What is better to give birth to the most cesarean. Caesarean section versus vaginal delivery - the advantages and disadvantages of a cesarean section

• Which is better for certain problems

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

Caesarean section: pros and cons

Today, the trend is that even those women who do not have indications for this operation are asked to perform a cesarean section. This is an absurd situation: imagine that a person himself insists on having a cavity incision made for him for no reason.

This state of affairs in gynecology was brought about by the myth of the absence of painful sensations during such a method. 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 the operation and lasts about 2-3 weeks, or even longer. When a baby is born on its own, 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 narrow pelvis in a woman, large size of the fetus, placenta previa, etc.;
• anesthesia makes the process of childbirth comfortable, they are easier: after all, most young mothers are afraid not to withstand painful contractions;
• absence of perineal tears, which means a faster return of your sexual attractiveness, sex life;
• time proceeds 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 ability to plan the operation at a convenient time, the choice of the optimal day of the week and even the date;
• predictable outcome, unlike natural childbirth;
• the risk of hemorrhoids formation is minimal;
• the absence of birth trauma during attempts and contractions - both for the mother and the child.

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

disadvantages

• Serious complications for the health and well-being of a young mother as a result of cesarean 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 leaving 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 caring for a newborn;
• soreness of the seam, which makes you drink pain relievers;
• 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 not appear;
• a ban on sports after a cesarean section for 3-6 months, which means that it is impossible to quickly restore a figure after childbirth;
• ugly, unaesthetic seam on the abdomen;
• after a cesarean section, natural childbirth may not be allowed in the future (more on this here);
• a scar on the surface of the uterus, complicating the next pregnancy and childbirth;
• adhesions in abdominal cavity;
• the inability to get pregnant in the next 2 years (the best option is 3 years), since pregnancy and new childbirth will pose a serious danger, and not only for the health and life of the young mother, but also for the baby;
• the need for constant medical supervision during the postoperative period;
• the harmful effects of anesthesia on a baby;
• the child does not produce special substances (proteins and hormones) that affect his further adaptation to the environment and mental activity.

Please note that ...
... general anesthesia in some cases results in shock, pneumonia, circulatory arrest, serious damage to brain cells; spinal and epidural often entail inflammation at the puncture site, inflammation of the meninges, spinal trauma, and nerve cells. Natural childbirth excludes such complications.

Today there is a lot of talk about the harmful effects of anesthesia during a cesarean section both on the mother's body and on the baby. And nevertheless, 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 cesarean section, you need to listen to the recommendations of doctors and use this technique. In other cases, the question of which childbirth is better is decided unequivocally: preference should be given to the natural course of this process.

Vaginal childbirth: the pros and cons

The answer to the question why natural childbirth is better than cesarean section is obvious: because, in the absence of medical indications, surgical intervention in 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 completely 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 carried out about the effect of a cesarean section on a 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 are less adaptable, often lagging behind in development, and growing up, they often show low stress resistance and infantilism, in contrast to those who were born during natural childbirth.

disadvantages

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

Obviously, cesarean from natural childbirth differs both in the methods of influence on 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: cesarean or natural childbirth for certain problems

The question of which is better: caesarean 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 for events - 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 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 more than 4 kg is considered to be such), the doctor must correctly assess her physical indicators, physique and figure features. Natural childbirth in such a situation is quite possible if:

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

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 match the size of her pelvic ring, it is better to agree to a cesarean section. It will avoid difficult tissue tears and make it easier for the baby to be born. Otherwise, natural childbirth can end tragically for both: the baby is injured himself and will cause serious damage to the mother.

After IVF

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

• the desire of the woman herself;
• age over 35;
• multiplicity;
• fetoplacental insufficiency;
• chronic diseases;
• if infertility has been for 5 years or more;
• gestosis;
• the threat of termination of pregnancy.

If the expectant mother, who went through IVF, is young, healthy, feels great, the reason for the infertility was in the man, she can, if she wants, give birth naturally. In this case, 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 an ultrasound scan showed that there will be twins, monitoring the condition of the mother and babies becomes more careful and attentive on the part of doctors. The question may even arise as to whether a woman will be able to give birth to them on her own. The indication for a cesarean section in this case is the age of the woman in labor over 35 years old and the presentation of both fetuses:

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

In all other cases, if the expectant mother is healthy, twins are born by herself.

