The end of pregnancy is nearing, and a woman is increasingly thinking about the upcoming birth, especially if they are the first. The abundance of information on this subject can confuse and confuse, but no matter how afraid the future mother was to give birth and did not ask to “make her cesarean, this decision can be made only by a doctor.
And vice versa: the most ardent supporter of the natural birth, remembering the karma, energy and other things, will not be able to insist on giving birth independently if there are contraindications. Superior to go to natural birth means to risk your life and life of a child.
Indications for cesarean section
Without taking for consideration the most difficult cases requiring operational childbirth (due to the pathologies of the fetus or diseases of the woman in labor), we will talk about the most common causes in the normal course of pregnancy.
Improper presentation of the fetus, especially the gluteal. If the male child is large, doctors to avoid complications (infringement of the genitals, injuries of the cervical spine, if the head “gets stuck”), recommend an operational delivery.
Three -fold or four -fold tight entity – always a indication for cesarean, if the doctor saw two loops on an ultrasound in the 30th week – it is better to do another examination at the 38th week. It often happens that the third loop makes itself felt in the process of natural birth, and you have to resort to an emergency cesarean section.
If the fetus is located correctly, but has a large weight (from 5 kg), if the pregnancy approached the “transferred” mark if the woman in labor is more than 35 years old and the first birth, if it has a strong degree or narrow pelvis – all this is indications for cesarean section. True, relative, that is, the doctor concludes the final conclusion.
The pros and cons of natural and operational delivery
Usually, first of all they say: “But you are not tormented with a cesarean!»This is not quite. Even with a planned operation, doctors, as a rule, are waiting for the start of fights and do a cesarean section not immediately, so you will still have to enjoy the sensations. Yes, there will be no tribal torment. But there will be no amazing feeling when your baby is put on your stomach.
After operational delivery, the mother receives a powerful dose of antibiotics within 3-4 days, which fall into milk and cause dysbiosis in the child. Milk comes later and is not produced so intensively.
As for the risks for the child, supposedly smaller with Caesarean, this is also true only in part. During the operation, no matter what width the scar after it remains, the uterus is opened (it is opened, not cut) by the same 10 cm, as in independent childbirth. And, unfortunately, injuries under Caesarean happen in no way less often.
In addition, often, with her mother, if she did not want to do the operation, sad thoughts begin that “she didn’t give birth”, about the difficult future of the “Cesaren” and the like. But according to recent studies, the method of birth practically does not affect the development of personality, so that this concern can not be kept in your head.
Features of the postpartum period
As a rule, even after complex natural births, a woman is already able to walk in 10-12 hours. After Caesarean, only after 4-6 hours you can start to slowly turn from side to side, the next day – get up a little and walk (be sure to the bandage over the seam), and only on the third day – to walk straighten up.
A convincing argument about the complexity of the postoperative period is the addition of additional days to the sick leave for pregnancy and childbirth – in our country nothing is paid just like that.
The already mentioned antibiotics, the hormone oxytocin and saline are administered intravenously for several days, and a catheter on the arm is added to all the delights of the postoperative period. (By the way, on the first day after Caesarean, the catheter is introduced into the urethra.)
But the indisputable plus of cesarean section is that the birth canal will remain in its original form, and your intimate life will not undergo significant changes (even the natural lubrication of the vagina will not disappear for some time, as in independent childbirth).
However, bringing the press to the form after cesarean is much more difficult: firstly, for a long time any loads and strength exercises are excluded (not to lift anything harder than your child), and the seam on the abdominal muscles looks like a hauling on sausage. It leases after 8-10 months, but the scar on the skin will not disappear anywhere.
In addition, if you keep repeated births in plans, the cesarean section threatens complications even during pregnancy. Hence the verdict – if it is possible to avoid it, it is better to avoid it.
