should be avoided. Foods that will cause swelling in the abdomen such as excessive fruit consumption should be avoided. There is no food or drink that should not be taken in particular. However, excess food should not be eaten. Avoid risky foods that may not disrupt the stomach and intestines. If the surgery is to be done in the afternoon, you can consult your doctor and get a small amount of food early in the morning.
Preparations at the hospital:
- A letter informing the patient and his wife about the operation and other procedures to be performed immediately after hospitalization is given, the patient is informed about the procedure, possible side effects and risks, and his signed approval is obtained. Before signing the article, the patient can ask the doctor and learn everything he / she does not understand about the operations and operations.
- Before the operation, the intestines are emptied with an enema in the hospital.
- If there is too much hairiness in the operation area, they are shaved in the service or operating room.
- Inspection and ultrasound are done if necessary.
- Surgical tests are performed and the anesthesiologist evaluates the patient and decides the form of anesthesia.
- The baby's heartbeat can be checked with NST or a doppler device.
- Surgical tests are performed in some hospitals after the hospitalization on the day of surgery. It is done in previous days in some hospitals. With this analysis results, the anesthesiologist examines the mother-to-be and evaluates it in terms of anesthesia. It informs the patient about the form of anesthesia.
- Patient's heart diseases or asthma etc. if there are other diseases, specialist doctors may need to be evaluated.
- Although water and eating and drinking are prohibited before the operation, patients with diseases such as blood pressure and goiter are recommended to take these drugs with a few sips of water in the morning before surgery, or some medications that may be recommended to take at home the day before. However, always plan these issues in consultation with your doctor, there may be different applications for each patient.
Preparations applied in the operating room:
- The operating room contains an anesthesiologist, obstetrician, surgery nurses and anesthesia technicians and other assistant personnel.
- Operating theaters become relatively mild cold to reduce the risk of infection. You may feel cold at first, but later, when you are covered, you will feel cold.
- Urine probe is applied. (It is applied on the service floor before coming to the operating room in some places.)
- Anesthesia (spinal or general anesthesia) is applied by the anesthesiologist. Then the patient is covered with green covers and preparation for surgery begins.
After the operation:
- As soon as the baby is born, it is cleaned under the heater. If necessary, it is examined by the pediatrician, if not necessary, then it is examined in the service.
- Rarely, if a baby needs a bath or intensive care, the baby is immediately transferred to that department.
- If the condition of the baby is good, it is shown to the mother shortly after birth and contact with the mother is provided.
- The mother is usually allowed to eat juicy foods 6 hours after birth, no food or drink is taken by mouth until this time. However, this period may vary depending on the patient and the operation. Therefore, you should definitely act according to your doctor's recommendation.
- The urinary catheter is removed 6 hours after the operation and the patient is allowed to stand up.
- Serum and intravenous drug treatments continue for 6-12 hours after surgery.
- After the cesarean operation, the blood group of the baby is examined in couples with blood incompatibility, and if the baby's blood group is positive, a blood incompatibility needle is given to the mother. If the baby blood group is the same as the mother, that is, Rh negative, there is no need to make Anti-D immunoglobulin (blood mismatch needle).
- Usually, the bandage at the wound is opened 24-48 hours after the operation. You should consult your doctor about this.
- After the cesarean operation, the patient usually stays for 1 or 2 days in the hospital, then is sent home.
What to do when you go to the hospital:
- Makeup should not be applied.
- No polisher or nail polish should be applied to the nails.
- False eyelashes should not be used.
- If you have a denture, it can be used while going to the hospital, but it will need to be removed before surgery in the hospital.
- Contact lenses should not be used. You should wear your glasses on the day of surgery.
- All kinds of jewelry and necklaces, rings, etc. have to be attached. It will be useful to remove them while at home, as it will be difficult to store them safely in the hospital.
- If there is piercing, it must be removed without leaving the house.


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