Delivery of monochorionic twins

If the birth of monochorionic twins is expected, which feed on the same placenta, they rarely pass naturally and without complications. There are too many risks in this case: the premature birth of babies, they are often entangled in the umbilical cord, the birth itself lasts much longer than usual, which can lead to a weakening of labor. Therefore, in most cases today, mothers of monochorionic twins are offered to have a cesarean 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 on last weeks pregnancy, breech presentation of the fetus is diagnosed, 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 is up to 35 years old;
• if she is healthy, she has no chronic diseases and at the time of delivery, she feels great;
• if she herself is burning with the desire to give birth on her own;
• if there are no abnormalities in the development of the fetus;
• if the ratio of the size of the child to the mother's pelvis allows 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 only happens in 10% of such situations. The most common decision is to have a caesarean section. With the breech presentation of the baby, the risk of an unfavorable outcome is too high: the umbilical cord loops fall out, the baby's condition is suffocated, etc. Excessive extension of the head is also considered dangerous, which can lead to birth injuries such as damage to the cervical spine or cerebellum.

Asthma

Bronchial asthma is not absolute indication for a 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 correct breathing, which means so much at the birth of a baby.

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

With rheumatoid arthritis

Will a woman be able to give birth naturally with rheumatoid arthritis, can only be decided by a doctor, examining the features of the disease in each case. On the one hand, rheumatologists and gynecologists often make a decision about a cesarean section for the following reasons:

• the load on the knees during the birth of the baby is very large;
• the pelvic bones with 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 a caesarean section. Everything will depend on the condition of the woman and the nature of the course of the disease. Many natural childbirth in such a situation ended quite well.

Polycystic kidney disease

Enough serious illness is polycystic kidney disease, when multiple cysts form in their tissues. In the absence of an exacerbation of this disease and the well-being of the mother, she may be allowed to give birth naturally, although in most cases, in order to avoid complications and unforeseen situations, doctors advise to have a cesarean section.

If you do not know what to give preference to, it is better to rely on the opinion of a doctor, and not to make independent decisions, focusing on fashion trends from the West, where surgery after the extraction (and not the birth!) of the child from the womb of the mother has become a habit. Weigh the pros and cons: if there is a threat to health, and even more so to the life of an unborn baby, do not hesitate to trust the doctors and agree to a cesarean section. If there are no medical indications for this operation, give birth yourself: let the baby be born naturally.

Children are increasingly born with the help of caesarean section; in Russia, the share of these surgical interventions is already 23%. The reasons for a caesarean section are not always medical - many women insist on surgery due to their strong fear of childbirth. A new concept has even appeared in the world - tocophobia. Why are women afraid of natural childbirth, and is a caesarean section safe without indications?

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

Caesarean section is the only option for absolute medical reasons. The operation helps a baby to be born with a narrow pelvis in the mother, a discrepancy between the size of the fetus and the birth canal, placenta previa, and so on.

Caesarean treatment without medical indications also has some advantages:

• Pain relief makes the birth of a baby comfortable.
• The fetus does not pass through the birth canal, which means that there are no perineal ruptures.
• Caesarean delivery is significantly faster than natural childbirth.
• 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 relieves a woman from painful contractions... It is this plus of the operation that makes it so fashionable.

A big plus for modern woman is and no tears in the perineum and weakening of 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 cesarean is beyond doubt. After all, childbirth takes 12-20 hours, and the operation takes only 30-40 minutes. However, the recovery period after surgical intervention much longer than after natural childbirth.

The predictability of the outcome of a caesarean section and the absence of birth trauma in a toddler might appeal to most sensible women. However, just these advantages are always in question. Oddly enough, there are even more children with cervical trauma and postnatal encephalopathy after cesarean than after normal childbirth.

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

Video: Caesarean section - pros and cons

Why is a cesarean section worse than an EP?

Caesarean section is a serious 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 a cesarean sectionthan in natural childbirth.

Anesthesia is a big risk... Anesthesia and regional anesthesia (spinal, epidural) with a cesarean section can cause great damage to health.

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

Other disadvantages of cesarean are not related to anesthesia

• Heavy recovery period.
• More blood loss than in natural childbirth.
• The need for bed and protective restraint, which interferes with caring for the baby at first.
• Soreness of the seam, pain syndrome.
• Difficulty becoming breastfeeding.
• You can not play sports and do ab exercises for several months.
• Cosmetic suture on the skin of the abdomen.
• A scar on the uterus that complicates subsequent pregnancies and childbirth.
• Adhesion process in the abdominal cavity.
• Danger to health and life in case of imminent pregnancy (earlier than 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 cesarean section is rather difficult. Stress for the body is associated with the operation itself and with the abrupt termination of pregnancy.

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

The woman has to limit yourself to 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 water bodies, live sexually. Because of the weakness and danger of suture disruption, a woman cannot fully care for a newborn.

Post-intervention blood loss and inflammation can lead to the development of anemia, abdominal adhesions, chronic pelvic pain syndrome.

Postoperative pain lasts for several days. Soreness of the seam remains long time ... Almost all women have to resort to pain relievers on the first day after cesarean.

