Who decides whether a woman can give birth or she needs to produce a cesarean section? Previously, this issue is resolved in a female consultation or a medical center, where monitoring the course of pregnancy and the patient's condition is being monitored. The survey is conducted not only by the doctor obstetrician-gynecologist, but also doctors of other specialties: therapist, oculist, endocrinologist, if necessary, surgeon, neuropathologist, orthopedist. In the presence of any diseases, these specialists give their recommendations on making pregnancy and conclusion about the method of root separation. The final decision on the need for cesarean sections and the deadlines of its implementation are adopted by doctors in the maternity hospital. Each maternity hospital has its own features of the operation itself, anesthesia, the postoperative period. Therefore, the hospital is better to choose in advance and ask the doctor all the questions that exciting you.
Very often asked: can I do cesarean section Optionally, without medical testimony? We believe that cesarean section It can be performed only in cases where the delivery of the natural generic paths is impossible or dangerous for the life of the mother or fetus. Patient, not possessing professional knowledge about the danger of surgical intervention, can not make such solutions.
When to go to the hospital? Most often doctors from female consultation direct in the maternity hospital for 1-2 weeks before the intended operation. In the hospital there is an additional examination of the patient. If necessary, the drug correction of identified abnormalities in a state of health. The state of the fetus is also assessed: cardiotocography, ultrasound examination, Dopplerometry in the vessels of the "mother-placenta-fruit" system. If the maternity hospital was chosen in advance and decided about the need for cesarean section, then all consultations and surveys can be held before hospitalization in the hospital. And for the cesarean section to come right on the day of the operation, having carried out the necessary training at home. However, this is possible only in the absence of severe pregnancy complications and the normal state of the fetus.
Speaking about the preparation for the planned Cesarean section, it is impossible not to mention the possibility, and even the need for the so-called Outworm PlasmaDonor. The patient after 20 weeks of pregnancy can pass 300 ml of its own plasma (liquid part of blood), which will be stored in a special freezer for a long time. And if during the operation, the transfusion of blood preparations will be necessary, it will be overclit not someone else (even the surveyed), but its own plasma. This eliminates the possibility of infection with various infections, including HIV, hepatitis B and C. Auto plasmorism is carried out in maternity hospital having its own branch of blood transfusion. The procedure does not negative effect on the state of the mother or the state of the fetus, and the lost plasma is restored in the body within 2-3 days.
How is the operation date? The condition of the patient and the fetus is estimated, the duration of childbirth according to the date of the last menstruation is specified, according to the alleged day of conception, according to the first ultrasound study, and, if possible, the day is chosen as close as possible by the date of delivery. At the same time, the wishes of the patient itself are necessarily taken into account. His consent to the operation and pain relief patient sets out in writing.
Now let's talk directly about preoperative preparation with planned cesarean section. On the eve, it is necessary to take a hygienic shower. It is important to sleep well, so to cope with quite explained excitement, it is better to take something soothing at night (according to the doctor's recommendation). Dinner on the eve should be easy. And on the day of the operation in the morning it is impossible to drink either to eat. 2 hours before the operation, a cleansing enema is carried out. Immediately before the operation in the bladder, a catheter is entered, which is removed only a few hours after the operation. These measures will prevent serious complications from the kidneys.
What are the methods alestruction for cesarean section? The most modern and safe method of anesthesia both for the mother and for the fetus is regional (epidural or spinal) anesthesia. At the same time, only the place of operation and the lower part of the body is anesthesive. The patient is in consciousness and can hear and see his child immediately after birth, attach it to his chest. In modern clinics, more than 95% of the operation is carried out precisely with such anesthesia. Much less often uses general anesthesia.
