Cesarean delivery

Why cesarean delivery can alter a woman's sensation


There is much concern among women about the impaired sensitivity after cesarean delivery And it is a topic that is not discussed during the prenatal consultation prior to the surgery. Why is this happening? Is it really normal not to feel around the wound? Will I regain my sensitivity? Will the same thing happen to all women?

The total or partial loss of sensation in the skin around the wound after a cesarean delivery occurs because during the surgery the skin is sectioned or cut with the scalpel, first the skin and then other layers, progressively deepening until reaching the uterus.

This process also addresses areas occupied by nerve endings linked to sensation. These nerve branches only affect very small areas of the skin, so the damage is minimal although it is normal for this alteration to occur in that specific area.

Regarding the recovery time, this can vary and will depend on the time of regeneration of the nerves, so that the woman can evolve from a lack of sensitivity to a sensation of numbness, which can affect parts of the scar and, in occasions (the least) to the entire area circumscribed to the post-operative scar.

Other factors that may influence are the type of incision, that is, the way the wound is made, how wide it may be, if it is done very low or high or, on the contrary, if a median is made, which is the one that goes from the umbilical scar to the pubis.

This is usually uncommon and not very aesthetic, however, it is the most used in cases of meriting a rapid approach during an obstetric emergency. Thus, taking all this into account makes us predict that this alteration will vary from one patient to another.

Perhaps the perception of discomfort or discomfort, as many patients mention, is perceived once the pain stage is passed in the postoperative period, approximately one or two weeks after surgery, when the healing process has already advanced.

The woman regains peace of mind when leaving the hospital with her baby in her arms and being at home, but restlessness may return when sensitivity is not fully recovered and, in addition, to this is added the appearance of small stabbing pains described as 'rush' occasional around the scar. In addition, you can notice a hardening in the area around it, but everything is part of the healing period.

It is important to know that only a thin line is seen on the skin, a product of the procedure performed during the development of the surgical technique by the doctor, which involves not only cutting the skin but also manipulation and use of suture threads to repair the layers or planes involved.

Thus, the internal healing process is much longer or prolongedSince all the material used to repair all the structures must even be absorbed by the body, which takes a total time of approximately six months.

The full recovery of your female sensitivity it is part of the healing process that is only limited to one area and should not prevent you from doing your daily activities. If this happens, you should see the specialist for a wound review.

He cesarean birth It is an alternative to vaginal delivery, which consists of extracting the baby through an incision or wound made in the abdominal wall and uterus. The reasons for deciding the surgery are determined by the doctor, who must explain to the patient the reason why the cesarean section is performed. The medical indications are variables among which can be mentioned:

- Alterations in the fetal heart rate or fetal heartbeat.

- The position of the baby, for example, that comes from the breech.

- Fetal macrosomia, that is, the baby is too large to pass through the birth canal. According to the report 'Cesarean section protocol', prepared by the Hospital Universitari Clinic de Barcelona, ​​'the need to perform an elective caesarean section will be considered when the estimated fetal weight is equal to or greater than 5000g and in type I diabetic patients when the estimated fetal weight is equal to or greater than 4500 g '.

- Insufficient pelvis, meaning that the woman's pelvis is not suitable for vaginal delivery.

- Pre-existing maternal diseases such as HIV.

- Previous cesarean section.

- Multiple pregnancies.

- No progress in labor, that is, the woman does not dilate and the baby begins to suffer.

The news that natural childbirth will not be possible can generate anguish and concern for many women Therefore, it is necessary to inform in a clear and detailed way about the reasons that led to the decision, in addition to providing emotional support from the medical team.

However there is an increasing trend of cesarean sections as a decision or choice of the patient, a request that is perceived by the treating physician as sufficient reason to perform the surgery on a scheduled basis. There are studies that demonstrate and describe some of the causes for which this predilection occurs, among which they mention:

- Fear of pain during childbirth.

- Desire for definitive surgical sterilization.

- Traumatic previous delivery.

- Elderly or pregnant with advanced maternal age.

In contrast, of the women who want a scheduled cesarean section to bring their children into the world, there are those who prepare for vaginal delivery spontaneously and naturally, even linking the partner or closest family member to participate throughout the process .

In this way, the respected delivery and early attachment of the newborn are put into practice, creating an intimate and affectionate environment to receive the new member of the family, this provides security and emotional support to the mother during the process.

Text: Dra. Airaudi Rivas, gynecologist.

You can read more articles similar to Why cesarean delivery can alter a woman's sensation, in the category of Cesarean section delivery.

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