The impact of 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, are prone to developmental delay. In adulthood, they are more likely to demonstrate infantilism and inability to cope with stress.

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

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

Obstetricians and pediatricians unequivocally consider undesirable caesarean section without medical indication... The operation carries too many risks, and does not make the birth of a child comfortable for the mother.

Obstetricians consider a caesarean section without indication undesirable, since all subsequent pregnancies will be burdened by this fact... After operative delivery, it is necessary to carefully protect yourself for 2-3 years, since both early labor and abortion are extremely dangerous for the suture on the uterus.

At the same time, it is impossible to delay too long with another baby: Less than 10 years should pass from the previous cesarean to the next pregnancy.

Pediatricians especially emphasize the negative impact of caesarean section without indication on breastfeeding and further development baby. These problems can be overcome, but creating them unnecessarily is very short-sighted.

The opinion of pregnant women about caesarean section was studied. In Russia, every tenth woman insists on operative delivery, without evidence. The most prone to be afraid of natural childbirth are those women who faced complications when their first child was born.

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

Many families wonder whether to choose a natural birth or a cesarean 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 treatment 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 figure is growing. To understand how the operation affects the body of the mother and child, it is necessary to understand its characteristics.

Surgical etiology

The operation is performed through an access to the abdominal cavity. Get the baby out through different kinds cuts. The main effect is performed by laparoscopic intervention through a small incision over the pubic bone.

The technique minimizes trauma to several layers of tissue. In the area of \u200b\u200bthe pubic bone, the tissues are in close contact. This avoids gross scarring and trauma to the child.

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

In rare cases, a heavier section is performed. It is carried out when there is a threat of death of the fetus or mother during labor. This technique is performed by an incision from the pubis to the navel. The longitudinal incision gives the doctor access to all organs of the abdominal region. The doctor immediately takes out the child. This technique allows to reduce the time of access to the uterus to 10 minutes. This helps to reduce the time the fetus lacks oxygen. The disadvantage of this operation is the long healing time and the presence of a rough, noticeable scar. In this case, the scar prevents the woman from wearing open underwear.

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

Positive aspects for the patient

To understand what is better than a cesarean or natural childbirth, you need to consider their positive aspects. Caesarean section has a number of positive effects... The following advantages of the operation are highlighted:

• short temporary exposure;
• elimination of labor activity;
• preservation of the genitals.

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

2 days before the surgery, the woman goes to the hospital for preparation. She takes a variety of tests. The doctor examines the state of 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. The patient stops drinking before the operation. This reduces the pressure of the vessels.

The operation avoids the main fears - the impact of labor on the body. All patients before childbirth experience a fear of severe pain from the process. For this reason, the majority of women believe that it is better to do a cesarean, since the process is under anesthesia. Increased anxiety is observed in patients who must give birth for the first time. The first labor activity can develop within several days. The operation can reduce the time of intervention.

There is an opinion that after a natural birth, the vagina is very stretched and cannot regain 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 take time to recover and heal. After giving birth, the woman retains the usual forms of the genitals.

If you need to choose whether to give birth by yourself or 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;
• fast milk flow;
• 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 controlled 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. Oxytocin intercepts the reins. 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 acting. 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 on days 2-3. Hormonal adjustment is the reason that it is better to give birth by yourself.

The undoubted advantage is the lack of a healing period. Not all women have minor gaps. For this reason, the patient needs a short time to rest after a natural birth. 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.

Negative sides for a woman

To decide what to choose - natural childbirth or cesarean section, you should examine their negative aspects. Caesarean section has such disadvantages as:

• postoperative period;
• violation of hormonal levels;
• anesthesia;

The main difficulty with a cesarean section is the presence of a postoperative period. The seam requires a woman to follow certain rules. The wound does not allow the patient to make sudden movements. Exercise stress after the operation is prohibited. You should also closely monitor the healing of the suture. Initial processing is carried out by a specialist.

The seam must be wiped antiseptic solutions and treat with drying drugs. The surface of the wound is closed with a sterile dressing that 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 cesarean section. The fault of its manifestation is non-observance of physical rest. In this case, the time spent by the woman in the hospital increases.

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

The operation harms the condition internal organs abdominal cavity. The wound healing process is accompanied by the formation of scar tissue. It can penetrate deeper layers and affect organs. A spike forms on the affected area. The adhesion process is often the reason for the further infertility of a woman.

Caesarean section excludes the timely restructuring of the hormonal background. The woman is operated before the onset of labor. The section must be done no later than the end of 38 weeks. In this case, the hormonal background of the woman remains the same 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 hormones are rearranged for a long time, the beginning menstrual cycle the patient is postponed. The first menstrual period after surgery may start in a few months. If they don't start, hormonal imbalance may be at fault. The woman will need long-term therapy.

