What is better to give birth or caesarean. Giving birth by herself or by caesarean (natural birth vs caesarean) - the experience of a mother of many children

At some point, every girl has a desire to become a mother. Someone thinks about a child already at the age of 20, someone - only at 30 or even later. However, when looking at the baby, most women begin to smile gently. Motherhood is a great happiness. Being a mom is a gift from God!

On the other hand, the very word “birth” scares many people. This is a natural process, but it is associated with very strong pain and anguish. Therefore, even those women who are anxiously waiting for their first child are afraid to give birth on their own. Not surprisingly, most pregnant women carefully study ways that will allow them to alleviate their suffering in the hospital without harming the baby. Some begin to meditate, others calm down to classical music, others try to relax with a warm shower. The most sensitive young ladies are ready to use radical methods in order to save themselves from pain. They seriously consider epidural anesthesia or even a caesarean section. Everyone has their own story and everyone has the right to be!

Each of us has our own pain threshold and our own history of pregnancy. I'm not judging anyone, I'm not trying to impose my opinion. I'll just tell you how I gave birth to my three children. Perhaps someone will find my experience useful. I just want to tell you - without inclining anyone to anything.

natural childbirth

I went through three births, after which three wonderful children were born. I gave birth both by myself and through a caesarean section, so I have something to compare with. Both options have their advantages and disadvantages. Although, it would be more accurate to call them more or less pleasant features.

I'll start with natural childbirth. This phrase can cause a smirk. Some will think: “How can you call a natural process that brings such severe pain?”. This is a rhetorical question, so I won't answer it. I’ll just describe in more detail how my physiological birth went.

I will not lie. The sensations that I experienced are far from those that can be experienced during a chocolate wrap in a spa salon. To put it mildly, childbirth is an unpleasant procedure. However, it is difficult to describe the pain that a woman feels when a long-awaited baby is born. Personally, I didn't find it unbearable. Rather, it was tedious and exhausting.

During natural childbirth, it seemed to me that the muscles in the lower abdomen were literally bursting from the inside, but at the same time they were stretched from the outside. It was a aching pain that radiated to the lower back. It seemed to me that I became a participant in a crash test and I was being tested for strength. For about a minute, I was simultaneously stretched and squeezed, twisted and inflated with such force, as if someone was testing the limits of the possibilities inherent in nature.

I had to endure the pain, gaining full lungs of air and counting the seconds. It seemed to me that time slowed down significantly. The seconds passed so slowly that thoughts arose: “That's it, I can't take it anymore!”. However, just at such moments, it began to let go a little. This brought great relief, it seemed that at last there was an opportunity to relax and mentally prepare for the next “race”. As soon as you think so - and in a second everything starts all over again, a whole bunch of unpleasant sensations is revealed.

Periodically during childbirth, nausea rolls. I was shocked by this discovery, because I didn’t eat anything. However, this is not all. Suddenly, a terrible chill ran through me. And the windows in the delivery room were tightly closed, and I put on socks, but it became so cold that the tooth did not fall on the tooth. In general, as soon as you understand that you won’t be able to relax, a new wave rolls in - all the muscles below the abdomen tense up as if they are preparing to burst.

During this time, all you can do is tell yourself, “Breathe! The main thing is to breathe properly! Your lungs also begin to work to the limit, pumping all the oxygen that is in the hospital. You remember how you were taught to count: “Inhale - one, two, three. Exhale - one, two, three. Inhale again... This simple math slightly distracts from the pain - and suddenly relief comes again. "God bless! Finally the break I've been waiting for!" you think. However, this is yet another illusion. A doctor comes up, listens to a small heart, checks the disclosure and reports that the baby will be born very soon - it remains to endure only 40 minutes, the longest - an hour. From this "good" news darkens in the eyes. For a doctor, 40 minutes is a trifle, because childbirth has been going on for several hours. Only the expectant mother thinks that her strength is left for a maximum of 15 minutes. You lie in shock, and the doctor seems to be mocking you, telling you to move, and not just lie down - you see, everything will end faster this way.

This is how babies are born. Only one amendment needs to be made: the whole process of natural childbirth from contractions to the direct birth of a child takes from a couple of hours to a day - everything goes differently for every woman. There is nothing surprising in the fact that pregnant women often lose sleep and dream of powerful anesthesia or a caesarean section.

C-section

The operation certainly looks more attractive than a physiological birth: they give you an injection, and then wait for yourself calmly. Instead of suffering from painful contractions for several hours, you can “read a magazine”, “listen to your favorite music”. The appointment of a caesarean section for medical reasons looks like a gift from heaven. You got anesthesia, went to bed - and then you just sleep or watch the doctors circle over you and discuss the weather, cat food, children's school performance or a difficult shift. You are wondering, how is it possible to tryndet over you about some garbage, because you have such a crucial moment right now ?! This is also possible, because modern methods of anesthesia even allow you to be conscious during the operation.

And while you are carried away by your thoughts and anxieties, the cherished ten to fifteen minutes pass, and then you hear the first cry of your baby ... and you can’t believe that it’s all over. Now they put a baby to your chest and ask what his name will be. The doctors say they only need another 20 minutes to get stitches, and then they'll take you to intensive care. It's over and you don't even feel a thing. How amazing! Everything is behind!

To be honest, when I was injected with anesthesia, I prayed that everything would work out by some miracle, and the need for surgery would disappear. I thought: “I already gave birth myself! Maybe wait a bit - and I can do it again?

In just 10 minutes, my baby was loudly expressing his displeasure at being swaddled for the first time in his life. I couldn't figure out if this was real or if it was just a dream. After all, for 9 whole months I carried the child under my breast, felt how he kicked, shared food and air with him. Experience all this and not even give birth? The child lies next to me - a healthy and beautiful boy ... He is my son, only I did not give birth to him! NO! SHE DID NOT GIVE BIRTH TO THE CHILD! We didn't do it together, and it felt like a betrayal to me.

Of course, the caesarean section was not a tragedy. They operated on me well and quickly, I completely trusted the doctor. I felt fine, and the baby was born healthy. I just felt sad in my heart, because I didn’t plan a caesarean section at all. The doctor then understood my condition and encouraged me: “If you want another child, you can give birth to it yourself.”

Why is it better to give birth yourself?

Over time, I began to remember less and less about how I had a caesarean. The main thing is that all my children are with me. They are healthy and cheerful. My husband and I wanted three children and fulfilled our program to the maximum. Only now I am haunted by the thought of giving birth again. It is to give birth - to survive the whole process.

I am not a masochist, I do not feel pleasure from pain and I fully felt all the "charms" of natural childbirth. I just remember the moment when they put a newly born baby to your chest. He is so warm, gentle, dear. You kiss him and understand that you are finally not hurt - on the contrary, you feel very good and calm. Sleepless nights, diapers, infant illnesses, lactation miracles and colic festivals - all this will come later. Now you just enjoy being with your baby, you feel his timid breathing and weak instinctive movements in an attempt to get closer to your chest, and my eyes are glued to his wet little head, the size of a little more than a fist. At this moment, you literally fall into euphoria, thank the whole world for such a miracle.

Nothing compares to what a woman experiences on the delivery table in the first minutes after the birth of a child. From happiness, tears come out of your eyes, like a divine dew of happiness, you want to kiss a tiny face, hug, love this baby. What are the words! These are such strong sensations that they instantly erase all memories of pain. Torment is replaced by bliss and bursting happiness.

Dear girls, I personally believe that these few magical minutes are worth it to give birth on your own and endure the torment that nature has prepared for us. Of course we are the weaker sex. However, each of us must for a time become courageous and strong if a new life depends on it.

Content:

Which is better for certain problems

In the field of gynecology and among the inhabitants, disputes about which is better do not subside: natural childbirth or caesarean section - the abilities inherent in nature or human intervention. Both methods of delivery have their pros and cons, advantages and disadvantages, adherents and opponents. If this concerns not philosophical reasoning, but a responsible decision on how to give birth to a healthy baby, this must be taken very seriously, weigh the pros and cons and choose the so-called golden mean.

Caesarean section: pros and cons

To date, the trend is such that even those women who have no indications for this operation are asked to do a caesarean section. This is an absurd situation: imagine that a person himself insists that he be made an abdominal incision for no reason.

The myth about the absence of pain during this method led to this state of affairs in gynecology. In fact, the question of which is more painful: caesarean or natural childbirth is very ambiguous. In the first case, pain in the suture area occurs after surgery and lasts about 2-3 weeks, or even longer. With the independent birth of a baby, the pain is stronger, but it is short-lived. All this can be understood if we evaluate the advantages and disadvantages of both methods.

Advantages

It is the only way out in the presence of a number of medical indications: it helps to give birth to a child with a narrow pelvis in a woman, a large fetus, placenta previa, etc.;
anesthesia makes the process of childbirth comfortable, they are easier: after all, most young mothers are afraid not to endure exactly painful contractions;
the absence of perineal tears, which means a faster return of one's sexual attractiveness, sexual life;
the time is faster: the operation usually lasts about half an hour (from 25 to 45 minutes), depending on the condition of the woman in labor and her individual characteristics, while natural childbirth sometimes takes up to 12 hours;
the possibility of planning the operation at a convenient time, choosing the optimal day of the week and even the date;
predictable outcome, unlike natural childbirth;
the risk of hemorrhoids is minimal;
the absence of birth injuries during attempts and contractions - both in the mother and in the child.

Plus or minus? Often among the advantages of caesarean section is the absence of birth injuries and injuries in a woman and her baby during attempts and contractions, however, according to statistics, there are more newborns with injuries of the cervical spine or suffering from postnatal encephalopathy after such an operation than after natural, independent childbirth. So which procedure is safer in this regard, there is no definite answer.

Flaws

Serious complications for the health and well-being of a young mother as a result of a caesarean section occur 12 times more often than during natural childbirth;
anesthesia and other types of anesthesia (spinal or epidural) used for caesarean section do not pass without a trace;
difficult and long recovery period;
profuse blood loss, which can subsequently lead to anemia;
the need for bed rest for some time (up to several months) after a cesarean section, which greatly interferes with the care of the newborn;
soreness of the seam, which makes you drink medication painkillers;
difficulties in the development of lactation: in terms of breastfeeding, caesarean delivery is worse than natural childbirth, since in the first days after the operation the baby has to be fed with mixtures, and in some cases the mother’s milk may never appear;
a ban on playing sports after a cesarean section for 3-6 months, which means the inability to quickly restore the figure after childbirth;
ugly, unaesthetic seam on the stomach;
after a caesarean section, they may not allow natural childbirth in the future (more on this here);
a scar on the surface of the uterus, complicating the next pregnancy and childbirth;
adhesive processes in the abdominal cavity;
the impossibility of getting pregnant in the next 2 years (the best option is 3 years), since pregnancy and new births will pose a serious danger, and for the health and life of not only the young mother, but also the baby;
the need for constant medical supervision during the postoperative period;
the harmful effects of anesthesia on the baby;
the child does not produce special substances (proteins and hormones) that affect his further adaptation to the environment and mental activity.

