Expectant Mothers, You Should Decide Your Method of Birth with Your Doctor
One of the most discussed issues in our country and all over the world in recent years is the method of birth of the expectant mother. Most pregnant women are indecisive about the method of birth throughout the pregnancy.
There is a belief that normal birth is better than cesarean section
This is unacceptable. thing. In some cases, normal birth is very harmful to the mother and a cesarean section is required. But if the conditions are good, normal birth is of course good for the mother. The mother's recovery process is much faster during normal birth. The mother gets out of the hospital quicker and returns to her normal work and normal life quicker. For the baby, if everything goes well, there will be no problems with normal birth. Caesarean section should only be performed if necessary.
Benefits of Normal Birth for the Baby:
- The expectant mother recovers faster during normal birth.
- She can take more care of her baby as she returns to her daily life more quickly.
- Since anesthesia is not used in normal birth, there is no risk of anesthesia.
- There is a higher risk of respiratory problems in babies born with normal birth. becomes less. The reason for this situation is that the baby experiences pressure while passing through the birth canal. This pressure causes the amniotic water in the lungs to be expelled. For this reason, respiratory risks are reduced.
- As the baby passes through the birth canal during normal birth, it comes into contact with various bacteria with its mouth. There are studies showing that these bacteria are very beneficial for the baby's immune system.
- It is believed that the hormonal fluctuations that occur in the baby at the time of normal birth are beneficial in strengthening the baby's relationship with the mother after birth. During normal birth, endorphin hormone is secreted in the baby. Endorphin is the happiness hormone. These hormones enable the baby to adapt to the world more easily.
- Babies born with a normal birth method can find the mother's breast more easily.
- After normal birth, skin contact between the mother and the baby is quite strong. It is installed as follows. In this way, mother-baby communication and greater bonding of the baby to the mother are ensured.
- Babies born through normal birth are taken to intensive care less often than babies born via cesarean section.
Benefits of Normal Birth for the Mother:
- After normal birth, the mother recovers more easily and can return to her normal life more quickly.
- Mothers who give birth to their babies through normal birth leave the hospital in a shorter time. Leaving the hospital early provides a financial advantage to the mother.
- For mothers who give birth normally, "maternal mortality rates at birth" are less effective.
- For mothers who give birth normally, There is no cut or damage to the uterus. For this reason, they can give birth normally in their second pregnancy.
- In normal births, there is less chance of experiencing risks such as infection and bleeding after birth.
- Women who give birth normally have problems such as pain after birth. It is considerably less than cesarean section.
Disadvantages of Normal Birth
- Hearing labor pains during birth,
- Pain. Fear of pain and pain,
- Fatigue caused by physical movements such as constant pushing during birth,
- Incision in the vagina,
- More problems that may occur in the vagina after birth. ,
- There are more side effects that may occur during birth.
- In which cases is caesarean section performed?
- If the baby does not progress into the birth canal
- The placenta blocks the entrance to the uterus
- In case the placenta separates from the uterine wall early
- If the baby is large, that is, in case of macrosomia
- If the expectant mother's roof is narrow
- In case of some structural abnormalities related to the baby
- In cases such as fear of birth or vaginismus in the expectant mother
- In case of multiple pregnancy
- In case of fibroids in the uterus
- If pushing is risky for the expectant mother
- If the mother has problems such as herpes infection or genital warts
- If the expectant mother has had previous operations
- In cases where it is necessary for the baby to be born urgently Cesarean birth can be done.
How Does Caesarean Birth Happen
Under normal conditions, birth by cesarean section is completed within 30-45 minutes. In case of a possible mishap, this period may increase up to one hour. Birth is performed under anesthesia. This can be done with general anesthesia or spinal anesthesia.
The expectant mother is given anesthesia to avoid pain during the surgical procedure. With general anesthesia, nothing is felt during birth and you are completely asleep. In spinal, or epidural, anesthesia, the expectant mother is awake but does not feel pain. In this method, anesthesia is administered through a thin tube inserted into the waist. In this way, only the lower body is anesthetized.
Disadvantages of Caesarean Section
Although it is very rare in Caesarean section surgery, the most common complications are infection, bleeding and the pelvic organ, that is, close to the uterus. These are injuries to organs such as the bladder and intestines. Blood transfusion may be required in 1-2% of aesarean section surgeries due to excessive bleeding. Very rarely, the uterus may even need to be removed surgically due to excessive bleeding. (See: excessive bleeding after birth)
- After cesarean section, the risk of clot formation in the leg veins (deep vein thrombosis, dvt) and blood clots in the lungs is higher than normal birth.
- A disadvantage of cesarean section is that it delays or prevents mother-baby interaction immediately after birth.
- The mother recovers much later after cesarean than after normal birth. He is discharged from the hospital later. It takes longer for her to return to her daily life and work.
- Pain after cesarean section is much more than normal birth.
- In subsequent births of the mother who had cesarean section, the placenta (the baby's partner) settles in the cervix or Complications such as adhesion to the uterine wall (previa, detachment, accreta) are more common.
- The mother who undergoes cesarean section largely loses the chance of giving birth to her next babies with normal birth.
C-section. There is a higher risk of respiratory distress in the baby afterwards. In normal birth, the water in the lungs is expelled due to the pressure the baby experiences while passing through the birth canal, but since this does not happen in a cesarean section, respiratory distress may occur. The risk of developing temporary neonatal tachycardia (TTN) and RDS was found to be 7 times higher in the baby during elective cesarean section.
Rarely, complications may occur due to general anesthesia or spinal or epidural anesthesia.
- The mother who had a cesarean section may not be hospitalized again due to any complications after birth. The risk is higher than in those who give birth normally.
- Breastfeeding success is lower in babies born by cesarean section.
- Some studies have shown that asthma is more common in children born by cesarean section.
- Mothers who have had a cesarean section have a higher risk of experiencing infertility problems in the future due to adhesions that may occur in their abdomen due to the surgery.
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