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Natural birth and cesarean section are not new concepts in today's life, especially for pregnant women in the last weeks of pregnancy. If before, the concept of cesarean section was quite new and rarely used, but now, with cases of difficulty in giving birth naturally, doctors will base on the mother's actual condition to decide to have a normal delivery. or caesarean section.
Caesarean section (cesarean section) is a medical procedure to bring the baby out through a cut in the mother's abdomen and uterus. According to statistics, in Vietnam in hospitals and big cities, central On average, in one hundred births, about 35-40 babies are born by caesarean section. Some studies outside the hospital, show that the rate of pregnant women having a caesarean section is very high.
Women who have had a cesarean section in a previous birth can have a normal vaginal birth next time. The decision whether or not to continue with a cesarean section depends on the type of incision made in the previous cesarean section and the number of times that a cesarean section has been performed.
The doctor can plan a cesarean section when detecting an indication for a cesarean section before labor. The reason for the cesarean section may be one or more of the following:
The baby does not turn its head down when the due date is near; The mother has a heart condition that may be made worse by labor; The mother has an infection that can infect the baby during normal delivery; Pregnant with multiple babies at once; Mother has had multiple cesarean sections before; Mother had previous uterine surgery. There are also many cases where women encounter problems during labor that lead to the decision to have a caesarean section. Indications are usually related to:
Labor is slow and difficult or is stopped altogether; Your baby has signs of fetal distress such as too fast or slow fetal heart rate; The baby is too big, the mother cannot give birth normally; Problems related to the placenta. In fact, some mothers even choose to have local anesthesia so that they can be awake waiting for the moment the baby is born, and can be with the baby right after birth.
Before the cesarean section begins, the nurse will place a line into a vein in the arm or hand to administer medicine or water during the surgery. During a cesarean section, your doctor will make an incision in your lower abdomen. Therefore, pregnant women need to clean their lower area to avoid infection.
In addition, your doctor will also place a catheter into your urethra to drain your bladder. This procedure helps empty the bladder and reduces the risk of injury during surgery. The doctor will make an incision in the abdomen. The incision can be horizontally across the bikini line or vertically from near the navel to above the pubic bone. Next, your doctor will make a horizontal or vertical incision in the wall of your uterus. Through the caesarean section, the baby will be brought out, after that, the doctor will remove the placenta, cut the umbilical cord, clean the uterus and sew the cuts one by one with absorbable sutures.
If the mother is awake during the caesarean section, she can hold the baby immediately after the end of the labor. You will then be taken to the recovery room. Here, the doctor will regularly monitor blood pressure, heart rate, breathing, blood volume and the area of the abdomen that has just been operated on. A cesarean section doesn't affect breastfeeding much, so mothers can rest easy and start breastfeeding as soon as possible.
Immediately after surgery, the catheter is removed from the bladder. During the first few days after surgery, the abdominal incision will be painful, so your doctor will prescribe a pain reliever for you to take after the anesthetic and anesthetic for the cesarean section wears off. The hospital stay after cesarean section is usually 2-4 days for the body to gradually recover.
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