Cesarean or not

Cesarean section is another way to deliver a baby and it is essential to talk about it when preparing for the birth since pregnancy is truly a surprise box.

A cesarean section is a major surgery that often prevents unfortunate consequences for the mother and her baby with the help of cesarean section surgical instrument set. I know that many of you think that a cesarean is not an option, that your pregnancy is going so well that you do not anticipate such an outcome, but the reality may be quite different.

I therefore believe it is important for future parents to inform themselves about the cesarean section in order to be already a little up to date if the situation arises, which is why I always talk about it in my prenatal classes and on the web also in a video about cesarean delivery with the help of cesarean section surgical instrument set. Well-prepared parents, as we know, are calmer, better understand the context, the indications and, above all, the risks associated with doing or not having a cesarean.

There are several contexts that require it: urgently, electively (planned in advance) and during labor. A gynecologist or surgeon will perform this procedure. If your family doctor is monitoring your pregnancy, he or she can assist the gynecologist during the surgery.

An emergency cesarean is usually done within minutes of something you see, such as bleeding from a placental abruption or placenta previa (placed in the cervix), a worrying decrease in the baby's heart rate or even a proliferation of the cord (the latter descends in front of the baby's head into the mother's pelvis). In such circumstances, no need to tell yourself that time is running out!

Often, fathers or other significant people are not even invited to be present in the operating room, given the speed of execution and the high level of attention and concentration that must be kept vis-à-vis the operating room for mother and her baby. Also, if the woman giving birth is not already anesthetized, she may need to be put to sleep to speed up the procedure and get the baby out quickly.

Cord procidence occurs in 0.1 to 0.6% of deliveries and is more common:

- whether the baby's position in the uterus is transverse or oblique;

- if there is more amniotic fluid than average;

- if the baby is premature or underweight;

- if there is premature rupture of the membranes.

The most common method to diagnose the prolapse of an umbilical cord is to view it through the vaginal opening or to feel it inside the vagina. Another possible sign may be a slowing baby's heart rate. If there is really a proliferation of the cord, it is necessary, at all times, to reduce the compression on the cord in order to allow the exchange of oxygen from the mother to the baby at all times while awaiting the cesarean, because it is there, an obstetric emergency.

The context of the planned cesarean section refers more to health situations experienced during pregnancy, to reasons known in advance for considering this surgery even before a trial for labor. Here are some common examples: the placenta is misplaced; the baby is too big; baby comes in the breech or is very very small and we want to save him all the work given his mini constitution; the mother has a physical problem (fibroma, herpetic sore on the vulva) or a chronic disease (poorly controlled diabetes); mom has had a cesarean and the cause recurs in other deliveries (cervical incompetence or pelvis that is too small)

When a cesarean section is planned, you may be offered a preparatory meeting before the operation to teach general surgery: the steps, the procedure itself and postnatal follow-up. Blood tests will also be taken and the details of your preparation will be given to you at home before you arrive at the maternity ward on the day of your Caesarean section.

It is also possible that the Caesarean is neither planned nor urgent, but still necessary in certain circumstances. For example, this intervention will be carried out during labor if there is a stop of progression (the cervix does not change), poor positioning of the baby which prevents his descent into the mother's pelvis, ineffective contractions, fetal heart with decelerations are important during the contraction ...

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