Another unpleasant moment of a cesarean section is anesthesia. Women think that the absence of childbirth is good. In fact, anesthesia has a negative effect. The pathological effect of anesthesia extends to nervous system and the work of the brain. During a lifetime, no more than 5 deep anesthesias are allowed. Also, anesthesia has another unpleasant consequence. The first hours after surgery, a woman experiences severe headaches and dizziness. Nausea and vomiting are observed. 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 of mother and child is established. This allows for faster feeding and grooming. During the operation, this preparation for motherhood does not arise. Incomplete process causes postpartum depression.

Negative sides there are also natural childbirth. The main disadvantage is the duration and soreness of labor. A woman who has given birth knows this feature. But the paths for such patients are already prepared. Rebirth will be faster. If the birth is the first, then they can last up to several days. Dilation of the cervix is \u200b\u200bpainful. The syndrome worsens with the onset of labor. Attempts are the peak of pain. This scares many firstborns.

The second negative point is the appearance of gaps. Violent labor 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 makes its way with its head sharply. Against this background, there are ruptures of the neck, labia minora and the walls of the vagina. Such injuries can lead to the development of further complications of sexual life.

Rapid natural childbirth is also negatively affected. Such activity can cause rapid hormonal changes. Due to this, background disturbance can occur. System restoration is carried out with drug therapy.

Pros and cons for a child

When choosing between childbirth or surgery, the child's condition should be taken into account. The choice should be what is best for the child. Caesarean section has such advantages for a baby as:

• application at any size;
• quick birth;
• no stress.

Should a large fetus be a cesarean or natural childbirth? Operations should be preferred. A large fruit is considered from 4.5 kg. With this weight, the baby can get stuck in the lower birth canal. The problem is aggravated by the development of hypoxia. Intrauterine suffocation of the child occurs. 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 cesarean section is prescribed with the transverse localization of the child or the 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 work 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 also has a number of positive effects. During fetal development, the baby's lungs are filled with fluid. When passing the paths, it is removed from the lungs. A child is born with a fully prepared respiratory system. This avoids the development of postpartum pneumonia.

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

The cons of cesarean section are considered. Anesthetic substance has a negative effect on the fetus. It enters the fetus through the placenta. After the operation, the child is under the influence of anesthesia for a long time. Medicine entails the refusal of the baby to take the breast. The child sleeps for a long time. Physical activity is restored only after elimination of the drug 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. Residual liquid remains. After a while, they cause inflammation. Fluid re-accumulates in the lungs. Pneumonia develops.

Natural labor can also negatively affect the child. If the fetus is incorrectly localized or large, there is a risk of hypoxia. The fruit cannot progress along the path. 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 incorrectly through the birth canal. 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 builds up between the bones and the brain. Pathology requires drug treatment... If it does not help, surgery is prescribed. IN last years this problem occurs frequently. This is due to the poor conditions of the surrounding world.

Before giving birth, a woman must choose how it will go. To facilitate the choice, you should carefully study all the positive and negative aspects of both types of childbirth. You should also consult your doctor. Only then can a decision be made.

A vaginal birth is one that has taken place with minimal medical intervention in a calm, almost homely environment in a short period of time. The first birth should not exceed more than 12 hours, for those who give birth for the second time, more than 10 hours.

1. Benefits of a regular birth
2. Pros and cons
3. Indications for surgical intervention
4. Preparatory process for birth
5. Delivery after cesarean section

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

“Natural childbirth or cesarean section? What to choose?" - the expectant mother is timidly typing in the search engine. Why does this question arise? After all, several decades ago women did not care about it. The answer was obvious: natural childbirth and only with serious threats or risks of caesarean section.

The real boom in caesarean section operations occurs at the end of the 20th century. Moreover, this method of giving birth to a child was not always justified by medical indications, often expectant mothers, frightened of the birth pains, about which they so often wrote and talked, ordered an operation. On the one hand, this method is really simpler: the doctor gives anesthesia (epidural or general anesthesia) and takes the baby out through the stomach. But is it that simple?

Caesarean section pros and cons

The operation has undeniable advantages:

1. with the help of a cesarean section, you can save the life and health of the mother and / or the child if natural childbirth is impossible for medical reasons;
2. lack of birth trauma;
3. the absence of a number of problems that arise after childbirth (vaginal distension, hemorrhoids, prolapse of organs, problems with intimate life);
4. no pain during childbirth.

The disadvantages of the operation include:

1. longer recovery, since the operation involves penetration into the uterine cavity;
2. severe postoperative pain;
3. a suture in the uterus, which can become thinner and rupture with the next pregnancy;
4. during surgery, the likelihood of bleeding, infection from the outside is higher.

