After a caesarean section, how long does it take for the baby to be delivered, why can the meeting with the baby take so long?

What about feedings?

The ability for a mother to be active and care for her baby means that the hormonal systems of mother and baby are attuned to each other.
The sight of a child, his smell and voice, the feeling of touching the baby’s velvet skin not only brings joy. The so-called maternal dominant is formed. This means that the desire to take care of the baby and breastfeed him becomes the most important motive in the behavior of a woman who has given birth. The germs of such changes appear, of course, even during pregnancy. But it is childbirth and the first hours of contact with the child after his birth that become the “switch.” And in terms of its influence on lactation, the factor of maternal dominance cannot be overestimated.

Pros and cons of caesarean section

Unfortunately, there are situations when surgery is inevitable - if you have a narrow pelvis, and the baby weighs more than 4 kg, the placenta blocks the birth canal, the baby is in a transverse position, or there is a threat of insufficient oxygen supply during natural childbirth. Strict medical indications for a caesarean section are heart disease, hypertension, myopia and diabetes - ignoring them is very risky for both mother and child. In other cases, it is worth carefully weighing the pros and cons of childbirth by caesarean section.

Talk to a doctor you trust about the pros and cons of surgery. In the absence of absolute contraindications, natural childbirth is the best for both mother and child.

Contact is essential!

Whenever mother and child are forced apart, they are allowed to contact each other. A mother can see her baby as many times as she needs. In addition, doctors confirm the opinion that the father should also visit the baby. Because he is also worried about the fate of the heir, let the father also visit the baby in intensive care.

It’s hard for new parents to watch their baby suffer. They cannot muster up the courage to touch the baby. It seems to them that any awkward movement will cause pain in the child, they are embarrassed to talk to him. Moms and dads are scared by the amount of medical equipment surrounding the baby. In this case, you don’t need to be afraid to ask a neonatologist or nurse for an explanation; they will be happy to tell you everything, both about the baby’s condition and the course of treatment. In the intensive care unit, they monitor the baby’s breathing, pulse, blood pressure and temperature. For all this, all the technology is needed. Parents are not prohibited from touching their child or talking to him. There is nothing wrong with this, if anything happens, you can always ask the nurse for advice.

Another problem arises if you plan to continue breastfeeding while you are separated from your baby and he cannot feed on your milk. As a rule, this does not happen often. For example, if the mother is prescribed certain medications. But in other cases, the baby needs milk. Especially if the baby is premature, weighs little or is sick. Breast milk will help such a baby adapt, recover, and grow. Mother's milk contains the nutrients it needs, it protects the baby from many infections and restores its nervous system.

In the case when the baby is separated from the mother immediately after birth, the nurse helps the new mother express colostrum. Such breast stimulation is needed to establish lactation. In this way, breastfeeding can be maintained while providing the required amount of milk. If a baby born prematurely requires more feedings, the mother only needs to change her pumping routine. It happens that mothers take a breast pump with them to their babies. This improves milk flow.

With the help of a nurse, a mother can feed her premature baby using a pipette or other device. This way mom doesn't feel separated.

You need to know that any separation of mother and baby occurs only for serious reasons. Each interruption of their contact increases the possibility of infection of the child. Often, parents do not realize the reason why their baby born at term, healthy at first glance, is in a separate room. However, this happens, because a newborn baby is not yet able to resist even the most minor disease. The condition of newborns changes extremely quickly, and it is better if specialists always monitor the baby.

What determines the timing of discharge from the hospital?

The timing of a woman and her child’s discharge from the maternity hospital, as a rule, depends on three main factors:

• method of delivery;
• condition of mother and child;
• no complications after childbirth.

If the birth went well, the mother and baby are healthy and there were no complications after childbirth, then discharge occurs on the 3rd day after the birth of the child. After a caesarean section, a woman is discharged later - on the 7th–9th day after birth. Everything here will depend on how the mother’s body recovers, how the postoperative period proceeds, and how the stitches heal.

While the mother and baby are in the maternity hospital, they are monitored by an obstetrician-gynecologist and a pediatrician (neonatologist). An obstetrician-gynecologist monitors the course of the postpartum period in a woman, and a pediatrician monitors the condition and development of the baby. And it is these two doctors who jointly make the decision on discharge.

