Which is better: caesarean section or artificial birth: expert advice? If you are still in favor of caesarean section, read the arguments against it. Attachment to the breast after caesarean section

According to world statistics, now every fifth woman gives birth with the help of surgical intervention. In the 80s the numbers were different: then only every tenth person had surgery. But both then and now, some women encountered certain difficulties that few people talk about: women cannot cope with the fact that the birth did not go as they dreamed, that they were unable to give birth without surgery. In addition, some psychologists argue that women who have a cesarean section take longer to feel the joy of motherhood than those who give birth on their own. They explain this by the fact that the mother’s attachment to the baby, their unbreakable bond, occurs in the very first hours after birth, while after a cesarean birth, mothers are separated from the baby longer. Although it is clear that this separation is sometimes necessary for a woman who has undergone surgery. And in the case of emergency intervention, women in labor do not yet have time to prepare psychologically: first the contractions, and then: “You can’t handle it on your own, you need to have an operation.” Caesarean section is a whole tangle of physiological and psychological aspects. But if doctors are responsible for physiology and experienced specialist will always solve problems that arise after surgery, then with psychological problems the young mother is left alone. For some women in labor this becomes a challenge. As you know, “forewarned is forearmed,” so it’s better to know in advance what a young mother may face.

Olga, 29 years old

“I gave birth to my eldest son myself, but my youngest son was delivered by Caesarean section - it was placenta previa. And if I could choose, I would have chosen surgery for the first time: even with pain relief, it was very difficult for me. I had an episiotomy - this is now a common practice, and the stitch took a long time to heal, not to mention the fact that I can’t sit for a month - just try standing or lying down with a small child. And the stitch after the cesarean section healed perfectly - and almost without a trace. They discharged me after a week, and not after 3-4 days, so what? IN good maternity hospital was behind me and the child good care“The midwives helped set up feeding.”

Debunking a Dream

Emotional reaction to C-section may be different - it depends on the woman, her life experience, her relationship to childbirth and medicine in general. It is no secret that now there are fighters for natural childbirth who deny the very possibility of medical intervention in such a process, thought out by nature itself, as childbirth. But, demanding a “return to our ancestors,” they forget (or are silent) about how high the mortality rate was for women of all classes during childbirth.
Some women find a positive aspect in everything, perceiving a caesarean section as an operation to save the baby. Or an option for a successful resolution of the situation when, as a result of many hours of contractions, she herself already feels that her strength is running out. For others, a caesarean is a deep disappointment, an admission of their inability to bear a child. Yana is 37 years old, she is the mother of three children, two of whom she gave birth to by caesarean section. She hadn’t told anyone before, but after learning that such a problem existed, she admits: “When I had my second caesarean section, I was confused. All I did was constantly think and ask myself: “If I am able to conceive and bear my children, then why couldn’t I bring two of them into the world?!”

Loneliness in the operating room

Why do some women have a more painful caesarean section than others? Except individual characteristics of each organism, the most important, and, perhaps, the main thing, in the case of an operation, is the attitude towards the woman in labor medical personnel– before, during and after childbirth. If the maternity hospital staff are attentive, patient and know how to calm the woman in labor, the operation does not leave such a depressing impression as if the woman is forced to experience everything in silence, “alone.” Masha, the mother of 2-year-old Makar, still recalls: “It was very cold in the operating room. I was afraid. The doctors and nurses did everything in silence - not a single person turned to me the entire time, did not reassure me, did not explain. I felt like a doll that students practice on. They showed me the child, stuck him in for a second to kiss him, and took him away. Then intensive care - and again I was alone, in complete silence!

Ekaterina, 38 years old

“My first birth was through a caesarean section - I had genital herpes. The second ones too - because I was walking around. And when they told me that the third time there would be a cesarean section, I was very upset. Everything that was dormant in the subconscious was revealed: it turned out that I did not accept, did not “survive” my previous birth. I looked for a long time for a doctor who would agree to “give birth” with me, but everyone refused. In the ninth month I finally found it the right person. These third births freed me from obsessive thoughts that I am untenable as a woman. At first it was even strange for me to say: “I gave birth.” Although I already had two children, I have never experienced this before!”