From personal experience

I had an emergency caesarean section, because the baby at 41 weeks pinched the umbilical cord with a pen, he began to lack oxygen and underwent an urgent operation. It is clear that I did not have much choice, but I really wanted to give birth naturally. What can I say after two years.

At first, psychologically, in my opinion, cesarean is more difficult than natural childbirth: it is scary to lie on the operating table and wait, terribly unpleasant when you feel "hands" in your stomach (! yes, with spinal anesthesia there is no pain, but everything that happens remotely you feel ), severe nausea during the operation, hellish pain after cesarean, and no one will let you lie down, you cannot (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. Because of the postpartum euphoria, the pain is of course quickly forgotten.

Secondly, the child has subluxation of the cervical vertebrae C1, C2 it is almost in all "caesarens" and in some babies after natural childbirth. I advise you to go to an osteopath right after the hospital.

Thirdly, pain in the seam area even after two years in the weather, in the first days of menstruation, etc. This is the most annoying. Lower back pain, because there was a puncture of the spinal cord (anesthesia).

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

Obstetricians - gynecologists of our country treat caesarean section as a serious medical operation, which, as a rule, is not carried out without good reason.

The indications for a planned cesarean section are:

• narrow pelvis of the expectant mother (not necessary!). The operation can be carried out 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 above the cervix and closes the child's natural exit routes;
• mechanical barriers (fibroids in the cervical region);
• diseases of the mother (heart disease, kidney disease, progressive myopia);
• large size of the child, breech presentation, repeated entanglement with the umbilical cord (optional!);
• multiple pregnancy;
• genital herpes that develops in the late 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 suture, then give birth naturally if you wish. 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 independent hatching from a cocoon, she will not become so wonderful and beautiful.

When you don't need a cesarean

Do you need surgery, or can you give birth yourself? There are a lot of indications for which doctors recommend surgery:

1. 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 childbirth;
2. In a situation where a baby is in a face position, it is also possible to give birth naturally. This has severe pain on the mother's back, but is not a pathology and the need to resort to cesarean.
3. The entanglement with the umbilical cord in very rare cases can be the basis for the surgical method of childbirth. But you can give birth with an entanglement of the umbilical cord itself. An experienced obstetrician should be able to carefully remove the umbilical cord during labor. There are many examples when women gave birth with double and triple entanglement of healthy and strong children.
4. When poor eyesight doctors also recommend having a caesarean section. However, this is not required. In such a situation, it is necessary to reduce attempts, which can contribute to vertical childbirth. With such births, the uterus itself can cope with the squeezing out of the fetus.
5. With a narrow pelvis, giving birth naturally is quite possible. It should be understood that a woman has an internal and external pelvis. During childbirth big role it is the inner pelvis that plays.
6. It is difficult to give birth to twins naturally, but it is possible. It takes a lot of patience from the mom and good experience from the midwife. Twins are also not an indicator for cesarean if the pregnancy is proceeding normally and there are no other concomitant indications.
7. 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 uterine dilatation occurred several hours before the birth itself. And that's okay.

Benefits of a cesarean section

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

It takes much less time and does not require specific knowledge and resources. Caesarean work takes 1-2 hours, and natural childbirth can sometimes take up to 20-plus hours. In natural childbirth, qualifying knowledge of the correct delivery in different positions is required. While in Caesarean everything is simple - cut it, took out the child, sewed it up.

Many mothers, not fully studying 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 the cries and pleas to make a cesarean for several hours. And at the request of mommy, she decides to have an operation.

Remember that natural childbirth is the best thing to give and experience to a child, even in spite of the pains that accompany them. If you do not have critical indications for intervention, do it naturally!

Natural childbirth pros and cons

Natural childbirth is provided by nature itself, therefore positive sides they have more:

1. more comfortable emotional condition mothers;
2. childbirth takes place in several stages, so the child has time to "prepare" for new conditions, adapts faster;
3. the likelihood of complications (infection, bleeding) is lower than with a cesarean section;
4. the recovery process is faster;
5. milk comes faster.

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

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

In our country, the attitude towards caesarean section is ambiguous. On various sites and forums, you can find comments in which they directly insult women who became mothers as a result of a cesarean section. Of course, this approach cannot be considered correct, because motherhood is not only about having a child. Now by caesarean section, about 15% of children are born (approximately every seventh child). 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 risking her health and the health of her baby. Complications can occur both during natural childbirth and as a result of a cesarean section. Tune in for the best and remember that any child, regardless of the way of birth, needs love, affection and care.

Content:

In the field of gynecology and among ordinary people, disputes about which is better: natural childbirth or caesarean section - inherent in nature or human intervention, do not subside. Both the one and the other method 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, you need to approach this very seriously, weigh the pros and cons and choose the so-called golden mean.

Today, the trend is that even those women who do not have this operation are asked to perform a cesarean section. This is an absurd situation: imagine that a person himself insists on having a cavity incision made for him for no reason.