As executed cesarean section? After anesthesia, a woman washed with a special antiseptic stomach and covered with sterile sheets. At the breast level, the barrier is established so that the patient can see the place of operation. The cut of the abdominal wall is done. In the overwhelming majority of cases, this transverse cut above the Lone is extremely rare - a longitudinal cut from the pub to the navel. Then the muscles are moved, a cut on the uterus is made (more often - transverse, less often - longitudinal), the fetal bubble is revealed. The doctor enters the hand in the uterus cavity and removes the child. Pupovina crosses, the child is transmitted to the midwife. Then you are removed by your hand, and the incision on the uterus is sewn with a special thread, which is absorbed in 3-4 months. The abdominal wall is also restored. The skin applies brackets or seams, and on top - sterile bandage. Depending on the methodology and complexity of the operation, its duration is an average of 20-40 minutes.
First day after cesarean section The patient is usually in the postoperative chamber or the ward of intensive therapy, where there is a round-the-clock observation of its condition: general well-being, arterial pressure, pulse, respiratory rate, magnitude and tone of the uterus, the amount of secretion, the bladder function. At the end of the operation on the lower abdomen, a bubble with ice is a 1.5-2 hours bubble, which helps reduce the uterus and reduce blood loss. What drugs are usually injected in the postoperative period? Mandatory anesthesia is prescribed, the incidence of these drugs depends on the intensity of pain. Usually, the anesthesia is required in the first 2-3 days, in the future it is gradually refused. In addition, preparations are prescribed to reduce the uterus, and drugs normalizing the function of the gastrointestinal tract. Also, saline is intravenously introduced to repleural fluid loss. The question of the appointment of antibiotics is solved by the operating physician for each patient individually. Most of the planned cesarean sections do not require antibiotic therapy.
When can you get up? The first time we help the patient climb 6 hours after surgery. First you need to sit, and then stand a little. To begin with, enough. A more active motor mode begins after the translation from the chamber of intensive therapy. It is better to take care of the acquisition of a special postoperative bandage, which will greatly facilitate movement in the first few days after the cesarean section. From the first day, you can begin to fulfill the minimum exercise that contribute to the more favorable flow of the postoperative period. The translation into the postpartum separation is possible 12-24 hours after surgery. The child at this time is in the children's office. In the postpartum department, the woman herself will be able to start to care for the child, feed it with breasts and swaded. But in the first few days, help from the city of the physicians and relatives will be required (if visits are allowed in the maternity hospital).
Diet. In the first day after the operation, it is allowed to drink mineral water without gas. You can add lemon juice to it. On the second day, the diet is expanding - you can eat cereal, low-fat broth, boiled meat, sweet tea. From the third day, it is possible full nutrition - only products that are not recommended during breastfeeding are excluded from the diet. Usually, a cleansing enema is assigned to normalize the intestinal function to normalize the intestinal function.
When you can be written home, solves the attending physician. Usually, on 5 day after the operation, an ultrasound examination of the uterus is made, and the brackets or seams are removed on the 6th day. With a successful course of the postoperative period, the extract is possible by 6-7 days after the cesarean section.
After writing homeTry to rest as much as possible. Special attention will also need help from family members who can take part of their homework. After all, some time after the operation, weakness will be maintained, increased fatigue, pain in the seam area. What mode must be observed at home? Nutrition is common - taking into account breastfeeding. With the "water procedures" will have to limit the shower. Take baths, you can swim only 1.5 months after surgery. Full physical exertion - two months after the cesarean section. You can resume sex contacts after 6 weeks after surgery. To pre-visit the doctor, he will be able to appreciate how safely the postoperative period occurs. Be sure to think about contraception. Pick up the most suitable way for you can, consulting with your doctor.
Next pregnancy after cesarean sectionsit is better to plan in 2 years. During this time, your body will have time to fully recover after the previous pregnancy and the transferred operation. You need to know that if during the next pregnancy you will not have the testimony for Cesarean section, then you have every chance to give birth on your own without resorting to surgical intervention.
Before pre-denying the very possibility of Cesarean section, or condemn those who decided to read this text. Perhaps your opinion will change.
1. Stop talking about Caesarean section as something insignificant, like cutting paper
Before I found myself on an ice operating table, I always had some kind of dismissive attitude to this procedure. "If you need, I'll just do Cesarean," I usually said, as if discussing the purchase of another pair of shoes. Whether I have a time machine on which I could return to 2010, during my first pregnancy, I would scream: "Girl, no, it's not like that!".