Keep in mind that…
... general anesthesia in some cases ends with shock, pneumonia, circulatory arrest, serious damage to brain cells; spinal and epidural often entail inflammation at the puncture site, inflammation of the meninges, injuries of the spine, nerve cells. Natural childbirth excludes such complications.

Today, there is a lot of talk about the harmful effects of anesthesia during caesarean section on both the mother's body and the baby. And yet, if there is even the slightest danger to the health or life of one of the participants in childbirth (mother or baby), and the only way out is a caesarean section, you need to listen to the recommendations of doctors and use this technique. In other cases, the question of which birth is better is decided unambiguously: preference should be given to the natural course of this process.

Natural childbirth: pros and cons

The answer to the question why natural childbirth is better than caesarean section is obvious: because in the absence of medical indications, surgical intervention in the human body is not the norm. This leads to various complications and negative consequences. If you look at the pros and cons of self-delivery, their ratio in quantitative terms will speak for itself.

Advantages

the birth of a child is a normal process provided for by nature: the female body is designed so that the baby at birth acquires everything that he needs for normal life - this is why caesarean is worse than natural childbirth;
the child gains experience in overcoming difficulties, difficulties and obstacles, which helps him in later life;
there is a gradual, but quite natural adaptation of the newborn to new conditions for him;
the baby's body is tempered;
immediately after birth, it is better for a child if it is applied to the mother's breast, which contributes to their inextricable connection, the rapid establishment of lactation;
the postpartum recovery process for the female body as a result of natural childbirth is much faster than after a traumatic caesarean section;
accordingly, a young mother in this case can independently take care of the baby immediately after discharge from the hospital.

Scientific fact! Today, all sorts of studies are being conducted about the effect of caesarean section on the baby. It is discussed not only by doctors, but also by teachers, pediatricians, psychologists. According to the latest scientific findings, children who were born in this way adapt worse, often lag behind in development, and as adults, often show low stress tolerance and infantilism, unlike those who were born during natural childbirth.

Flaws

natural childbirth involves severe pain during contractions and attempts;
pain in the perineum;
risk of tears in the perineum, which entails the need for suturing.

Obviously, cesarean delivery differs from natural childbirth both in the methods of influencing the female body, and in the course of the whole process, and in its consequences. You need to be especially careful when complex, ambiguous situations arise.

Which is better: caesarean or natural childbirth for certain problems

The question of which is better: cesarean or natural childbirth arises in certain cases when there are deviations from the normal development of the fetus and the course of pregnancy. If any problems arise, doctors analyze the situation and offer the woman two options - to agree to an operation or to give birth at her own peril and risk. What should a future mother do in such an exciting and ambiguous situation? First of all, you need to listen to the opinion of the doctor, but also to understand at least a little about the problem that she has in order to make the right decision.

large fruit

If an ultrasound scan showed that a woman has a large fetus (a hero weighing 4 kg or more is considered such), the doctor must correctly assess her physical indicators, physique and figure. Natural childbirth in such a situation is quite possible if:

the expectant mother herself is far from small;
examination shows that the bones of her pelvis will easily disperse during childbirth;
her previous children are also all large and born naturally.

However, not all women have such physical data. If the expectant mother has a narrow pelvis, and the baby's head, according to the ultrasound, does not correspond in size to her pelvic ring, it is better to agree to a caesarean section. It will avoid complex tissue ruptures and make it easier for the child to be born. Otherwise, natural childbirth can end tragically for both: the baby is injured himself and will cause serious damage to his mother.

After IVF

Today, the attitude of doctors to childbirth after IVF (in vitro fertilization procedure) has changed. If even 10 years ago, after it, only a caesarean section was possible without any other options, today a woman in such a situation can give birth on her own without any problems. Indications for caesarean section after IVF are the following factors:

the desire of the woman herself;
age over 35 years;
multiple pregnancy;
fetoplacental insufficiency;
chronic diseases;
if infertility has been for 5 years or more;
preeclampsia;
threatened miscarriage.

If the expectant mother who went through IVF is young, healthy, feels great, the reason for infertility was a man, she can, if desired, give birth naturally. At the same time, all stages of independent childbirth in this case - contractions, attempts, passage of the birth canal by the child, separation of the placenta - proceed in the same way as after natural conception.

Twins

If the ultrasound showed that there will be twins, monitoring the condition of the mother and babies becomes more thorough and attentive on the part of doctors. The question may even arise as to whether a woman can give birth to them on her own. The indication for caesarean section in this case is the age of the woman in labor over 35 years and the presentation of both fetuses:

if one baby is located down the ass and the other is head down, the doctor will not recommend natural childbirth, as there is a risk that they can catch heads with each other and be seriously injured;
with their transverse presentation, a caesarean section is also performed.

In all other cases, if the expectant mother is healthy, twins are born on their own.

Birth of monochorionic twins

If monochorionic twins that are fed from the same placenta are expected, they rarely go naturally and without complications. There are too many risks in this case: premature birth of babies, they often get tangled in the umbilical cord, the birth itself lasts much longer than usual, which can lead to a weakening of labor activity. Therefore, in most cases today, mothers of monochorionic twins are offered a caesarean section. This will avoid unforeseen situations and complications. Although in gynecological practice there are cases when monochorionic twins were born naturally and without any problems.

Breech presentation of the fetus

If a breech presentation of the fetus is diagnosed in the last weeks of pregnancy, the woman in labor is hospitalized in order to find out the method of delivery. Natural childbirth is possible in the following cases:

if the mother's age is up to 35 years;
if she is healthy, she does not have any chronic diseases and at the time of delivery she feels great;
if she herself burns with the desire to give birth on her own;
if there are no deviations in the development of the fetus;
if the ratio of the size of the child and the pelvis of the mother will allow him to pass the birth canal without problems and complications;
breech presentation;
normal head position.

All these factors together can allow a woman to give birth on her own, even with a breech presentation of the fetus. But this happens only in 10% of such situations. The most common choice is a caesarean section. With a foot breech presentation of the baby, the risk of an unfavorable outcome is too great: loops of the umbilical cord fall out, the child’s condition is strangled, etc. Excessive extension of the head is also considered dangerous, which can lead to such birth injuries as damage to the cervical region or cerebellum.

Asthma

Bronchial asthma is not an absolute indication for caesarean section. Everything will depend on the degree and stage of exacerbation of the disease. With natural childbirth, there is a risk that a woman will begin to suffocate and she will lose the rhythm of proper breathing, which means so much when a baby is born.

But modern obstetricians know how to get out of this situation and minimize the risks for both the mother and the baby. Therefore, in the presence of asthma of any kind, it is necessary to consult several specialists 2-3 months before the birth, who will determine the degree of possible risks and advise what would be better in such a situation - a caesarean section or natural childbirth.

For rheumatoid arthritis

Whether a woman can give birth naturally with rheumatoid arthritis can only be decided by a doctor, having examined the characteristics of this disease in each case. On the one hand, rheumatologists and gynecologists often decide on a caesarean section for the following reasons:

the load on the knees during the birth of the baby is very large;
the pelvic bones in rheumatoid arthritis can disperse so much that then the woman in labor will have to stay in bed for a month, since she simply cannot get up;
the disease belongs to the category of autoimmune, and they all differ in an unforeseen and unpredictable outcome.

At the same time, AR is not an absolute and unshakable indicator for caesarean section. Everything will depend on the condition of the woman and the nature of the course of the disease. Many natural births in such a situation ended quite well.

Polycystic kidney disease

A rather serious disease is polycystic kidney disease, when multiple cysts form in their tissues. In the absence of an exacerbation of this disease and good health, mothers may be allowed to give birth naturally, although in most cases, in order to avoid complications and unforeseen situations, doctors advise a caesarean section.

If you don’t know what to give preference to, it’s better to rely on the opinion of a doctor, and not make independent decisions, focusing on fashion trends from the West, where a surgical operation to extract (and not birth!) A child from the womb has become commonplace. Weigh the pros and cons: if there is a threat to the health, and even more so the life of an unborn baby, without hesitation, trust the doctors and agree to a caesarean section. If there are no medical indications for this operation, give birth yourself: let the baby be born naturally.

Children are increasingly being born by caesarean section. In Russia, the proportion of these surgical interventions is already 23%. Reasons for caesarean section are not always medical - many women insist on surgery due to a strong fear of 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

Caesarean section is the only choice if there is an absolute medical indication. The operation helps the baby to be born with a narrow pelvis in the mother, a mismatch in 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.
The operation can be scheduled at a 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 attempts.

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

A big plus for a 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, the recovery period after surgery is 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. Oddly enough, there are even more children with cervical trauma and postnatal encephalopathy after caesarean 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. Anesthesia and regional anesthesia (spinal, epidural) for caesarean section 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 of the spinal cord, trauma to 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 rest, which interferes with the care of the baby for the first time.
Soreness of the seam, pain syndrome.
Difficulties in 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. Soreness of the seam persists for a 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.

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

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 both early birth and abortion are extremely dangerous for the suture on the uterus.

At the same time, with another baby, you can’t hesitate too long: Less than 10 years should pass from the previous cesarean to the next pregnancy.

Pediatricians especially emphasize the negative impact of caesarean section without indications on breastfeeding and the further development of the 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.

The main advantage of a planned caesarean section for women is the elimination of pain during contractions and attempts. But obstetricians call a more rational solution for tocophobia civilized approach to childbirth pain relief: spinal or epidural anesthesia.

Many families are wondering what to choose - natural childbirth or caesarean section. The choice of the nature of the surgical intervention depends entirely on the decision of the doctor. Like all operations, this effect has certain indications. Modern doctors have noted that many women resort to caesarean section on their own. This is a worrying sign. Normally, the number of operations should not be performed in more than 10% of patients. Today this number is growing. To understand how the operation affects the body of the mother and child, it is necessary to understand its characteristics.

Etiology of surgery

The operation is performed through access in the abdominal cavity. The child is taken out through various types of incisions. The main impact is carried out by laparoscopic intervention through a small incision above the pubic bone.

The technique allows minimizing injury to several layers of tissues. On the site of the pubic bone, the tissues are in close contact. This avoids rough scars and injuries to the child.

This form of the seam does not cause problems for a woman. The development of complications with this method of surgery is minimized. The recovery period does not have a long duration.

In rare cases, a more severe section is performed. It is carried out when there is a threat of death of the fetus or mother in the process of labor. This technique is performed with an incision from the pubis to the navel. A longitudinal incision gives the doctor access to all organs of the abdominal region. The doctor immediately takes the child out. This technique allows to reduce the time of access to the uterus to 10 minutes. This reduces the time of lack of oxygen in the fetus. The disadvantage of this operation is a long healing time and the presence of a rough noticeable scar. In this case, the scar does not allow the woman to wear open underwear.

As with other interventions, a caesarean section requires a woman to follow a number of rules. They allow the woman to recover.

Benefits for the patient

To understand what is better caesarean or natural childbirth, it is necessary to consider their positive aspects. Caesarean section has a number of positive effects. The following advantages of the operation are distinguished:

short temporary impact;
elimination of labor activity;
preservation of the genitals.