Dependence on others

In these first hours after childbirth, somewhat far from that magical and long-awaited meeting that expectant mothers picture in their imaginations, a feeling of helplessness is added to the pain. Surgery, anesthesia, resuscitation - no matter how ideally everything goes, a woman is highly dependent on the maternity hospital medical staff even for the simplest things. This dependence does not make you feel like a real mother - confident and responsible for your baby.
Anna, the mother of 8-year-old Olya, had a caesarean section when epidural anesthesia was not yet widespread: “When I came away from general anesthesia, I was “introduced” to my daughter – washed, dressed and smelling of sterile diapers. In my mind I understood that this was my child, but I myself, “in my gut,” did not feel it. No memories, no warmth... Besides, I had a fog in my head from all the painkillers they injected me with. Fortunately, this “frozen” state passed rather quickly.”

Difficulty breastfeeding

The issue of breastfeeding in the case of a cesarean section is important. In this case, mother and child need help much more often than during normal childbirth. Milk comes later than after natural birth. The body does not have time to “launch” the hormones necessary to start lactation. With the spread of epidural anesthesia, it became possible to apply to the breast immediately, directly on operating table. And here, of course, important role played by doctors and nurses who can provide real support. It is important to remember: if you cope with the problems that arise immediately after childbirth, then feeding after a cesarean section will be no different from “normal”. “The milk came only on the 4th day after the operation,” recalls Zhanna, mother of 8-month-old Alice. “The child was fed formula, but it didn’t hurt her. In addition, almost everyone in my and neighboring wards was in the same situation - after a cesarean section. On the 3rd day after the operation, you already feel good and are physically ready for feeding - this is also not an easy task for the mother of her first child.”

Depressive state

Now everyone has heard about postpartum depression, but few people know that women after a caesarean section are more often at risk - if the operation was complex. Inna, the mother of one-year-old Artem, complains: “None of my relatives or friends asked how I was feeling. Nobody talked about anyone except the child - as if I didn’t exist at all! Nobody understood my physical and moral suffering.” Yana experienced the same thing: “We often hear: “The main thing is that everything is fine with both the mother and the child.” But I, I didn’t feel good! But I had no right to complain, everything was fine with the child, he was born absolutely healthy - no one was interested in the rest.” Mothers who have given birth themselves feel their self-esteem has increased, while women who have had a caesarean section sometimes feel inferior.

Christina, 36 years old

“I had two caesarean sections: I was very poor eyesight and retinal rupture, and even with ideal obstetric indicators 15 years ago there was no talk of ordinary childbirth. I had the operation under general anesthesia and tolerated it well: everyone in the operating room was very nice to me, I had to spend a day in intensive care, but the pediatrician came twice and told everyone about the babies. And in the postpartum period they immediately brought in a daughter. 12 years later the youngest was born - already with spinal anesthesia. I saw and heard everything: how I screamed, how they weighed me, washed me, dressed me, and immediately put her to my chest. It’s as if I gave birth myself, but without pain.”

Confidence in the need for surgery

In order for a young mother to psychologically accept and calmly endure a cesarean section, she must be prepared and convinced of the need for the operation. This, of course, depends on the doctor: it is he who must explain and prove everything. Although, it must be admitted, not all operations are justified. WHO recommends that doctors adhere to the norm in 15% of operations out of all ongoing births. One hundred percent indications are quite rare, they occur with the following diagnoses: umbilical cord prolapse, placenta previa, placental abruption, frontal presentation of the fetus, transverse presentation of the fetus, or cardiac arrest in a woman in labor. When we are not talking about the listed problems, options are possible - it all depends on the specific case. What if it’s a breech presentation? High-class doctors also perform such births, but they are still births increased risk, and it is better to agree to a cesarean section if you are not sure that the doctor has the appropriate experience. “I ended up in the operating room because the doctor thought it was easier this way - breech presentation, and the birth risked being delayed. At first I was upset, burst into tears, and now I think: I don’t know how everything would have turned out if it weren’t for the caesarean section. The boy is healthy, and this is the most important thing,” says Marina, mother of 3-month-old Danila.

