The need for urgent medical intervention

Sometimes during childbirth, various unforeseen situations and complications can arise, in connection with which, doctors and obstetricians resort to forced medical intervention in the generic process.

The need for urgent medical intervention during childbirth occurs when labor activity suddenly abates, when the mother is unable to give birth independently and in other cases when there is a threat to the health and life of the fetus.
Forced medical intervention in the generic process is the imposition of obstetric forceps, vacuum extraction, and perineal incision.
One of the most "terrible" forced operations during labor is the imposition of obstetric forceps. Among many people, there are many questions and doubts about the need for such intervention, since they believe that this operation leads to trauma of the fetus during childbirth. It should be clarified that the high traumatic nature of this operation is mainly related to the cases in which it is performed. In the normal course of delivery, the doctor will never take the child out of the birth canal with forceps. But there are cases when without such intervention the fetus can simply die.

For example, the situation when the fetal head sank into a small pelvis, and the birth activity froze. In this case, the fetal heart becomes irregular, and then gradually stops, the fetal hypoxia occurs. If, in such a situation, it is not urgent to intervene and impose forceps, the fetus will die. Caesarean section is not done here, since the child has already dropped too far from the abdomen into the pelvic region. The only ways to help the mother and child - the application of forceps or vacuum extraction of the fetus. The less time an operation takes, the better the baby will feel after birth, since he develops hypoxia.

The application of forceps and vacuum extraction are performed only by specialists who know the technique of performing these operations. The essence of these operations is that the child is extracted from the birth canal with the help of special adaptations. The difference between applying forceps and vacuum extraction is that vacuum extraction simply helps the woman in labor to push and give birth to the baby's head, and the forceps replace the attempts, the child leaves the birth canal under the external influence of the doctor.

These medical interventions can be performed with a decrease in labor activity, with the threat of hypoxia, with contraindications to stress during labor (heart disease, late gestosis, hypertension, etc.)

Extraction of the fetus by the head with forceps or vacuum does not injure the cervical vertebrae and the very head of the child, as people think. When you leave the birth canal, the fetal belt is in the wide part of the pelvis, which means that the child is easily removed from the birth canal with the help of an obstetrician and a doctor.

Another of the main forced operations during labor is the dissection of the perineum. The muscles of the perineum are strong, and sometimes prevent the baby's shoulders from appearing on the light, pinching them. Therefore, with the appearance of the baby from the birth canal, the eruption of the perineum is now widely spread to facilitate the birth process.

Of course, such a medical intervention, such as perineal incision, is performed when obstetrical forceps are applied and during vacuum extraction of the fetus. So the head of the fetus is less susceptible to injury and easier to exit through the birth canal. Also, the perineal dissection is used when there is a threat of rupture. Practice shows that the gap is more difficult to sew, it heals harder and much longer than the cut.

Another important reason for the operation of cutting the perineum is that the muscles of the perineum are subjected to such a strong tension and stretching during childbirth that in the future their tone can decrease so that with age such unpleasant problems as the prolapse and prolapse of the internal genital organs .

With premature births, the perineal incision is almost always done to exclude any risk of injury to the child when leaving the birth canal.

Treat all medical interventions in the birth process, including forced labor during labor, as a way to facilitate the birth process. Doctors primarily want to help more easily and quickly complete your birth process, and make it as safe as possible for the baby.

Give birth easily!