This situation is quite common, not only here, but also abroad. It is difficult to explain to a specialist whose arguments are based on a rational position, why suddenly my mother "took it into her head" to give birth to herself, especially when she has a guaranteed opportunity to avoid birth difficulties. And if a woman has an anamnesis, not one, but several operations of cesarean section, she looks like a "fussy little lady", which "every nonsense comes to mind." For a specialist, a tactful and thoughtful search for an answer to the question of why a woman wants to give birth after the operation herself, in each case will help her to understand her client as a person. And for the future mother clarification and explanation to other people of their motives will be a good test for the "purity" of intentions, when children's illusions will be weeded out, giving way to mature and balanced decisions.The next birth after cesarean section is the topic of the article.
Here is an incomplete list of questions that will help you understand the motives that guide a woman.
♦ What were the expectations from the first birth (before the operation of cesarean section)?
♦ For what reason (medical, organizational, psychological) was the operation performed?
♦ How was the physical and psychological recovery of my mother after the surgery?
♦ How did the crumb felt (Apgar score, health and development characteristics)?
♦ How did the baby grow, how did your relationship develop?
♦ Why were there any doubts about the correctness of the choice of the tactics of the first birth?
♦ What attracts you to the possibility of natural childbirth (for yourself and crumbs)?
Reflecting on these questions, it can be seen that the first six relate to the personal experience of a woman, and the last question is outside the field of her experience. If the desire of natural childbirth does not rely on a deep critical analysis of one's own experience, there is a risk of falling under the pressure of someone else's opinion. In the popular literature and on the Internet there is a lot of information about the possibility of deliveries after the operation, the advantages of this choice for mother and child are described in detail, but there is practically no information from specialists who accept such births. Let's try to draw a more complete picture, focusing on the pros and cons of independent births after cesarean.
Pros...
According to experts, from 60 to 85% of women who underwent a cesarean section can give birth independently. It means; that there are clinics and specialists who can meet the desire of the future mother and help her to give birth after Caesarean. There are also centers for preparing for childbirth, where they conduct purposeful work (diagnostic, preventive and training) with women who have a history of caesarean section. Natural births allow the mother to experience the whole process of the baby's appearance from the beginning to the end. Awareness of their role in childbirth and understanding of what is happening at this moment with the child, contributes to the development of a responsible parental position. But without this awareness and understanding, natural births alone are not a guarantee of the development of valuable qualities for parents! On the one hand, natural births avoid a long and often painful recovery period after cesarean section surgery. On the other hand, some women who give birth through natural birth canal are not insured against the need to recover from childbirth, as there are cases of infection in labor, large blood loss, complicated sutures, trauma to the birth canal. Sometimes the risk of a repeat operation is higher than the possibility of natural childbirth, for example, in the case of complex progressive diseases of the mother (as a rule, it is obvious to the woman herself and her doctor). One of the most compelling reasons that women argue for their desire to give birth is the influence of the "unnatural" way of birth on the formation of the character of the child.For some reason it is believed that the "Caesar's children" are timid, inclined to longer dependence on parents, to the stresses and harder endure life difficulties.
There are many empirical observations of practical psychologists, which confirm this point of view. On the other hand, there are examples of "Caesarea" that do not fall under such a characteristic, which means that it is not so much the operation itself as in the methods of upbringing and your attitude towards the child.Therefore, there are ways to correct the consequences of this way of the child's appearance to the light, and it is your parents' forces.The organization of natural births in such a difficult situation requires a woman of considerable courage. She needs to argue her choice, be persistent in the search for specialists, sensitive to her own organism y, to be able to maintain a positive attitude to labor, in spite of all kinds of "horror stories", have determination and other important qualities. In the process of preparing for childbirth, you need to learn to relax well in the bouts and pull yourself right. In the births, in addition to all the necessary skills usually required by the woman in labor, the woman giving birth after Caesarean section needs constant self-diagnosis skills, good contact with a specialist, the ability to quickly include all her psychological and physical resources to overcome difficult moments. Of course, getting such an experience almost automatically takes you to the category of "hero", which gives for many years the remarkable strength to be a good mother.
