The best way for a baby to appear is to have a natural birth. This is well-known doctors, so "just like that" or at your request no one will do cesarean. However, there are situations when you have to choose between the physiological birth and the safety of crumbs and mother. It is clear that the risk is out of place here.
Without options
Indications for natural childbirth and caesarean section are of two types: absolute and relative. In the first case, the operation is unequivocally necessary: it will save the health of mom and baby. Fortunately, absolute indications for cesarean are not so many, they are only 5% of pregnant women.
Constriction of the pelvis III-IV degree
When you first come to the women's consultation, the doctor will use the special compass to measure the size of your small pelvis, the bone ring that surrounds the birth canal. Through this hole the head of the baby will pass. At an insignificant and at an average degree of narrowing natural sorts are resolved. However, during the process the doctor can decide on a cesarean if the head of the crumbs is too large. Do not worry, this happens very rarely, because nature cares about making your body perfect for your baby. But with a high degree of narrowing, cesarean is clearly shown. The pathologically narrow pelvis is often not at all an anatomical feature of a woman, but a consequence of injuries or bone diseases.
Placenta previa
Normally, the placenta is attached to the bottom of the uterus or to its walls. A similar post-
Yes, do not interfere with the crumb. However, if the placenta closes the birth orifice, caesarean can not be avoided. Sometimes the advancement of the child through the birth canal is complicated by the placenta only partially. Then the decision about the operation is taken right during the natural birth and cesarean section.
Sometimes there is such trouble as gestosis - toxicosis of the second half of pregnancy. It is characterized by the appearance of protein in the urine, pressure spikes, edema. If suspected of gestosis, you will be sent to a hospital for "preservation", will conduct the necessary treatment and begin to prepare for natural childbirth and Caesarean section. Here it is better not to risk: during labor in pregnant women with gestosis, sudden pressure rises that threaten the cardiovascular system are possible.
We will give birth?
Relative indications for cesarean section are much more common than absolute. And then you need to think together with the doctor, to look at the development of events until the very birth. The most common of these is the pelvic presentation of the fetus, that is, the baby is positioned in the uterus not upside down, as expected, but upwards. Well, with the experience of conducting such births in an obstetrician, you can give birth and yourself. But if the doctor finds you have other indirect indications for the operation, for example, a slightly narrowed pelvis, then caesarean is possible. Before seriously talking about surgery, the doctor will offer you exercises so that the baby takes the right position. For example, you can stand on all fours for 5-10 minutes a day. Effective and talking with a crumb: just ask him to turn over! You'll see, he will listen to Mom! It happens not only pelvic, but also transverse or oblique presentation. In this case, cesarean section is the safest way of delivery.
The final position of the baby takes about 38 weeks of pregnancy. Persuade! Another popular relative indication for cesarean is a scar on the uterus after previous operations. Have you had a cesarean in the past? Not the fact that you can not give birth on your own. With the help of ultrasound, a doctor should evaluate whether your scar can withstand the burden of childbirth. According to statistics, about 75% of pregnant women with operations on the uterus in the past are able to give birth in a natural way. Each pregnancy is unique, so the final verdict on the method of delivery of the obstetrician makes individually. And not everything can be envisaged! It is not excluded that the decision about cesarean will be taken in an emergency right during labor: with weakness of labor activity, if the size of the baby does not match your pelvis. But before giving birth, do not even think about it! Set your mind on the best and relax as much as possible. Nature will take its.
In full consciousness
You and your doctor came to the conclusion about the operation? Well, then there are good reasons for that. In any case, do not blame yourself and do not think that cesarean will negatively affect the baby. The main thing is that he will be born healthy! However, it will be useful to make the process as natural as possible. Now there is an opportunity to agree with the doctor that the operation will not be performed in accordance with the planned procedure (a previously agreed date), but after the beginning of the fights. Take into account this moment. However, in some cases, the doctor can recommend and do not wait for the onset of labor. For example, with pathologies of the cardiovascular system or with a serious pregnancy overdose. At your request, and also in the absence of contraindications, cesarean can be done under epidural anesthesia. You will be given an injection in the spine - and your lower half will lose sensitivity. You will not feel pain. But you will be in consciousness and with your own eyes you will see the appearance of crumbs in the light! The dose of anesthesia is carefully calculated in time. Therefore, after cesarean babies will attach to the chest, he will drink colostrum. And this will promote good lactation! The recovery period after surgery under epidural anesthesia is easier than after general anesthesia. So trust modern medicine. Doctors will take care of you with the baby at the highest level.
Myopia is not a hindrance!
Did they tell you that because of poor vision, you will only have to adjust to caesarean section? Not always like this. Not at all, the quality of vision plays a role, but the risk of detachment of the retina during the stretch period. The retina should be examined by specialists.
Future moms with myopia are recommended to undergo a detailed examination in a special ophthalmology center. However, only after the 32nd week of pregnancy, when the drugs that you will dig in to examine the fundus, it is guaranteed not to harm the baby. A survey will show whether your retina is capable of withstanding the strain of effort.
Most often, the result of such a check is a medical report: "There is no contraindication for natural delivery by the ophthalmologist". With this paper you can go to the hospital. In extreme cases, an ophthalmologist will recommend a small operation - laser coagulation of the retina, or "welding". This procedure takes a few minutes and does not require anesthesia. The final verdict on the method of delivery is made by the ophthalmologist a week after the "welding".