It does not look like the removal of apple seeds with a kitchen knife. This is an excessive operation to remove from your child's abdomen! I was taken out of the operating room with brackets in the stomach, catheter and strange "booties" on the legs to prevent blood clots. First day after surgery, I could not eat solid food, write and kakak myself. And, as if it was not enough, my headaches began after spinal anesthesia.
And, and I mentioned that at the same time with all this, I became a newborn mother?
2. Recovery can take more time than you think
"It's not walking for longer than four quarters," the doctor said when I wrote me out of the hospital. "Four quarters? Doesn't she know that we are in New York? "I thought when my husband sat me in a wheelchair and brought to the car. To get to the house, I needed to go from the car for 10 minutes.
It was painful. Some operations are planned, in other cases caesarean makes after several hours of battles and fence. I returned home with a fresh wound on the stomach and baby on my chest.
Even after the Scar healed, he continued to burn 4-6 months. It was worth toning to him, and I felt like Millions of tiny cams were beaten. Then almost a year he was a numb. "The second child was born naturally. Already two hours after giving birth, I walked along the hospital corridor and elaborated a bagel.
3. Your internal organs will move
Do you know what do doctors do to get to your uterus? They push the internal organs, and then return them to the place. As much as possible.
Since I had an emergency Cesarean, I have no idea how this procedure was held. Imagine my surprise when I started reading the female forums of women's complaints on the fact that their organs "feel strange."
During most cesarean sections, the surgeon moves towards the bladder and the intestines to get to the uterus, the part of which then removes. Fallopiev pipes are attached to the top of the uterus, they can also follow the uterus. Feel free to report it to people who consider caesarean section a light walk.
4. Caesarean section can be considered "natural birth"
Any birth is natural. There is no good or bad way to give life to a child. Instead of evaluating the way, try simply call it: vaginal, non-drug, caesarean section. Or just squeeze.
5. Do not think that the woman is upset because of Cesarean
People endlessly sympathize with women who have suffered a cesarean section. Yes, perhaps their initial plans for natural childbirth were destroyed, but this does not mean that they are depressed. Some, on the contrary, feel brave for making a choice in favor of their own health.
6. Cesarean section can also be magical experience
We have already heard stories about how some women meditate or experience orgasm during natural labor. But during Cesarean, too, you can also not refuse yourself in small pleasures: for example, ask to include certain music.
7. After Cesarean, you can still give birth to the most
Believe me, I did it. Oh, how people are confused when I tell them about it. Many doctors still refuse to take natural labor after Cesarean, but there are studies according to which the uterus break (the main contraindication) is found in one of the 100 cases.
It all depends on the individual characteristics: the state of the seam in the uterus and your personal medical history.
If you are planning natural childbirth, find a doctor and midwife who will be trusted. But if something goes wrong and you will have Cesarean - do not worry. You just have a child. You deserve it.
Its reasons are much deeper. After my Cesarean head in order came for a very long time. Consequences: violation of affection with the child. Therefore, I urge everyone who is hard to experience your COP - you can fight with it, and this should be done immediately, if not for yourself, then at least for the sake of a child.
And if I still tried
Could I give birth to myself? This thought is simply terrorizing. You all the time scroll your mind in my head and think, and if you still sadded the fight and did not give up to doctors, I would have managed to give birth to the most.
What you say here. Sometimes, really, doctors are too hurrying. But most often the intervention is justified.
I often pested the doctors with the question: could I give birth to myself. While the doctor neurologist, looking at my son, did not say: Rejoice that there is no cerebral palsy, and that alive. After all, born with a double tougy.
Indeed, the thought of the child's health here can be saving. Directly inspire yourself - it was the best for the child.
What will happen then?
For those who have encountered Cesarean for the first time, it seems that everything is a happy motherhood in question. How will I give birth next time? Is it now always Cesarean? And if the seam will disappear ... many fears and questions unanswered. I was most tormented by thought - I can not have several children, the maximum of two. And I cried, cried ...