If the mother has any complications after childbirth, the child is left in the maternity hospital until the mother becomes healthy. If the mother is healthy, and for some reason the baby needs additional observation and treatment in a hospital, then the woman is most often discharged, and the child is left in a specialized children's department until recovery.

Yes or no

You need to be prepared for a caesarean section. This does not mean that you need to predict the possibility of this method of birth (that is, guess whether there will be an operation or not), but you need to create a certain attitude towards a possible caesarean section

Like any operation, a caesarean section is performed only when indicated. Without them, only at the request of the expectant mother, the operation will not be performed. However, it may seem that caesarean sections are performed too frequently today. And, it’s true: among friends, neighbors or acquaintances there will always be several women who gave birth surgically. And when you read reviews about childbirth on the Internet, it even seems that Caesarean sections are performed on almost everyone. Why is this happening? People who are far from medicine believe that there are more caesarean sections because it is more convenient for the doctor to perform an operation than to have an independent childbirth. After all, the operation takes only about an hour, and natural childbirth takes up to a day. Well, or the doctor does not want to take responsibility for the outcome of the birth and in case of the slightest doubt he “plays it safe” - hence the operation. There is also an opinion that a caesarean section can sometimes be performed at the request of the expectant mother, if the woman is very afraid to give birth on her own or fears for the health of the child during childbirth. But during the operation everything is simple: anesthesia, an incision, and there is a guaranteed healthy child nearby and no labor pains. And supposedly you can even agree with the doctor and he will perform a caesarean section at the woman’s request, especially if a paid birth is coming.

In fact, there are indeed more surgical births, but for completely different reasons. Firstly, medicine and the level of healthcare have improved, and now, when every clinic has just an ultrasound examination, and ultrasound with Doppler, and 3D ultrasound, and CTG, and a bunch of different research methods, doctors began to recognize those diseases or obstetric problems that could not be diagnosed before. Secondly, there are not so many healthy women now, and this is understandable: ecology, nutrition, stress, lifestyle - today all this has changed, not for the better. In addition, in our time, people often give birth after 35 and even 40 years, when, frankly speaking, health does not improve, and someone could not get pregnant for a long time and did it only with the help of IVF. Separately, neither age, nor IVF, nor any disease is an indication for a cesarean section, but together they often exclude natural childbirth. And the last reason why caesarean sections are performed more often: now almost nowhere do they use vacuum extraction and the application of forceps, since these obstetric manipulations are traumatic for the child. Now they are performing a caesarean section instead.

Today, in a regular (non-specialized) maternity hospital, the rate of cesarean sections is approximately 25%

So you shouldn’t think that caesarean sections are performed on everyone or that the doctor is “playing it safe.”

Moreover, one should not rely on a caesarean section “at the request” of the woman. Not a single good doctor (just a good one) will perform an operation just like that. After all, the risk to the mother’s health during a cesarean section is much greater than during a natural birth; postpartum complications are more common, and the postpartum period itself, to be honest, is more difficult. Doctors know all this, and we repeat once again: caesarean section is not performed without indications.

Pregnancy after two caesarean sections

In our country, cesarean sections are not recommended to be performed more than three times, since even the third pregnancy after two cesareans can be accompanied by major complications.

Complications appear primarily due to scars. It is impossible to control the healing process of incisions on the uterus. The very presence of scars can deform the uterus and surrounding tissues, which will lead to problems with blood supply, placenta formation, and fetal development.

And if pregnancy after one cesarean has every chance to pass without serious complications, then a woman who becomes pregnant after two operations faces:

• bleeding,
• deformation of internal organs,
• premature birth (which will require an emergency caesarean section),
• causing damage to the bladder and intestines,
• intoxication.

In addition, indications for a caesarean section do not arise out of nowhere, but are caused by problems in the female body. Two cesareans in a row mean that during the third pregnancy the woman’s body will be less healthy and stronger than during the first.

Therefore, it is important to strictly follow the doctor’s recommendations and carefully prepare the body for childbirth. Eliminate the risk of developing anemia, premature birth, preeclampsia and do not neglect any preventive measures, including taking vitamin and mineral complexes for pregnant women, for example, Pregnoton Mama.

If a pregnancy that occurs after two cesarean sections also does not end in natural birth, then the woman is recommended to have her tubes tied so as not to further endanger her life.

