{"id":1354,"date":"2019-07-04T18:56:11","date_gmt":"2019-07-04T16:56:52","guid":{"rendered":"http:\/\/gyneobs.com\/site\/?page_id=1354"},"modified":"2025-02-11T16:18:54","modified_gmt":"2025-02-11T15:18:54","slug":"1354-2","status":"publish","type":"page","link":"https:\/\/gyneobs.com\/site\/obstetrique\/accouchements-dystociques\/1354-2\/","title":{"rendered":"Participer \u00e0 sa c\u00e9sarienne"},"content":{"rendered":"\n<p class=\"has-drop-cap\">Beaucoup de femmes ont peur de la c\u00e9sarienne. Peur de l\u2019op\u00e9ration chirurgicale, peur de ne pas vivre un accouchement \u00abclassique\u00bb, peur de la douleur post-op\u00e9ratoire&#8230;<\/p>\n\n\n\n<p>Or il faut savoir que lorsque cette intervention est n\u00e9cessaire, en particulier lorsqu\u2019elle est programm\u00e9e, il est possible de mettre en oeuvre des proc\u00e9dures qui permettent de transformer ce qui est au d\u00e9part une banale intervention chirurgicale, en une exp\u00e9rience \u00e9motivement enrichissante et inoubliable pour la femme, largement au m\u00eame titre qu\u2019un accouchement par les voies naturelles.<\/p>\n\n\n\n<p>les principes \u00e0 respecter sont les suivants:<\/p>\n\n\n\n<p>1-Autoriser la pr\u00e9sence du mari \u00e0 c\u00f4t\u00e9 de sa femme en salle d\u2019op\u00e9ration si bien entendu cette pr\u00e9sence est souhait\u00e9e par les int\u00e9ress\u00e9s et en l\u2019absence de tout contexte d\u2019urgence;<\/p>\n\n\n\n<p>2-La patiente qui n\u2019est endormie que sur la moiti\u00e9 inf\u00e9rieure du corps (anesth\u00e9sie locor\u00e9gionale &#8211; p\u00e9ridurale ou rachianesth\u00e9sie) assiste \u00e0 la sortie de l\u2019enfant. Pour cela le champ qui la s\u00e9pare du site op\u00e9ratoire est abaiss\u00e9e juste au moment de la naissance et l\u2019anesth\u00e9siste lui fl\u00e9chit la t\u00eate en avant&nbsp; pour mieux voir.<\/p>\n\n\n\n<p>3-Quelques instants avant l\u2019extraction de l\u2019enfant des gants sp\u00e9ciaux \u00e0 longues manches, st\u00e9riles, sont enfil\u00e9s aux avant bras de la patiente. Une attention particuli\u00e8re est alors port\u00e9e \u00e0 ce qu\u2019il n\u2019y ait pas de fautes d\u2019asepsie.<\/p>\n\n\n\n<p>4-Lors de l\u2019extraction de l\u2019enfant, la lumi\u00e8re du Scialytique est coup\u00e9e ou \u00e9cart\u00e9e afin de ne pas l\u2019\u00e9blouir et qu\u2019il naisse avec un minimum de cris.<\/p>\n\n\n\n<p>5-D\u00e8s que la t\u00eate apparait, la patiente tend les bras et vient attraper son b\u00e9b\u00e9 et le ram\u00e8ne imm\u00e9diatement sut son thorax, en peau contre peau. Elle \u00abs\u2019accouche\u00bb donc elle m\u00eame, comme elle aurait pu le faire lors d\u2019une naissance par les voies naturelles.<\/p>\n\n\n\n<p>6-D\u00e8s que le cordon est coup\u00e9, le champ de s\u00e9paration est remont\u00e9 et l\u2019intervention se poursuit.<\/p>\n\n\n\n<p>On peut voir ci-dessous les \u00e9tapes de ce mode de naissance.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"626\" height=\"348\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.49.03.png\" alt=\"\" class=\"wp-image-1917\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.49.03.png 626w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.49.03-300x167.png 300w\" sizes=\"auto, (max-width: 626px) 100vw, 626px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.49.13-1.png\" alt=\"\" class=\"wp-image-1918\"\/><figcaption>Installation au d\u00e9but de la c\u00e9sarienne. Elle est classique avec un champ s\u00e9parant la patiente et les anesth\u00e9sistes des chirurgiens.<\/figcaption><\/figure><\/div>\n\n\n\n<p>Installation au d\u00e9but de la c\u00e9sarienne. Elle est classique avec un champ s\u00e9parant la patiente et les anesth\u00e9sistes des chirurgiens.<\/p>\n\n\n\n<p>D\u00e8s que la t\u00eate du b\u00e9b\u00e9 est sortie de l\u2019incision, le champ op\u00e9ratoire est abaiss\u00e9, des gants sp\u00e9ciaux st\u00e9riles on \u00e9t\u00e9 enfil\u00e9s aux bras de la patiente et ainsi les mains de la patiente prennent contact avec son b\u00e9b\u00e9 (ce sont les mains de la patiente que l\u2019on voit ici):<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"572\" height=\"434\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.53.23.png\" alt=\"\" class=\"wp-image-1920\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.53.23.png 572w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.53.23-300x228.png 300w\" sizes=\"auto, (max-width: 572px) 100vw, 572px\" \/><\/figure><\/div>\n\n\n\n<p>Apr\u00e8s une minime intervention de l\u2019obst\u00e9tricien pou d\u00e9gager l\u2019\u00e9paule ant\u00e9rieure, on demande \u00e0 la patiente d\u2019attraper fermement le b\u00e9b\u00e9 sous les bras en tirant vers le haut:<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"581\" height=\"438\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.53.38.png\" alt=\"\" class=\"wp-image-1921\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.53.38.png 581w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.53.38-300x226.png 