Everything is possible

If a young mother feels depressed and confused after a cesarean section, the main thing she must realize is that she is not alone in her experiences. You can go online and chat, you can discuss the situation with a psychologist.

Many young mothers are sensitive about their experience because cesarean “promises” to be repeated even with next birth. But this is not always the case: a woman who has undergone surgery can fully expect that her second birth will be natural. 37-year-old Marina says: “I gave birth to my first child for almost 9 hours, and everything was going completely normally, but the doctors decided to do a caesarean section - they were in a hurry. And no one was in a hurry with the second and third: I gave birth for 20 hours, the next one was also long - 18, and everything was fine. Apparently, this is a personal feature that should have been taken into account the first time.” And women for whom a caesarean section has become a test are ready to do anything to give birth on their own. 32-year-old Svetlana could not come to terms with the fact that she had a caesarean section with her first child - as she says, “they were just playing it safe.” Having become pregnant for the second time, she devoted all her time to preparing as much as possible for a natural birth: “When I gave birth myself, I felt like a real woman - and absolutely omnipotent!”

” №1/2010 04.08.12

Opponents of cesarean section convince mothers that the operation is harmful for the child, and that contact between mother and baby will take longer and will not be as fruitful as during natural childbirth. Let me disagree with this and try to figure it out: Caesarean section - pros and cons.

What is a caesarean section?

C-section- this is an operation on abdominal cavity helping a child to be born. This is a quick and painless birth, but it should only be carried out according to strict medical indications.

Caesarean section: pros and cons. Some pregnant women, frightened by the stories of “experienced” people about pain during contractions and pushing, ask the doctor to perform a cesarean section on them without an indication. This is not worth doing. After all, nature came up with and thought through everything for us. And therefore, the best way to bring a child into the world is natural childbirth. Therefore, if there is no reason for surgery, you should not go for it.

There is another extreme, when pregnant women, at any cost, want to give birth themselves and sign a document refusing a cesarean section. And this is also not worth doing, because not only your health is at stake, but also the life of the child.

That is why it is necessary to weigh the pros and cons of a cesarean section and be sure to consult with a doctor about the best way to carry out the birth. If the doctor recommends a cesarean section, do not be afraid of it. You need to think only about the good, that soon you will hug your child and be happy. Our article will help you prepare for this important event.

Indications for caesarean section

There are a number medical indications, long proven by both science and time, in which C-section is the best and safest delivery for the health of both mother and child. These include the following conditions:

Mom's narrow pelvis, especially in combination with large size fetus, as a rule, are a good reason for the doctor to prescribe surgery.
Incorrect presentation of the fetus. The same goes for incorrect positions baby in the womb. First of all, we're talking about about the transverse position, as well as facial and frontal presentation. In such cases, the child is in a very unfavorable position for natural childbirth. Therefore, the less traumatic solution for both mother and baby is a cesarean section.
Fetal hypoxia. When assessing the condition of the child during pregnancy, doctors are sometimes faced with an increasing lack of oxygen. This situation is very dangerous as it can lead to irreversible brain damage to the child. On later I often resort to surgery to keep my baby healthy.
Kidney diseases, gestosis, pregnancy diabetes, vision problems - all these are indications for caesarean section. Indications for a cesarean section may include not only the health of the child, but also the health of the mother. If a pregnant woman suffers from severe kidney or heart disease, diabetes, or has poor eyesight, the doctor will recommend that she deliver the baby promptly.
Placenta previa, especially complete, is a strong and undeniable indication for cesarean section. The fact is that in this case the placenta blocks the hole internal pharynx, which begins to expand with the very first contractions. As a result, the placenta separates. The mother begins to experience massive bleeding, and the child may die from hypoxia. To avoid all this, the mother is closely monitored during pregnancy and a planned caesarean section is prescribed.

