The birth of a child is not always possible by natural means. Often, midwives resort to cesarean. It should be noted that this method of delivery has positive and negative points. Let's consider more in detail cesarean section, pluses and minuses of such operation, we name indications to its realization.
What are the indications for cesarean delivery?
Before discussing the caesarean section in detail, to name the pros and cons, we note that this surgery is planned in advance. Doctors conduct training for the pregnant woman, set up for surgery. The need for it is conditioned by the condition, both the pregnant and the fetus. It is customary to allocate:
- relative indications - situations in which conducting a surgical procedure reduces the risk of complications;
- Absolute indications are the conditions under which the operation becomes the only way for a baby to appear.
So, among the relative indications for cesarean delivery, obstetricians identify:
- anatomically narrow pelvis of the 1st degree;
- the weight of the fetus is more than 4 kg, when the presentation is headache, and more than 3.6 kg - with the pelvic;
- a premature pregnancy ;
- pronounced widening of the veins of the vagina and vulva;
- malformations of the uterus;
- weak labor activity;
- age is more than 35 years;
- gestosis ;
- infection of the reproductive system.
Absolute indications for cesarean section
In such cases, the operation becomes vital - the passage of the baby through the birth canal has a high risk of his death. Among the conditions that have absolute indications for cesarean, allocate:
- anatomical narrowing of the pelvis 3-4 degrees;
- deformation of pelvic bones with tumors, traumas;
- presence of large tumoral formations (uterine myoma, ovarian tumor);
- full or partial placenta previa;
- premature detachment of the normally located placenta;
- acute fetal hypoxia;
- threatening violation of the integrity of the genital organ - rupture of the uterus;
- cicatricial changes on the uterus;
- eclampsia;
- transverse location of the fetus in the uterus.
Emergency cesarean section - indications
Telling about caesarean section, pluses and minuses of operation, it is necessary to note that sometimes the decision to hold it is taken shortly before the onset of delivery or during the beginning of labor. Emergency cesarean section helps to save the baby's life, eliminate the complications of the birth process. Indications for its implementation are:
- Clinically narrow pelvis. With such a violation of the size of the pelvis does not match the size of the baby. Because of this, he can not independently advance through the birth canal.
- Premature separation of amniotic fluid , in which stimulation of labor by drugs does not bring results.
- Detachment of the placenta. With such a violation, the baby stops receiving oxygen, still in the womb. Developing hypoxia , which can lead to death.
- Uterine bleeding. Violation, which interrupts the connection of the child's place with the uterine wall, which leads to a violation of the integrity of the vessels.
- Rupture of the uterus.
- Oblique or transverse position of the child in the uterine cavity.
- Loss of the umbilical cord loops or their proximity to the uterine throat. In such a situation, natural births are fraught with the fact that the fetus, moving along the birth canal, can get suffocated.
Caesarean section without evidence
Many future mothers, thinking about how to alleviate the suffering and pain that accompany the birth, ask doctors about cesarean without testimony. It is worth noting that this practice is rarely used by medics. Obstetricians remind future mothers: a cesarean section is an operative intervention involving many consequences (an allergy to anesthesia, a high risk of infection of a postoperative wound). In case of fear of suffering and pain accompanying the process of the baby's appearance, spinal anesthesia is offered as an alternative.
Contraindications to caesarean section
To begin with, it must be said that there are no absolute contraindications for such a surgical procedure. But at the same time, doctors remind mothers that the danger of cesarean section is a high risk of infection, the development of purulent-septic complications. In some cases, given this fact, cesarean is not prescribed for:
- intrauterine fetal death;
- prematurity of a deep degree;
- deformities of the fetus;
- prolonged, severe hypoxia of the baby;
- infectious processes in the reproductive system;
- prolonged childbirth - more than 12 hours;
- the presence of a cut on the uterus across the muscle fibers after previous operations.
Cesarean section - consequences
The damage to the caesarean section lies in the negative impact on the body of anesthetic drugs. The operation is performed under anesthesia. The woman does not feel anything at all. Because of this, at the moment of termination of its action, the mother may encounter such phenomena as:
- dizziness;
- nausea;
- vomiting;
- headache.
Which anesthesia is better for caesarean section?
Anesthesia with caesarean section is selected taking into account the condition of the pregnant woman, the lack of allergy to certain groups of drugs. As for the type of anesthesia, doctors prefer a general, endotracheal. With this type of anesthesia:
- the acting anesthetic penetrates more slowly through the placenta, which reduces the degree of its effect on the fetus;
- reduces the risk of complications associated with the disruption of the respiratory system: the device removes carbon dioxide from the patient's body and supplies it with oxygen;
- The anesthetic is more dosed, if necessary, its concentration is easily increased;
- the degree of saturation of the body with oxygen is monitored.
Cesarean section, pros and cons - opinion of specialists
To understand why doctors are against caesarean section, it is necessary to consider some features of this process. The main thing is the fact that the baby appears quickly, while the preparatory stage of the small organism, its progress through the birth canal, as with natural childbirth, is absent. As a result of adaptive reactions to new environmental conditions are not formed. This phenomenon, according to experts, often becomes an explanation for the decline in immunity in these kids, frequent diseases.
Considering such an operation as a cesarean section, pluses and minuses, among the positive points, the doctors distinguish:
- complete control of the process;
- absence of birth injuries;
- exclusion of traumatization of the birth canal ( ruptures of the perineum, vagina).
Cesarean section - pros and cons for the child
Caesarean sectional harm for a child is a rapid birth. The respiratory and circulatory systems of the infant do not have time to adapt to the new conditions. So when moving through the birth canal from the lungs, those amniotic fluid that the baby accidentally swallowed are eliminated. At caesarean section of such phenomenon it is not noted, that is fraught with development of an asphyxia or an inflammation.
As for the benefits for a baby Caesarean, they are:
- reducing the risk of infection;
- exclusion of birth injuries.
Cesarean section - pros and cons for mom
Considering the caesarean section, for and against this operation, it is necessary to say that for a woman such a delivery has many positive aspects. Pregnant does not feel pain at all. The whole process is controlled by the doctors. The risk of complications decreases during the birth process. As for negative features, among the main ones:
- risk of infection;
- great loss of blood;
- decreased bowel function (bloating, flatulence, constipation);
- long recovery period;
- painful sensations in the postoperative period - a few days it is difficult to walk, bend down, finally the pain passes in a month.