C-section is indicated in situations where a normal delivery would be at increased risk to a woman and newborn, such as a bad position of the baby, a pregnant woman with heart problems, and even an overweight baby.
However, C-section remains a surgical procedure that has associated complications, such as the risk of infections at the site of cutting or bleeding, and should therefore be performed only if medical indications are given.
- The decision of the C-section is made by the obstetrician but it is also important to take into account the pregnant woman’s desire to have a normal delivery or not.
- Although normal delivery is the best way to be born.
- This is sometimes contraindicated.
- Requiring a C-section and it is the doctor who must make the final decision after verifying the health of the mother and baby.
Some reasons for having a C-section include
Placenta previa occurs when it is attached to a place that prevents the baby from passing through the genital canal, and the placenta may come out before the baby. Placental detachment occurs when it detaches from the uterus before the baby is born.
The indication of C-section in these situations is that the placenta is responsible for the arrival of oxygen and nutrients for the baby and when it is compromised, the baby is weakened by lack of oxygen, which can cause brain damage.
Babies who have been diagnosed with a syndrome or disease, such as hydrocephalus or omphalocele, when the baby’s liver or intestine is out of the body, should always be born by C-section. The normal delivery process can damage the organs in case of omphalocele and uterine contractions can damage the brain in case of hydrocephalus.
When the mother has a sexually transmitted infection (STI) such as HPV or genital herpes, which persists until the end of pregnancy, the baby may be infected and therefore it is best to perform a C-section.
However, if the woman is treated for STIs, she says she has it and the infection is under control, she may try a normal delivery.
For HIV-positive women, it is recommended to start treatment before the start of pregnancy, because to prevent the baby from becoming infected during childbirth, the mother should use the recommended medications throughout the gestational period and the doctor may still opt for a C-section. . Breastfeeding is the opposite and the baby should be bottle fed and artificial milk. See what you can do to prevent your baby from infecting the HIV virus.
During labor, the umbilical cord may come out first than the baby. In this situation, the baby may run out of oxygen, as incomplete dilation will trap oxygen to the cord outside the baby. C-section is the safest option. However, if the woman has a complete dilation, a normal birth can be expected.
If the baby remains in a position, different from the head down, such as lying on the side or with his head held high, and is not rotated until before delivery, it is preferable for a C-section to be done because there is an increased risk. to the woman and the baby, as the contractions are not strong enough, which complicates normal delivery.
C-section may also be indicated when the baby is face down but is placed with the head slightly back with the higher chin, this position increases the size of the baby’s head making it difficult to pass through the bones of the baby’s hip. Mom.
In twin pregnancy, when both babies are returned correctly, delivery may be normal, however, when one of them has not turned before the time of delivery, it may be more advisable for a C-section to be performed. When it comes to triplets or quadruplets, even if they are face down, C-section is recommended.
When the baby weighs more than 4.5 kg, it can be very difficult to pass through the vaginal canal, since the baby’s head will be larger than the space in the mother’s hip bone and therefore, in this case, it is more appropriate to resort to the C-section. However, if the mother does not have diabetes or gestational diabetes and has no other aggravating situations, the doctor may indicate a normal delivery.
When the mother has diseases such as heart or lung, purple or cancerous problems, the doctor should assess the risks of childbirth and if it is mild, she can expect normal work. But when your doctor concludes that this can endanger the life of the woman or baby, he or she may indicate a C-section.
When the baby’s heart rate is lower than recommended, there are signs of fetal suffering and in this case a C-section may be necessary, as with a lower heart rate than necessary, the baby may lack oxygen in the brain, causing brain damage. motor disability, for example.