Emergency caesarean section differs from elective surgery the fact that indications for cesarean section appear during natural childbirth. This premature detachment placenta, establishment of discrepancies between the mother’s pelvis and the size of the child, prolapse of the umbilical cord and prolonged labor.

Anesthesia for caesarean section

As a rule, spinal anesthesia is now preferred caesarean section. Its advantage is that the mother remains conscious throughout the operation. Therefore, he can see his child, hear his first cry and even put his baby to his chest for the first time, albeit for a short time. The disadvantage is the possible occurrence of severe headaches in the postoperative period.

Some clinics still prefer general anesthesia. But, firstly, in this case you will see the child only the next day or a few hours after the operation. And, secondly, coming to your senses and recovering from anesthesia in this case is much more unpleasant and difficult.

Suture after caesarean section

Modern mothers no longer need to be scared of stitches. If earlier at caesarean section cut almost the entire abdomen, now they are limited, as a rule, to a small incision at the very bottom of the abdomen. The seam after healing is almost invisible and does not spoil the appearance of a woman even on the beach.

Manipulations after caesarean section

After the operation, you will definitely have an ice pack placed on your stomach and monitored in the ward. intensive care. After the doctor makes sure that everything is fine with you, you will be transferred to a regular ward, usually with your child.

After caesarean section mother and newborn remain in the maternity hospital for a week. During this time, mommy not only practices swaddling, feeding and expressing milk, but also learns to take care of herself after surgery. And the medical staff helps her with this.

Attachment to the breast after caesarean section

As for breastfeeding, it should be done as quickly as possible. Firstly, lactation causes the uterus to contract. And, secondly, on the first day colostrum flows from the mother’s breast - useful substance. It is not only very nutritious, it also contains immunoglobulins, which protect the child from all kinds of infections.

We recommend that you start pumping immediately. Of course, nowadays more and more often you can hear the opinions of authoritative people that this procedure is useless and unnecessary, they say, the presence of milk is regulated in accordance with the requirements of the child. This is, of course, true, but only if lactation has already been established. In the meantime, the mother and the newborn are getting used to each other’s needs, the body still needs to help and “decant” the breast, as the old midwives said.

About skin-to-skin contact

Many mothers are afraid that they will not be able to establish close emotional contact with their child. I would like to reassure you right away. This is wrong. Natural childbirth is not at all a guarantee of spiritual closeness between a mother and her baby. All in your hands. Your baby has just been born and you are all he has, the closest and necessary person. You have the power to give him love and warmth, to become yourself for him. best mom. And, believe me, a caesarean section cannot in any way interfere with the development of this intimacy.

Regimen after caesarean section

Follow all your doctor's instructions and take all the medications he prescribed for you without delay.
If possible, try to lie down and rest more.
Be sure to support your stomach during sudden movements, sneezing, coughing and laughing. When sitting down and standing up, do not forget to lean on something reliable, and smoothly lower and raise your body.

Thus, very little time will pass and you will forget about all your discomfort related to the operation. After all, now you have a Miracle - your long-awaited child! And it doesn’t matter at all how you gave birth to him, yourself or with the help of an operation, the main thing is that he will love you, and you will love him! After all, the happiness of motherhood does not depend on the conditions of the birth of the baby, it simply settles in your heart at the moment the baby is born!

Children after caesarean section

Newborns after caesarean section It is somewhat more difficult to adapt to extrauterine life, compared to children born in the usual way.

Why is this happening?

