The issue of delivery method is the issue that couples think about most throughout pregnancy. The opinions of close friends and family are the ones that influence pregnant women the most when deciding on the type of birth.
Giving normally or giving birth by Caesarean section has its own advantages and disadvantages. The important thing is to decide which delivery method is suitable for the pregnant woman and her baby. Pregnant women and their families should trust the doctor's knowledge and experience regarding the type of birth and should not insist on the decision on the type of birth.
The exact birth will be by cesarean section or normal birth, but it is actually determined around the 37-38th week of pregnancy. If the baby comes with its head during pregnancy, if the baby's weight is less than 4000 g, if the baby's partner, that is, the placenta, is not positioned downwards, if the baby's head is placed in the birth canal during the examination, and if the mother wants a normal birth (if she feels physically and spiritually ready for this), a normal birth can be planned. For a normal birth. It is necessary to wait until the last day of the expected birth date, which is the end of the pregnancy period according to the last menstrual period. Sometimes this waiting period can reach 41-42 weeks. It can be waited until this period under very strict control.
If the baby is breech during pregnancy ( If the patient's previous birth was by cesarean section, if the patient is afraid of normal birth, if the baby's weight is more than 3500 g, if the placenta is positioned low and if the baby's head is not placed in the mother's birth canal upon examination, a cesarean section should be planned for the patient. If the cesarean section is to be performed in a planned manner, the expected It should be taken 1 week or 10 days before the date of birth. If a cesarean section is not performed within this period, the patient's labor may begin and the patient may become stressed.
Advantages and Disadvantages of Normal Birth
In normal birth, since the baby is born vaginally, the mother's It is a great advantage for her to recover more quickly after birth and return to her normal life. After normal birth, a 24-hour stay in the hospital is sufficient. The mother returns home in a shorter time. With the activation of the hormone called Oxytocin, which is secreted during normal birth pains, breast milk comes in a shorter time. Since there is no operation, the mother can feed more quickly and Accordingly, the milk comes out faster.
In normal birth, since the baby comes out into the world through a narrower space, the lungs are first compressed and then suddenly come into contact with air, so it can breathe more powerfully and the lungs are better ventilated.
At birth, the mother's baby's Once it is born, you can immediately see it and touch it, breastfeed it in a shorter time and establish an emotional bond more quickly. One of the biggest risks in normal birth is that a problem can develop at any time during a normally progressing labor and a cesarean section is suddenly performed. . We can list these problems as follows: labor may slow down, the baby's progress may stop, the baby may become distressed, the heartbeat may slow down or accelerate, the baby may poop, a dangerous vaginal bleeding may begin. Due to these dangers, the conditions for a cesarean section must be ready at any time. In these cases, if a cesarean section is not performed immediately, the baby may become deprived of oxygen in the event of prolonged labor. It can cause mental retardation and loss of muscle strength. Sometimes, since the mother's pushing is insufficient at birth, vacuum is applied to remove the baby, and this may lead to serious problems in the baby. Sometimes, the baby's shoulder part is attached at birth and the nerves in the baby's neck are damaged and there may be fractures in the shoulder bone.< br /> During normal birth, an incision called episiotomy is made to facilitate the baby's exit and to prevent damage to the mother's anatomical structure. Sometimes, during birth, when the baby comes out, this incision enlarges, causing tears in the patient's anus and rectum and problems such as incontinence.
In normal birth, sometimes with the baby's pressure during straining, it can cause sagging in the bladder (cystocele) and urinary incontinence problems that require surgery.
Another issue that keeps pregnant women away from normal birth is the pain during birth. However, this fear is actually unfounded, as normal birth is performed without pain in normal births with an epidural catheter. Some couples worry about this situation because it is not known when the normal birth will begin. They undergo cesarean section at their request.
Advantages and Disadvantages of Caesarean Section
In cesarean section, the uterus is reached through an incision made in the lower part of the abdomen and the baby is taken out through an incision made in the uterus.
The biggest advantage of cesarean section. The baby is taken out directly and in a healthy way without experiencing the risks that may occur during normal birth. Bad possibilities such as the baby getting stuck or being deprived of oxygen do not exist in a cesarean section. Since the baby comes out in a low-risk way, many families prefer cesarean section for this reason. Sometimes, babies born by cesarean section may experience respiratory distress or increased respiratory rate (temporary tachypnea of the newborn), which may last for a few days after birth. However, this situation can also occur in normal births.
In women who have a cesarean section, there is no anatomical damage to the rectum area or urinary bladder, and there are no problems with urination and defecation after birth.
C-section. It takes a little longer for mothers who give birth to regain consciousness and communicate with their babies. Since breastfeeding will occur when the mother comes to the room after the operation, the baby waits for her mother for 1-2 hours. The mother who had a cesarean section stands up 6-8 hours after the operation and is fed orally within 4-6 hours. Therefore, the arrival of breast milk is a little delayed. After this operation, patients are kept in the hospital for 2 nights. Since the pain is more after the operation, it takes the mother to return to her normal life. It can take up to a week.
There is a slight possibility of infection, blood accumulation and stitches opening in the incision areas of both normal and cesarean births.
As a result, it is the healthiest form of birth for both the pregnant woman and her baby. Only the doctor can make the best decision for the patient who knows and follows him/her. After deciding on the most appropriate form of birth for the patient, if the patient's birth is healthy, there is usually no problem.
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