This state of affairs in gynecology was brought about by the myth of the absence of painful sensations during such a method. 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 the operation and lasts about 2-3 weeks, or even longer. When a baby is born on its own, 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, large size of the fetus, placenta previa, etc.;
• anesthesia makes the process of childbirth comfortable, they are easier: after all, most young mothers are afraid not to withstand painful contractions;
• absence of perineal tears, which means a faster return of your sexual attractiveness, sex life;
• time proceeds 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 ability to plan the operation at a convenient time, the choice of the optimal day of the week and even the date;
• predictable outcome, unlike natural childbirth;
• the risk of hemorrhoids formation is minimal;
• the absence of birth trauma during attempts and contractions - both for the mother and the child.

Plus or minus? Often among the advantages of a cesarean 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.

disadvantages

• Serious complications for the health and well-being of a young mother as a result of cesarean 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 leaving 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 caring for a newborn;
• soreness of the seam, which makes you drink pain relievers;
• 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 not appear;
• a ban on sports after a cesarean section for 3-6 months, which means that it is impossible to quickly;
• ugly, unaesthetic seam on the abdomen;
• after a cesarean section, natural childbirth may not be allowed in the future (more about this);
• a scar on the surface of the uterus, complicating the next pregnancy and childbirth;
• adhesions in the abdominal cavity;
• the inability to get pregnant in the next 2 years (the best option is 3 years), since pregnancy and new childbirth will pose a serious danger, and not only for the health and life of the young mother, but also for the baby;
• the need for constant medical supervision during the postoperative period;
• the harmful effects of anesthesia on a baby;
• the child does not produce special substances (proteins and hormones) that affect his further adaptation to the environment and mental activity.

Please be aware that ...

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

Today there is a lot of talk about the harmful effects of anesthesia during a cesarean section both on the mother's body and on the baby. And nevertheless, 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 cesarean section, you need to listen to the recommendations of doctors and use this technique. In other cases, the question of which childbirth is better is decided unequivocally: preference should be given to the natural course of this process.

Vaginal childbirth: the pros and cons

The answer to the question of why natural childbirth is better than cesarean 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 completely 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 carried out about the effect of a cesarean section on a 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 are less adaptable, often lagging behind in development, and growing up, they often show low stress resistance and infantilism, in contrast to those who were born during natural childbirth.

disadvantages

• natural childbirth involves severe pain with contractions and attempts;
• painful sensations in the perineum;
• the risk of tears in the perineum, which entails the need.

Obviously, cesarean from natural childbirth differs both in the methods of influence on 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: cesarean or natural childbirth for certain problems

The question of which is better: caesarean 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 for events - 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 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 more than 4 kg is considered to be such), the doctor must correctly assess her physical indicators, physique and figure features. Natural childbirth in such a situation is quite possible if:

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

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 match the size of her pelvic ring, it is better to agree to a cesarean section. It will avoid difficult tissue tears and make it easier for the baby to be born. Otherwise, natural childbirth can end tragically for both: the baby is injured himself and will cause serious damage to the mother.

After IVF

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

• the desire of the woman herself;
• age over 35;
• multiplicity;
• chronic diseases;
• if infertility has been for 5 years or more;
• gestosis;

If the expectant mother, who went through IVF, is young, healthy, feels great, the reason for the infertility was in the man, she can, if she wants, give birth naturally. In this case, 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 has shown what will happen, monitoring the condition of the mother and the babies becomes more careful and attentive on the part of the doctors. The question may even arise as to whether a woman will be able to give birth to them on her own. The indication for cesarean 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 with the bottom down and the other with the head, the doctor will not recommend natural childbirth, since there is a risk that they can catch their heads with each other and be seriously injured;
• with their transverse presentation, cesarean is also performed.

In all other cases, if the expectant mother is healthy, twins are born by herself.

Delivery of monochorionic twins

If the birth of monochorionic twins is expected, which feed on the same placenta, they rarely pass naturally and without complications. There are too many risks in this case: the premature birth of babies, they are often entangled in the umbilical cord, the birth itself lasts much longer than usual, which can lead to a weakening of labor. Therefore, in most cases today, mothers of monochorionic twins are offered to have a cesarean 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 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 is up to 35 years old;
• if she is healthy, she does not have any chronic diseases and at the time of delivery she feels great;
• if she herself is burning with the desire to give birth on her own;
• if there are no abnormalities in the development of the fetus;
• if the ratio of the size of the child to the mother's pelvis allows 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 only happens in 10% of such situations. The most common decision is to have a caesarean section. With the breech presentation of the baby, the risk of an unfavorable outcome is too high: the umbilical cord loops fall out, the baby's condition is suffocated, etc. Excessive extension of the head is also considered dangerous, which can lead to birth injuries such as damage to the cervical spine or cerebellum.