In full-term pregnancy during caesarean section the child does not go through all stages of the birth act, in particular, movement along the mother’s birth canal. And this condition is necessary for “ripening” respiratory system newborn The so-called “fetal fluid retention syndrome” often develops. It is known that the fetus does not breathe through the lungs, and normally they contain a small amount of fetal fluid. When the baby goes through birth canal, fluid is “pushed” out of the lungs. With a caesarean section, the baby is delivered quickly. As a result, the lungs do not have time to adapt to new conditions, and fetal fluid remains in them. This increases the baby's risk of developing respiratory pathology. More often, an infection is superimposed on this background, and pneumonia occurs.
This situation is even more likely to occur during premature pregnancy. In an immature child C-section contributes to the development of "syndrome" respiratory disorders" In this case, the baby experiences rapid, irregular breathing. There is also an increased risk of developing pneumonia. Such newborns require careful monitoring, examination and treatment.
On the outcome of childbirth for a child caesarean section also has an effect on pain relief during surgery. Anesthesia for caesarean section can be general (inhalation) or local (epidural). There is none medication, which would not penetrate the placenta and would not affect the fetus to one degree or another. Their action leads to depression of the central nervous system and respiratory depression. The child is characterized by lethargy, drowsiness, decreased muscle tone, sucks poorly. These children require supervision and further treatment specialists.

Taking into account all risk factors for the child’s health during pregnancy and childbirth, carefully monitoring him, timely diagnosis and, if necessary, treatment, in most cases, makes these complications harmless.

Let's try to understand what a caesarean section is, how it is performed and what are the pros and cons of the operation.

Doctors are indignant in unison: what kind of fashion for caesarean sections can we talk about? After all, this is a serious operation, carried out strictly as prescribed by the doctor and only if natural childbirth is impossible or dangerous to the health of the child or mother. And yet some doctors state: everything more women They prefer childbirth in private clinics, where for a certain amount you can negotiate and you will have a caesarean section without any indication.

What is the operation?

C-section - abdominal surgery, at which they cut abdominal wall and a uterus to deliver the baby. It is performed under epidural anesthesia, which ensures partial loss of sensation in the woman in labor in the lower part of the body. This anesthesia effectively relieves painful sensations and, according to doctors, it does virtually no harm to the child (but more on that a little later).

The main danger during epidural anesthesia is collapse ( sharp drop blood pressure). However, if there are competent specialists nearby, then this by-effect not dangerous.

There are many more horror stories about how an incorrectly performed epidural anesthesia can lead to paralysis. lower limbs etc. But doctors advise not to pay too much attention to these stories, the main thing is that a professional doctor works with you.

How is a caesarean section performed?

First, the abdominal wall is cut, either along the midline or transversely above the pubis. The second method is now used more often because it gives better cosmetic effect and after it there are fewer complications.

After the incision, the child is carefully removed by hand or using tools - forceps or a vacuum extractor. To reduce the risk of blood loss, uterine contractions are injected into the uterine muscle. After manual examination of the uterus and removal of debris ovum The uterus is sutured, then sutures are placed on the peritoneum, abdominal muscles and skin. To stop bleeding, after surgery, an ice pack is placed on the abdomen for one and a half to two hours.

During the first 24 hours after birth, the woman in labor should be in a special postpartum ward. During this time, she is monitored by an anesthesiologist.

On the first day after surgery, you are allowed to drink only water with lemon juice. Instead of food, nutrient solutions are administered intravenously using a drip.

The next day the new mother can already drink chicken bouillon, fruit drinks without sugar, eat boiled meat minced through a meat grinder, porridge and low-fat cottage cheese. It is allowed to return to a normal diet only on the fourth or fifth day.

Sit down and move around minimum distances possible two to three days after a caesarean section. In addition, for a week you need to treat the seam daily (for example, with iodine or brilliant green) and change the bandage.

Discharged from the maternity hospital in the absence of any complications on the seventh to tenth day after birth.

