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關(guān)于順產(chǎn)側(cè)切的7個(gè)秘密 孕婦都應(yīng)該了解(2)

出處：媽媽育兒網(wǎng) 日期：2013-01-23 12:08:57 編輯：Chen

1、“咔嚓一剪子！太可怕了！剪哪兒啊？”

側(cè)切是怎么回事？

側(cè)切，就是分娩過程中，在陰道口能夠看見胎頭的時(shí)候，于陰道口的左側(cè)方，傾斜45度剪開一個(gè)開口。剪開的部分包括皮膚、肌肉和部分的陰道黏膜。開口長度約4～5厘米。側(cè)切并不是用一般的手術(shù)刀或剪，醫(yī)生會用特制的“側(cè)切剪”進(jìn)行側(cè)切。

3、“剪刀剪那么脆弱的地方，多疼啊！”

側(cè)切會打麻藥嗎？

側(cè)切的時(shí)候，是會為產(chǎn)婦打麻藥的，而且需要打兩針――一針是對陰部神經(jīng)的阻滯，使得陰部神經(jīng)整體的麻痹，另一針是在準(zhǔn)備側(cè)切的切口處，進(jìn)行局部麻醉。麻藥通常是在胎兒頭娩出之前就會給產(chǎn)婦打。因此，在側(cè)切的時(shí)候，產(chǎn)婦基本是感覺不到疼痛的。而在這一時(shí)刻，產(chǎn)婦主要的感覺是壓迫胎頭的憋脹感覺，也就是我們平時(shí)說的最“疼”的那會兒，所以，側(cè)切帶給產(chǎn)婦的感覺自然就更是微乎其微了。

說到這個(gè)麻藥是否會對寶寶有什么不利，媽媽們完全不必要擔(dān)心，它與胎兒完全沒有任何關(guān)系，不會有影響的。

4、“切口縫合？還是自己長好？”

側(cè)切怎么縫合？

縫合在胎兒和胎盤完全娩出后進(jìn)行。通常采用逐層縫：陰道黏膜－皮下組織－皮膚。在前兩道縫合中，一般都使用可吸收的線，最外層的縫合，可以用可吸收的線，也可以用非可吸收的線(這樣的情況下，在出院前就需要拆線)。

側(cè)切時(shí)打的麻藥藥力通常會持續(xù)半個(gè)小時(shí)甚至更長，所以，在縫合的時(shí)候，就不需要再打麻藥了。

5、“自然分娩，還鬧一個(gè)傷口！”

側(cè)切產(chǎn)后有哪些護(hù)理要點(diǎn)？

產(chǎn)后的護(hù)理非常重要。關(guān)鍵就是要保證傷口局部的干凈和清爽。

首先，在醫(yī)院的時(shí)候，護(hù)士會每天兩次為產(chǎn)婦進(jìn)行陰部的沖洗，檢查傷口愈合狀況。由于產(chǎn)后惡露較多，這就要求產(chǎn)婦勤換衛(wèi)生墊，回家后也可以用一些婦科消毒液，如皮膚康洗液或高錳酸鉀等自行清洗，保證下體清爽，不要使傷口憋悶在潮濕、容易滋生細(xì)菌的環(huán)境中。

另外，產(chǎn)婦可能會感覺坐臥時(shí)左側(cè)傷口疼，那么就依照舒服的姿勢，盡量不要直接壓迫傷口。

一般實(shí)施側(cè)切的產(chǎn)婦，是不必吃消炎藥的。

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