What is better caesarean section or artificial birth: expert advice? If you are still in favor of a caesarean section, read the arguments against it. Breastfeeding after caesarean section

According to world statistics, now every fifth woman gives birth with the help of surgical intervention. In the 80s. the figures were different: then the operation was performed only by every tenth. But both then and now, some women had certain difficulties that are rarely spoken about: women cannot cope with the fact that the birth did not go as they dreamed, that they were not able to give birth without surgery. In addition, some psychologists argue that women with a caesarean section take longer to feel the joy of motherhood than those who gave birth on their own. They explain this by the fact that the mother's attachment to the baby, their indestructible bond arises in the very first hours after childbirth, while after a cesarean, mothers are longer separated from the baby. Although it is clear that this separation is necessary for a woman who has undergone surgery. And in the case of an emergency intervention, women in labor still do not have time to prepare psychologically: first contractions, and then: “You can’t do it yourself, 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 the problems that arise after the operation, then with psychological problems the young mother is left alone. For some women in labor, this becomes a test. As you know, “forewarned is forearmed,” so it’s better to know in advance what a young mother may encounter.

Olga, 29 years old

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

Debunking a dream

emotional response to C-section may be different - it depends on the woman, her life experience, its 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 the ancestors", they forget (or are silent) about how high the death rate of women of all classes during childbirth was.
Some women find a positive aspect in everything, perceiving a caesarean as an operation to save the baby. Or a variant of 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 cesarean is a deep disappointment, an admission of their inability to have a baby. Yana is 37 years old, she is the mother of three children, she gave birth to two of them by caesarean section. She hadn't told anyone before, but when she found out there was such a problem, she admits: “When I had my second C-section, I was in disarray. All she did was constantly thinking and asking herself: “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 endure caesarean more painfully than others? Except individual characteristics of each organism, the most important, and, perhaps, the main thing, in the case of the operation, is the attitude towards the woman in labor medical staff before, during and after childbirth. If the staff of the maternity hospital 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 endure 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. Doctors and nurses did everything in silence - not a single person contacted me all the time, did not calm me down, did not explain. I felt like a doll on which students train. They showed me the child, put it in for a second to kiss it, and took it away. Then resuscitation - and again I am alone, in complete silence!

Ekaterina, 38 years old

“My first birth was by caesarean section - I had genital herpes. The second, too - because I was walking. And when they told me that the third time would be a caesarean, 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. For a long time I was looking for a doctor who would agree to “give birth” with me, but everyone refused. In the ninth month, I finally found right person. These third births freed me from intrusive thought 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 future mothers imagine in their imagination, a feeling of helplessness is added to the pain. Surgery, anesthesia, resuscitation - no matter how perfect everything goes, a woman is highly dependent on the medical staff of the maternity hospital, even in the simplest things. This dependence does not make you feel like a real mother - self-confident and responsible for her baby.
Anna, the mother of 8-year-old Olya, had a caesarean section when epidural anesthesia was not yet widespread: “When I moved away from general anesthesia, I was "introduced" to my daughter - washed, dressed and smelling of sterile diapers. With my mind, I understood that this was my child, but I myself, “in my gut”, did not feel it. No memories, no warmth... Plus, my head was hazy from all the painkillers they had given me. Fortunately, this “frozen” state passed rather quickly.”

Difficulties with breastfeeding

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

depressive state

By now everyone has heard about postpartum depression, but few people know that women are more likely to be at risk after a cesarean section - if the operation was difficult. Inna, the mother of one-year-old Artem, complains: “None of my relatives or friends asked me how I feel. No one spoke of anyone but the child - as if I didn't exist at all! No one 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 was not well! But I had no right to complain, everything is fine with the child, he was born absolutely healthy - the rest was of no interest to anyone. Mothers who have given birth themselves feel their self-esteem has grown, while women after caesarean sometimes feel inferior.

Christina, 36 years old

“I had two caesarean sections: I have a very poor eyesight and retinal rupture, and even with obstetrical ideal indicators 15 years ago, there was no talk of ordinary childbirth. I was operated on under general anesthesia, I endured it well: in the operating room everyone was very nice to me, I had to lie in intensive care for a day, but the pediatrician came 2 times and told everyone about the kids. And in the postpartum, they immediately brought a daughter. After 12 years, 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 me on my chest. As if she herself gave birth, but without pain.

