What are the indications for cesarean section?

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2018-04-02 00:48:09

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Today, 25% of children are born cesarean section. Of course, more so for developed countries where motherhood are resolved in adulthood. However, there are specific indications for caesarean section and without them, this intervention is not conducted.

Some women now want to resort to this manipulation to avoid pain and other unpleasant moments arising in natural childbirth. However, it is necessary to understand that a caesarean section-major surgery with a painful rehabilitation period and possible severe complications.

Therefore, there are strict indications for it, without which it is impractical to carry out. They are absolute, when natural childbirth is simply impossible, will lead to the death of the fetus or the mother or harm to their health.

There are Also indications for a caesarean section, under which there is the likelihood of unpleasant consequences. It depends on each specific case. In this situation, the doctor and the patient weigh the pros and cons and make the final decision.

Caesarean section may be planned and emergency ones. In the first case, about the need for known long before the beginning of fights, and sometimes even before pregnancy. Emergency intervention is performed when its usefulness becomes apparent in the process of childbirth.

So, the indications for cesarean section:

  • Cranio-pelvic disproportion;
  • Bad clearspring and presentation;
  • Prolonged labour;
  • Disease of the fetus;
  • Cord prolapse;
  • Mechanical obstruction;
  • Detachment of the placenta;
  • Multiple pregnancy;
  • Placenta previa;
  • The probability of uterine rupture;
  • Disease of the mother;
  • Caesarean section in previous delivery.

Relative contraindications to natural childbirth are:

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  • Narrow pelvis mothers;
  • Weak labors;
  • Complications of pregnancy;
  • Diseases of the mother, not related to carrying a child.

Consider the indications for caesarean section in more detail. In traumatic pelvic disproportion takes place either too large head or narrow pelvis of the mother, or a combination of both. Usually before delivery this situation poorly diagnosed, although often suspected. The more that the baby's head is somewhat compressed, and the pelvis of the mother at odds. However, if your contractions are strong, but there is no progress of the labour, it is quite possible that there is a cranio-pelvic disproportion.

When failed to breech the baby is in the uterus so that natural childbirth is difficult and dangerous to carry out. Distinguish the following types:

  • Cross;
  • Breech (foot and full);
  • Frontal and facial;
  • Sedentation.

Prolonged labour had a place when there is no progress in the omission of fruit, the opening of the cervix and the contractions are not strong enough even after attempts to stimulate the uterus to strong contractions or to relax her. Such a diagnosis is made only after the onset of the active phase, when the disclosure is more than 5 cm.

Now consider the following indications for cesarean section, as the previa and placental abruption. When the first pathology it covers the cervix and implanted to her. Therefore, in the disclosure of the placenta is removed, the bleeding and the baby not getting enough oxygen. The main symptom-bleeding after 7 months, is not accompanied by pain.

When placental abruption she prematurely separates from the uterus. This causes bleeding and pain. The fetus receives less oxygen. Depending on the degree of pathology intervention might be necessary. A placental abruption happens most often in the last trimester or during labor.

A Greater risk of this disease in drinking and Smoking mothers, as well as at high pressure. If the heartbeat of the fetus is normal, the bleeding and the contractions continue, you may perform a natural birth.

So, the indications for cesarean section are absolute when another option is simply no, or relative, when you must carefully weigh. In any case, the decision should be taken by a competent physician with the wishes of the mothers.


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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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