Caesarean section has an average duration of 30 minutes. During the operation, the patient is under anesthesia. The child is removed from the abdominal cavity and given to the doctors for postoperative treatment. The umbilical cord with the placenta is also removed by the doctor. The peritoneum is sutured.

2 days before surgery, the woman goes to the hospital for preparation. She does a variety of tests. The doctor examines the condition of the blood, urine. A vaginal smear is also examined for the presence of pathogens. A day before the intervention, a woman is assigned a dietary table, which allows the intestines to cleanse themselves. Before the operation, the patient stops drinking. This allows you to reduce the pressure of blood vessels.

The operation allows you to avoid the main fears - the impact of labor on the body. All patients before childbirth experience fear of severe pain from the process. For this reason, the majority of women believe that it is better to do a caesarean section, since the process is under anesthesia. Increased anxiety is observed in patients who are due to give birth for the first time. The first labor activity can develop within a few days. The operation also reduces the intervention time.

There is an opinion that after natural childbirth, the vagina is greatly stretched and cannot restore its shape. Surgical intervention excludes the opening of the cervix and the passage of the child's paths. This avoids rupture of the vagina and external genitalia. Also, the vagina does not need time to recover and heal. After childbirth, the woman retains the usual forms of the genital organs.

If you have to choose whether to give birth by yourself or by caesarean, then you should consider the advantages of natural activity. Natural childbirth has the following positive aspects:

timely hormonal changes;
proper preparation of the body;
quick arrival of milk;
lack of a healing period;
emergency discharge from the hospital.

An important aspect during natural childbirth is hormonal changes in the body. Throughout pregnancy, the body is driven by progesterone. This substance is involved in the development of the embryo and controls the nutrition of the fetus. If it is not enough, then the embryo does not take root. At the end of the gestation period, the progesterone content decreases. The reins are taken over by oxytocin. The hormone enhances the contractile function of the uterine body. The fetus begins to descend into the birth canal. Oxytocin also contributes to the fact that the baby will be born head down.

After the end of the process, oxytocin does not stop its action. The hormone helps the uterus to gradually return to its original size. Also oxytocin causes mouth prolactin. It serves as a lactation activator. For this reason, against the background of natural childbirth, milk comes in 2-3 days. Hormonal changes are the reason why it is better to give birth on your own.

The undoubted advantage is the absence of a healing period. Minor tears do not occur in all women. For this reason, the patient needs little time to rest after natural childbirth. After a few hours, the woman can make the usual movements. Eating is also allowed.

If a woman does not have any problems during childbirth, she quickly recovers. The absence of problems gives a chance for a quick discharge. In most perinatal centers, the woman in labor is discharged home after 3 days.

Negatives for a woman

To decide what to choose - natural childbirth or caesarean section, you should study their negative sides. Caesarean section has such disadvantages as:

postoperative period;
hormonal imbalance;
anesthesia;

The main difficulty with caesarean section is the presence of the postoperative period. The seam requires the woman to follow certain rules. The wound does not allow the patient to make sudden movements. Physical activity after the operation is prohibited. You should also carefully monitor the healing of the seam. The initial processing is carried out by a specialist.

The seam must be wiped with antiseptic solutions and treated with drying drugs. The surface of the wound is covered with a sterile bandage, which does not allow the penetration of pathogens. Further processing is carried out independently.

There is a risk of developing various postoperative complications. Often there is such a problem as the divergence of the postpartum suture. Pathology is diagnosed 5-7 days after caesarean section. The fault of its manifestation is non-observance of physical rest. In this case, the time the woman stays in the hospital increases.

There is also a risk of developing a fistulous canal. The fistula is formed due to the incomplete dissolution of the medical thread applied to the muscle fibers. The process begins with the appearance of a small seal on the surface of the seam. After some time, the seal opens, purulent fluid appears from it. When cleaning the fistulous canal, the doctor detects the remnants of threads. In order for the canal to heal, it is necessary to remove necrotic tissue and apply a new suture.

The operation also harms the condition of the internal organs of the abdominal cavity. The wound healing process is accompanied by the formation of scar tissue. It can penetrate deep layers and affect organs. A spike forms on the affected area. The adhesive process is often the cause of a woman's further infertility.

Caesarean section excludes timely restructuring of the hormonal background. The woman is operated on before the onset of labor. The section must be done no later than the end of the 38th week. In this case, the hormonal background of the woman is preserved as during pregnancy.

Oxytocin in the body begins to be produced only at the beginning of breastfeeding. In rare cases, lactation after surgery is not possible. Since the hormones are rebuilt for a long time, the start of the menstrual cycle in the patient is delayed. The first menstruation after the operation may begin in a few months. If they do not start, the fault may lie in a hormonal disorder. The woman will need long-term therapy.

Another unpleasant moment of caesarean section is anesthesia. Women believe that the absence of childbirth is good. In fact, anesthesia has a negative effect. The pathological effect of anesthesia extends to the nervous system and brain function. No more than 5 deep anesthesias are allowed during a lifetime. Also, anesthesia has another unpleasant consequence. The first hours after surgery, the woman experiences severe headaches, dizziness. There is nausea and vomiting. This state can last no more than a day. During this time, the patient cannot eat. Digestion is difficult.

Patients experience severe stress. It is associated with the lack of preparation of the body for motherhood. In natural childbirth, the interaction between mother and child is established. This allows you to quickly establish the process of feeding and care. During the operation, this preparation for motherhood does not occur. The incompleteness of the process causes postpartum depression.

Natural childbirth also has its downsides. The main disadvantage is the duration and pain of labor. A woman who has given birth knows this feature. But the paths for such patients are already prepared. Repeated births will be faster. If the birth is the first, then they can last up to several days. The opening of the cervix is accompanied by pain. The syndrome intensifies with the onset of contractions. Attempts account for the peak of pain. This scares many firstborns.

The second negative point is the appearance of gaps. Stormy labor activity is accompanied by the rapid passage of the child along the paths. The paths do not have time to expand to the required size. For this reason, the fetus paves the way with its head sharply. Against this background, ruptures of the cervix, labia minora and vaginal walls occur. Such injuries can lead to the development of further complications of sexual life.

Rapid natural childbirth also has a negative effect. Such activity can cause rapid hormonal changes. As a result, background disturbance may occur. Restoration of the system is carried out with drug therapy.

Pros and cons for a child

When choosing between childbirth or having surgery, the condition of the baby should be taken into account. The choice should be what is best for the child. A caesarean section has such advantages for the baby as:

application at any size;
rapid birth;
lack of stress.

Should a large fetus be caesarean or natural childbirth? Operations should be preferred. A large fruit is considered from 4.5 kg. With this weight, the child can get stuck in the lower birth canal. The problem is exacerbated by the development of hypoxia. There is intrauterine strangulation of the child. Caesarean section avoids unpleasant complications.

Also, the operation allows you to give birth to a baby that has an incorrect location in the uterine cavity. A caesarean section is prescribed for transverse localization of the child or attachment of the placenta to the anterior wall of the uterus. Natural childbirth will not allow this.

During surgery, the child does not need to make his way. It retains its normal shape. The bones of the skull are not deformed. The fetus is removed from the uterus in a few seconds. He does not get tired during childbirth.

Natural labor activity also has a number of positive effects. During fetal development, the baby's lungs are filled with fluid. When passing through the paths, it is excreted from the lungs. The baby is born with a fully prepared respiratory system. This avoids the development of postpartum pneumonia.

In natural activities, the baby experiences a psychological connection with the mother. This helps the baby avoid stress at birth.

The disadvantages of caesarean section are considered. An anesthetic substance has a negative effect on the condition of the fetus. It enters the fetus through the placenta. After the operation, the child remains under anesthesia for a long time. The drug causes the baby to refuse to take the breast. The child sleeps for a long time. Physical activity is restored only after the drug is removed from the body.

The disadvantage of surgery is the accumulation of fluid in the lungs. After the operation, the lungs are cleaned with a special apparatus. The rest of the liquid is preserved. After a while, they cause inflammation. Fluid builds up in the lungs again. Pneumonia develops.

Natural childbirth can also have a negative effect on the child. If the fetus is mallocated or large, there is a risk of hypoxia. The fetus cannot move forward. There is a decrease in oxygen. The child begins to choke. Hypoxia negatively affects the further development of the child.

There is a risk of intracranial pressure. It appears when the fetus passes through the birth canal incorrectly. In this process, the bones of the skull are narrowed for easier passage of the child. The bones put pressure on the brain. With strong pressure, fluid accumulates between the bones and the brain. Pathology requires medical treatment. If it does not help, surgical intervention is prescribed. This problem has been occurring frequently in recent years. This is due to poor environmental conditions.

Before childbirth, a woman must choose how they will pass. To facilitate the choice, you should carefully study all the positive and negative aspects of both types of childbirth. It is also necessary to consult a doctor. Only then can a decision be made.

The opinion of specialists and doctors about what is better caesarean or natural childbirth. What are the indications for a caesarean section, and in which cases a caesarean section is not needed.

“Natural birth or caesarean section? What to choose?" - the expectant mother is timidly typing in a search engine. Why does such a question arise, because a few decades ago it did not bother women. The answer was obvious: natural childbirth and only with serious threats or risks of a caesarean section.

The real boom in caesarean sections occurred at the end of the 20th century. Moreover, this way of the birth of a child was not always justified by medical indications, often expectant mothers, frightened by labor pains, which were so often written and told about, ordered an operation. On the one hand, this method is really simpler: the doctor gives anesthesia (epidural or general anesthesia) and takes the child out through the stomach. But is everything so simple?

Caesarean section pros and cons

The operation has undeniable advantages:

caesarean section can save the life and health of the mother and / or child, if natural childbirth is not possible for medical reasons;
absence of birth trauma;
the absence of a number of problems that arise after childbirth (stretching of the vagina, hemorrhoids, prolapse of organs, problems with intimate life);
no pain during childbirth.

The disadvantages of the operation include:

longer recovery, since the operation involves penetration into the uterine cavity;
severe postoperative pain;
a suture on the uterus, which can become thinner and rupture during the next pregnancy;
during surgery, there is a higher probability of bleeding, infection from the outside.

From personal experience

I had an emergency caesarean section, because at 41 weeks the baby squeezed the umbilical cord with a pen, he began to lack oxygen and had an emergency operation. It is clear that I didn’t really have a choice, but I really wanted to give birth naturally. What can I say two years later.

Firstly, psychologically, in my opinion, cesarean is more difficult than natural childbirth: it’s scary to lie on the operating table and wait, it’s terribly unpleasant when you feel “hands” in your stomach (! yes, there is no pain during spinal anesthesia, but you feel everything that happens remotely ), severe nausea during the operation, hellish pain after a cesarean, and no one will let you lie down, you can’t (so that there is no inflammation)! At 19.30 I had an operation, at 5 in the morning they forced me to get up and go to the toilet myself, at 11 in the morning - to another floor and gave the child away. Because of the postpartum euphoria, the pain is of course quickly forgotten.