It is better to plan the next pregnancy after a cesarean section after two years. During this time the body will have time to recover after previous pregnancy and previous surgery.

Increasing in Lately The popularity of Caesarean section can be found in a completely logical explanation. Young ladies who voluntarily go under the knife say about the benefits of the operation before a normal, natural birth.

Firstly, painlessness: the operation is performed under anesthesia, the woman does not feel pain. As a result, childbirth turns from a frightening event into a completely bearable event.

Secondly, at modern development technologies, after surgery, barely noticeable cosmetic scars remain. And this is much better than tears and stitches in the perineum that occur during normal childbirth. In addition, the condition of the external genitalia is not disturbed, the vagina remains narrow.

This is where the advantages of the operation end and begin. minuses, which many people prefer not to think about. But in vain. With a caesarean section it is possible:

Infection into the uterus or pelvic organs ( bladder, kidneys)
Big blood loss: Blood loss during a caesarean section is twice that of a normal birth.
Weakened bowel function- for several days after the operation, unpleasant sensations are possible, such as bloating, flatulence, discomfort, constipation.
Long recovery after surgery: if after normal childbirth a woman remains in the maternity hospital for one or two days, then after a caesarean section, the hospital stay increases to four to five days.
Pain after surgery: for several days it is difficult for a woman to walk or bend over, but this goes away two to four weeks after birth.

But that's not all. Officially, doctors assure that a caesarean section causes minimal harm to the baby’s health. And yet he is there. Children born by caesarean section have greater risk development of respiratory disorders (for example, rapid breathing in the first days of life). And, of course, problems with the central nervous system: due to the use of anesthesia, children in the first months of life may be drowsy, lethargic and weak.

Of course, if cesarean - the only way out, then there is no need to be afraid and panic. As mentioned above, the main thing is that the operation is performed by professional doctors. But if there are no indications for surgery, then it is better not to subject yourself and your child to additional stress.

In any case, no matter what method of delivery the doctors prescribe for you - natural or surgical, it makes sense to consult with several specialists, weigh the pros and cons, and only then make a decision, guided primarily by the issue of maintaining health, and not fashion and beauty.

read books about pregnancy and childbirth, take classes to prepare for childbirth;
find good doctors and midwife, talk to several candidates, ask questions that concern you;
visit several maternity hospitals and find out what their percentage of cesarean sections is.

And only after that, make a decision about where and how your baby will be born.

I read a review here. The girl describes how wonderful everything went for her and got up an hour later and there is no roller and she lifts everything herself... (I’m happy for you with all my heart), but at the end she wrote don’t be afraid of fears, everything is individual! And she is 100% right. Just don’t think after reading her review that everything will be the same for you. Actually, don’t try my review on yourself. Everyone has their own truth.

I was shown a caesarean section, I was scared that with ER the child could get injured, break his arms, etc. But on the day of the operation, when I was sitting in the room and waiting for them to take me to the delivery room, my doctor came and said, maybe we won’t do it ourselves, huh? I refused. As a result, the baby was born almost 4 kg and everyone understood that a CS was the best option.

Thank God everything went well, the baby was born healthy, and this is the most important thing that a mother should think about when choosing a method of childbirth.

But my operation has its pros and cons. I don’t want to scare anyone or convince anyone of the correct choice of cesarean. Just read and draw your own conclusions. My opinion, I made the right choice. You will make your choice yourself.

Pros +

spinal anesthesia, you are conscious and there is a low probability of the child being poisoned by the anesthesia

the baby is immediately put to the breast

there is no risk of injuring the baby during childbirth

no tears or cracks during childbirth

Minuses -

a scar on the uterus, after which independent childbirth is in question

the seam, although small and beautiful, remains

you need to abstain from heavy weights for some time (more than 3 kg - but a child can be born even 4 kg and you automatically break this rule)

you can't get pregnant for a while

I had the operation with spinal anesthesia. I’ll say right away when I was injected with it, I almost lost consciousness at the sight of the needle) It is thin and very long, but the injection itself is painless.