Caesarean section is an operation that has allowed many women to give birth to a long-awaited child. Proper preparation and strict adherence to doctors' recommendations will help a woman reduce the risks of pregnancy after a cesarean section and bear a healthy child.

THIS IS NOT AN ADVERTISING. THE MATERIAL WAS PREPARED WITH THE PARTICIPATION OF EXPERTS.

Complications on internal organs

After a caesarean section, the consequences for the mother often affect the internal organs. Once the procedure is complete, a suture is placed in the uterus and abdomen, leaving a noticeable scar.

• The presence of a scar on the abdomen after surgery imposes certain restrictions on life activities. For a month after surgery, you should avoid lifting heavy objects and limit your consumption of certain foods. This practice will help you avoid negative consequences in the form of pelvic organ prolapse. To prevent infection, antibacterial drugs are prescribed.
• A thinned scar on the uterus in the future can cause miscarriage or organ rupture. Moreover, signs of seam divergence cannot always be detected in a timely manner. Therefore, several months after the operation, the woman is sent for ultrasound diagnostics. Typically, fallopian tube ligation is recommended for reoperation. During the third pregnancy, this procedure is carried out according to vital signs. Otherwise, the consequences of the operation pose a serious threat to the patient’s health.
• Due to improper suturing of the uterine cavity, hernias in the pelvic area also often occur. This leads to a decrease in muscle tone, which subsequently becomes the cause of prolapse of the organs of the reproductive system. To avoid the development of such consequences, it is recommended that after surgical delivery you regularly perform Kegel exercises to strengthen the pelvic tissues.

Endometriosis

It is impossible to predict in advance what complications may arise after surgical delivery. Unpredictable consequences include endometriosis.

This disease develops when endometrial cells (the lining of the uterus) grow in atypical areas - muscle fibers and serous layer

An important feature of the pathology is that it first manifests itself years later.

The disease causes severe pain, the intensity of which varies depending on the phase of the menstrual cycle. Infertility often develops after edometriosis.

Endometritis

Endometritis is another reason why having a cesarean section is dangerous for a woman. The pathology is characterized by the course of the inflammatory process in the inner mucous layer of the uterus. Diseases develop due to infection of tissues by pathogenic bacteria.

The consequences of endometritis are dangerous for unborn children. The disease causes miscarriages and placental insufficiency. In addition, the inflammatory process from the tissues of the uterus eventually spreads to other pelvic organs, provoking the development of adhesive disease.

Amniotic fluid embolism

When planning to become a mother, a woman should understand that the course of pregnancy is sometimes accompanied by amniotic fluid embolism. This pathological condition poses a threat to the life and health of the patient. It occurs due to the penetration of amniotic fluid into the bloodstream.

In women, embolism provokes consequences in the form of:

• increased venous pressure;
• bleeding disorders;
• thromboembolism.

There are many reasons for embolism, including medical errors made during surgery. About 70% of patients die due to this pathology. The likelihood of an embolism does not depend on whether the caesarean section is performed for the first time or again.

Bleeding

Bleeding is a common consequence of caesarean section. Its appearance is explained by the fact that during the operation the vessels are injured, and blood accumulates inside the uterine cavity. Within 4-6 weeks, the body eliminates this consequence on its own.

However, if seam separation occurs, this process continues. In this case, a repeat operation is required to eliminate internal bleeding, which must be performed within 24 hours.

After cesarean section any movement is allowed

The organs of the reproductive system return to normal 6-8 weeks after a cesarean section, so physical education can be resumed no earlier than this time. Moreover, in the first weeks the woman will already adapt to caring for the child, move more, rest less, so additional physical training will not be needed.

The postoperative scar takes six months to form, so you may experience pain during physical activity in the abdominal area. In such cases, the press can begin to be pumped only 3-4 months after the operation or even later. There are no clear recommendations and most often this is a woman’s personal choice based on her well-being.

It is important not to chase records. If pain occurs, the load should be reduced. If the pain does not subside over a period of time, this is a reason to consult a doctor.

After a cesarean section, any movement is allowed, including bending and squatting, but it is important to understand that in some positions a woman may experience more pain. Such body positions should be avoided or limited.

First feedings

From the first breastfeeding you should not expect real feeding - it took place immediately after birth or some time later. This point is important primarily for stimulating your body to produce milk - and for populating the baby’s intestines with beneficial microflora. Besides, you both still have a lot to learn.