Confidence in the need for surgery

In order for a young mother to psychologically accept and calmly endure a caesarean section, she must be prepared, convinced of the need for an 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 from all ongoing births. One hundred percent indications are quite rare, they occur with the following diagnoses: prolapse of the umbilical cord, placenta previa, placental abruption, frontal presentation of the fetus, transverse presentation of the fetus, or cardiac arrest in parturient women. When we are not talking about the listed problems, options are possible - it all depends on the specific case. And if the breech presentation? High-class doctors also accept such births, but still they are births. increased risk, and it is better to agree to a caesarean 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 - breech presentation, and the birth risked being delayed. At first I was upset, burst into tears, and now I think: it is not known how everything would have turned out if it had not been for a caesarean. 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 after a cesarean feels depressed and confused, the main thing that 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 painfully sensitive to their experience because a caesarean "promises" to be repeated and next birth. But this is not always the case: a woman who has undergone surgery may well expect her second birth to be natural. 37-year-old Marina says: “I gave birth to my first child for almost 9 hours, and everything went perfectly fine, but the doctors decided to do a caesarean – 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 had to be taken into account the first time. And women for whom a caesarean section has become a test are ready for 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 just played it safe." Having become pregnant for the second time, she devoted all her time to preparing as much as possible for natural childbirth: “When I gave birth on my own, I felt like a real woman - and absolutely omnipotent!”

” №1/2010 04.08.12

Opponents of caesarean section inspire mothers that the operation is harmful to the child, and the contact between the mother and the baby will be established longer and not as fruitfully as during natural childbirth. Allow me to disagree with this and try to figure it out: caesarean section - pros and cons.

What is a caesarean section?

C-section is an operation on abdominal cavity helping the baby to be born. This is a quick and painless birth, but they should be carried out only for strict medical reasons.

Caesarean section: pros and cons. Some pregnant women, frightened by the stories of "experienced" about pain during contractions and attempts, ask the doctor to perform a caesarean without indications. This is not worth doing. After all, nature invented and thought out everything for us. And so the best way to have a baby in the world is natural childbirth. Therefore, if there is no reason for the operation, you should not go for it.

There is another extreme, when pregnant women, at all costs, want to give birth themselves and sign a document refusing to perform a caesarean 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 a doctor about the best way to give birth. If the doctor recommends a caesarean section, do not be afraid of him. 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 both by science and time, at which C-section is the best and safest delivery for the health of both mother and child. These include the following states:

  • Narrow pelvis of the mother, especially in combination with big size fetus, as a rule, are a good reason for the doctor to prescribe the operation.
  • Incorrect presentation of the fetus. The same goes for wrong positions baby in the uterus. First of all, we are talking about the transverse position, as well as facial and frontal presentation. In such cases, the child is in a very unfortunate position for natural childbirth. Therefore, a less traumatic solution for both mother and baby is a caesarean section.
  • Fetal hypoxia. Assessing the condition of the child during pregnancy, doctors are sometimes faced with a growing lack of oxygen. This situation is very dangerous, as it can lead to irreversible damage to the child's brain. On the later dates I often resort to surgery in order to keep the baby healthy.
  • Kidney disease, preeclampsia, gestational diabetes, vision problems - all these are indications for caesarean section. Indications for caesarean section can be not only the health of the child, but also the mother. If a pregnant woman suffers from severe kidney or heart disease, diabetes, or has poor eyesight, the doctor will recommend that she promptly deliver the baby.
  • Placenta previa, especially complete, is a strong and undeniable indication for caesarean section. The fact is that in this case, the placenta blocks the opening internal os, which begins to expand with the very first contractions. As a result, the placenta exfoliates. The mother begins 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 planned operation the fact that indications for cesarean appear during natural childbirth. it premature detachment placenta, the 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

Generally, spinal anesthesia is currently preferred. caesarean section. Its advantage is that the mother is conscious throughout the operation. Therefore, he can see his child, hear his first cry, and even attach the first time in the chest, albeit not for long. The disadvantage is the possible occurrence of severe headache 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, in this case it is much more unpleasant and difficult to come to your senses and move away from anesthesia.