Secondly, the child has a subluxation of the cervical vertebrae C1, C2 in almost all "caesarean babies" and in some children after natural childbirth. I advise you to go to an osteopath immediately after the birth.

Third, pain in the area of the seam, even after two years of weather, in the first days of menstruation, etc. This is the most annoying. Pain in the lower back, tk. There was a puncture of the spinal cord (anesthesia).

Therefore, I wish everyone easy natural childbirth and not even think about a caesarean without indications!

Obstetricians and gynecologists in our country treat caesarean section as a serious medical operation, which, as a rule, is not performed without good reason.

Indications for a planned caesarean section are:

narrow pelvis of the expectant mother (not necessarily!). The operation can be performed if the size of the pelvis of the expectant mother does not allow her to give birth naturally;
placenta previa. The operation is prescribed when the placenta is located above the cervix and closes the baby's natural exit routes;
mechanical barriers (myoma in the cervical region);
diseases of the mother (diseases of the heart, kidneys, progressive myopia);
large size of the child, breech presentation, multiple entanglement of the umbilical cord (not necessary!);
multiple pregnancy;
genital herpes developing in the last stages of pregnancy.

After a cesarean, it is quite possible to give birth on your own. If you have found an experienced doctor who knows how to deliver and can monitor the condition of the seam, then, if you wish, give birth naturally. After all, the birth of a child through the birth canal is like the birth of a butterfly. If she does not go through this difficult path of self-hatching from a cocoon, then she will not become so wonderful and beautiful.

When not to have a caesarean

Do I need surgery, or can I give birth on my own? There are a lot of indications for which doctors recommend resorting to surgery:

If the child is in the pelvic position. In such a situation, it is quite possible to give birth on your own. Mom will have to make more efforts and find an experienced midwife who knows how to take such births;
In a situation where the child is in a facial position, you can also give birth naturally. This causes severe pain on the mother's back, but is not a pathology and the need to resort to a cesarean.
The entanglement of the umbilical cord in very rare cases may be the basis for the surgical method of childbirth. But you can give birth with an entanglement of the umbilical cord yourself. An experienced obstetrician should be able to carefully remove the umbilical cord right during childbirth. There are many examples when women gave birth with double and triple entanglement of healthy and strong children.
In case of poor eyesight, doctors also recommend a caesarean section. However, this is not a prerequisite. In such a situation, it is necessary to reduce attempts, which can be facilitated by vertical childbirth. With such childbirth, the uterus itself can cope with squeezing the fetus.
With a narrow pelvis, it is quite possible to give birth naturally. It should be understood that a woman has an internal and external pelvis. During childbirth, the inner pelvis plays an important role.
It is difficult to give birth to twins naturally, but it is possible. It takes a lot of patience from the mother and good experience from the midwife. Twins are also not an indication for caesarean if the pregnancy is proceeding normally and there are no other concomitant indications.
Sometimes doctors diagnose weak labor and begin to resort to various stimulations, including caesarean section. But in practice there are many cases when contractions and opening of the uterus occurred a few hours before the birth itself. And that's okay.

Benefits of caesarean section

In the age of a population explosion, when there are sometimes no places in maternity hospitals, it has become more profitable for doctors to perform surgical deliveries.

It takes much less time and does not require specific knowledge and resources. A caesarean takes 1-2 hours, and natural childbirth can sometimes last up to 20+ hours. In natural childbirth, qualification knowledge of the correct adoption of childbirth in different positions is needed. While in a caesarean, everything is simple - cut it, took out the child, sewed it up.

Many mothers, having not fully studied the process of childbirth and not having knowledge of pain relief during labor pains, may themselves ask for an operation. In such a situation, not every doctor can indifferently listen to screams and pleas for a caesarean section for several hours. And at the request of her mother, she decides to have an operation.

Remember that natural childbirth is the best thing you can give a child and experience yourself, even despite the pain that accompanies them. If you do not have critical indications for intervention, do everything naturally!

natural childbirth pros and cons

Natural childbirth is provided for by nature itself, so they have more positive aspects:

more comfortable emotional state of the mother;
childbirth takes place in several stages, so the child has time to “prepare” for new conditions, adapts faster;
the likelihood of complications (infection, bleeding) is lower than with caesarean section;
the recovery process is faster;
milk comes faster.

Even the natural process, laid down by nature itself, has its negative sides:

complications during childbirth or after childbirth (ruptures);
problems with the genitourinary system and intimate life.

In our country, the attitude towards caesarean section is ambiguous. On various sites and forums, you can find comments that directly insult women who have become mothers as a result of a caesarean section. Of course, this approach cannot be considered correct, because motherhood is not only about the birth of a child. Now about 15% of children are born by caesarean section (approximately one in seven children). A caesarean section often helps save the life of both the baby and his mother.

The very question of choosing a method of delivery is not entirely appropriate, of course, natural childbirth is preferable, but not every woman can give birth herself without putting her health and the health of her baby at risk. Complications can arise both during natural childbirth and as a result of a caesarean section. Tune in to the best and remember that any child, regardless of the way of birth, needs love, affection and care.

The dream of every woman is a quick, easy, painless birth. Therefore, today many mothers who are expecting their first baby and are afraid of natural childbirth would like to give birth by caesarean section. However, in our country, a pregnant woman does not yet have the right to choose the method of delivery, the decision to perform the operation is made by the doctors of the maternity hospital. And yet, let's figure out which is better - a caesarean section or natural childbirth.

Indications and contraindications for caesarean section

The operation of a caesarean section is planned (when the impossibility of natural childbirth is known even during pregnancy) and emergency (when serious complications arise during natural childbirth).

Indications for a planned caesarean section are the following factors:

anatomically narrow pelvis or anomalies in the structure of the pelvis;
gastrointestinal and genitourinary fistulas in a pregnant woman;
pronounced varicose veins in the vaginal area;
complete placenta previa;
scar on the uterus;
breech presentation or uncorrected position of the fetus;
large fruit;
presentation of loops of the umbilical cord;
severe fetoplacental insufficiency;
diseases in which natural childbirth is contraindicated (heart disease, myopia, epilepsy, diabetes mellitus, etc.);
post-term pregnancy with unprepared birth canal;
abnormalities in the development of the uterus, scars or tumors of the cervix, vagina or perineum.

An emergency caesarean section is performed in the following cases:

premature discharge of amniotic fluid or fetoplacental insufficiency in the absence of the effect of labor induction within 2-3 hours;
premature detachment of a normally or low-lying placenta;
beginning uterine rupture or its threat;
acute fetal hypoxia;
incorrect position or presentation of the fetus;
eclampsia of pregnant women or an increase in preeclampsia that is not treatable;
discrepancy between the size of the pelvis of the woman in labor and the head of the child during childbirth;
weak or discoordinated contractions.

The main contraindications to cesarean section are intrauterine fetal death, malformations of the baby incompatible with life, and the presence of severe infectious diseases in a pregnant woman.

The consequences of caesarean section for the mother

Even if you are very afraid of pain in childbirth, you should not persuade the doctor to give you a caesarean section. By nature, a woman is destined to give birth to a child in a natural way, through the birth canal. Every day, thousands of mothers go through this, of course, difficult, exciting and such a wonderful path.

Caesarean section appeared as a way to save a child in the womb of a dying or just dead woman. Despite the fact that caesarean section has become widespread in modern obstetrics, and abroad this operation is often used as an alternative to natural childbirth, any obstetrician-gynecologist will advise you to give birth on your own (of course, if there are no indications for caesarean section).

A caesarean section is an operation during and after which serious complications can occur: bleeding, infection or adhesions in the abdominal cavity. Is a caesarean section dangerous? In this case, as with any operation, there is always a risk of injuring the internal organs, and in very rare cases, the baby.

After an operative delivery, a woman's body recovers longer than after a natural birth. When are they discharged after a caesarean section? This usually happens within 6-7 days. In the early days, it is difficult for a newly-made mother to move, it is difficult to feed the baby, to take him in her arms. In addition, subsequent natural childbirth after a caesarean section is not always possible. And natural childbirth after two cesarean is a huge risk, which not every obstetrician will agree to take on.

So which is better: caesarean or natural childbirth? Of course, the last one. However, if you have any indications for a caesarean section, you should not risk your life and health and refuse the operation.

The choice between natural childbirth or a caesarean section becomes almost every woman, and there will definitely be many "advisers" among friends and relatives who will campaign for one way or another. In fact, in this situation, the choice should be made solely on the basis of medical indications - in the event that a caesarean section is indicated, then this operation should be performed. If they are not there, then there is no need to intervene in the natural process. However, there may be exceptions, which are associated in most cases with the fact that a woman is simply afraid to give birth herself and insists on a caesarean section. Although not every obstetrician-gynecologist will go for it.

The growing popularity of caesarean section is due to the existence of a persistent misconception that childbirth in this way will be painless. In fact, a pain symptom will be observed in both cases, but only after a cesarean section, discomfort in the suture area occurs after the operation and does not stop for 14-20 days (and often longer). Pain during natural childbirth is short-lived, but more intense, so it is impossible to say unequivocally that one of the delivery options is preferable.

Be that as it may, childbirth naturally has many more advantages, but there are situations in which, by definition, one cannot do without surgical intervention. In order for the question of what is preferable - natural childbirth or caesarean, it is necessary to consider in more detail the advantages and disadvantages of each delivery option, as well as find out the indications and contraindications for its implementation.

Which is better - caesarean or natural childbirth in case of any problems?

As a rule, in this situation, the choice is in favor of a caesarean section, since no one wants to take risks. In any case, a pregnant woman needs to talk with her doctor and draw conclusions about which births would be preferable for her. The doctor will explain in detail the degree of risk and help you make the right decision. Although, the most reasonable decisions are to follow the recommendations of an obstetrician-gynecologist, since he understands many things that are not available to the awareness of a person who is not related to medicine by definition, because deciding which is better - a caesarean section or natural childbirth is very a responsible step that future parents have to take together.

Advantages and disadvantages of natural delivery

The most significant benefits will be listed below:

The body of a woman is designed in such a way that the birth of a child, provided that it passes through natural paths, allows it to properly adapt to the environment.
After delivery in a natural way, the child is immediately applied to the breast - this ensures the formation of their stable inseparable connection at a subconscious level, and also significantly stimulates lactation.
The recovery period of a woman's body is significantly reduced due to the fact that the natural processes of regulation of metabolism in the body are not disturbed. This allows the young mother to immediately take care of.

The disadvantages are as follows:

Severe pain syndrome, which is observed during contractions and attempts.
For a certain period of time, pain in the perineum will be observed.
There is a high probability of ruptures in the perineum. In turn, this leads to the need for suturing.