Try to feed your baby at least 8-12 times a day. It may happen that your baby will be asleep during feeding times. Wake him up, even though it may seem unethical. When he wakes up, start feeding immediately. The main thing is your desire to start and continue feeding. Milk production is very dependent on two things: your confidence in your ability to feed your baby and your baby's sucking activity. Whenever your baby is brought in for feeding, be sure to put him to the breast, even if he is sleeping: babies can nurse while half asleep. It happens that the baby is tightly swaddled, and this prevents him from being active at the breast. Release a little of the diaper so that he can freely latch on to the breast.

Only feed your baby when he is calm, otherwise he will not be able to find and latch on to the nipple. If your baby is screaming a lot, hold him close, rock him and calm him down. Then give the breast.

Try to start feeding as calm and relaxed as possible. Learn not to think about anything that can upset or upset you. In addition, mental stress can reduce milk production.

Be patient. After a difficult birth, the baby may slowly return to normal. The sedatives and pain medications you take may cause your baby to be sleepy and lethargic at the breast for the first few days. If you are worried that the baby is hungry, monitor weight loss (children are weighed every morning). Weight loss over 3 days should not exceed 7-10% of birth weight. Also, if possible, monitor the number of urinations - this is another sign of adequate nutrition: before the age of one week, there should be at least as many urinations per day as the child is days old.

Ask the maternity hospital staff not to give your child additional drinks (glucose water, weak tea) - this is often done in some hospitals when babies cry. As a result of supplementation, the child’s still weak appetite calms down for a long time. If your baby does not suckle your milk, your milk supply will decrease. In addition, the baby runs the risk of becoming accustomed to the method of feeding from a nipple, as a result of which he may suck at the breast sluggishly or latch on to the nipple incorrectly. This often leads to cracks in the mother’s nipple or the baby’s refusal to breastfeed.

If your baby's pediatrician has prescribed supplementary feeding due to significant weight loss, be sure to put your baby to the breast before formula feeding. If this is not possible, express your breasts.

To reduce post-operative discomfort, place a pillow under your baby when feeding. Mothers note that it is most convenient for the first time to feed while sitting with a pillow, especially one special for feeding. If you don’t want to roll over to give your baby the second breast, you should master feeding “from the upper breast” - place a pillow or a folded blanket under the baby and thus raise him to the level of the other, upper breast. Over time, the pain of the stitch will go away and you will experience only joy when feeding the baby.

The amount of milk after a cesarean section, when it comes

The main difference between a natural birth and a cesarean section is that with a natural birth, milk comes almost immediately, and with a cesarean section it takes 3-5 days.

When you first apply (either immediately or after a few hours), there is no milk in your breasts. There is colostrum, a few drops in volume.

Next we will consider the further process of mother and child’s stay in the maternity hospital, and all the necessary actions to establish breastfeeding.

In the intensive care unit (the first day after surgery), the baby will be brought to you for feeding. Try to keep the baby at the breast for the entire allotted time and “work” evenly on both. During the first breastfeeding (especially during the first birth, when there is no experience yet), pay very close attention to ensure that the baby latches onto the breast correctly. The point here is that if the baby takes the breast incorrectly, he immediately rubs the nipple. There can literally be abrasion there in minutes, right to the point of bleeding. It hurts, and the mother instinctively begins to put the baby less on the damaged breast. This can cause various problems: milk flows poorly, stagnates, etc.

Doctors often advise lubricating nipples prophylactically with ointment, which is harmless to the baby.

If abrasions still form, you need to immediately move on to feeding through a silicone pad and wash off the nipples with ointment, for example Bepanten. Be sure to feed from the damaged breast as much as from the healthy one.

Despite its simplicity, it helps to lubricate the nipples with your own milk after feeding and leave it like that. But this is rather a means to prevent chafing. The main way to avoid cracks and chafing of the nipples is the correct latch on the nipple by the child. If you control this, everything will be fine.

If cracks have formed, then it is necessary to use special nipple products, which can be purchased at Mom’s Store.

Note 1. Returns of food and cosmetic products are only possible if the packaging is undamaged.