Now, having three boys, I calmly remember this time and I think I would support me a knowledgeable person - these two years after the first Caesarean would have been easier.
Fear of next Cesarean
Yes, it is. It is like a parachute jump. For the first time you do not have time to understand what. But by the second time you all know. And you begin to fear in advance. But firstly, it is not a fact that the next birth will also be cesarean. Full and.
Secondly, it's still not soon. It is difficult to solve difficulties as they appear. Do not waste your energy now. After all, it needs you so much for other purposes - to restore, to care for the baby.
Good girlfriends
Is it hard after Cesarean? Yes, psychologically - very. And therefore it is good that in many people's maternity hospitals with Cesarean are placed in one chamber with the same girlfriends. It seems to me that I would not bring a happy man for the first time).
And for a long time I listened to a hard sense, as someone easily gave birth. I advise - on the topic of childbirth and pregnancy, communicate with those who also survived Cesarean. Tell about your own, do not keep in yourself.
If there is no such person nearby ,. This community was just created to support. Here, with understanding, we will treat any feelings of a woman who suffered the COP. If there is no communication - read stories, and you will see that your childbirth is not the most difficult.
Husband understands?
For me, it was most difficult to think that the husband was disappointed with my childbirth that he was not so rejoicing, as it could have been in natural childbirth. In fact, I inspired it myself, and the reaction of the husband's husband was explained by fatigue from experiences (day of birth ... He even began to smoke).
Explain your husband's husband, show how and what words he can support you.
Excess information
Consciously avoid articles, films of the "Consequences of Cesarean", "Caesarean's children are harder to adapt" and TP, which states that natural labor is much better than Cesarean. It will be once again injured. And believe me, we have such knowledge extra. They are needed only to those who voluntarily want Cesarean. And that's it.
We work on your head
Girls, there are excellent psychological exercises that help. For example, the fight against negative installations.
I did so. I discharge all the statements that hurt me. For example:
- i am a bad mother, could not give birth to myself
- child - Caesarock, he will not be able to cope with difficulties, because he did not pass the birth
- i will not have real maternal feelings
- i can never experience the joy of birth.
Familiar? So here. Against each approval is recorded by an antideos:
I am the best mother for your child
Caesarean is no different from other children,
Maternal feelings are not physiology, but a conscious choice.
I am happy to have a healthy child.
From some bad statements simply refuse. Positive statements tear on paper from negative. And read every day. And bad - just burn, hurning them in this way. It helps me.
If you have ways to deal with such a state, let's share your experience!
If self-help does not work, feel free to turn to a psychologist. It's not so expensive and not so scary)))
A month ago, I gave birth to a third child. More precisely, his excellent operating brigade as part of five people took it from me. As a result of the cesarean section, all my children appeared: Son and two daughters. I never know what kind of childbirth, but I know about Cesarean, if not all, then a lot. I give my experience to all who will have this option for the appearance of a long-awaited child.
When they make a cesarean section
Personally, I have very bad vision (-12), while there are gaps on the retina. Ophthalmologists said for ten years ago, they said that I was able to give birth to the most contraindicated - blind. My sister has vision -7, but the retina is in good condition, she was allowed to give birth naturally.
But generally exist list of absolute indications To carry out surgery:
- Narrow pelvis.
- Scar narrowing of the vagina.
- Tumors of bone pelvis, mioma of cervical, ovarian tumors with localization in small basin, preventing the birth or extracting of the fetus, even in reduced sizes, cervical cancer.
- Full preview of the placenta.
- The defective scar on the uterus after the cesarean section or the stitched incision of the uterus.
- Threatening uterus break.
- Progressive premature detachment of placenta with unprepared generic paths.
- Mother's death with lively viable fruit.
- Cross position of the fetus with antenatal influence of arrogant water
Relative indications for cesarean section include bleeding during pregnancy and childbirth, prestal, scar in the uterus, weakness of labor activity, extragenital diseases. The solution to the operational way to complete the pregnancy is also done in cases where the child suffers from hypoxia (lack of oxygen), the biposts occurred, the pregnancy period after 40 weeks.
