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Doing postoperative p e r i o d a.Immediately after the operation on the lower abdomen put the ice pack, prescribe painkillers. After 6-10 h patient must actively turn in bed, in the absence contraindications next day the patient should be raised. In uninfected cases and in the absence of risk factors for infectious complications Antibiotics can not assign. In the presence of potential or clinically severe infection antibiotics are appointed during or immediately after operation. During cesarean section is usually 800-1000 ml of blood loss, so in the postoperative period requires an infusion therapy, aimed at correcting hypovolemia, acidosis, disorders of the central and peripheral hemodynamics, electrolyte balance (gemodez, polidez, reopolyglukine, electrolyte solutions, protein preparations). When nedostatochnoy involution of the uterus are appointed by reducing the funds in some cases - lavage of the uterus, physiotherapy. In the early hours of the postoperative period requires particularly careful monitoring of uterine tone and blood loss, as it does not exclude the possibility of hypotonic hemorrhage. It is important to monitor the timely emptying of the bladder, the first day after the operation is permissible catheterization of the bladder. For the prevention of paresis of the intestine is appointed Subcutaneous 0,5-1% solution of prose-rina, by the end of 2 days - enema hypertonic solution of sodium chloride. In the absence of contraindications, breastfeeding can be resolved at the 2-3rd day after surgery. In uncomplicated postoperative period puerperant issued on 11-13th day after the operation. If the patient There were complications of pregnancy, childbirth or post-operative period, after the operation, it is assigned therapy, aimed at removing these complications and their consequences. Complications during abdominal cesarean section.In the context of the abdominal wall difficulties usually arise when a second laparotomy in connection with adhesive process. Urinary bladder in women who had Caesarean section in the anamnesis, can placed higher than usual, so you need good understanding of topography, to avoid injury to body.Wounding bladder is the most serious complication that can occur at the opening abdominal incision on the Pfannenstiel. Considerable difficulties can cause adhesions of the uterus with the parietal peritoneum, intestinal gland.
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