Pros and cons of a caesarean section

In many cases, this operation is the only way out of the situation. Understand correctly - there is not even a question of how to give birth safely. Otherwise, it simply cannot be, despite all the arguments in favor of the fact that natural childbirth is better for a number of reasons!
Conducted anesthesia makes the process of childbirth somewhat more comfortable. You don't have to be afraid of fights.
Low probability of perineal rupture, the ability to return to sexual activity earlier.
If in some cases, natural childbirth lasted about 12 hours, then caesarean is rarely performed longer than 45 minutes.
Ability to schedule an operation for a specific date and time;
The outcome of childbirth is predictable.
Maximum reduction in the risk of hemorrhoids.
Elimination of the likelihood of birth injuries.

Among the disadvantages of caesarean section, the following should be highlighted:

Negative impact on the metabolism and health of women.
The need for a sufficiently long bed period makes it difficult to care for a newborn child.
Problems with lactation - in the first days the child will have to be fed with mixtures, in any case, since there will be no milk.
Ban on sports for a period of six months.
The presence of a seam on the abdomen.
Undesirable effects of anesthesia on the child's body.
Violation of humoral regulation in a newborn, which is associated with interference in the natural course of the delivery process. In the future, this leads to a decrease in adaptogenic abilities.

The listed signs indicate why caesarean is worse than natural childbirth, but all these are relative problems, the probability of which is far from 100%.

large fruit

If the fetal weight predicted by ultrasound is more than 4 kg, then in this case there is a high probability of an indication for delivery by caesarean section. The decision is made taking into account the assessment of the physical data of the woman in labor, physique and figure. In principle, natural delivery is allowed - but only in the following cases:

hypersthenic physique of the expectant mother;
examination data testify in favor of the fact that during childbirth the bones of her pelvis will easily disperse;
upcoming births are not the first and all previous children were born through natural childbirth.

But not all women meet these parameters. In the event that the future woman in labor has a narrow pelvis, and the size of the fetal head, according to ultrasound, does not correspond to the size of the pelvic ring, a cesarean section is indicated, since there is a high probability of trauma to the child during natural childbirth.

Breech presentation of the fetus

With a breech presentation of the fetus, natural delivery is allowed in the case of a combination of the following factors:

the age of the woman in labor does not exceed 35 years;
no history of somatic pathology;
desire to give birth on their own;
the absence of any violations in terms of the development of the child;
the ratio of the size of the child and the pelvis of the mother will not cause any difficulties;
normal head position.

Only in the event that all of the listed factors take place, natural delivery is allowed, however, such a combination of circumstances is possible only in 10% of the situations under consideration.

Childbirth after in vitro fertilization

If in the recent past all women in labor who became pregnant through IVF were sent for cesarean, now there are exceptions. But still, surgery is performed after IVF in the following situations:

The desire of the mother.
Age over 35 years.
Multiple pregnancy.
The presence of signs of fetoplacental insufficiency.
Having a history of chronic diseases.
With infertility, which was observed for more than 5 years.
Preeclampsia.
The likelihood of a threatened abortion.

In the presence of at least one of the factors listed above, the feasibility of a caesarean section is not questioned in any case, since it is impossible to risk a child whose conception was so problematic. But in the case when the problem of conception was the father's health problems, and the expectant mother has no abnormalities, there are no indications for a caesarean section, then why shouldn't she give birth herself? Indeed, already at the stage of childbirth, it does not matter in what way the child was conceived - all stages of this process (contractions, attempts, passage of the birth canal by the child, separation of the afterbirth) are no different.

Possible Complications

As a result of a caesarean section, the adaptive abilities of the child will be reduced, but this statement is largely relative. The most important thing to understand is that when choosing between the feasibility of a caesarean section or natural delivery, you need to pay attention to the recommendations of your doctor, since only he is able to objectively assess the health of a pregnant woman.

Every year more and more pregnancies are resolved by caesarean section. This is the most popular operation worldwide. Some women insist on it to avoid pain, maintain sex appeal, and get their tubes tied along the way, not wanting to have more children. The operation is much more convenient for doctors and more cost-effective: instead of watching the course of natural childbirth for hours, several elective operations can be performed.

Relentless statistics say that only in 10-15% of cases is a caesarean section really necessary, with a decrease or increase in this indicator, the death rate begins to rise. Let's try to understand the secret of the popularity of caesarean section, or why experts vote for natural childbirth, we will weigh, as it should, the existing pros and cons.

Advantages of the operation

Ability to avoid risk. The outcome of natural childbirth, as well as the pregnancy preceding them, cannot be clearly predicted, the contractions that have begun may stop, medications may not have the desired effect or cause an overreaction. In the end, even a normal natural birth can, under certain circumstances, end in an emergency caesarean section.

With absolute indications, the operation is the only possible way to save the life of both the child and the mother, with relative indications, it is reliable insurance, because the mother and the doctor know what to expect and have the opportunity to prepare.

The planned operation makes it possible to properly prepare not only the woman in labor, but also those close to her, because the day and even the exact time of the birth of the baby are known in advance.

No pain associated with contractions- one of the most enticing advantages of operative childbirth. Caesarean section is performed under general anesthesia or with the help of "epidural anesthesia". In the first case, the expectant mother is in a deep sleep, in the second she is awake, and the lower part of the body is devoid of sensitivity.
Short duration. The operation lasts from 20 to 40 minutes, with most of the time spent on suturing.
No personal responsibility. The appearance of the baby is completely dependent on medical professionals, this saves the expectant mother from painful fears of harming him with inept attempts or improper breathing.
Absence of injuries. A caesarean section does not stretch the vagina, eliminate perineal tears and sutures, and does not cause inflammation - hemorrhoids after childbirth -.

Cons of a caesarean section

Complications after abdominal surgery occur 12 times more often than after natural childbirth:

big blood loss during the operation (normally this figure is from 500 ml to 1000 ml), the weakened body is unable to quickly restore the lost amount, therefore, during or after the operation, blood-substituting solutions, plasma or whole blood are administered;
bleeding in the suture area and hematoma due to errors in suturing vessels;
inflammation of the suture and internal organs due to the penetration of any infection;
- the occurrence of adhesions - causing pain and difficulty in the work of the intestines.

A long - recovery period - more than compensates for the transience of childbirth. Antibacterial therapy and correction of blood loss are carried out in the first days. Landing is allowed after 2-3 days. An independent chair appears on the 4-5th day, then permission is given to return to normal food. It will be possible to take a shower only after the formation of the scar, about a week after the birth.

If there are no complications, they are discharged from the hospital in 7-10 days. Up to 2 months, it is not recommended to lift weights exceeding 2 kg, and the child continues to grow and gain weight, so in the first month, someone close should always be nearby.

Repeated caesarean section is the most likely outcome of a subsequent pregnancy. After this operation, a scar remains on the uterus, which, for various reasons, can remain inferior for a long time. Doctors recommend planning the birth of the next child no earlier than after 2-3 years, during this period you need to carefully protect yourself in order to avoid abortion.

The consequences of anesthesia depend on the qualifications of the anesthesiologist and the individual characteristics of the organism. Anesthesia can cause allergic reactions, headaches, back pain, and short-term urinary problems.

Caesarean section: pros and cons for a child

A caesarean section gives the child life and protects it from injuries that it can receive during natural childbirth if its size does not match the physiological parameters of the mother's pelvis or its location in the abdomen is pathological.

Passing through the birth canal of the mother activates all the systems of the child's body, allows the microflora necessary for the full functioning of the intestine to settle, squeezing the chest, pushes amniotic fluid out of the lungs and allows you to independently make the first breath. With a caesarean section, there is no such extreme preparation for a new life, the child abruptly moves from one environment to another. For this reason, cesareans may experience certain difficulties:

problems in the functioning and development of the cardiovascular system;
breathing problems caused by insufficient opening of the lungs and accumulation of fluid in the alveoli;
increased gas formation, intestinal colic, problems with stools due to the fact that the baby’s body was not inhabited by the mother’s microflora;
in girls, due to the lack of maternal microflora, vulvovaginitis may develop.

The process of adaptation to an independent life in caesareans, compared with naturally born ones, occurs with a week delay, in addition, they are extremely susceptible to various infections.

The possibilities of modern medicine allow minimizing the risks and complications:

Ultrasound and other modern diagnostic methods help with great accuracy to establish the true gestational age, to bring the planned operation as close as possible to the estimated date of birth or to carry it out immediately after the onset of labor, excluding the possibility of prematurity.
Spinal and epidural anesthesia do not prevent the baby from being attached to the mother's breast immediately after birth, modern antibacterial drugs are compatible with breastfeeding.

The results of studies conducted in several countries confirm that children born by caesarean section are 1.5-2 times more likely to develop asthma, and that autism is more common among them.

Natural childbirth: pros and cons

Advantages:

fast recovery process;
no problems with breastfeeding;
better readiness of the child for life in new conditions;
reduced likelihood of postpartum complications;
no side effect of medications;
lower mortality rate;
short hospital stay.

All of these benefits are critical if the health of mother and child is not to be feared. Natural childbirth has an absolute contraindication in case of an anatomically and clinically narrow pelvis, detection of a mechanical obstruction to childbirth (myoma, deformity of the pelvic bones), the threat of uterine rupture with an incompetent scar, a transverse location of the fetus, presentation and premature detachment of the placenta.

In addition to absolute, there are relative indications for caesarean section, in which natural childbirth is acceptable, but is associated with the possible occurrence of complications. The decision in favor of one or the other method of delivery should be considered and weighed.

When choosing natural childbirth, you will have to take into account not only the soreness and duration of contractions, perineal tears and suturing. The consequences of this choice may be:

injuries in a woman and a child of varying severity;
death of one of them;
prolonged postpartum depression.

Successful natural childbirth is much better than a caesarean section. But abdominal surgery has a lot of advantages over severe spontaneous childbirth.

How to make a choice

First of all, you need to choose a maternity hospital and a doctor whose qualifications and skills would inspire complete confidence. Study the issue yourself, and then discuss with the doctor the expected scenario for future childbirth. The completeness of knowledge will give the right emotional mood and, of course, will help to adequately overcome the upcoming trials.

Video

In this video, through the lips of an obstetrician, all the strengths and negative aspects of both methods of delivery are voiced. At the end of the video, using the example of one of the patients, it is shown how the discussion of the choice of the upcoming birth takes place.

What kind of birth do you think is better? Tell us about your case: how was the pregnancy, what did the doctors advise, how did the birth go. If you had a caesarean section, share your postoperative experience. On what day were you discharged home and how does the baby feel? Your experience can help all those who have yet to face this test. Health to you and the baby!

Read also:

Good day, my dear readers! I keep thinking about childbirth. Indeed, now it is not necessary to give birth naturally, and even if there are no indications for a caesarean section, a woman can insist on it. It turns out that the expectant mother has the right to choose. But what is better - caesarean or natural childbirth?

It is clear that if a caesarean was prescribed for medical reasons (chronic diseases of the mother, multiple pregnancy, narrow pelvis, etc.), the question of choice is not even worth it. And if, nevertheless, there are no contraindications to independent childbirth? I propose to weigh all the pros and cons and understand what is better: to give birth on your own or to resort to the help of a “knife”.