... And cons
From 15 to 40% of women who underwent Cesarean section surgery can not give birth through natural birthmarks, since they have absolute contraindications to vaginal births. According to many experts who lead such births, the clinic should have its own anesthesiologist for conducting natural births in women with a scar on the uterus. Not all cities and maternity homes have such an opportunity. With all normal indications for vaginal birth, labor after the operation should go without medication. That is, it should be almost entirely natural birth, otherwise contraindications to their completion are more likely to occur during their course. The emergence of unscheduled contraindications during childbirth can be a surprise for a woman who has been preparing for natural childbirth for a long time, but has again received surgical intervention. Sometimes it causes a number of negative psycho-emotional conditions that interfere with my mother for some time after the birth of the child to adequately fulfill her maternal functions. In the delivery itself, a woman sometimes is not ready for constant monitoring, internal examinations of scar availability and other unexpected medical manipulations. The characteristics of the country and the city, too, leave an imprint on the attitude to this variant of birth. Unfortunately, in our country this is still an unreasonably risky undertaking in the eyes of the majority. Here is an approximate plan that allows you to adequately prepare for such a variant of birth:
1. Understand the reason for the previous operation: was it possible to do something to give birth independently: how great was the risk of independent birth: what was in your power to change the situation.
2. Find a maternity home and / or professionals who are positively related to such births.
3. Find specialists who can be safely entrusted with the diagnosis of the scar on the uterus, the location of the placenta and the degree of narrowing of the pelvis. If the diagnosis is in doubt, check with another independent specialist. Decide on your individual indications and contraindications.
4. Find an assistant in childbirth who owns (or can master) techniques of non-drug stimulation and anesthesia. Prepare for childbirth together.
5. Make a plan for childbirth, discuss it with an assistant, a doctor and a midwife. If necessary, correct it.
6. Discuss with the doctor the possibility of avoiding labor, stimulation, anesthesia and constant monitoring, which can complicate the course of labor and increase the need for surgery.
7. It is very desirable to work with a psychologist. It is important to form a confident, reasoned rational position regarding all the circumstances of the previous pregnancy and childbirth and the current situation. And even more significant is the work with negative attitudes and experiences from past and present experience. Feelings of guilt, an inferiority complex, anger and resentment, a desire to prove something to someone - not the best companions of a pregnant woman in her preparation for childbirth.
8. For the full preparation, it is important to leave in your plans a place for surprises. To teach a child to love life is possible by any means of its appearance. Preparedness for unexpectedness will remove excessive control, help to trust the situation and not to feel disappointed with the changes in its scenario.
Work on bugs
Sometimes, not real contraindications, but public attitudes lead women to the inability to give birth independently. And since the obstacles in the form of cultural stereotypes are sometimes simply insurmountable ("So it's not accepted!"), It is important for parents to understand that the possible psychological consequences of a cesarean section for an infant can be prevented and corrected.In many centers for the preparation for childbirth, specialists working in family counseling in the postpartum period, and many of them own the necessary methods.
To help parents and children after cesarean can:
♦ timely informing about the peculiarities of "Caesarean children";
♦ diagnosis of individual crumbs;
♦ selection of methods of rehabilitation and development of the child and education of parents;
♦ change of psychologically unproductive moments of the parental attitude to the child.
When parents develop a sensitive and responsible attitude to the child, they intuitively or knowingly find the right approach. And even the expert's expert eye will not find out the consequences of "non-standard" births in the child.In general, life itself copes well with educational tasks, one has only to be attentive to these lessons.In any case, the attempt (even failed) of natural births after a Caesarean section operation is commendable, as it demonstrates your responsible attitude to the role of the mother.This characterizes you from the very best side, and even if something in the birth goes wrong and yet you have to resort to surgery, you will still necessarily be a good ma my!
Recommendations for parents "Caesarea":
• Create a psychologically favorable atmosphere around the baby to build his trust in the world (tactful setting of the regime, breastfeeding, sufficient affinity with the baby).
• Taking into account individual possibilities, increase the threshold of resistance of crumbs to stress with the help of physical exertion (swimming, massage, hardening).
• Create conditions for the growing up child, in which he could learn to overcome obstacles himself (crawling, the ability to group in the fall, the development of walking skills without the use of limiters).
• Carefully and timely change the relationship between you and the child with age, without getting stuck in the stage of lisping, when he has grown enough.
• Carefully pass age crises. Be especially attentive to the child at this time.