Asthma

Bronchial asthma is not an absolute indication for a 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 her rhythm will break, which means so much at the birth of a baby.

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

With rheumatoid arthritis

Whether a woman will be able to give birth naturally with rheumatoid arthritis, only a doctor can decide, examining the features of this disease in each case. On the one hand, it is not uncommon for rheumatologists and gynecologists to make a decision about a cesarean section for the following reasons:

• the load on the knees during the birth of the baby is very large;
• the pelvic bones with 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 a caesarean section. Everything will depend on the condition of the woman and the nature of the course of the disease. Many natural childbirth 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 the well-being of the mother, she may be allowed to give birth naturally, although in most cases, in order to avoid complications and unforeseen situations, doctors advise to have a cesarean section.

If you do not know what to give preference to, it is better to rely on the opinion of a doctor, rather than make independent decisions, focusing on fashion trends from the West, where a surgical operation to remove (and not give birth!) A child from the mother's womb has become commonplace. Weigh the pros and cons: if there is a threat to health and even more so to the life of an unborn baby, do not hesitate to trust the doctors and agree to a cesarean section. If there are no medical indications for this operation, give birth yourself: let the baby be born naturally.

Increasingly, babies are born with a caesarean section. In Russia, the share of these surgical interventions is already 23%. The reasons for a caesarean section are not always medical - many women insist on surgery due to their strong fear of childbirth. A new concept has even appeared in the world - tocophobia. Why are women afraid of natural childbirth, and is a caesarean section safe without indications?

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

It is the only choice if there is an absolute medical condition. The operation helps to give birth to a baby with a narrow pelvis in the mother, a discrepancy between the size of the fetus and the birth canal, placenta previa and so on.

Caesarean treatment without medical indications also has some advantages:

• Pain relief makes the birth of a baby comfortable.
• The fetus does not pass through the birth canal, which means that there are no perineal ruptures.
• Caesarean delivery is significantly faster than natural childbirth.
• 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 relieves 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 tears in the perineum and weakening of 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 cesarean is beyond doubt. After all, childbirth takes 12-20 hours, and the operation takes 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 toddler might appeal to most sensible women. However, just these advantages are always in question. Oddly enough, there are even more children with cervical trauma and postnatal encephalopathy after cesarean than after normal childbirth.

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

Video: Caesarean section - pros and cons

Why is a cesarean section worse than an EP?

Caesarean section is a serious 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 a cesarean section than in natural childbirth.

Anesthesia is a big risk ... can cause great damage 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 lining of the spinal cord, and trauma to the spine and nerve tissue.

Other disadvantages of cesarean are not related to anesthesia

• Heavy recovery period.
• More blood loss than in natural childbirth.
• The need for bed and protective restraint, which interferes with caring for the baby at first.
• Soreness of the seam, pain syndrome.
• Difficulty becoming breastfeeding.
• You can not play sports and do ab exercises for several months.
• Cosmetic suture on the skin of the abdomen.
• A scar on the uterus that complicates subsequent pregnancies and childbirth.
• Adhesion process in the abdominal cavity.
• Danger to health and life in case of imminent pregnancy (earlier than 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 cesarean section is rather difficult. Stress for the body is associated with the operation itself and with the abrupt termination of pregnancy.

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

The woman has to limit yourself to 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 water bodies, live sexually. Because of the weakness and danger of suture disruption, a woman cannot fully care for a newborn.

Post-intervention blood loss and inflammation can lead to the development of anemia, abdominal adhesions, chronic pelvic pain syndrome .

Postoperative pain lasts for several days. Soreness of the seam persists for a long time ... Almost all women have to resort to pain relievers on the first day after cesarean.

The impact of 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, are prone to developmental delay. In adulthood, they are more likely to demonstrate infantilism and inability to cope with stress.

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

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

Obstetricians and pediatricians unequivocally consider undesirable caesarean section without medical indication ... The operation carries too many risks, and does not make the birth of a child comfortable for the mother.

Obstetricians consider a caesarean section without indication undesirable, since all subsequent pregnancies will be burdened by this fact ... After operative delivery, it is necessary to carefully protect yourself for 2-3 years, since both early labor and abortion are extremely dangerous for the suture on the uterus.

At the same time, it is impossible to delay too long with another baby: Less than 10 years should pass from the previous cesarean to the next pregnancy.

Pediatricians especially emphasize negative impact of caesarean section without indications on natural feeding and further development of the baby... These problems can be overcome, but creating them unnecessarily is very short-sighted.

The opinion of pregnant women about caesarean section was studied. In Russia, every tenth woman insists on operative delivery, without evidence. The most prone to be afraid of natural childbirth are those women who faced complications when their first child was born.