In fact, expectant mothers do not just decide on a CS, because such an operation has its own advantages:

during the process, the woman does not feel pain, because. CS is performed under anesthesia (natural childbirth often takes place without anesthesia, which is much more painful);
the possibility of rupture of the genitals is excluded (the baby does not pass through the birth canal, which means that it will not be necessary to suture the perineum, urination after childbirth will be painless);
the process of giving birth to a child is much faster (during natural childbirth, this also happens, but in the aggregate of all time - the CS passes more quickly);
due to the lack of passage through the birth canal, the likelihood of injury to the child is excluded (in children born by independent childbirth, there have been cases of asphyxia and other consequences);
it is possible to set a date for childbirth (which is unrealistic during natural childbirth);
caesarean section gives a certain “guarantee” of the result (the course of independent childbirth is always unpredictable, neither the date of birth nor their duration is known).

However, of all the "pluses" of a caesarean section, the fact of painless childbirth is a favorite among expectant mothers. That is why this operation is gaining popularity. Moreover, it is common for women to worry about their appearance and attractiveness - it is important for them to have a “guarantee” that their physical abilities will not fade away.

In addition, giving birth in “a matter of minutes” is much more tempting than “writhing” in pain for an indefinite amount of time (and some people give birth for days).

2. Disadvantages of caesarean section

Despite the fact that a caesarean section has enough positive factors, there is a considerable list of negative points:

the procedure is accompanied by painkillers (such a remedy can cause significant damage to the health of the expectant mother and newborn);
the adaptation period goes much worse (after an independent birth, a young mother “comes to her senses” faster);
breastfeeding comes later, the baby has to be supplemented, which affects the lactation of a young mother;
the woman needs time to recover, and since the incision on the abdomen prevents free movement, the ability to care for the baby is also difficult;
as a result of the operation, more blood loss occurs than with independent childbirth;
at first, the child does not produce protein and hormones, which has its effect on the baby's psyche;
after the operation, a seam remains on the abdominal part of the body (moreover, the incision will torment the woman for a long time, and at first, painkillers may be needed in order to somehow “dull” the pain);
in the postoperative period, the mother will need to be monitored and regularly visit the attending physician;
a scar forms on the uterus, which almost eliminates the possibility of the birth of the weather (usually, after the CS, a woman cannot give birth for about two to three years);
physical labor is prohibited (you can’t lift weights, make sudden movements, strain your stomach, to say nothing of ordinary exercises).

And no matter how miraculous and transient the process itself may seem, due to the use of anesthesia, there is a high probability of postoperative shock, pneumonia, and even brain damage.

3. Benefits of natural childbirth

If you still want to control your body and the process of childbirth, natural childbirth is right for you.

They have many advantages:

in natural childbirth, there are several techniques, which greatly reduces the risks of possible consequences (at least, the penetration of foreign bodies into the female body is not required);
most women in labor get satisfaction from independent childbirth, they are pleased to realize that the child was born thanks to their efforts, and they experienced the whole process themselves, without involving a “knife”;
during independent childbirth, a woman feels her body, can move and contribute to the birth of a child;
the woman in labor does not lose consciousness (with CS there is often a "clouding of the mind", the woman does not understand what is happening around and cannot control her thoughts);
movements are not constrained (if we are not talking about a dropper);
But the most important- natural childbirth contributes to the establishment of a close psychological connection "mother - child", and for a baby, natural birth is the least stressful way to be born.

Moreover, the birth itself can be facilitated by proper breathing, a positive attitude or the presence of a loved one (partner birth). Moms who have given birth on their own write reviews about how happy they are that they went the same way with a newborn - through pain and tears.

4. Disadvantages of natural childbirth

Unfortunately, independent childbirth also has its drawbacks. Sometimes the pain is so unbearable that the woman in labor is forced to resort to painkillers (for example, epidural anesthesia), which does not always favorably affect the health of the newborn.

There are also cases when, in the process of natural childbirth, a decision is made to immediately “caesarean” a woman. This happens due to too long childbirth, exhaustion of the female body, a threat to the health of the baby or mother, and also if the fetus is too large and cannot pass through the birth canal.

5. What to choose: caesarean or natural childbirth

Of course, the decision on how to give birth is made by the woman. However, doctors strongly recommend that the expectant mother opt for independent childbirth.

Psychologists, gynecologists and obstetricians do not understand why a woman insists on surgical intervention if there are no good reasons for this, because the risks of complications during natural childbirth are much lower than with caesarean section. And we are not talking about pain during or after childbirth, but about the condition and health of the newborn.

6. Reviews of women in labor

Anastasia:

I gave birth myself! No wonder they say that the pain is quickly forgotten - this is true, but the child is completely healthy and I recovered within a week after the birth. And a friend had a caesarean section - she has a disgusting scar all over her stomach! You see, the child could not be pulled out. And this at the age of 23!

Valentine:

And I had a caesarean section after IVF, and just for safety. And the doctors themselves said that after IVF, almost all Caesareans - this increases the chances of a favorable outcome of childbirth.

Vladislav:

I even refused to think about a caesarean section! Everyone in my family has always given birth on their own. And nothing, no one died, as they say. But everything happens in life - my child turned over at the last moment and I had a caesarean section. Girls, never agree to such an operation without medical evidence! I writhed in pain for another three months. Sleep is impossible!

Olga:

I foolishly chose a caesarean. There is little joy - she wanted to give birth to a second child herself, but no - because of the consequences of past births, a caesarean section was prescribed. And the third birth was generally forbidden ...

My dear readers, before making a decision, weigh all the pros and cons. This is a very important choice, your future life and the health of your baby may depend on it.

Watch a video about the pros and cons of a caesarean section here:

And I will say goodbye to you. Subscribe to my updates - we still have something to discuss. Bye bye!

2016-02-21

Now they are reading:

63 comments

Julia

Natural childbirth is definitely superior to CS. As my obstetrician said, “Birth is a natural process, and cesarean is only according to indications.” The pain during contractions is forgotten over time, and the woman is ready to repeat her "feat" for the second, and even the third time. Thank God, I was lucky enough to become a mother twice. The second birth went so quickly that the husband did not have time to get to the hospital (I wanted him to be present). And it is unlikely that after a cesarean there comes that surge of hormones and a feeling of boundless happiness when your child, who has just been sitting in the tummy, is applied to you!

Oksana

I am for caesarean. I think it's better for both mom and baby. Childbirth takes place without stress, unbearable pain. And I can say that with me in the ward of mothers with cesarean children were born with high scores (my daughter is 8 points), higher than that of mothers who gave birth naturally. I had a planned cesarean due to problems with the pelvis (curvature of the pelvic bones), I did not regret it for a second. My daughter was brought to me to feed on the second day. The only trouble was that the stitches healed for a long time, the body was weakened, but this can be overcome. Yes, of course, I did not hear the first cry of my baby, but her health and well-being is more important than this moment.

Catherine

I gave birth to two by caesarean section. The first was urgent, because after suffering from contractions, labor activity did not progress. But still, I am completely for natural childbirth. That's why they are natural, as nature intended and so it should be. Natural childbirth is milder for the child, after all, caesarean is a huge stress for the child, I'm not talking about the mother. These are hellish pains on the first day and the inability to simply get out of bed, let alone take care of the child. Yes, and it’s very scary to bear a second one with a scar on the uterus, in my second pregnancy I lay for two months before giving birth because of the scar.

Olga
Of course, it is always better to give birth naturally, many girls feel so much deeper connection with the child! Although a controversial issue, a friend gave birth by caesarean, and her relationship with her daughter is no worse (and maybe even better) than those who gave birth naturally. Yes, the scar is unpleasant, but the main thing is that everything is in order with both the mother and the child!

Aigul
I am for natural childbirth, as it is provided by nature, and there is no need to interfere with the body, everything should go on as usual, and the child should go all this way on his own. Natural childbirth is also necessary for the child himself, he decides when to leave, and tries to do it, he is ready to meet his mother, for him this is the first test that he must pass. And during the CS they just take him out, I think this is a lot of stress for him. I gave birth myself, which I am very glad, because it is such happiness, even if it is hellish pain during the first birth, but this is an unforgettable impression of the process. And believe me, you will want to experience it again.
Also, after the EU, a woman recovers faster, and milk comes earlier than those who gave birth by CS.
I am for the EU, of course, if there are no contraindications and it is not dangerous for a woman.

Zhenya
I gave birth myself, as they say, as I went to the toilet, so you can give birth to five more. Everything went quickly and relatively painlessly. After a couple of hours, I was already freely walking around the ward, ate and the Kid was with me, and three days later we were at home. But in the next room, a girl was giving birth, yelling so that the walls trembled for several hours. She begged to be caesarean. Of course, I am not a doctor, but if there are at least some problems, it is better to have a Caesarean, not to miss either the woman in labor or the baby.

Ilya
I study at a medical college, so I can argue my comment. I can say for sure that a caesarean section is better because:
1) There are much fewer opportunities to harm the newborn (mostly damage occurs due to the mistakes of the neonatologist).
2) It's easier for the mother.
3) Safer for both parties: both for the family and for honey. personnel.
Therefore, it is better to pay money and have a caesarean than to suffer during childbirth and be able to get a disabled child.
- Valeria
  Ilya, learn better! In the native perinatal center, even the microflora of the child is advised not to be disturbed on the first day, and you are talking about the benefits of unnatural intervention! You will not know the delights of feeling a woman after surgery for a month. After a calm ordinary birth, the woman in labor recovers morally and partly physically on the first or second day (again, everyone has their own situation).
  - Albina
    Throughout almost the entire pregnancy, she was preparing for a natural birth, but for medical reasons, she underwent a caesarean section.
    And she didn't regret it at all. I think that in the case of carrying twins (I have just such a case), a caesarean section is even safer. If the operation is planned, then there is an opportunity to mentally prepare for it, which is no less important. The procedure itself lasts no more than 15-20 minutes, if there were no force majeure.
    In general, in such a case, it is better to trust the doctors!
    
    Catherine
    I am just getting ready to become a mother, so doubts naturally overcome whether to give birth on my own or not. There is fear anyway. Initially, like many others, I planned to have a caesarean section. There are fewer painful sensations, the process itself is shorter, and when everything goes according to plan, then there are not so many stressful situations. My friends who gave birth naturally are all shouting with one voice that I should never give birth on my own. But after reading the article, I began to think about natural childbirth. Still, this is inherent in nature, interference from the outside is minimal, and the husband will be there as support
    
    Olga
    I gave birth to my first child on my own. The second by caesarean. It's like heaven and earth. If not for medical reasons, then I would prefer an independent birth. Cesarean is not so harmless. Well, it’s better to suffer a little contractions and give birth on your own than to heal a scar on your stomach for a whole month. Yes, and the child must overcome the path of birth, this is very important for proper development.
    