300w\" sizes=\"auto, (max-width: 581px) 100vw, 581px\" \/><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"579\" height=\"431\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.54.27.png\" alt=\"\" class=\"wp-image-1922\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.54.27.png 579w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.54.27-300x223.png 300w\" sizes=\"auto, (max-width: 579px) 100vw, 579px\" \/><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"578\" height=\"436\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.54.50.png\" alt=\"\" class=\"wp-image-1923\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.54.50.png 578w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.54.50-300x226.png 300w\" sizes=\"auto, (max-width: 578px) 100vw, 578px\" \/><\/figure><\/div>\n\n\n\n<p>Elle va ensuite le finir de le \u00abfaire na\u00eetre\u00bb en le ramenant vers elle:<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"581\" height=\"435\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.55.17.png\" alt=\"\" class=\"wp-image-1924\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.55.17.png 581w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.55.17-300x225.png 300w\" sizes=\"auto, (max-width: 581px) 100vw, 581px\" \/><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"580\" height=\"435\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.55.40.png\" alt=\"\" class=\"wp-image-1925\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.55.40.png 580w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.55.40-300x225.png 300w\" sizes=\"auto, (max-width: 580px) 100vw, 580px\" \/><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"581\" height=\"326\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.56.14.png\" alt=\"\" class=\"wp-image-1926\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.56.14.png 581w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.56.14-300x168.png 300w\" sizes=\"auto, (max-width: 581px) 100vw, 581px\" \/><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"576\" height=\"434\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.56.24.png\" alt=\"\" class=\"wp-image-1927\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.56.24.png 576w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.56.24-300x226.png 300w\" sizes=\"auto, (max-width: 576px) 100vw, 576px\" \/><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"589\" height=\"440\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.57.39.png\" alt=\"\" class=\"wp-image-1928\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.57.39.png 589w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.57.39-300x224.png 300w\" sizes=\"auto, (max-width: 589px) 100vw, 589px\" \/><\/figure><\/div>\n\n\n\n<p>Parfois une premi\u00e8re mise au sein est possible avant m\u00eame la fin de l\u2019intervention:<br><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.58.16.png\" alt=\"\" class=\"wp-image-1929\" width=\"567\" height=\"372\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.58.16.png 492w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/Capture-d\u2019\u00e9cran-2019-07-06-\u00e0-22.58.16-300x197.png 300w\" sizes=\"auto, (max-width: 567px) 100vw, 567px\" \/><\/figure><\/div>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"360\" src=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2025\/02\/IMG_1713.jpg\" alt=\"\" class=\"wp-image-2840\" srcset=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2025\/02\/IMG_1713.jpg 640w, https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2025\/02\/IMG_1713-300x169.jpg 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Beaucoup de femmes ont peur de la c\u00e9sarienne. Peur de l\u2019op\u00e9ration chirurgicale, peur de ne pas vivre un accouchement \u00abclassique\u00bb, peur de la douleur post-op\u00e9ratoire&#8230; Or il faut savoir que lorsque cette intervention est n\u00e9cessaire, en particulier lorsqu\u2019elle est programm\u00e9e, il est possible de mettre en oeuvre des proc\u00e9dures qui permettent de transformer ce qui [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1222,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-1354","page","type-page","status-publish","hentry","post"],"_links":{"self":[{"href":"https:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/pages\/1354","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/comments?post=1354"}],"version-history":[{"count":5,"href":"https:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/pages\/1354\/revisions"}],"predecessor-version":[{"id":2841,"href":"https:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/pages\/1354\/revisions\/2841"}],"up":[{"embeddable":true,"href":"https:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/pages\/1222"}],"wp:attachment":[{"href":"https:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/media?parent=1354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}