What “is meant by Caesarean delivery
It is performed by a hole in the wall of the uterus
And embryo extraction without passing through the reproductive system
It is divided into two parts
_1_ of which is specified in advance with the doctor (before the date of birth specified)
_2_ including emergency
Each with its own reasons and circumstances to be mentioned later
Progress has also been made in anesthesia, sterilization, surgical threads and antibiotics
Conducting caesarean sections with the highest success rate and safer alternative to obstetric delivery or suction performed by obstetricians, often resulting in disabilities and injuries to children.
It has also prevented infections during and after birth, the speed of wound healing, and the disappearance of adhesions that have occurred in the past.
But vaginal birth is still the best
But first to know ….
What is meant by the complications of troubled birth that may be exposed to the mother and calls for recourse to Caesarean ”
Obstructive birth has complications on the mother and child remind them :
1 – the incidence of injuries and injuries to the reproductive system (ruptures of the uterus and vagina and the adhesions to the wall of the uterus or uterine explosion, resulting in severe bleeding after birth or the occurrence of maternal fever and maternal death
2. Non-obstructive birth also causes serious complications to the health of the child as a result of a child’s suffocation or lack of oxygen reaching the child’s brain leading to neurological and musculoskeletal injuries (paralysis of some child members, mental retardation, brain hemorrhage and child death)
These complications lead to high maternal and child mortality rates and through caesarean section, these complications can be avoided, maternal and child health
Diagnosis and determinative type of birth
The most important thing you should know is that cesarean delivery is a medical procedure to protect the life of the mother and fetus when normal descent is not possible. There are known medical conditions that make it necessary to have a Caesarean section, but remember that your doctor is the right person to determine whether your condition requires birth. Caesarean or not.
To allow for significant medical progress in early diagnosis of health problems
Which are exposed to the mother and fetus through ultrasound devices and Doppler and the four-dimensional device, which reveals the weight of the child … ..and other things.
Obstetrician and obstetrician should supervise early diagnosis of these health problems and determine the type of childbirth that the mother will undergo in order to avoid obstructive birth and complications. Consequently, the pregnancy problems should be identified from the outset and the type of childbirth should be determined without waiting for surprises during the delivery process.
When a doctor turns to cesarean delivery
(The first type of cesarean delivery) ”
The doctor uses a cesarean section when normal birth poses a greater risk to the mother and the fetus than the risk of the operation itself and this type is predetermined
For reasons including:
1- Narrow pelvis or a fibrous tumor In the way of a child’s natural birth.
Here I would like to stop at this important point …
Cesarean delivery due to pelvic insufficiency is not known as the birth of a fetus through the cesarean section. The fetus, for example, who weighs four kilograms or more, can not pass the mother’s pelvis, but the 3.5 kg fetus can Traverse the same basin)
2- High blood pressure and maternal injury by pregnancy poisoning Pregnancy is required in the eighth month of Caesarean section
3- It is also recommended that the mother’s doctors have an open heart surgery, kidney transplant, cartilage or a brain tumor To be caesarean-born to avoid mother’s troubles with normal birth
4- If the mother’s womb has been subjected to non-caesarean section surgery Such as a large fibroblastectomy
5_ If the placenta is shifted towards the bottom of the uterus
6_ If you have had two previous Caesarean operations , Making the uterus more explosive in the event of severe pain and contractions
7_ Cases of weight gain more than four kilograms
8_ The physical characteristics of women play a role in determining the type of birth as well The short stature is accompanied by narrowness in the dimensions of the pelvis and Caesarean birth, which is better for some
9_ The optimal weight for weight gain during pregnancy is not more than 12 kg But obesity can lead to severe birth problems, including complications of obstructive delivery
10_ The abnormal conditions of the child As a child until the ninth month in the abnormal state of childbirth if the fetus is cross-footed and the seat is “a concubine coming … and in the case of conjoined twins.
11_ Carry three twins or twins first cross-sectionally
And by taking the doctor’s decision to perform a cesarean delivery during the birth can save life when complications come from …
- Delayed cervical expansion, and intrauterine fetal distress, which are caused by irregular and slow fetal heartbeat
- Severe uterine bleeding during childbirth due to placental detachment or any other cause
- The fall or fall of the umbilical cord outside the uterus and the consequent suffering of the fetus within the uterus
- If the baby’s head is too large to pass through the mother’s pelvis even though the cervix is completely enlarged.
- When the umbilical cord precedes the baby’s head or covers the cervix
A simplified explanation of cesarean sections
The cesarean delivery takes between 45 and 60 minutes. The child is discharged within the first 5 or 10 minutes and the rest of the time takes place in the wound tailor.
1 – The process is done by dividing the walls of the abdomen and then the uterus to remove the child and placenta
2 – After inserting the tube in the mother’s hand to give her some medicines if required
- Sterilize the abdomen and shave pubic hair
- Do some blood tests and others
3 – Anesthesia
If you are anesthetized by epidural, you will be conscious throughout your childbirth and your baby’s two hours as soon as you get off.
4 – the introduction of a catheter to the bladder to discharge urine during surgery
Complications of cesarean delivery
- Complications of the cesarean section are 10 times more than normal births and the mortality rate is 24 times greater than normal birth,
- Here, I would like to mention that caesarean sections have not reduced the incidence of neonatal diseases and deaths
Caesarean section is a major form of gastric bypass surgery and carries the risk of severe bleeding, inflammation, mother’s return to hospital, and blood clotting.
This process can leave the mother suffering from the pain for several weeks to the extent that she can not raise her newborn baby. ”
- Multiple caesarean sections have complications and disadvantages for the mother, such as adhesion and congestion in the pelvis, which causes chronic pain and may cause blockage of the tubes (fallopian tube) and thus lack of reproduction
- Bloody bleeding and consequent damage, inflammation, and problems of bowel dysfunction resulting in swelling of the patient’s abdomen.
- While normal delivery requires two days and a week of recovery, the caesarean section requires hospitalization for four days and two weeks for recovery
Note
The second pregnancy after the first caesarean section shall be after a reasonable period of not less than one year as the mother regains her health and well-being
As for delivery, normal birth without any problems does not mean that she will need Caesarean again. Many women undergo cesarean delivery,
Because the child is stretched in an opposite position (ie, his foot down instead of his head) and then their next births are vaginal and natural, as the head of the fetus is down
Post-caesarian section
Cesarean delivery is a major operation and the mother who gives birth to Caesarean takes longer to regain her consciousness and health than the mother who gives birth to a natural child and undoubtedly causes pain and exhaustion.
Unfortunately after caesarean, the mother experiences difficulties and feels great pain when moving or sitting because of the surgical incision, and this pain lasts for days until the wound heals
1 – The mother usually needs painkillers after birth and it takes time to heal the wound.
2. The mother remains in the hospital after cesarean delivery from 3 to 5 days and most mothers begin to feel normal after a week
3 – You will feel some pain in the abdomen and shoulders and some pain around the place of stitches
4. The stitches are removed and the dressing is usually removed within about a week
5. The internal wound takes about 6 weeks to heal and the wound will disappear somewhat within 3 to 6 months
6. Blood will be removed from the vagina after caesarean delivery, just as in normal labor.