By sleeping completely with general anesthesia…
Or being awake without pain with regional epidural / spinal anesthesia…
In this case, since you are awake, you can deliver your baby during cesarean section, as in normal vaginal-normal birth. You can see and embrace. Today, as a result of the compatibility of anesthesia formulas, the availability of strong antibiotics against sterility and infection problems, the developments in surgical suture materials and the advancement of surgical techniques, cesarean section operations have become an extremely reliable and easy process.
Cesarean section can be performed at the request of the patient (see the end of the article), or in the face of some medical necessity. These medical obligations may depend on the mother or the baby, as well as on the special circumstances of pregnancy. The cesarean section to be performed again may be at different gestational weeks depending on the course of the pregnancy. In general, the aim is to find the most suitable time for the mother and the baby.
Cesarean section can also be performed while the mother is awake using epidural / spinal anesthesia. In this case, the mother will be awake without feeling any pain… She can meet and talk with her husband in the operating room, both with her doctor and with the permission of the operating room manager. And as soon as the doctors take the baby from the mother’s womb, the motamot can give it to the mother’s breast in a form that will contact the mother as in normal birth.
Some expectant mothers may want a cesarean section with general anesthesia by sleeping completely without hearing anything. Or, depending on the rules, it can be decided to have this form with your physicians. (see bets at the end of the article). In this case, at the beginning of general anesthesia, general anesthesia gases will be taken for a short time (less than 5 minutes) until the baby is removed from the mother’s womb. However, this often does not result in troublesome results.
Causes of Caesarean Section
In the following cases, cesarean section is preferred because the risks to the mother and/or baby related to vaginal delivery are obviously increased. At the end of the article, optional cesarean section is mentioned.
Causes of Cesarean Section Related to Baby and Placenta:
Baby not advancing into the uterine canal with his head: The baby’s coming into the birth canal sideways, breech or crosswise may cause problems in normal birth. Normally, in 95% of all pregnancies, the baby progresses early, while other conditions are seen in 5%. In such cases, cesarean section is performed by many doctors in order not to put the baby at risk.
Placenta (wife) part completely covers the cervix: In this case, the progress of the baby in the birth canal will create problems due to bleeding and will put both mother and baby life at risk.
Early separation of the placenta (partner part): The separation of the placenta from the uterine wall before the birth of the baby is called “ablation placenta” or “placental abruption”. In such a situation, the flow of oxygen and nutrient supplies to the baby is disrupted. Since the life of mother and baby are at risk due to bleeding, the baby should be delivered urgently in this case.
Big Baby: It is the situation where the estimated weight of the baby on ultrasound is higher than usual. Especially in first pregnancies, if the estimated burden of the baby is calculated as more than 4000 grams near the birth, the baby will not be put at the risk of normal delivery, the doctor will make an evaluation and a cesarean can be planned directly.
Inconsistency between the baby’s head and the bone structure of the expectant mother: This situation is called narrowing of the roof in the middle of the public. The anatomical structure of the mother’s hip bone and the suitability of the baby’s head to this region affect the decision of the birth state. In cases where the hip bone roof is narrow or the head diameter of the baby is large despite the normal roof, the route to be chosen again is cesarean section.
Multiple pregnancies: Cesarean section is preferred in this type of pregnancies as it is not a rule. Vaginal delivery is avoided, especially if there are three or more babies.
In twin pregnancies, if the leading baby is breech and the posterior one is head development, this is an absolute necessity for cesarean section since the body of the first baby can be locked with the baby behind after the birth.
Some abnormalities related to the baby: There may be a need for cesarean section in the presence of some structural abnormalities that make it impossible for the baby to pass through the birth canal. The most valuable examples of this situation are the cases of “gastroschisis” and “omphalocele” where the abdominal wall of the baby is not closed and the internal organs are outside. When there is a vaginal delivery, significant injuries occur in these organs.
Cesarean section is also required in cases such as some skeletal system diseases and neural tube defects. Cesarean section is also performed in the presence of conjoined twins (Siamese twins).