Suture after caesarean section

The seam should no longer scare modern mothers. If earlier at caesarean section almost the entire abdomen was cut, then at the present time they are limited, as a rule, to a small incision in 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 must put an ice pack on your stomach and observe in the ward intensive care. After the doctor makes sure that everything is fine with you, you will be transferred to a regular room, usually with your baby.

After caesarean section mother and newborn stay in the maternity hospital for a week. During this time, mommy not only trains to swaddle, feed and express milk, but also learns to take care of herself after the operation. And the medical staff helps her with this.

Breastfeeding after caesarean section

As for breastfeeding, it should be done as quickly as possible. First, lactation promotes uterine contraction. And, secondly, on the first day, colostrum flows from the mother’s breast - beneficial substance. It is not only very nutritious, it also contains immunoglobulins that protect the child from all kinds of infections.

We recommend that you start pumping right away. Of course, now more and more often you can hear the opinions of reputable people that this procedure is useless and unnecessary, they say, the milk stay is regulated in accordance with the requirements of the child. This, of course, is true, but only if lactation has already been established. In the meantime, mother and newborn get used to each other's needs, the body still needs help and “exfoliate” the breast, as the old midwives used to say.

About skin-to-skin contact

Many mothers are afraid that they will not be able to establish close emotional contact with the child. I would like to reassure you. This is not true. Natural childbirth is not at all a guarantee of the spiritual closeness of a mother and her baby. All in your hands. Your baby has just been born and you are all he has, the closest and essential person. It is in your power to give him love and warmth, to become for him the best mom. And, believe me, in the formation of this closeness, a caesarean section can in no way interfere with you.

Mode after caesarean section

  1. Follow all your doctor's instructions and take all the medicines that he has prescribed for you without delay.
  2. Try to lie down and rest as much as possible.
  3. 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 associated with the operation. After all, now you have a Miracle - your long-awaited child! And it does not matter at all how you gave birth to him, by 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 for the birth of the crumbs, it simply settles in your heart at the moment the baby is born!

Children after caesarean section

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

Why is this happening?

  1. In full-term pregnancy during caesarean section the child does not go through all stages of the birth act, in particular, the advancement through the mother's birth canal. And this condition is necessary for "ripening" respiratory system newborn. The so-called “fetal (fetal) fluid retention syndrome” often develops. It is known that the fetus does not breathe with 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 removed quickly. As a result, the lungs do not have time to adapt to new conditions, and the fetal fluid remains in them. This increases the child's risk of developing respiratory pathology. More often, an infection is superimposed on this background, pneumonia occurs.
  2. Even more real, this situation is possible with premature pregnancy. In an immature child C-section contributes to the development of the "syndrome respiratory disorders". In this case, the baby has rapid irregular breathing. There is also an increased risk of developing pneumonia. Such newborns require careful observation, examination and treatment.
  3. On the outcome of childbirth for a child with 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 in one way 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 badly. These children require supervision and further treatment specialists.

Accounting for all risk factors for the health of the child during pregnancy and childbirth, careful monitoring of him, timely diagnosis and, if necessary, treatment, in most cases, make these complications harmless.

Let's try to figure out 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 can we talk about? After all, this is a serious operation, it is carried out strictly according to the doctor's prescription and only if natural childbirth is impossible or dangerous to the health of the child or mother. And yet, some doctors state: all more women they prefer giving birth in private clinics, where for a certain amount you can agree and you will have a caesarean section without any evidence.

What is an operation?

C-section - abdominal operation, at which cut abdominal wall and a uterus to extract the baby. It is performed under epidural anesthesia, which provides a partial loss of sensation in the woman in labor in the lower body. This anesthesia effectively relieves pain and, according to doctors, the child practically does no harm (but more on that later).

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

There are many more horror stories about the fact that an incorrectly performed epidural anesthesia can lead to paralysis. lower extremities etc. But doctors advise not to pay 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 the best cosmetic effect and there are less complications after it.

