The Cesarean
Author: gostjobles
When labor does not occur as planned, the use of caesarean section is sometimes inevitable. Previously used only in cases of urgency, but now increasingly practiced more, but raises certain problems. What impact can have on the mother? What about the baby? Let’s look at the situation …
Why perform a cesarean section?
> When natural childbirth is not possible for several reasons:
- The mother’s pelvis is too narrow
- The baby is too large to pass naturally
- Presented in a bad position, front, transverse or breech
- There is an obstacle in the baby out, for example, fibroids, cysts or placenta previa, which prevents the baby can be.
> Need to terminate a pregnancy before the time for the good health of the child or the mother:
- Child’s illness (diabetes, toxemia or growth retardation)
- Maternal hemorrhage
- Multiple birth
- Mother’s illness
- Rh incompatibility
> Need to finish the game:
- Too tired of the mother, preventing cardiovascular problems carrying out the work
- The cervix does not dilate more
- Baby’s head is placed in the pelvis
- Too important fetal distress, detected by monitoring.
Intervention
This is an operation that takes place in the delivery room, but in the operating room. To act best in the abdomen, and then in the uterus, shaving pubic hair and put a catheter into the bladder to not disturb the surgeon during the operation or perforated. The skin of the abdomen is disinfected. The surgeon then affects the skin first, then the muscles of the abdominal wall and then into the uterus. Then he proceeds to take the baby and immediately the placenta.
Second, different fabrics are sewn with thread or staples incised, which removed between 5 and 7 days later. The procedure lasts about 1 hour or 1 hour 30.
Caesarean section performed under epidural or general anesthesia in cases of extreme urgency, as the epidural takes 15 minutes to take effect.
The post-operative care
After cesarean section performs a control of the mother. Fatigue is generally more important than after a vaginal delivery. Recovery can cause abdominal pain, and may even need a special regime. Scarring also can be painful, especially with contractions after birth. However, being hidden behind the pubic hair, the scar is not too important cause aesthetic problems. Acquires its final appearance after about 8 months, but not be exposed to the sun before the expiry of one year.
Regarding the relationship with the baby, milk may take longer to climb due to fatigue. The care devoted to the mother and the baby just after birth can also lived badly, because they cause the separation. Going home is usually done within a week. The recovery of normal activities should be gradual and slower than a natural birth but in most cases, cesarean section is not just a memory after a month.
Cesarean section and experience of the mother
Depending on the case, cesarean section may be provided in advance or be necessary in the course of labor, a fact that changes, obviously, the perception may be the mother, who will have had time to prepare for this eventuality. On the other hand, many mothers say they have the feeling that they have been “stolen” the delivery.
Too many C-sections?
Although practice with increasing frequency, reaching in some clinics an index above 25% (as opposed to 15%, which is the normal rate according to experts), cesarean section is not an act bland. Infectious complications post-natal care for mothers are 3 times higher than natural labor.
This increase is explained by cesarean number of reasons:
- A better consideration of fetal distress during labor
- Increased awareness of the risks of some babies even natural childbirth, children very large or very low birth weight, breech presentations, premature.
- Increased risk pregnancies, especially with twins and late.
- Increased demand for mothers who leads physicians to selecting the less risky for the baby and the mother, rather than a long and difficult birth.
- Progress in surgical techniques and anesthesia.
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