Note 2. I will explain why all these little things are so important in the first days, especially in the situation after a cesarean section. It turns out that in order to properly establish breastfeeding after a cesarean section, you need to put the baby to the breast as often as possible. And it’s very good when this process is not burdened by anything, if it doesn’t hurt. And rubbed nipples are painful. And you need to apply to the breast just as often, and sometimes it’s just scary to do. Therefore, it is advisable to avoid these injuries.

So, in the intensive care unit, the main task is to give the baby evenly on both breasts as soon as he is brought in. And protect your nipples from injury.

As a rule, the first day the baby is calm, you put him to the breast, he takes everything that can be taken. The child, as a rule, has enough of the drops that you have. In addition, nurses supplement him when they take him to the children's ward.

Note. More about supplementary feeding below.

After a day in intensive care, the woman and child are transferred to the postpartum ward. Here mother and baby are staying until discharge. It is this period (4-5 days of stay in the postpartum department) that is very important for establishing breastfeeding. The mother stays with the child herself, and they begin to “get to know each other.” I will list the main questions that may worry a mother at this stage.

1. It is during this period that there is still not enough milk, and the mother is often worried about whether the baby is full or whether he is hungry. How can we understand this?
2. How often to apply it to the breast. If you apply it often, won't it stay that way for a long time? Maybe you need to immediately teach him to eat once every 2-3 hours?
3. Do I need to wake him up to feed him?
4. If a child cries loudly (yells) all the time, does this mean that he is hungry?
5. If the mother finds out that the child still needs to be supplemented, questions arise: will I interfere with the development of breastfeeding by supplementary feeding? Will the baby be allergic to the formula? How to supplement him correctly, from what, how much formula to give, how often to do it, how to avoid supplementary feeding.
6. How best to feed, in what position.
7. Is it possible to sleep with the child to make it easier to feed at night, is it safe?

Note. All these issues will be considered “during the stay in the maternity hospital after a cesarean section,” because it is then that the mother encounters them for the first time, and she needs to decide how to act. That is, this is not just advice on breastfeeding, but advice on establishing breastfeeding in the first days after a cesarean section. Further, at home, it’s easier, you already have at least some experience. And here everything happens for the first time.

Let's look at these questions in more detail.

What happens after a caesarean section

Caesarean section (CS) is a complex operation that is performed when a woman in labor has a number of indications. Delivery must take place under anesthesia:

• epidural or spinal - used most often, they differ in the length of the needles used and the site of drug administration;
• general anesthesia.

The operation itself lasts only 20–40 minutes. However, serious recovery is required after it.

Immediately after the application of sutures or staples is completed, the woman is transferred to the intensive care unit (or to the intensive care ward, if provided by the medical institution). Here she goes through a recovery period, gains strength and prepares for a full meeting with her newborn baby.

Most often, spinal or epidural anesthesia is used for CS.

After the CS operation, a number of measures are carried out to help the woman in labor recover faster:

• immediately after surgery, an ice pack is placed on the abdomen, which helps prolong the analgesic effect and also reduces the risk of bleeding;
• Oxytocin or Dinoprost is administered, which accelerate uterine contractions;
• if necessary, medications are prescribed to normalize the functioning of the gastrointestinal tract and antibiotics, which help to avoid a number of postoperative complications;
• provide care and constant monitoring of the woman’s condition, which contribute to the rapid recovery of the body, so that the mother can independently care for the baby born as soon as possible.

Babies are born completely defenseless, and the mother needs to recover from surgery as soon as possible in order to provide care for the child

Will there be any consequences of a cesarean section for the newborn?

Cardinal differences in the development of children born through natural birth and cesarean section are nothing more than a myth, but risk factors that can complicate the first days of a baby’s life should be taken into account if you find yourself in a situation of choice.

• During a caesarean section, the child manages to receive a small, but unwanted, dose of anesthesia.
• Babies born by caesarean section are at higher risk of respiratory problems and may need extra oxygen at first.
• Typically, such babies require longer medical care. The fact is that during the process of natural childbirth, the child goes through a difficult path of adaptation to a new environment for him. During surgery, the pressure change occurs abruptly (the so-called “atmospheric shock”), and adaptation may take longer.

Perhaps the most unpleasant consequences of a cesarean section for the child and his mother are associated with difficulties in establishing breastfeeding. A baby who is accustomed to effortlessly sucking formula from a bottle in the neonatal unit may refuse to breastfeed. Usually, to cope with this problem, it is enough to be patient or seek help from consultants.