Planning such an operation passes, if during pregnancy it is established that otherwise the woman will not be able to resolve. Essentually when freelance situations occur during ordinary births. My third cesarean section in this regard is unique.
The date of the operation was appointed, but the child decided to choose his birthday on his own. The day before the operation, at dawn I went out. On this day there were exactly 38 weeks of pregnancy. Twice survived the planned cesarean sections, I did not expect such a turn of events. The horror covered me, the voice of my doctor's voice in the handset was returned to life for 5 in the morning: "Everything will be fine. I leave, I'll be soon. " God, as well, that I went to the hospital a few weeks before the date of birth.
My case is indicative, but cannot serve as an unconditional example. You should always listen to yourself, your intuition and trust the results of analyzes and surveys of the fetus. Pulling pain at the bottom of the belly at night. Lomo her legs, back, stomach stood with a coolant. After this, I did not go - ran into the clinic in the direction of the hospital. But my middle daughter appeared on the light strictly two weeks before the expected date of birth. I came to the obstetricians strictly on the day of the operation, felt good, and even in my thoughts did not lie with a book for two weeks in pathology.
In the hospital in advance, mostly, mostly, primible (according to very serious indications), women who already have children (many never manage to rest before childbirth, has such a categorical way to interrupt the endless circulation of the duties of mother and wife). Usually put in one or two weeks. If the inner voice, at least even a little heard, tells you: "Let's lay down" - you have to listen to him, and not a sense of debt to other family members!
Pluses in the hospital:
In the event of the beginning of childbirth, you will not need to scare the household by our condition and think, to drive ourselves, "ambulance" whether to call and where to give children to this time.
Additional examinations of mother and fetus (analyzes, cardiotocography, ultrasound, etc.)
Lack of care for cleaning the "entrusted territory", as well as cooking food. The floors will wash and without you, feed within the state financed. Gastronomic delicacies will bring relatives.
Your absence is finally denoted by all the powerfulness of your family in the family. My husband is already never torn out of the language: "And from what are you tired - you sit at home?" Employment of the head of the family and children sometimes should occur in this painful way.
The feeling of the "pioneer camp". Be sure to remember the summer shift at school hours.
This day devoted to a good clean: spiritual and physical. You can pray, do meditation or just relax. No matter how you cheer, fear you still do not drive. Take it. All that does not kill - makes us stronger. Friedrich Nietzsche is absolutely right.
Take a shower, spend all the necessary hygienic procedures necessary before the operation. Before holding a cesarean section, your doctor will definitely give you an informational letter on an agreement on the operation. In this, in particular, it is said that in an emergency (threat of mother's life or (and)), doctors have the right to even remove the uterus. Prior to this, in practice it reaches extremely rare. For example, in the obstetric building of the Vladimir Regional Clinical Hospital at 2500 gods per year accounts for only 2-3 cases of uterus removal.
On the eve of the operation, it is best to eat at 17 o'clock. At night, you can ask the midwife to give you a light soothing to sleep well.
First, the cleansing enema is waiting for you. Then they will be translated into operational. There will be sterile shirt, a slash or a hat and a special long shoe covers on their feet. For the past three years, the doctors are advised to wear special stockings before surgery to avoid postoperative complications. Well, if this is not a golf, but stockings. They cost about thousands of rubles. Perhaps they will need only once in life. Therefore, before going to the hospital, look for ads for the sale of used stockings. They will cost much cheaper.
A catheter will be introduced before the operation to your bladder. This is not a very pleasant procedure. But it will be necessary to survive. Anesthesiologist will definitely ask for what types of drugs you have allergies, whether anesthesia did you before that. Usually now doctors offer to make epidural anesthesia. In a certain place in the spine, an injection is made - only the lower part of the body is anesthetized.
After epidural You can get up and after 6-12 hours (anesthesia acts slower, the operation after anesthesia can be started after 15-20 minutes - not earlier). With this type of anesthesia, women can give birth and naturally. You can make extended anesthesia and anesthetize another 1 day after the cesarean section.