I was conscious, I heard everything and saw shadows through the screen, without feeling anything. Therefore, there was no panic. But when they took out the baby, it hurt, as the doctor said it was tolerable, at that moment I passed out, either from pain or to me anesthesia was added. And I woke up when they were already stitching it up. I didn’t see the baby and didn’t hear her scream for the first time, it’s a little disappointing. When everything was stitched up, they brought me my doll, already dressed, I fed her, they politely showed me how to feed correctly, they helped a little))) Well, that's all about the operation itself))) According to my recollections, the most terrible thing was the injection with anesthesia and not even the injection itself And his appearance))) I didn’t feel any pain after the operation, apparently the pain was numbed.

I was taken on a gurney to the intensive care ward, and the baby was immediately brought in. My daughter was with me all the time. I was really a little scared. They put her on my bed, but I was still paralyzed from the waist down, then they put the baby in her trough. In my hospital there was a special team of girls on duty who came to the rescue at the first call, helping women in labor after a caesarean section. Basically, this help consisted of handing in a baby at first while you couldn’t get up.

I didn’t have any headaches after the anesthesia, I felt great.

They told me to get up in 6 hours, nurses came and helped. And as it is written in the reviews, this is not life-threatening after 6 hours, it’s just that after general anesthesia you can physically walk, but after spinal anesthesia you cannot because your legs are paralyzed. as soon as you start to feel them, you get out of bed.

The next day I went.

This is how the operation went. I’m happy with everything.

Now about postoperative period. I wrote about the first days. Every day it became easier and within a week I was running around the hospital. I was rushing to the pharmacy myself and everyone who gave birth was surprised how I was running around like that. The only thing is that the baby was born almost 4 kg, and after a caesarean section you can only lift 3. Naturally, I carried the child in my arms, even though my husband helped me. And this slowed down my recovery a little and my stomach ached for some time.

Now the baby is already 4 months old. I feel myself good. The seam is small cosmetic and not noticeable under the swimming trunks. The seam area is still hard and sensitivity has not yet fully recovered. But I think it’s not a problem, over time everything will fall into place) This is not a big price to pay for a calm birth and the health of the baby.

Do not be afraid of anything, and tune in only to the good, regardless of whether you choose a cesarean section or give birth yourself. Most importantly, you will soon become the happiest mother in the world. Health to you and your kids! I hope my review will be useful to you!

Children are increasingly being born through cesarean section. In Russia, the share of these surgical interventions is already 23%. The reasons for a caesarean section are not always medical - many women insist on surgery because strong fear before childbirth. A new concept has even appeared in the world - tokophobia. Why are women afraid of natural childbirth, and is caesarean section safe without indication?

How is a caesarean section better than a natural birth – the advantages of the method

It is the only choice if there are absolute medical indications. The operation helps the baby to be born when narrow pelvis in the mother, discrepancy between the size of the fetus and the birth canal, placenta previa, etc.

Caesarean section without medical indications also has some advantages:

Pain relief makes the birth of the baby comfortable.
The fetus does not pass through the birth canal, which means there are no perineal ruptures.
Caesarean is much faster than natural childbirth.
The operation can be scheduled for convenient time, day of the week.
The outcome of a caesarean section is much more predictable.
The child does not receive birth injuries during contractions and pushing.

Caesarean really relieves a woman from painful contractions . It is this advantage of the operation that makes it so fashionable.

A big plus for modern woman is and no perineal tears and weakening of the tone of the vaginal walls. Many women worry about whether they will maintain their sexual attractiveness after having a baby.

Faster delivery with the help of Caesarean section there is no doubt. After all, childbirth takes 12-20 hours, and surgery only takes 30-40 minutes. However, recovery period after surgical intervention significantly longer than after natural childbirth.

