Caesarean section is a surgery that has many associated complications and a higher risk of maternal death and therefore should only be performed when there are medical indications for this type of procedure, such as fetal distress, prolonged labor or when the baby is very large, for example.
The decision by cesarean section should be made by the doctor but it is also important to take into account the desire of the pregnant woman to have the normal birth or not. Although normal birth is the best way for the baby to be born, it is sometimes contraindicated, it is necessary to perform a cesarean section and it is up to the doctor to make the final decision after checking the state of health of the mother and baby.
Some good reasons for doing a cesarean are:
1. Fetal distress
When the baby's heart rate is weaker there is evidence that the baby is in distress and in this case it is always necessary to have a cesarean section as soon as possible because, in this case, there is a greater risk of death when choosing normal delivery.
2. When the baby is not upside down
If the baby is lying on its side and does not turn up until the time of delivery, it is more appropriate to have a cesarean because there is a greater risk of fetal death or soon after birth. The cesarean section is also indicated when the baby is turned upside down and may be indicated when the baby is turned upside down but is positioned with the head slightly turned back with the chin facing upward when the ideal position is that the chin is as close as possible to the chest.
3. In case of twins or when the baby is too big
In twin pregnancy, when both babies are properly turned upside down the delivery may be normal, however, when one of them has not yet turned up until the time of delivery, it may be advisable to perform a cesarean section. When it is triplets or quadruplets it is advisable to have a cesarean section.
When the baby is over 4.5 kg, it may be very difficult to get through the vaginal canal, so in this case it is more appropriate to resort to caesarean section. However, if the mother does not suffer from diabetes or gestational diabetes and has no other aggravating circumstances, her doctor may indicate normal delivery.
4. Premature baby, with low weight or has some syndrome
Premature or low birth weight infants tend to require more breastfeeding and are at increased risk of complications, as are those who have diseases such as hydrocephalus or who have an organ such as liver or heart on the outside of the body should always be born through cesarean section .
5. Delivery takes more than 12 hours
When the labor is over 12 hours and the facilitation of oxytocin has been tried and when there is no complete dilation, the doctor may indicate that a cesarean section is performed because there is a risk of rupture of the uterus and also the possibility of post- childbirth, a complication that endangers a woman's life and occurs when after birth, the uterus does not return to its normal size and there is a great loss of blood.
6. In case of placenta previa or detachment of placenta
When the placenta is located in a place that obstructs the passage through the birth canal, it is more appropriate to make a caesarean because it is possible that the placenta leaves before the baby brings severe complications the same occurs when there is detachment of the placenta. These indications occur because the placenta is responsible for the arrival of oxygen and nutrients for the baby and when it is compromised, the baby can enter into suffering.
7. When the umbilical cord comes out first
When there is complete dilatation and the baby is about to be born, normal delivery can be expected, but when the cervix is not fully open and the baby may be slow to be born, it may be safer to perform a caesarean section.
8. When the mother has HIV, Herpes or HPV
To prevent the baby being contaminated during childbirth the doctor may indicate the use of antiretrovirals at the end of gestation and opt for cesarean sections. Breastfeeding is contraindicated and the baby should be fed bottle and artificial milk. See what you can do to not contaminate the baby with the AIDS virus by clicking here.
When the mother has genital herpes wounds late in pregnancy, the baby can be infected with the herpes virus and so it is more appropriate to give a cesarean section. However, if a woman takes antiviral drugs for 7 days, the wound can heal faster and if labor has not started until 41 weeks, she can try normal delivery.
When the mother has HPV and the wounds are located inside the vagina, where the baby passes, as it can be infected with the virus the doctor should indicate a cesarean. However, when the disease is in the remission phase and small wounds can not be seen even in the colposcopy examinations, one can choose normal delivery.
9. Other diseases in the mother
When the mother has illnesses such as psychological distress, heart or lung problems, purpura or cancer, the doctor should evaluate if there is a risk of death during childbirth and if the risk is small, one can expect normal labor. But when the doctor comes to the conclusion that this could endanger the life of the woman or the baby, it may indicate a cesarean section.
10. When the mother has already made more than 2 Caesars
If labor does not start spontaneously, it is necessary to take oxytocin into the vein, the doctor may indicate a cesarean section because there is a greater risk of uterine rupture and death of the mother during childbirth. However, if the woman has already had a normal delivery baby after a cesarean section, there is evidence of minor complications and it may be possible to attempt normal delivery.
Other surgeries in the uterus that also indicate the need for cesarean section are removed from uterine fibroids, uterine reconstruction surgery in case of anterior uterine rupture.
Although the cesarean section is a surgery that has its risks, as in any other surgery, this may be the best option for the arrival of the baby and so one should talk to the doctor and understand his position when he opts for this surgery . Here's how to recover from a faster cesarean section by clicking here.