The process of preparing for PKS

A planned caesarean section (reviews indicate the importance of preparation for the operation) includes 2 stages of preparation - outpatient in the antenatal clinic and inpatient in the maternity hospital. At stage 1, when making a referral for surgery, the woman must undergo a comprehensive examination, which includes:

At stage 1, when making a referral for surgery, the woman must undergo a comprehensive examination, which includes:

• general blood analysis;
• analysis for blood group and Rh factor;
• analysis for HIV infection, hepatitis, syphilis;
• general urine analysis;
• flora smear (taken from the vagina);
• electrocardiogram;
• coagulogram;
• blood biochemistry (in the presence of certain diseases);
• examination of specialists: surgeon, neurologist, orthopedist, endocrinologist.

Sometimes it is practiced to examine a future patient by an anesthesiologist, whose goal is to choose the appropriate type of anesthesia, taking into account the woman’s diagnosis. In the hospital, the doctor talks in detail about the future operation, after which the pregnant woman must carefully read the explanatory questionnaire - a document that outlines the nuances of the upcoming procedure.

By signing the form, the woman actually consents to a cesarean section. The last meal is possible at least 6 hours before surgery. On the recommendation of a doctor, it may be necessary to remove pubic hair and inject a drug that stabilizes blood circulation. On the morning of the operation, the patient will be wearing compression stockings on her legs.

They are necessary to provide the vessels of the legs with protection from overload, to prevent the development of varicose veins, the appearance of spider veins and edema. Before the operation, the patient is fitted with a catheter designed to facilitate bladder emptying in the first postoperative hours.

At the last stage of preparation, the woman in labor is asked to sit with her legs pulled up and her head bowed low: in this position, spinal anesthesia is performed - a type of local anesthesia in which the drug is injected into the back area between two vertebrae. The result of the injection is partial loss of sensation in the lower part of the body.

Planned caesarean section. Injection before surgery.

If local anesthesia is not possible, the operation is performed under general anesthesia. Since during general anesthesia a large amount of narcotic substances enter the woman’s bloodstream, which negatively affect the baby’s central nervous system, it is used as a last resort. Spinal anesthesia makes it possible to use a minimal amount of painkillers.

Preparation

• 7 - 10 days before the expected date of birth, you will be hospitalized in the antenatal department of the maternity hospital and a date for surgery will be set. Typically, PCS is performed at 38–39 weeks.

! In many modern maternity hospitals, the expectant mother is allowed to come to the ACL on the day of the operation.

• For ACL, you will need to buy special compression stockings or bandages to protect the vessels of the legs from the formation of blood clots;
• On the day of the operation you should not drink or eat - the doctor will remind you of this;
• Two hours before the PCS, you will have a cleansing enema.

Cord clamping

There are only 2 types of blood - the blood of the mother and the child. The blood in the umbilical cord also belongs to the baby, and these milliliters are very important for the baby. Unfortunately, when performing an operation, it is not possible to wait until the umbilical cord stops pulsating on its own before it is clamped and cut. It has been proven that clamping the umbilical cord too quickly (previously 30 seconds) is associated with an increased risk of developing iron deficiency anemia in the second half of a child’s life. The pediatrician who will accompany the baby must promptly prescribe a general blood test for diagnosis and, if necessary, preventive doses of iron.

Special situations in practice

Sometimes situations in life are difficult to predict and even the most prudent and cautious people lose control over them. This is especially true when it comes to a woman’s body. After a caesarean section, special cases can be diagnosed that require a personal approach from doctors and constant monitoring and control of the expectant mother.

Two KS coming in a row. If conception occurred after the second operation, it is worth preparing for a CS again. There are only a few women who were able to give birth themselves in such a situation. The point is in the connective tissue, which loses its elasticity properties and does not allow it to withstand enormous loads.

Three CS in a row. If pregnancy occurs after three CSs, you cannot count on a natural birth

In addition, you will have to take into account the recurrence of scars. Modern doctors can perform surgery a little earlier than expected.

Pregnancy with multiple fetuses. Often, after a CS, pregnancy with twins or triplets is diagnosed. In this case, the expectant mother is offered to undergo surgery due to the possible inability of the uterus to withstand such a load. You will need to see your doctor frequently throughout your pregnancy.

