Baby after cesarean

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Shareone2009-04-07 09:47:31

  • Author: Tatyanka
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Baby after cesarean section.

Baby after cesarean

The birth of a child by caesarean section in one degree or another leaves an imprint on his further development. He is in any case more difficult to adapt to the conditions of life outside the uterus than to a child born through the birth canal.

If the baby was born on time, healthy and the cesarean section passed without complications, outwardly these difficulties do not manifest themselves, the baby quickly copes with them and is no different from peers. However, in some cases, when a caesarean section is performed on the background of severe late toxicosis, fetal hypoxia or in an extraordinary order, the baby can be born weakened, premature, and it is difficult for him, especially at first.

In children born by caesarean section, adaptation is slow. Such a baby, especially in the first weeks of life, is sluggish, passive, sucks a breast badly. These symptoms are also associated with the fact that the child is under the influence of drugs – anesthesia, muscle relaxants. In addition, these children are possible violations of the respiratory system. In the period of prenatal development, the lungs of the fetus do not work. He receives the necessary oxygen through the umbilical cord from the mother’s blood, while the lungs are not filled with air, but amniotic fluid. In the process of birth when passing through the birth canal of the mother, this fluid is completely pushed out of the lungs, the umbilical cord is cut, the lungs are filled with air, and the baby begins to breathe independently. In a child born by caesarean section, fluid often remains in the lungs, and the so-called fetal fluid retention syndrome develops. Over time, it can simply be absorbed into the lung tissue, but in some cases, especially if the child is born weak, complications can occur. Inhaled air microorganisms find in this fluid an excellent environment for their habitat, reproduction, and as a result there are diseases of the respiratory system, including pneumonia.

In premature babies, the lack of readiness of the respiratory system to breathe air can manifest itself in the so-called respiratory distress syndrome. The lungs of the child can not cope with the load, can not provide the necessary amount of oxygen. This is manifested by shallow, irregular breathing with quickening and contraction. This increases the risk of developing respiratory diseases, including non-inflammatory.

Baby after cesarean

When passing through the birth canal of the mother, the child’s body is colonized by microorganisms that normally live permanently in the human body (in the mouth, intestines, vagina), without causing him any harm. They occupy “free space”, leaving no opportunity to settle disease-causing bacteria. After a cesarean section, the baby receives these microorganisms gradually, so it increases the risk of attaching “harmful” bacteria.

The cesarean section operation does not always go absolutely smoothly, because its course is due to those changes in the health and condition of the mother and fetus, which served as indications for its implementation. Therefore, during the operation, the child may be accidentally injured, for example, during the difficulty of removing it from the uterus. Such an injury can cause damage to the nervous system with impaired motor activity, muscle tone, or even development of paresis and paralysis. This factor can also affect the further physical and psychological development of the child. The same effects result from hypoxia (lack of oxygen) experienced by the child during cesarean section. Therefore, the baby can later, than peers, begin to sit, crawl, walk and talk.

In adolescence, such children are more likely to suffer from manifestations of vegetative-vascular dystopia: fluctuations in blood pressure, hypersensitivity to changes in weather conditions, headaches and fainting. Here are the possible difficulties that await in the life of a baby born by caesarean section. However, do not be afraid. Caesarean section is one of the ways to give birth to a child, sometimes more preferable, and in some cases the only possible one. In the presence of indications for surgery, it will bring much less trouble to you and the baby than the possible delivery through the birth canal.

Share22009-04-07 09:54:24

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Elective caesarean section

Planned cesarean section is an operation, the indications for which are determined before the resolution of pregnancy. Caesarean section is included in this category at will.

* Discrepancy between the size of the woman’s pelvis and the size of the baby (“narrow pelvis”) * Placenta previa – the placenta is located above the cervix, blocking the exit path for the child * Mechanical obstacles that prevent natural childbirth, for example, uterine fibroids * scar on the uterus from previous births) * Diseases not related to pregnancy, in which natural childbirth poses a threat to the health of the mother (diseases of the cardiovascular system, kidneys; progressive myopia with a threat of withdrawal retinal oysus) * Complications of pregnancy that threaten the mother during childbirth (severe preeclampsia – eclampsia) * Pelvic presentation or lateral position of the fetus * Multiple pregnancy * Genital herpes at the end of pregnancy (the need to avoid contact of the child with the genital tract)

Emergency C-section

Emergency cesarean section is an operation performed when complications that threaten the health of the mother or the child have arisen during natural childbirth.

* Sluggish generic activity or its complete cessation * Premature placental abruption (supply of oxygen to the fetus is stopped and deadly bleeding is possible) * (Threatening) uterine rupture * Hypoxia (lack of oxygen in the child)

Contraindications

* Fetal fetal death * Presence of infections * Fetal developmental malformations incompatible with life

AnesthesiaThe doctor shows the baby to the mother immediately after removing it from the uterus.

A cesarean section is usually (up to 95% of cases) performed under local (epidural or spinal) anesthesia. In this case, only the lower part of the body is anesthetized; a woman can immediately take it and put it on her chest after the child is removed from the uterus.

In the case of emergency caesarean section, it is often necessary to resort to anesthesia.

OperationPerforming an operation

Before the operation, the pubis are pre-shaved and a catheter is inserted into the bladder to avoid kidney problems later. Anesthesia is done, the woman is laid on the operating table and the upper part of the body is screened off with a screen.

The surgeon makes a horizontal skin incision above the pubis, in cases of extreme urgency, a vertical incision is made from the navel to the pubis, in order to remove the child as soon as possible. If a stitch remains from previous pregnancies ending in a cesarean section, a new incision is made at the same place. Then the surgeon moves the muscles apart, removes the bladder to the side, makes an incision in the uterus and opens the sac. The doctor removes the child and crosses the umbilical cord, after which the afterbirth is removed by hand. The incision in the uterus is sutured, the abdominal wall is repaired, and stitches or braces are applied to the skin. The whole operation lasts 20-40 minutes.

Drainage placed in the muscle tissue of the abdomen is removed 2-3 days after surgery; after 5-6 days, stitches / brackets are removed from the skin.

After operationSuture after surgery

The day after the operation is conducted around the clock monitoring the condition of the woman. An ice pack is placed on the abdomen to reduce the uterus and stop bleeding, as well as painkillers, medications to reduce the uterus, and drugs to restore the function of the gastrointestinal tract. Also, antibiotics are sometimes prescribed, and saline is injected into the blood to make up for blood loss. Especially important is the early attachment of the baby to the breast for a better reduction of the uterus and stimulation of lactation.

Advantages and disadvantages of cesarean sectionChild after cesarean section

Baby after cesarean

Benefits

* In cases where natural childbirth threatens the health / life of the mother or child, the harm from cesarean section is much less than from (possible) complications * The vagina does not stretch, there are no seams on the perineum (from episiotomy), therefore there are no problems with sex life * Avoidance of hemorrhoids and omission of the pelvic organs * There is no deformation of the head of the child when passing through the birth canal

disadvantages

* Infections * Long recovery after surgery and anesthesia * The impossibility of breastfeeding in the first days while taking painkillers and antibiotics. It is also difficult to start lactation * A stronger load on the child, due to the lack of time to adapt to atmospheric pressure and respiratory adaptation * A child who has not passed through the birth canal, has a sterile intestine susceptible to dysbacteriosis * Mortality is higher than with natural childbirth * Next pregnancy is recommended plan 2-3 years after cesarean section. Sometimes a scar on the uterus is a contraindication to natural childbirth.

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