And here spinal (who did exactly me) acts quickly, as the medicine falls right in the spinal channel, and not around it, as with epidural. This type of local anesthesia is more effective - anesthesia during the operation is better. The only minus - after it takes it takes a day to lie, it is impossible to get up and turn over.
The course of the operation you, of course, will not see. Before you put a damper. During the operation, you can talk with doctors. It is not reborn. If something bothers you - it is necessary to say about it.
Now doctors apply synthetic suture material, it does not give inflammation, threads are resolved after 2 months. The cut is made in the lower segment with transverse dissection. Even in the underwear with the underestimated waist of the seam is not visible. And before, doctors did corporate (longitudinal) incision - the stomach was cut from the navel to the pubis down. The uterus burst and opened like a rose. Suture material (Kegut) was an animal origin, caused inflammation, wounds for a long time he was healing.
First, doctors will open the abdominal cavity, then the uterus and get a child. Cesarean section is the only operation in the world, which gives such happiness. Due to the fact that you are conscious - you will finally see your baby! And while you will stir up - a child weigh and take growth. And as accepted in Russian maternity hospitals, on a brown piece of glue, you will write your name, date and time of childbirth, the floor of the child, its height and weight. Many mothers are carefully kept even after their kids themselves will become their parents.
After you put the seams, you will be transferred to the ward and immediately put droppers. Medicines are introduced intravenously the first three days after the operation. The child usually bring only once a day - so that you can look at it. It is impossible to feed the baby, since you are injected with antibiotics that are incompatible with breastfeeding. In principle, at this time will not be before feeding - and milk is at the end of the third or the fourtook days after the operation. The main thing will pull pain.
And it is still very difficult to hold out the day, lying on the back. Get up will be allowed the next day. By the way, the network has repeatedly met information that it is necessary to get up after 6 hours. So, really in the maternity hospital it is not practiced, in any case - with epidural anesthesia. The place of introduction of the needle for spinal anesthesia should influence. This process requires 24 hours. Only the first day can only drink mineral water without gas or ordinary water with lemon juice. If the operation was done in the morning, in the evening you will be asked to try to go to the toilet to the duck. At least attempt to do it yourself. If it fails - the catheter will be introduced, and this is how I have already written, not a very pleasant procedure.
By the end of the second day, the most persistent, on the third day those who will be asleepy - will turn over to the left and right side. Painfully, but it is necessary. The more threaten - the less likelihood that the spikes will be formed and the intestine is staring. Higher aerobatics - lying on the stomach!
On the second day you will be offered low-fat broth, porridge on water, boiled meat. On the third knocks, you can already eat almost everything that does not damage your child, which does not form gases. The kid will bring you on this day to feeding. From this time, you will already learn to move quickly quickly at the department and a look at life will again become more optimistic. Congratulations, you survived the most difficult period! There is even more complex. I mean the beginning of breastfeeding - many mammies occurs a strong brewing of the mammary glands. Doctors say to join, it turns out not all. However, this is the topic of a separate conversation.
As soon as the doctor is allowed to get up - get up. Previously ask relatives to bring you a postoperative bandage. It will greatly facilitate your life in the first two weeks after surgery. Instead of a bandage in the maternity hospital, you will show you how to encourage the stomach by a diaper so as not to injure the seam. But - I repeat once again - it is better to use a bandage.
First you just need to sit on the bed. A day later, it will seem to you, it hurts in the lungs, it is difficult to breathe - so everything stood. Nothing, soon everything will be over. It is convenient to put legs right away to the floor, but on the bench. Then slowly get up completely. Do not hurry. Your main achievement is now to reach the washbasin and look at yourself, Beauty. And then return to bed. Relax and repeat the feats. The main thing - try to directly keep your back, although at first it is very hard to do.
In addition to injections, droppers and other procedures - it is necessary to put ice on the stomach three times a day. The cold contributes to the reduction of the uterus, it decreases with the operational delivery to its usual sizes slower. Touching the intimate topic - the usual panties in the maternity hospital are not allowed, but it is possible to wear one-time. Very convenient, durable-stained-threw!