After the incision, the child is carefully removed by hand or with the help of 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 remnants gestational sac the uterus is sutured, then the peritoneum, abdominal muscles and skin are sutured. To stop the bleeding, after the operation, an ice pack is placed on the abdomen for one and a half to two hours.

During the first days after childbirth, the woman in labor should be in a special postpartum ward. During this time, an anesthesiologist observes her.

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

The next day, the newly-made mom can already drink chicken bouillon, fruit drinks without sugar, use boiled meat, cereals and low-fat cottage cheese rolled through a meat grinder. Return to the normal diet is allowed only on the fourth or fifth day.

Sit down and move around minimum distances It is possible in two or three days after a caesarean section. In addition, during the week you need to treat the suture 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 caesarean section in two years. During this time, the body will have time to recover after previous pregnancy and transferred surgery.


Increasing in recent times popularity of caesarean can be found quite a logical explanation. Young ladies who voluntarily go under the knife say about the benefits of surgery before normal, natural childbirth.

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 tolerable event.

Secondly, at modern development technologies after the operation, subtle cosmetic scars remain. And this is much better than the tears and stitches on the perineum that occur during normal childbirth. In addition, the condition of the external genital organs is not disturbed, the vagina remains narrow.

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

  1. Infection into the uterus or pelvic organs ( bladder, kidneys)
  2. Big blood loss: Blood loss during caesarean section is twice the blood loss during conventional childbirth.
  3. Weakened bowel function- within a few days after the operation, unpleasant sensations are possible, such as bloating, flatulence, discomfort, constipation.
  4. Long Recovery after surgery: if after normal childbirth a woman stays in the maternity hospital for one or two days, then after a caesarean section, the stay in the hospital increases to four to five days.
  5. Pain after surgery: for a few days it is difficult for a woman to walk, bend over, but this disappears two to four weeks after childbirth.

But that's not all. Officially, doctors assure that caesarean delivers minimal harm to the health of the baby. And yet he is. Babies born by caesarean section have greater risk the 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 can be drowsy, lethargic and weak.

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

In any case, no matter what method of delivery 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, go to courses to prepare for childbirth;
  • find good doctor and a midwife, talk to several candidates, ask questions that concern you;
  • visit several maternity hospitals and find out what percentage of caesarean sections they have.

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 was no roller and she lifts everything herself ... (I am happy for you with all my heart), but at the end she wrote, don’t be afraid of fears, all individually! And she is 100% right. Just do not think after reading her review that everything will be the same for you. Actually, do not try on my review for yourself either. Everyone has their own truth.

I was shown a caesarean, I was scared that with EP, the child could get injured, break the handles, etc. But on the day of the operation, when I was sitting in the ward and waiting to be taken to the delivery room, my doctor came and said, maybe we won’t, maybe on our own, huh? I refused. As a result, the baby was born almost 4 kg and everyone understood that 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 is that I made the right choice. You will make your choice yourself.

Pros +

spinal anesthesia, you are conscious and there is a low probability of poisoning the child with anesthesia

the baby is immediately applied to the breast

there is no risk of injury to the child during childbirth

no breaks and cracks during childbirth

Minuses -

a scar on the uterus, after which independent childbirth is questionable

the seam, although a little pretty, but remains

for some time you need to refrain from weights (more than 3 kg - but after all, a child can be born and 4 kg and you automatically violate this rule)

can't get pregnant for a while

I had an operation with spinal anesthesia. I will 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. added drugs. And I woke up when they were already sewing up. I didn’t see the baby and didn’t hear how she screams for the first time, it’s a little insulting. When everyone sewed up, they brought me my doll already dressed, I fed it, politely showed me how to feed it properly, helped a little))) Well, that's all about the operation itself))) According to my recollections, the injection with anesthesia and not even the injection itself was the worst And his appearance))) I did not feel any pain after the operation, apparently they were anesthetized.

They took me on a gurney to the intensive care unit, and immediately brought the child. Dotsya was with me all the time. I was really a little scared. They put her on my bed, and I was still paralyzed to the waist, then they put the baby in her trough. In my hospital there was a special team of girls on duty who, at the first call, came to the rescue, helped women in labor after cesarean. Basically, this help consisted in the fact that at first, while you could not get up, they served the baby.