The predictability of the outcome of a cesarean section and the absence of birth injuries to the baby would attract most reasonable women. However, just these advantages are always in question. Oddly enough, children with trauma cervical region and postnatal encephalopathy after cesarean section is even greater than after normal childbirth.

In addition to some advantages, a caesarean section without indications also has obvious disadvantages.

Video: Caesarean section - pros and cons

Why is caesarean section worse than ER?

A caesarean section is a serious operation that carries certain risks for mother and baby. It is known that severe complications for the mother are 12 times more common during caesarean section than during natural childbirth.

Anesthesia is a big risk . can cause great harm to health.

In some cases, general anesthesia ends in shock, circulatory arrest, brain cell damage, pneumonia. Spinal and epidural anesthesia can be complicated by inflammation at the puncture site, inflammation of the membranes spinal cord, injury to the spine and nervous tissue.

Other disadvantages of cesarean are not related to anesthesia

Difficult recovery period.
Greater blood loss than during natural childbirth.
The need for bedding and protective regime, interfering with caring for the baby at first.
Soreness of the suture, pain syndrome.
Difficulties of becoming breastfeeding.
You cannot play sports or do abdominal exercises for several months.
Cosmetic stitch on the skin of the abdomen.
A scar on the uterus, complicating subsequent pregnancies and childbirths.
Adhesive process in the abdominal cavity.
Danger to health and life in case of early pregnancy (sooner than 2-3 years).
The need for regular medical supervision in the postoperative period.
The effect of anesthesia on the baby.
At the moment of birth, a child does not produce proteins and hormones that affect mental activity and adaptation.

The recovery period after a cesarean section is quite difficult. Stress for the body is associated both with the operation itself and with the abrupt termination of pregnancy.

Hormonal imbalances manifest themselves in difficulties in starting breastfeeding . Milk appears much later than after natural childbirth. In some cases, the baby has to be fed additionally from the first days of life, which does not contribute to normal lactation.

A woman has to limit yourself in food, watch your digestion, move moderately . In the first months, it is not recommended to lift weights of more than 2 kg, play sports, swim in ponds, or be sexually active. Due to weakness and the danger of the suture breaking, the woman cannot fully care for the newborn.

Blood loss and inflammation after the intervention can lead to the development anemia, adhesions in the abdominal cavity, the occurrence of chronic pelvic pain syndrome .

Pain in the postoperative period continues for several days. Suture pain persists long time . Almost all women have to resort to painkillers in the first days after cesarean section.

The effect of a caesarean section on a child is discussed by pediatricians, teachers and psychologists. Research shows that Children born as a result of surgery adapt less well and are prone to developmental delays. As adults, they more often demonstrate immaturity and an inability to cope with stress.

Latest scientific works in this direction, they showed that during natural childbirth, the concentration of a special protein called thermogenin increases in the child’s body, affecting higher nervous activity and memory.

Which is better: caesarean section or natural childbirth: the opinion of specialists and patients

Obstetricians and pediatricians clearly believe undesirable caesarean section without medical indications . The operation carries too many risks and does not make the birth of a child comfortable for the mother.

Obstetricians consider caesarean section without indications undesirable, since all subsequent pregnancies will be burdened by this fact . After surgical delivery, it is necessary to carefully protect yourself for 2-3 years, since imminent birth and abortion is extremely dangerous for the suture on the uterus.

At the same time, you can’t delay too long with another baby: From the previous cesarean to next pregnancy should take less than 10 years.

Pediatricians especially emphasize Negative influence caesarean section without indications for natural feeding And further development baby. These problems can be overcome, but creating them for yourself unnecessarily is very short-sighted.

The opinion of pregnant women about caesarean section was studied. In Russia, every tenth woman insists on operative delivery, without having evidence. Those women who have encountered complications with the birth of their first child are most likely to be afraid of natural childbirth.