The seam of the house must be treated with hydrogen peroxide, then dry alcohol (vodka). Great fluid can be replaced with green or manganese. Two weeks after the operation of the month, it is possible to begin to smear the seam with drugs to dissolve the scar, counterupex, for example.
Intimate relationships with your husband can be resumed after 6 weeks after surgery. Previously need to visit the doctor and make sure everything is in order. Be sure to select a contraceptive option for you. After 8 weeks after the cesarean section, you can proceed to physical exertion - including on the abdominal press. But do not hesitate to hardly, everything is reasonable.
In order to regain the former figure, the main thing in the first year of the child's life is not bakery products from the flour of the highest grade (the benefit for the baby is no) and do not abuse dishes from the "carbohydrate + protein" series. Eat more raw vegetables and fruits, drink kefir - it is very good for the peristalsis. In women, after surgery, there are very often problems with the emptying of the intestine.
Olga Sakharov , a doctor obstetrician-gynecologist, for six years worked for the head of the informed branch, at the moment the postpartum separation of the obstetric corps of the Vladimir regional clinical hospital is headed. She believes that the maximum amount of cesaric sections that a woman can move without harm for themselves are three:
"In the future, a lot of serious complications may arise during pregnancy. Each scar disrupts the normal blood supply to the uterus. There is always a threat to break the uterus, the likelihood of bleeding is great. There are cases that the placenta is not at the top, but at the bottom, in the area of \u200b\u200bthe scar. This is fraught with consequences, both for the mother and for the child.
Surely with 4-5 cesarean sections are formed spikes, it means that a woman will continue to suffer chronic pain in the abdomen. Repeated operations are complex for obstetricians-gynecologists also by the fact that opening the abdominal cavity, one can accidentally wander the intestine or bladder. Therefore, it is the best operations that best do in multifunctional medical centers, for example, regional hospitals, where doctors of other specialties are in neighboring branches or hulls - five minutes walk, and not at the other end of the city.
If the mother already has two healthy, living children and her age older than 35 years old - we always advise after the second and third cesarean section to tear up the fallopian tubes (to make sterilization), is definitely an extreme measure, but sometimes it is necessary. "It's all so that the woman keeps his health so that she has the forces to grow already existing kids. But this question is to solve, without a woman - we have no right. Before the procedure, the patient is necessarily signed under consent. In our hospital there are, of course, the fourth cesarean. But this is a very rare phenomenon. "
Ideal if there is a gap between pregnancies at least two years. During this time, the body is restored and the woman is ready and morally, and physically to the new operation. I am now talking about those women, testimony to Cesarean section from which lifelong.
To give birth without surgical intervention - the dream of many women who had to survive the operation once due to emergency circumstances. And not according to absolute testimony of physicians.
This is really possible, says the obstetrician gynecologist Olga Sakharov:
"In order to give birth after the previously conducted cesarean section, it is necessary to comply with at least 4 conditions. First, the child should not be large. Secondly, the baby must occupy a normal position - the head down. Thirdly, the maturity of tributes is important. Fourthly, a woman should have a mood for childbirth so that it does not work out that some time after the start of childbirth, she will shout: "Draw me!"
Childbirth after cesarean section have many nuances. One of the main moments - a woman cannot do anneasiating. She should feel that with her, where it hurts. The thickness of the scar doctors can learn from the ultrasound results, but this does not indicate its consistency. At any time, the apparent completely reliable scar can disperse, that is, the uterus will open. And if at this moment the woman will be under the influence of drugs, they just do not feel it. The consequences can be the smallest.
Based on the practice of the obstetric corps of the Vladimir regional clinical hospital, only 1% of women from among those who were previously operated will be ready and can give birth without the help of surgeons. "
So, it happened, you announced the prospect of Cesarean section. At the moment we are talking about a planned or emergency cesarean section, and not about the conscious choice of a woman who is afraid of pain and birth torment and therefore resorts to a medical alternative. "Independent childbirth" is not only a natural way, which is destined to every woman in nature, but also the urgent recommendation of the World Health Organization, which assures that the passage through the generic paths is the only right and extremely important moment for the beginning of a new life.
