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Good day, dear readers! The other day I managed to talk to an old friend, she was pregnant again. While talking, she told me that she would be doing a Caesarean. Moreover, there were no medical indications for him, it was just that the last birth of her was very difficult, and this time she decided to immediately resort to surgery.
And then I wondered – she herself chose this path. She has past experience that left her sick mark. But much more often the COP is prescribed by doctors. So why make a cesarean section? What determines the verdict of the gynecologist? I suggest to understand.
1. Indications for surgery
Doctors always insist on natural childbirth, but not every woman manages to give birth on her own. In such cases, the gynecologist may refer the expectant mother to the COP.
This decision depends on various factors:
- there is a probability of a threat to the health and life of the child
- there is a probability of a threat to the health and life of the mother
Also, a caesarean section can be assigned to the expectant mother for the following indications:
- absolute (there are contraindications to natural childbirth);
- relative (in the course of natural childbirth, complications arose, which entailed the CS).
2. When a cesarean is required
A caesarean section will be assigned to the expectant mother in the following cases:
- the woman has too narrow a pelvis (natural childbirth can adversely affect the health of the mother, especially if the fetus is large – it is likely that the baby will not be able to pass through the birth canal);
- varicose dilatation of the vagina (such a phenomenon threatens with strong blood loss for the mother);
- preeclampsia (this disease is characterized by spasms, increased pressure, edema, which is unacceptable during natural childbirth);
- scar on the uterus (if the scar has not healed, or its condition is in doubt, doctors appoint a CS, as there is a possibility of its rupture);
- the location of the placenta blocks the birth canal;
- uterine rupture (in this case, immediate assistance is required, since the rupture can lead to the death of the mother);
- vision problems (due to myopia or a high degree of myopia, the expectant mother risks losing her sight);
- heart disease;
- chronic maternal diseases;
- IVF (because the pregnancy is “artificial” – prescribe a CS in order to avoid possible complications);
- fetal hypoxia;
- the unfavorable location of the fetus for natural childbirth (for example, the child lies across the abdomen);
- wrong position of the baby’s head, which prevents the fetus from passing through the birth canal;
- cord entanglement;
- mother’s death.
Again, the list is not closed. Indications for cesarean can be individual. In any case, if the CS is appointed, the doctor will fully advise the pregnant woman and explain why she is being referred for this operation.
3. When the COP is prescribed during labor
Relative indications arise already in the process of childbirth. That is, it was not originally established that a woman would not be able to give birth on her own. These indications include:
- narrow pelvis (but, already by clinical standards, that is, the size of the pelvis was not enough for the child’s patency);
- labor is weak (for physical reasons, the expectant mother cannot give birth to the child herself);
- unfavorable location of the fetus (for example, the child tries to “get out” not by the “thinner” part of the head, but by the wider side, which is dangerous for both the mother and the newborn);
- the child has changed position from “vertical” to “horizontal”;
- large fetus (there are cases when the weight of the child in the womb reaches 6 kilograms, in this case, the COP may be appointed);
- choking a child (for example, due to lack of oxygen);
- pregnancy occurred after long-term treatment of infertility;
- gestational age exceeds 41 weeks;
- previous deliveries were performed by caesarean section;
- a woman gives birth at the age of 35-40;
- poor circulation;
- multiple fetus
There may also be considered other reasons that will affect the decision of the doctor to move from natural childbirth to cesarean section. For example, if a woman gave birth to her first child after 30 years and during the second pregnancy, pathologies were observed that affected the outcome of the birth.
4. What else you need to know about the COP
Caesarean decided to do no later than 39 weeks – this is a common time frame. In itself, a caesarean is a kind of operation to “extract” a child from the female body.
There are several types of cesarean:
- scheduled (for medical reasons);
- emergency (transition from natural birth to a caesarean section due to unforeseen circumstances);
- planned (woman tries to give birth independently, but in case of any complications a cesarean section is performed);
- at will (at present, the expectant mother has the right to insist on the COP, without having any contraindications).
A pregnant woman has contraindications to natural childbirth, which is why she is undergoing a cesarean section. Assign elective caesarean during pregnancy. The decision of the doctors depends on the tests, the general condition of the patient, the experience of past labor and other factors.
The peculiarity of such births is the fact that the doctor may recommend not to prescribe a specific date of the operation, but to wait for the onset of natural childbirth (to exclude the prematurity of the child). After labor begins, the woman will be “operated on”.
But there are cases when planned deliveries are appointed earlier. A striking example is the “foot” location (buttock presentation) of the fetus.
On the Internet, you can read reviews that some women had a cesarean section urgently during natural childbirth. That is, such an operation was not originally planned, and surgery was required due to unforeseen circumstances.
The decision about emergency caesarean section is made individually. For example, if during childbirth the fetus is entangled in the umbilical cord – an emergency woman in labor can be “operated on”. Or if labor is severely weakened, the child does not receive enough oxygen and so on.
5. Contraindications to surgery
There are no contraindications as such. There are only warnings, because the COP may entail an inflammatory process.
In case of inflammation, the young mother will be prescribed a course of treatment, which is as follows:
- women are given medication (usually antibiotics);
- prescribed bed rest;
- A course of improving the immune system.
Moreover, the young mother is under constant medical supervision.
They say that from the hospital, not a single woman has returned to pregnant! You know that this is true? Therefore, do not be afraid of childbirth, because the baby – this is the best reward!
Here you can see detailed information about cesarean section from doctor Komarovsky:
And here you can see a video from the obstetrician-gynecologist about when the CS is done:
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