Today, the expectant mother often faces a choice: caesarean or natural childbirth. If earlier a cesarean section was done only when necessary, now, when the operation has become safer, the list of indications for it has expanded significantly, and the wishes of the woman in labor are also taken into account in many situations.

Many women consider a caesarean section to be a safer option than a natural birth. In addition, there are fewer and fewer doctors who have experience with difficult vaginal deliveries, for example, in breech presentation or with a suture on the uterus.

Which is better: cesarean or natural childbirth.

It is impossible to answer the question “which is better: caesarean or natural childbirth”. In each situation, you need to decide individually, weighing all the pros and cons. The priority should always be the life and health of the mother and child, therefore, in the case when natural childbirth threatens the life of a mother or baby, it is necessary to choose surgery.

But in many situations, natural childbirth is safer for the mother and baby. If there is no indication for a cesarean section, then it is not worth doing it on your own whim or because of fear of labor pain. Caesarean section is a serious surgical procedure that can be accompanied by many complications.

Which is safer: cesarean or natural childbirth.

Again, this question is difficult to answer. If the woman and the child are healthy, there are no complications, then natural childbirth is safer. In some conditions, such as complete placenta previa, natural childbirth is simply impossible.

In this case, the cesarean is done routinely a few days before the expected birth, since even the onset of contractions can provoke bleeding.

Childbirth, for example, with a true breech presentation of the fetus can be safer than cesarean, but only if certain conditions are met: gestational age 38-40 weeks, the child's condition is normal, the childbirth is conducted by a doctor with such experience.

While caesarean can be life-saving, it is often performed without medical need, putting women and their children at risk for short- and long-term health problems. Increased risk of adverse outcomes after cesarean section: blood transfusion, complications of anesthesia, internal organ damage, thromboembolism, infections, respiratory distress in the child, iatrogenic prematurity.

It is not known exactly how caesarean section affects women's social and psychological well-being, mothers' ability to start breast-feedingand what the implications for future pregnancies might be. When a cesarean section is performed without indication, there is little benefit and the harm is more obvious.

Unjustified cesarean sections lead to an increase in the number of postpartum complications and impairment of the adaptive capacity of the newborn.

In order to prevent maternal and perinatal morbidity and mortality associated with caesarean section, it is necessary to strictly adhere to the indications. Analysis of statistical data showed that if the frequency of cesarean sections exceeds 10%, then there is no tendency to improve health indicators for mothers and children.

Which is more painful: cesarean or natural childbirth.

To say that it is more painful and harder for a woman, cesarean or natural childbirth, is difficult. One thing we know for sure: during a cesarean section, a woman does not feel anything due to anesthesia, but the postoperative period will always be accompanied by painful sensations.

For some this pain is bearable, for others it is unbearable. The first days after the operation, of course, pain relievers are used. However, the stitches can hurt for several weeks or longer. It depends on many factors: the individual sensitivity of the woman, the qualifications of the doctor, the type of suture, the method of pain relief, the presence or absence of postoperative complications.

The process of natural childbirth, in comparison with a cesarean section, is painful, it can last 10-12 hours, sometimes longer. However, pain during childbirth is very individual; there are women who give birth almost painlessly or compare their feelings with discomfort during menstruation.

If the birth went without breaks, surgical interventions (vacuum, forceps), massive bleeding, then in the postpartum period a woman usually feels well and recovers quickly. Of course, if there were complications in natural childbirth, sutures were applied to the perineum, anesthesia was applied, the recovery period is more difficult, but still it is difficult to compare it with recovery after abdominal surgery.

The opinions of women who have experience with both caesarean section and natural childbirth are divided. Some mothers have very poorly endured contractions and believe that natural childbirth is more painful than caesarean, others suffered greatly from postoperative pain and would not want to relive the operation.

Many mothers also say that the pain in childbirth is quickly forgotten when you see your child, and after a cesarean it can hurt for a long time. No one can know how your childbirth will go. It is impossible to predict what will be more painful for a particular woman, caesarean or natural childbirth.

In recent years, the proportion of cesareans has increased in an unprecedented way. The reasons for the spread of KS are the fear of pain during childbirth, the convenience of planning the birth and the belief in the safety of the operation.

In fact, a caesarean section may be necessary if a vaginal delivery is dangerous for the mother or baby, but it can also cause serious complications, including death or disability.

If there are no medical indications for surgery, then there are no advantages of a cesarean section over natural childbirth for the mother and child. Unfortunately, often doctors themselves, having a financial benefit or simply in a hurry to deliver a woman, abuse a cesarean section.

When deciding the question of "cesarean or natural childbirth", you should first of all ask the doctor whether there are strict indications for the operation and what complications such an intervention may entail.