Guilt feeling in front of a child
Suppose that your baby does not hear about any such world organizations and decided not to turn over, grind the umbilical cord (there are other reasons why caesarean does not avoid), and doctors insist on operations. The shortest and surest way is to accept. If there is the slightest threat to the health and life of the child, it is better to make hands and surrender to the will of the obstetricians. After all, it is better a healthy baby without generic experience than with a rich generic story and subsequent diseases.
Many newly minted mommies, who passed through a cesarean cross section, constantly blame themselves and are especially subject to postpartum depression, someone even constantly watches their child, apparently, expecting to see a negative dissimilar to peers in it. But these silent torments are in vain, since the theories about the negative influence of Cesarean on children's psyche and development belong to the category of higher matters and philosophical reasoning about the correctness of life on earth. Leading experts assure: if Cesarean is caused by medical testimony, then the child is no worse and no better than peers - it is normal.
Cesarean section. Opinion doctors. Watch the video!
Another question, moral and physical condition of the mother. Deliching in torment and feeling of guilt, women often drive themselves into the corner. Instead of proudly say: "Yes, I saved the life and health of the child, sacrificing the beauty of my abdomen (the question, by the way, controversial with the current achievement of surgery) and other charms," \u200b\u200bthe woman is immersed in thought - "I could not, I am guilty and etc. ". What impact does such a mother affect his crumb? Most likely, negative: seeing in the child and his behavior flaw, mother as if imposes to him this life model. Hence the conversations in many ways that Caeshard's children lose their peers in development.
Cesarean or natural childbirth? Doubts for pregnant women. Watch the video!
Preparing for Hacu X
Technically cesarean section is not too different from natural genera. The preparation is perfect. The same: a razor, enema and an empty stomach. Even if nothing foreshadows surgical intervention, morally, of course, you need to prepare for good, but also the possibility of another scenario cannot be excluded. The main thing is to know what everything is done for the health of the child. Situations occur when during the passage of the tribute to children lack oxygen, some torping refuse to quickly appear on the light and cling to the umbilical cord. Therefore, the guinea should have a moral readiness for the fact that the doctor will say: "We operate!". Another question is the level of confidence in your Akuster, so the doctor who will take childbirth is better to choose in advance and discuss the details of childbirth and an action plan with him.
"Caesaryat" as well as ordinary children apply to the mother's breast. In the same way, the moment of mutual capturing the child and the mother occurs. This moment is extremely important for the psyche and health of both, so it is necessary to make every effort to not miss it.
You also need to tune in that Cesarean is not a panacea against pain. Epidural anesthesia removes stitching and cutting sensations, a sharp pain, but the mother is in consciousness and everything feels.
Pulling, noving sensations and push you will most likely feel - and this is a childbirth, you give birth to a child yourself, deep breathe and help the baby squeeze through a narrow incision in your stomach!
Weighing "for" and "against" again! .. Watch the video!
Learning to live together
Many women who survived Cesarevo complain about the feeling of void, oppression and extremely depressed state after surgery. And they can be understood: all the same, nature did not think this process, and the violation of the natural situation of things is always fraught.
A mobilous moral state imposes a feeling of guilt, imposed by the company "not herself" and, of course, physical pain - first helplessness from anesthesia, and then a painful scar that does not even sneeze in order not to remind themselves.
But one way is not to close it. Feel free to tell you a close detail of the operation, remember the bright moments, as the baby was shown, as he heard his first squeak. Many women describe their state of offend on doctors and the words "they cut me." You need to speak out! For women, the conversation has a huge sedative effect. Warn your husband that in the next few weeks he will hear this story not once, but it is very important for you to be heard. And a small scar is a reminder of the beautiful moment when you, overcoming all the difficulties, gave life to your baby.
And see the child with a lot of love with your eyes, because you have a special and best in the light of "Caesarok".
