ACCOUCHEMENT PAR CESARIENNE : Possibilité de s’en remettre plus facilement grâce à certaines stratégies
![ACCOUCHEMENT PAR CESARIENNE : Possibilité de s’en remettre plus facilement grâce à certaines stratégies](https://lerural.bj/wp-content/uploads/2023/11/00000032.jpg)
Au Bénin comme n’importe où dans le monde, l’intervention chirurgicale vient en renfort à la femme enceinte pour réduire le risque de mauvais résultat lors des accouchements. Il s’agit d’une méthode d’accouchement très risquée dont il est parfois difficile de s’en remettre. Quelles sont donc les meilleures dispositions à prendre après un accouchement par césarienne ?
![](https://lerural.bj/wp-content/uploads/2023/11/00000032.jpg)
Oyéyèmi AGANI
Le taux intrahospitalier moyen de césariennes au Bénin est de 37,6% avec une variation de 23,4% à 53,3%. La césarienne vient en renfort pour sauver des vies humaines, tant bien chez la mère que chez le nouveau-né. Cependant, après cet acte, il est important d’adopter certaines attitudes permettant à la femme de mieux se retrouver. En réalité, après la césarienne, la récupération prend plus de temps que pour un accouchement classique. Relatant son expérience, Charlotte Zinvi laisse entendre qu’après une à deux semaines, sa plaie s’est cicatrisée et elle s’est vite retrouvée. « Mais étant toujours convalescente, je ne prends pas les choses lourdes, je me reposais au maximum avec mon bébé », a-t-elle renchéri. Par contre, pour une autre qui requiert l’anonymat, c’est le contraire.
« Mon deuxième geste était par césarienne. J’ai souffert pendant près de trois mois avant de trouver satisfaction, car ma plaie était exposée à toute sorte de complication »,
confie-t-elle. Normalement, après la césarienne, la patiente est appelée à rejoindre le domicile à partir du cinquième jour, en fonction de son état. De retour dans le cocon familial, la fatigue est le premier facteur qui dérange les femmes. De ce fait, « il est important de bien se reposer et ne pas se mettre à faire certaines tâches », conseille la gynécologue Zéinab Noussiratou.
« Comme toute opération, la césarienne peut provoquer des douleurs durant plusieurs semaines voire plusieurs mois en fonction des femmes »,
confirme la gynécologue. Pour soulager ces douleurs, l’intervention des médecins soignant s’avère importante dans la prescription des antidouleurs. Au-delà de la douleur liée à la cicatrisation, la césarienne occasionne souvent une digestion difficile accompagnée de gaz et de ballonnement parfois douloureux. Ces troubles sont souvent liées à l’arrêt du transit durant l’anesthésie et à la présence d’air dans l’abdomen lors de l’opération. « Ainsi, il est possible qu’une certaine insensibilité de la peau se fasse ressentir autour de la cicatrice », informe Zéinab Noussiratou. Par ailleurs, pour bien prendre soin de la cicatrice afin d’éviter qu’elle ne s’infecte pas, il convient de « nettoyer la cicatrice avec de l’eau claire et potable, la sécher correctement en taponnant avec un linge propre », a conseillé la gynécologue. Il faut éviter également de porter des dessous dont la couture supérieure frotte contre la cicatrice. Il faut souvent masser la cicatrice une à deux fois par jour durant 5 minutes pour éviter qu’elle ne durcisse. Il est de même conseiller de ne pas exposer la cicatrice au soleil durant la première année.
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