    Anna
    It is strange to read about the benefits of CS over natural childbirth. CS is an operation that is performed for medical reasons. And natural childbirth is a process that has existed for many centuries in the genetic memory of a woman.
    I had two caesarean sections. My children were no different from those born naturally, therefore, about the fact that cesareans lack hormones or proteins, which affects the child's psyche (as indicated in the article), I would like to see a link to scientific research on this statement, otherwise it looks like conjecture author.
    Why is it not written that in the first days after the operation, the mother is injected with strong painkillers, antibiotics, and all this against the background of breastfeeding the child. This is clearly not in favor of caesarean.
    Therefore, as a mother who gave birth to two children with the help of a cesarean, I will not shout about the advantages of the operation before natural childbirth. Any operation is carried out according to indications, and not at the request of the expectant mother with the argument "but it will not hurt."
    
    Anna
    In a sense, I was lucky that my children (two) were small - each 2.5 kg. Therefore, the process of childbirth itself was not something terrible. Contractions - this is natural tin! And for the first time they cut the crotch (I apologize for the details), and then they sewed it up for profit. Ten days until the stitches were removed, it was a real hell, it's good that the kids were kept separately from their mothers. The problem is that incisions and ruptures heal for a very long time, it was impossible to get out of bed, you had to endure this unbearable pain. The second time she gave birth without problems and after this process she freely walked around the ward, helping other mothers who were either cesarean or sewn up. So giving birth naturally is good, of course, but as long as nothing is cut. And the doctors would not have been cross-armed: for the first time, a girl of 18 years old, thin, and a huge belly, gave birth to me. She could not give birth for a long time, and for some reason they did not begin to do a caesarean section. The daughter was born, as a result, under 5 kg, half-dead, she suffocated in her mother's stomach. The girl had no reflexes, she just screamed all the time. I don’t know how her fate turned out, but I often remember this incident. They would have done a caesarean - and a normal baby was born.
    
    Evgeniya
    I gave birth on my own, set myself up not to panic, not to scream. All the same, this comes to an end, and then there will be great joy. I thought that I would give birth 12 hours before the first birth, but it turned out in 5 hours. I heard that during the natural process in a woman, a hormone is released in which it is not so painful for the child to pass through the birth canal. With anesthesia or COP, this will not happen. Of course, if there are indications for a cop, there is no need to take risks.
    
    I had my own baby at 22. It's been 1.5 years since the baby was born and I remember that day like yesterday. It's hard to forget the pain I've been through. I, if I decide to have another child, then rather why choose the name of the COP. After childbirth, the roommate was a woman after CS. Yes, it is difficult to move around with a wound on your stomach. But she breastfed the child without problems on the second day. And I had a friend that after the CS she became pregnant again and a year later she also gave birth to her second child through a caesarean section.
    
    Victoria
    Childbirth is a very individual and at the same time complex process. From familiar "mommies" I hear different stories. Some say that caesarean is better, they cut it and took it out and that's it. But for many, a healed scar periodically hurts when the weather changes.
    
    Anna
    Of course, it is best for the baby to give birth naturally, because after the CS, the woman in labor drinks antibiotics for 5 days so that there is no suppuration of the wound. Consequently, she does not breastfeed the baby, which is fraught with a decrease in immunity in the newborn. However, in both cases there are risks and negative consequences, so it is better to listen to the doctor's recommendations first of all, and not your own desires.
    
    Catherine
    The natural way is certainly better than the COP. Firstly, a caesarean section is an operation that is performed by cutting the abdominal wall and uterus to remove the child, such an operation is not always safe and without consequences. A child who is born naturally will already be prepared for an aggressive environment for him. Because the environment in which the child appears is not as comfortable as that of the mother. Therefore, a child who is born by caesarean section needs medical support and supervision of a pediatrician, he adapts worse to the environment, has a weakened immune system, and more often suffers from diseases.
    
    Faith
    Good afternoon I am still at the initial stage of pregnancy planning, so this article is very interesting to me. I will say right away that most likely I would like to give birth on my own, without resorting to outside help. Of course, everywhere there are pluses and minuses - this is an undeniable fact, but the process of having a child in a natural way is very pleasing and is the main one for me. Of course, if there are health contraindications, then it is better to give birth as it should be, so that your birth does not affect the health of the baby and mother.
    
    Catherine
    Good article! I am “for” natural childbirth, but if for some reason they are not possible, then there is only a caesarean section. I gave birth to my girls myself, and I am very proud of it. Steam relatives were not easy, but thanks to a team of doctors, we managed, and the second passed in one breath, although 8 years had passed since the first. And if you think about it, it doesn’t matter how the child was born, the main thing is that he is desired and healthy!
    
    Natalia
    I am for CS. With the first child, labor activity was 21 hours! Of which 11 hours the child was without water, because the kind aunt doctor wanted to pierce the bladder. Both the child and I suffered terribly. Later, of course, they had an emergency caesarean section.
    Since our town is small, after the first CS, all other births are also by CS, regardless of the mother’s desire.
    In my second pregnancy, I was admitted to the hospital at 38 weeks and immediately underwent surgery. Everything went perfectly. Without any pain. After 8 hours, the baby was brought and transferred to the ward.
    There were no consequences for children from CS. I recovered quickly from the operation. And many of those who gave birth on their own could not sit down for another month.
    
    Victoria
    I am for natural childbirth, because it's great to understand that you yourself could not only endure, but also bring a child into this world. This mother-child relationship is something incredible and incomprehensible to the mind.
    I am not saying to refuse CS when you have direct evidence, but when there is an opportunity to give birth yourself, why not take this chance?
    
    Elena
    My daughter, for medical reasons, gave birth to two girls with the help of CS. But if it was possible to give birth naturally, she would have given birth herself. First of all, this is due to the aesthetic condition of the skin. You can't get rid of deep scars. The girls were born healthy with normal weight and this is the most important thing. I also believe that giving birth should be natural.
    
    Krissnemm1
    Throughout my pregnancy, I set myself up for EP, and in principle, there was no fear. Unfortunately, the circumstances were such that I had an emergency CS, as there was a threat of losing the child. The postoperative period was difficult, there were many contraindications in the load and movements, as well as constant pain. I can say one thing - if everything is fine with health - give birth yourself!
    
    Hope
    They did CS twice, not of their own free will, really wanted to give birth on their own, but failed. Of course, the recovery period is long and difficult, if there are no contraindications to give birth yourself, then give birth to girls yourself))
    
    Elena
    As a woman who has given birth to two, I am for natural childbirth. Of course, if there are no serious contraindications from the doctor. Since it is an incomparable feeling to see your baby and feed him. And in my case, the pain was not so significant as to refuse this method of delivery.
    
    Catherine
    Hello! In my opinion, natural childbirth is better for both mother and child. First, it is in our nature. This is the norm for us, for all animals too. As much as it hurts, we can handle it. Moreover, over time, all pains are quickly forgotten. Secondly, since this is a natural process, it is better for health for both the woman and her baby. Indeed, it is written in the article, a psychological connection is being established between mother and child. I would also say that this is a thin invisible thread between them, which is throughout their entire future life. Dear women, do not be afraid of pain during childbirth! Childbirth is work, you need to prepare for it. Having survived it once, the second time you will already be "in all weapons"!) Preparation should be not only physical, but also psychological. This is what I say from my own experience.
    
    Anastasia
    Currently, such a situation as the incorrect position of the fetus and breech presentation is very common. In this case, natural childbirth is a very dangerous and time-consuming process. I am for caesarean section only in objective and justified cases. when you can't get by with natural childbirth. It is extremely dangerous to endanger the life of mother and child.
    
    Catherine
    It seems to me that only a woman who has experienced both processes can understand for sure which is better: caesarean or natural childbirth. My friend is just one of those. The first birth was natural, but before the second, she underwent eye surgery (retinal detachment) and the ophthalmologist did not allow her to give birth herself. According to her, the main difference is that during natural childbirth, all the pain falls on the process of childbirth, and after a pleasant recovery. But during a caesarean section, you don’t feel pain, but the recovery period is just hell. As with any operation, these are stitches, this is anesthesia, a scar, etc. And, by the way, caesarean section did not save her child from injury. The girl's collarbone was broken. According to doctors, the child was unsuccessfully pulled out during a fight. I certainly and certainly for naturalness. A caesarean section should remain an operation of necessity and according to indications.
    
    Arina
    I have personally experienced both options. The first birth was natural and it was a living hell! The pain was simply unbearable, so I dreamed that during my second pregnancy I would have a cesarean. So then it happened - it turned out that the baby was lying across and I was prescribed an operation, which for me was much less traumatic.
    
    Nastya
    She gave birth to two naturally. I really wanted it myself, there were no contraindications. I’m glad that they didn’t take the babies away from me, they immediately put them on my chest. If a cop were recommended, I would definitely agree. I don’t see anything wrong with that, only the kids were healthy. The only recovery after CS is long, but sometimes after childbirth, tears heal much more painfully.
    
    Nastya
    I gave birth to two myself. If there were contraindications, it would certainly be a cop, I didn’t turn out to risk the health of the children and my own. It’s only the recovery after the CS that scares me, but after the first birth I had terrible breaks, I think it’s even easier to leave after the CS. Therefore, if possible, it is better not, but when doctors advise a cop, then you need to listen to the doctors.
    
    Marie
    Hello, I have two children of my own. I never intended to do a cesarean, although it was scary the first time, but thanks to my husband and doctors. And she gave birth to the second child in general quickly, since the difference between the children is only 2.5 years. I advise everyone who is healthy, without contraindications, to give birth on their own and not to invent sores for themselves, there are risks in any case and always, take your husband, mother or close friend with you to the birthing room, who will inspire you with confidence and help with presence. You can also use the services of a doula. All easy childbirth and healthy children!
    
    Oksana
    I am a supporter of natural childbirth. No wonder nature has provided just such a physiological process. But, unfortunately, there are often situations in which the only right decision is a caesarean section. I got into exactly this situation. Diagnosed with placenta previa (when the placenta blocks the exit from the uterus and the baby cannot be born on its own). They did a cesarean. Everything went without complications - thanks to the doctors! But the dream to give birth to herself still remained. I will strive to make it happen!
    
    Olga
    It is completely incomprehensible that there is a craze for caesarean sections without medical reasons. This is essentially a strip operation, high risks of bleeding, again anesthesia, with a high degree of probability unaesthetic scars, perfectly visible later on the beach, not to mention the main priority - the health of the baby. If there are no clear indications, like a high degree of myopia or something more serious, then why resist nature, the process that allows a woman to consolidate a connection with a child, having heard his first cry in full consciousness, taking him in her arms, feeling this moment of happiness.
    
    Angela
    I gave birth for the first time at the age of 22 and my water came down, but there were no contractions at all. Yes, and medicines at the maternity hospital too (this was more than 20 years ago). The next day I received medicines and they made me a stimulating dropper and painful strong contractions began, otherwise the doctors said that another hour and we would do a caesarean, but I categorically refused it. I saw how girls suffer after him.
    
    Regina
    As a mother who gave birth to two babies naturally, I can confidently say that the pain of childbirth is tolerable. Over time, unpleasant moments are completely forgotten. Only happiness and a sense of relief remain in the memory. Birth and everything connected with it was laid down by nature, and, of course, it is not worth going against them.
    