If the pregnancy of the baby was normal, and there are no indications for a CS, the birth can proceed naturally. But again, this is an exception to the rule.

Baby’s head after cesarean section: are there any peculiarities?

There are no special features in the baby’s head after cesarean section that could affect the baby’s mental or physical development. But you need to know some nuances:

• there is never a birth tumor on the head of “Caesareans” (unlike children born naturally);
• the shape of the head after CS in newborns is correct, not deformed;
• distortions in the shape of the skull are possible after a cesarean section - for example, if there was a transverse position of the fetus and the head was constantly pressed with one side to the ribs.

Doctors do not exclude the possibility of severe lesions in the newborn after a CS in the head area - sometimes facial nerve paresis is diagnosed. But the pathology is short-term, easily treatable and does not pose any risks in the future.

What documents are needed?

In this section, we will consider questions about what documents are needed for registration and registration in an apartment. Read about what a registration card is here.

For discharge

Basic documents for deregistration from an apartment and registration in another: only an identification document and an application for deregistration.

In detail, it all depends on where the citizen is being discharged, “on the street” or is being re-registered at a different address.

For the first option you will need:

• general passport (copy and original);
• application for deregistration;
• departure slip (form 7 - two copies).

The departure form can be taken from the same place where the procedure is completed (Multifunctional Center, Management Company, Passport Department of the Department of Internal Affairs), and a sample form can be filled out there.

The application for deregistration contains the citizen’s passport information and information about where he is being deregistered from.

If the second option is present, that is, the person is not just leaving, but to a specific address, then an application for registration is filled out.

A citizen can carry out these actions personally, or maybe through an authorized representative - in this case, a notarized power of attorney will also be required. The notary's signature must also appear on the deregistration application.

These are all documents for registration and discharge at the passport office. No more documents are required to remove a citizen from registration. Even if the passport officer demands documents from the military registration and enlistment office on deregistration (if we are talking about a person liable for military service) or a certificate of absence of debts for housing and communal services.

The latter is typical for passport offices of Management Companies, so if you have a debt for housing and communal services, which you plan to pay later, it’s better to go straight to the passport department of the Department of Internal Affairs, they won’t ask you any questions, and the procedure will take less time.

In the police department it will take only three days, whereas if you are discharged through the passport department of the Administrator - up to seven days.

Moreover, they do not have the right to demand the payment of certain duties and other mythical payments that supposedly fall into the category of mandatory. Both registration and registration are absolutely free.

For registration

The following papers will be needed here:

• consent of the apartment owner;
• extract from the house register;
• a copy of the financial and personal account;
• documents confirming the ownership of the home;
• general civil identity cards of the owner and those registered;
• statements.

If we are talking about a municipal apartment, then documented evidence of consent is required from all registered residents.

To register a child, no matter what kind of registration, temporary or permanent, we are talking about, the consent of the owner of the home is not formally required. You will only need the passport of the primary guardian (mother or father), an application and the birth certificate of the son or daughter.

If we are talking about temporary registration, then the application indicates the period during which the person being registered will reside at this address. After this period, the tenant’s right to live in the apartment ceases automatically.

If you planned to let a person stay for a while, but for some reason you forgot to indicate the time limit in the documentation, this will mean that it is registered on a permanent basis!

Now only a court can forcefully discharge him and only for serious violations. And if the apartment is municipal, the tenant becomes not just a full-fledged tenant, but also a participant in privatization.

Now you know what documents are needed to check out of an apartment and register in another, let’s figure out how to fill out the application correctly.

Also read what registration at the place of residence is and how to fill out an application for registration.

What else can help you lose weight?

It is possible for a nursing mother to lose weight after a caesarean section, but not at the cost of exhausting workouts or strict diets, but with the help of moderate exercise, proper nutrition, massage and cosmetic procedures. The extra pounds will go away gradually, but the effect will be sustainable. And for mother and baby such measures will not pose a threat.

Procedures for weight loss after cesarean section

An effective way to shape your figure after surgery is massage. Depending on your preferences, you can choose hardware or manual. You can start a massage course only after visiting your attending physician, who will assess the condition of the postoperative scar.

Massage will help increase skin turgor, tighten it and remove excess water, which causes swelling. Usually, after a course of abdominal massage of 10–15 sessions, women notice a noticeable improvement in their figure and even losing weight by 1–2 sizes.