Difficulty of the baby: Emergency cesarean section may be necessary in the presence of findings suggesting that the baby is thinking in the NST examinations performed during labor monitoring or before. In case of developmental delay of the baby in the uterus, strict pregnancy monitoring is required. Further increased thinking of the baby may require an emergency cesarean section.
Amniotic fluid with meconium: The intestinal contents (stool) of the baby is called “meconium”. Although the baby’s meconium during labor shows that it is burdensome, there are conflicting publications about the necessity of having a cesarean section only in this case. If the baby swallows meconium, a postpartum lung infection may develop. Therefore, when meconium is detected in the amniotic fluid, cesarean section may be preferred, although it is not a rule.
Cord prolapse or cord prolapse: When the amniotic sac is opened, the baby’s umbilical cord may hang out of the cervix, this situation is called “cord prolapse”. In this extremely urgent situation, the cord can be pinched, causing the blood supply to the baby to be cut off and the baby to die. In the presence of cord prolapse, a person inserts his hand into the mother’s vagina and pushes the cord into the uterus, and in this state, he goes to the operating room. The person does not take his hand out of the vagina until the baby is fully born. If the cord is leading in the palpation without opening the water bladder, this situation is called “cord leading”. The process to be done again is the cesarean section operation.
Maternal Cesarean Causes:
Myomas in the uterus: They can narrow the birth canal and make vaginal delivery impossible. Vaginal delivery is also avoided in the presence of giant condyloma (genital warts). If uterine fibroid surgery has been performed before, there is a risk of rupture (perforation) if the uterine muscles weaken…
Situations where straining is risky: In some cases, the expectant mother’s straining during childbirth may endanger her own health. Like advanced heart diseases. Cesarean section is preferred as straining will create inconvenience in problems such as brain aneurysm in similar form.
Herpes / HPV infection in the mother: In the presence of active genital herpes infection in the expectant mother, the baby may get the infection while passing through the birth canal. This is a very risky situation and vaginal delivery is not considered in the presence of active genital herpes.
Some previous surgeries of the mother: Cesarean section may be required due to previous cesarean section, myomectomy (removal of myoma from the uterus), herniated disc or vaginal surgeries.
Vaginismus or childbirth concerns: Vaginismus is a condition characterized by involuntary contractions of the vagina during sexual intercourse. In general, it is not possible to monitor the delivery with vaginal examination in these hysterical women. Cesarean section can be performed without any medical necessity in cases where the expectant mother is very afraid of normal birth or cannot tolerate the examination.
Non-progress of the birth action (trauma): Although the uterine contractions are systematic and strong, the necessity of cesarean section arises in cases where the cervix does not open or the baby’s head does not go down.
The most important reason why the movement does not progress is that the baby’s head cannot enter the birth canal properly. From time to time, the baby’s head may be stuck in the middle of the birth canal while the movement progresses as it should be. In this case, a cesarean is required.
In some cases, the doctor may particularly recommend a cesarean section to the expectant mother. In cases where the pregnancy is very difficult or the chance of a second pregnancy is low, such as advanced maternal age, pregnancy occurs after in vitro fertilization, cesarean section may be preferred in order to avoid the risks of normal birth to the baby and to ensure that the baby is born alive…
Optional Caesarean Section; Elective Caesarean section
In our country, the rates of optional cesarean section in hospitals have been increasing day by day, especially in recent years. In this controversial subject, cesarean section is performed on a decided day after the baby’s day (39. week and later), with the preferences of the parents-to-be, without any medical necessity. The most common causes in optional cesarean sections;
The expectant mother’s fear of normal birth,
Not wanting to take the long-term birth action,
Not wanting to put her baby at risk,
After a long period of normal birth It is the desire to avoid its negative effects (such as uterine and bladder sagging, tears and scar tissue, urinary incontinence due to sagging, pain in the relationship).
A feature of scheduled optional cesarean sections is that they face much less problems than emergency cesarean sections that have to be done immediately;
If a birth can take place naturally, that is, vaginally, without any problems, this is the best.
More than one negative opinion about cesarean section; It arises from deliveries in which pregnant women are taken to emergency cesarean section due to a mishap when natural or vaginal delivery is persisted despite a problem or risk.