    Anastasia
    She gave birth by emergency caesarean section. It was originally set to natural, but something went wrong. As a result, weak labor activity, the child "went" up, torment for almost a day. Then the professor's verdict (thanks to him for being in that hospital at the right time) - a clinically narrow pelvis and an urgent cesarean. It is not clear how other doctors examined him. The baby was born 4.3 and 60 cm. The doctors later said that she would not have given birth herself ...
    I am for natural childbirth, if they are safe for the baby and mother. If there are indications for a caesarean section or something is not going according to plan, do not be afraid of the operation! Sometimes this is the only chance to survive for both the child and the mother! Recovery after surgery is quick - just follow the recommendations and get out of bed as soon as they are allowed! On the 2nd day I calmly walked along the corridors, I was discharged already absolutely normal, the seam did not bother me.
    
    Anna
    I am 29 by the standards of the school of Soviet gynecology, I would be recognized as an old-born. Yes, these terms are no longer used. But this does not change the essence of the matter. To say that I am worried about the topic of childbirth is to put it mildly. Those who have been in a similar situation will understand me. Thank you very much for the detailed article. It is especially good that there are comments from real people. Learned some new nuances for myself. I decided to give birth on my own.
    
    Olya
    I'm just going to plan a child, or rather, I'm already planning it. And since I always try to approach everything, especially in important issues, with thorough preparation, it was very interesting for me to read the article, as well as comments with stories. For myself, at the moment, I still made a choice in favor of natural childbirth, because it is natural. I do not want to plan the day when, as I would think, my baby should be born, let everything happen naturally, the way it should happen. I'd rather go to courses for pregnant women, learn more about female physiology, the process of pregnancy and childbirth.
    I am very afraid of pain and I have a low pain threshold, so natural childbirth scares me, because of the pain that is possible during childbirth. But at the same time, I am quite aware that this pain can be bearable. And I reserve the right to use epidural anesthesia. And yet, it seems to me, the main thing is that a beloved husband and a good doctor are nearby during childbirth.
    And if it so happens that you have to do a cesarean, then there will be a cesarean, but this will certainly not be my planned choice.
    
    Svetlana
    Hello, I want to tell my story. First birth at 16! Local doctors were afraid to accept, sent to the region. I wanted a caesarean because I had heart problems. And when it came time to give birth, the old midwife said: “Give birth yourself, while still young.”
    Everything went well) In the morning I was already “running” along the corridors. I saw how the girls suffered after cesarean, after the operation, and did not regret a bit that she gave birth herself.
    
    Svetlana
    The girls who were able to forget the pain during labor pains were very lucky. Unfortunately, I still remember every minute of my 29-hour labor, how at some point something got stuck in the lumbar spine (5 years after giving birth, I sat on painkillers almost every day), how the perineum was cut to avoid tears and after the profit was sewn up. The stitches still hurt, especially when the weather changes, although more than 15 years have passed. The husband asks for a child, but for me, how I imagine this pitch hell - so horror takes. If I agree to a second pregnancy, then I will think about the COP. It would be better to heal a scar on the stomach than between the legs, when you can neither stand up, nor sit down, nor (sorry) go to the toilet without half-fainting from pain. Although each case is of course individual.
    
    Olga
    I am for natural childbirth and gave birth myself. No, if a caesarean is due to any pathologies, then I have nothing against it, but if there is a choice, then why create an extra sore for yourself and then recover longer. In addition, after a caesarean section, there may be adhesions and women's diseases climb out after a while! And no matter how painful it is at the sight of your long-awaited happiness, all the pain is forgotten instantly. Personally, my opinion is that it is better to give birth on your own in order to feel the whole essence of motherhood to the end! And of course, the connection with the baby after natural childbirth is really strong, I understand and feel my baby to every hair, although she still can’t say a word, except aha.
    
    Elena
    Of course, natural childbirth is better, but sometimes the situation requires a caesarean section. I personally gave birth twice, and both times went naturally and smoothly. However, there was a girl in the hospital who had a caesarean section, which unfortunately led to some complications. Therefore, I can only say that you choose a quality blade with experienced doctors.
    
    Alyona
    I gave birth on my own, but my friend had a caesarean according to medical indications. Thank God everything went well. But then she got everyone with the thesis that children who did not pass through the birth canal lag behind their peers. Say, nature is supposed to do so, and any interference is not good. Her husband almost killed her. Now a wonderful boy is growing - strong and developed beyond his years. Girls, choose a competent doctor and keep your sanity in any situation!
    
    Anastasia
    Good afternoon I had a CS according to the indications and I can say with confidence that the negative consequences of CS are greatly exaggerated. The seam healed quickly and I moved more actively in the maternity hospital than many mothers who gave birth themselves. On the positive side, I can attribute the fact that my son did not suffer during childbirth and did not catch thrush from me, which I could not get rid of during pregnancy. So if they put on the indications of a cop, do not be afraid of this and a successful birth!
    
    Djami
    As they say, two sides of the same coin. My friend gave birth to two by caesarean, had to for health reasons. That in the first pregnancy, that in the second the fetus was very large, and the friend herself looks like Thumbelina), for this reason she was not allowed to give birth naturally. However, she says that it would be better if the birth went naturally, since after a cesarean she then had to recover for a very long time, and the effect of anesthesia on headaches is also not good. I would also like to give birth naturally, but I am hypertensive and here again the question arises of whether I want and can. In general, no matter how the birth goes, the main thing is that after them the mother and child are alive and well. Learned a lot of interesting things from this article!
    There is a myth that CS does not hurt. But you have no idea what kind of pain it is after surgery. You won’t get hot, you won’t raise a child. And in general a silly question: how it is better. As nature intended. Caesarean section only for serious medical indications.
    Ilya's comment was very shocking. He himself is not going to cut his stomach several times! And he advises everyone.
    
    barbarian
    I perfectly understand women who choose cesarean even without medical indications. And the point is not only in hellish pain, but also in fear of the pain itself, the process of childbirth and possible complications. The most important thing is to fall into the hands of an experienced doctor, then there will be no deplorable consequences after the operation, and the “mother-child” connection can be established even after childbirth, after all, the baby has his whole life ahead, and you still have to educate and educate him. For myself, I decided a long time ago that when I have a baby, only a caesarean section.
    
    Catherine
    My mother always said and inspired my sister and me that a woman should give birth naturally. And it's true, I completely agree with her. Still, this is a natural process. In addition, my sister and I, as they say, just “flew out” ... Mom practically did not feel anything. He just always laughs it off: “It’s good that we managed to catch it.” But I myself, despite such rosy stories, was always afraid to even think about the very process of childbirth. And now, for medical reasons, I myself can’t give birth like that at all, only through a caesarean section. But even a caesarean section does not cause any relief or enthusiasm in me. Some kind of vicious circle of phobias. Each woman must decide for herself how to give birth. But, probably, how many people, so many opinions.
    
    Iraida
    Of course, if there is a threat to the health of the mother or baby, a cesarean is necessary. But doctors often play it safe and prescribe an operation without sufficient grounds. Nature is wiser than us, and it is desirable to give birth naturally without operations and anesthesia. I am convinced that in many cases both caesarean and epidurals can be avoided.
    
    Elena
    Of course, there is nothing better than natural childbirth. But as a tormented woman in labor for almost 12 hours and a caesarean, I can say with confidence that a caesarean is a royal birth))) The article greatly exaggerates the shortcomings of a caesarean. She took the child back to the maternity hospital on the third day because it was necessary to develop the chest, there were strong problems with the outflow. You don’t feel pain in the bandage, there were no problems with caring for the child, at home you also didn’t attract outside help, tied up with a diaper so that the stomach would fall into place and not feel pain from the incision. A friend was dissected during natural childbirth - this is hell indeed. A little c-section scar on your stomach is nothing compared to the fact that you can't go to the toilet, sorry. They are also sewn up on a live one, and not with anesthesia, as in CS.
    About turbidity during the operation - outdated data. Now anesthesia disables only the pelvis and legs. I was still shaking - like a side effect. But the brain worked as usual.
    still the child is applied to the chest.
    Yes, the first day you can not feed because of antibiotics, but I decant. GW is still problem-free with us (we will soon be 2)
    
    Marina
    I read the article and thought: what is really better? When I gave birth to my first child, the doctors nearly killed him! Yes, they themselves admitted that, according to the testimony, it was necessary to do a cesarean. But for some reason they let it all go by itself. My son and I barely made it! After these births, I thought that I would NEVER give birth again! But after 5 years, everything was forgotten (however, it was forgotten much earlier!) And I already wanted a little more. My daughter also suffered for almost a day. And yet, I think that since mother nature created women to give birth, then it is necessary to give birth! Caesarean section only for medical reasons!
    
    I. having given birth to three children, and the last one already in adulthood, only strengthened in the correctness of independent childbirth. Yes, if you could give birth painlessly, it would be wonderful! Well, there’s nowhere to go, as nature intended! This is probably the only injustice on Earth!)) Both children and mother go through this path together, they become one, this is important for the future development of the child. He will be surrounded by mother's care and love, thanks to the hormones that are released into the blood during this sacrament. And the pain - it really is quickly forgotten!
    
    Tatiana
    It's not easy for us to make our own choices. As a rule, without evidence, no one will do a CS.
    I had three natural births and I won’t say that this is some kind of terrible process, everything is physiological, everything is tolerable. But I got myself big health problems after natural childbirth, episiotomy, ruptures. And I have not yet had any terrible complications during childbirth, everything, so to speak, is standard.
    As a result, I had to do an operation after 3 births and remove the omission, prolapse, etc. etc. And until the end, I could not restore anything and I will not be able to. The price of natural childbirth is sometimes high.
    I wish you all an easy birth!
    
    Julia
    I believe that a caesarean section should be done only for medical reasons, and not at the whim of the mother. For example, a large fetus, a narrow pelvis, the age of the mother, genital tract infections, etc. There are, of course, cases when a cesarean has to be done urgently, but still natural childbirth - that's why they are called that, because everything goes naturally, the child himself gives a signal that he is ready to be born. Yes, there is a certain risk, but the risk is also no less in the operation, again, anesthesia ... It happens that during a cesarean operation, a woman is also removed myoma - then yes, the operation is only a plus, as they say, two in one. And so, the children are both Caesareans and natural scientists - I don’t see any differences. Unless cesareans immediately have round, even heads, without deformation, the aesthetic part, so to speak. But in babies born naturally, everything evens out over time. And for any mother, her baby is still the best - despite how she gave birth to him
    oksana
    A very important topic, but the most important thing is that sometimes there is no choice to do or not a caesarean section. For example, according to indications. as, for example, in my case, there was an emergency caesarean section. there was no time to think
    
    Katerina
    I had a caesarean section by mistake. My husband and I have different Rh factors. The doctors did not conduct correct supervision and examination. As a result, when I began to give birth, they began to test interns on me, who did not know a lot about childbirth from the word at all. I was given sleeping pills and then I don’t remember anything. In the morning they said that in the end it was not necessary to do this, and this is the mistake of the doctors