Professional abdominal massage can begin no earlier than 2 months after childbirth and only with the approval of a doctor

Various cosmetics will also help restore skin elasticity and correct the waist and abdomen area. The most popular are the following:

• scrubs;
• wraps;
• ointments;
• creams and oils;
• anti-cellulite gels.

Do not forget that the potent chemical components that make up many cosmetics enter the mother’s body through the pores of the skin and are passed on to the baby along with the milk. Therefore, always carefully study the composition of the product before use. If you don’t know whether your cosmetics are safe for a child, then it is better to give preference to natural products, perhaps even homemade ones.

Proper nutrition

Proper nutrition is the key to getting rid of unwanted pounds after childbirth. There are several basic rules that will help nursing mothers get in shape after childbirth:

• eat small portions 5-6 times a day;
• add as many fresh vegetables and fruits to your food as possible; low-fat cottage cheese, kefir and cheeses are also useful;
• try to drink at least 2 liters of water per day;
• avoid late meals;
• limit the amount of sugar, butter, mayonnaise, baked goods and sweets you consume;
• add foods rich in vitamins and nutrients to your diet.

Without a proper diet, it is impossible to get rid of extra pounds through physical activity alone. Fractional meals, formed according to the principles of proper nutrition, even without physical activity, can reduce the weight of a nursing mother without harm to lactation and the newborn baby.

What do obstetricians look for?

What do obstetricians-gynecologists take into account when deciding whether it is possible to discharge a mother from the maternity hospital and when is the best time to do this? First of all, the doctor evaluates the general well-being of the mother, contraction of the uterus, the nature of postpartum discharge (lochia), and will also check whether the sutures on the genitals or the sutures after a cesarean section are healing well. In addition, the doctor examines the woman’s mammary glands to see if there is an inflammatory process, cracks, etc.

Before discharge, the doctor will refer the woman for an ultrasound of the internal genital organs. True, it is not yet done in all maternity hospitals, but in most modern clinics this study is carried out on all women who have given birth. Ultrasound is performed both after natural childbirth and after cesarean section. With this test, you can find out for sure whether parts of the placenta remain in the uterus and whether there are a large number of blood clots in it.

The doctor may also prescribe a woman a general blood test, which can detect anemia, inflammation in the body and simply assess the general condition. A urine test will be done to rule out diseases of the urinary system or gestosis. And only after such a complete examination, the obstetrician-gynecologist decides when to discharge the mother.

What can delay a woman’s discharge from the hospital? First of all, there are some deviations in the birth itself or in the postpartum period. For example, manipulations during childbirth, such as suturing the perineum, vagina, cervix, can delay discharge until the 4-5th day after birth, but only if the doctor believes that the mother still needs to monitor the condition of the sutures in maternity hospital But if the tears were minor and heal well, then even with stitches, the mother can be discharged within the usual timeframe - on the 3rd day after birth.

Later - on the 5th-7th day - they are allowed to go home if there were more serious situations during childbirth: bleeding , curettage or manual separation of the placenta. After all, treating bleeding sometimes requires surgery, donated blood, and various medications.

Sometimes after giving birth, a woman experiences some kind of inflammatory processes - the scar after a cesarean section does not heal well or inflammation of the uterine mucosa (endometritis) begins. To treat any inflammation after childbirth, antibacterial therapy is needed, and often also surgery, during which the contents of the uterine cavity are removed (it is washed or scraped).

If for some reason the blood loss was significant during childbirth, then the mother may experience anemia - a decrease in the content of hemoglobin and red blood cells (erythrocytes) in the blood. Depending on the degree of anemia, either treatment is carried out with iron-containing preparations and vitamins, or components of donor blood are transfused.

In women with gestosis (the appearance of edema, protein in the urine, increased blood pressure during pregnancy), especially in its severe form, high blood pressure may remain in the first days after childbirth, and it will take time to reduce it.

What to take from the maternity hospital upon discharge

• A certificate of birth of a child for the registry office - it will be needed to register the baby.
• Child exchange card - for a children's clinic.
• Mom's exchange card - for antenatal consultation.

Also in the mother’s hands is the “remainder” of the birth certificate - two coupons, which she takes to the children's clinic, where the child will be observed in the first year of life.