I didn't have any headache after anesthesia, I felt great.

They said to get up after 6 hours, the nurses came to help. And as it is written in the reviews, this is not AJ after 6 hours, it’s just that after general anesthesia you can physically walk, but after spinal anesthesia you can’t because your legs are paralyzed. As soon as you start to feel them, you get out of bed.

Went the next day.

That's how the operation went. I'm happy with everything.

Now oh postoperative period. I wrote about the first days. every day it became easier and a week later I was running around the hospital. The only thing is that the baby was born almost 4 kg, and after a cesarean, 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 for some time my stomach ached.

The baby is now 4 months old. I feel myself good. The seam is small cosmetic and not noticeable under the trunks. The seam area is still hard and the sensitivity has not yet fully recovered. But I think this is not a problem with 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 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 for you!

Children are increasingly being born by caesarean section. In Russia, the proportion of these surgical interventions is already 23%. Caesarean section reasons are not always medical - many women insist on surgery due to strong fear before childbirth. A new concept has even appeared in the world - tokophobia. Why are women afraid of natural childbirth, and is a caesarean section safe without indications?

Why caesarean section is better than natural childbirth - the advantages of the method

It is the only choice in the presence of absolute medical indications. The operation helps the baby to be born narrow pelvis in the mother, the discrepancy between the size of the fetus and the birth canal, placenta previa, and so on.

A caesarean without medical indications also has some advantages:

  • Anesthesia makes the birth of the baby comfortable.
  • The fetus does not pass through the birth canal, which means that there are no perineal ruptures.
  • A caesarean is much faster than a natural birth.
  • Surgery 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 trauma during contractions and struggles.

caesarean really saves a woman from painful contractions . It is this plus of the operation that makes it so fashionable.

Big plus for modern woman is and no perineal tears and weakening the tone of the walls of the vagina. Many women worry about whether they will remain sexually attractive after having a baby.

Faster delivery with the help of caesarean section is not in doubt. After all, childbirth takes 12-20 hours, and the operation - only 30-40 minutes. However, recovery period after surgical intervention much longer than after natural childbirth.

The predictability of the outcome of a caesarean section and the absence of birth trauma in a baby could attract most reasonable women. However, just these advantages are always in question. Ironically, traumatized children cervical and postnatal encephalopathy after cesarean even more than after conventional birth.

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

Video: Caesarean section - pros and cons

Why is a caesarean section worse than EP?

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

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

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

Other disadvantages of cesarean are not related to anesthesia

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

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

Hormonal disorders are manifested in Difficulty initiating breastfeeding . Milk appears much later than after natural childbirth. In some cases, the baby has to be supplemented from the first days of life, which does not contribute to normal lactation.

A woman has to limit yourself in food, monitor digestion, move moderately . In the first months, it is not recommended to lift weights of more than 2 kg, play sports, swim in ponds, and have sex. Due to the weakness and danger of breaking the seam, a woman cannot fully care for a newborn.

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

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

The impact of a caesarean section on a child is discussed by pediatricians, educators and psychologists. Research shows that children born as a result of the operation adapt worse, tend to lag behind in development. In adulthood, they often demonstrate infantilism and inability to overcome stress.

Latest scientific work in this direction have shown that during natural childbirth in the body of a child, the concentration of a special protein thermogenin, which affects the higher nervous activity and memory.

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

Obstetricians and pediatricians unequivocally believe unwanted 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 to be undesirable, since all subsequent pregnancies will be aggravated by this fact . After operative delivery, it is necessary to carefully protect yourself for 2-3 years, since early delivery and abortion is extremely dangerous for the suture on the uterus.

At the same time, with another baby, you can’t hesitate too long: From the previous caesarean to next pregnancy should be less than 10 years old.

Pediatricians especially emphasize Negative influence caesarean section without indications for breastfeeding 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, having no evidence. Those women who are most likely to be afraid of natural childbirth are those who have encountered complications with the birth of their first child.

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