1, advantages and disadvantages of caesarean section
1. For some reason, it is absolutely impossible to give birth from a female private part. Caesarean section can save the lives of mother and baby. Under what circumstances do parturients need caesarean section? When it is impossible to give birth in a woman's private part, or when giving birth in a woman's private part may be dangerous to the mother or newborn (fetus), caesarean section is necessary. Under what circumstances do pregnant women need caesarean section, and will the mother and baby have satisfactory results? These special circumstances are the indications of caesarean section that we often say.
2. The indication of caesarean section is clear, and anesthesia and operation are generally smooth.
3. If selective caesarean section is performed, the operation has been performed before the contraction has started, which can avoid the pain of the parturient.
4. If there are other diseases in the abdominal cavity, they can also be treated together, such as ovarian tumors or subserous uterine fibroids, which can be removed at the same time.
Ligation is also very convenient.
6. In the case that it is not suitable to preserve the uterus, such as severe infection, incomplete uterine rupture, multiple uterine fibroids, etc., the uterus can be removed at the same time.
7. Due to the improvement of the safety of caesarean section in recent years, many pregnancy complications and pregnancy termination caused by pregnancy complications, clinicians choose caesarean section to reduce complications and their impact on mother and baby. Getting a baby more safely is the main reason why these expectant mothers choose caesarean section. Some pregnant women are afraid of childbirth pain or just to make themselves feel more comfortable, while others are trying to avoid urinary incontinence that may be caused by natural childbirth. In addition, elderly women and reproductive dysfunction are also the main reasons why women choose caesarean section.
Caesarean section has saved women's lives in many cases. In the case of placenta previa, if the mother gives birth naturally, it will cause massive bleeding and face life-threatening. In addition, caesarean section is more suitable for the production of multiple births. Many parturients think that caesarean section is a safer way. However, once a woman has had a caesarean section, if she gives birth again, most doctors will worry about the rupture of the original wound and disagree with the natural delivery method.
Disadvantages of caesarean section:
1. laparotomy is a mental and physical trauma to the mother.
2. Anesthesia accidents during operation are rare, but they may happen.
3. Bleeding and collateral injury may occur during operation, which may damage other abdominal organs, and urinary, cardiovascular and respiratory complications may occur after operation.
4. The operation may be safe, but there may be poor healing of uterine incision, late postpartum hemorrhage, formation of abdominal sinus, long-term non-healing of incision, intestinal adhesion or endometriosis after operation.
5. The recovery of uterus and whole body after operation is slower than that of natural delivery.
6. During pregnancy and re-delivery, it is possible to rupture the uterus from the original uterine incision. If the original incision does not heal well, it will cause long-term adverse effects if laparotomy is needed again during delivery.
7. Newborns born by caesarean section may suffer from respiratory distress syndrome and ADHD.
2. How to eliminate stretch marks by caesarean section?
1. Daily care
If white parallel stretch marks have been formed after delivery, you should do sit-ups and control your diet. From now on, you can use wrinkle removal products to gradually dilute the lines and avoid the outward expansion of the lines, which has the effect of making the skin delicate and smooth. Massage the lower abdomen after bathing every day.
2. Clever use of eggs to remove.
Egg white for external use can promote tissue growth, whiten skin and make skin tender, because it is rich in protein and a small amount of acetic acid, which has a good effect on eliminating or relieving postpartum stretch marks.
The specific method is: after washing the abdomen, massage for 10 minute, apply egg white on the abdomen and wipe it clean for about 10 minute. You can also add some olive oil at the same time, which is better.
3. Medical methods to eliminate
Most stretch marks are difficult to eliminate once they are formed. For mommy with fair economic conditions, medical beauty can be considered to remove stretch marks:
4. Laser therapy
The principle of laser removing stretch marks is that fibroblasts in interstitial cells are stimulated by specific chemical factors released by dermal microvascular system, and can generate collagen molecules. These collagen molecules are arranged in an orderly manner and gradually combine into new collagen, thus reconnecting broken collagen points, improving skin texture and state, and reducing striped stripes. Laser to remove stretch marks has certain safety problems, which may rebound in a certain period of time, so friends who want to use laser to remove stretch marks must find a regular big hospital.
5. Eliminate local medication
According to research, 0. 1% tretinoin (an acid) is effective for early red stretch marks, but not for late silvery white stretch marks. If you use fruit acid plus A acid or vitamin C, it will be more effective for the later silver stretch marks. Please consult a doctor for details. Beauty salons, using fruit acid to change skin, can improve the color and thickness of epidermis, and can also make stretch marks look inconspicuous.
6. Microdermabrasion
Laser dermabrasion can dilute or even eliminate stretch marks, but it is expensive. If the stretch marks really obviously affect the appearance, consider grinding the skin. It is recommended to choose a professional plastic surgery and skin care institution and do a comprehensive consultation before operation.
3. Advantages and disadvantages of natural childbirth
Disadvantages of natural childbirth:
1. Prenatal pain, but painless delivery can avoid the pain.
2. Emergencies in the production of female private parts.
3. Relaxation of female private parts can be avoided through postpartum exercise.
4. Sequelae of pelvic uterus and bladder prolapse.
5. Women's private parts will hurt perineal tissue after delivery, even cause infection, or external female private parts hematoma.
6. Postpartum bleeding may occur due to poor uterine contraction. If postpartum hemorrhage cannot be controlled, an emergency laparotomy is needed. In severe cases, the uterus needs to be removed, even life-threatening.
7. Postpartum infection or puerperal fever; Especially if the water breaks early and the labor process is prolonged.
8. There will be sudden labor (labor is less than two hours). It is especially suitable for lying-in women and patients with cervical relaxation.
9. Fetal dystocia or maternal failure requires forceps or vacuum suction, which will cause fetal head swelling during auxiliary production.
10. Overweight fetus is easy to cause shoulder dystocia, which will lead to clavicle fracture or brachial plexus injury in newborns.
1 1. Meconium is produced in amniotic fluid, which leads to meconium aspiration syndrome in newborns.
12. The fetus had an accident in the womb; Such as umbilical cord around the neck, knotting or drooping.
13. Amniotic fluid embolism occurs without warning. Even caesarean section is inevitable.
4, the benefits of painless delivery
Greatly alleviate the pain of expectant mothers, reduce the fear of childbirth and postpartum fatigue. It can make the parturient have a full rest in the longest first stage of labor and have more physical labor when the cervix is open.
Because the pain is relieved, the parturient can better cooperate with the doctor to do various examinations, and can also adjust their breathing and exertion in a sober state to make the delivery more smooth.
Find someone to accompany-Doula delivery
This is the most respected natural delivery method at present: a parturient or midwife with delivery experience and good communication skills will accompany the parturient, explain the various processes of delivery, give psychological support and comfort to the parturient, hint or encourage them to enhance their confidence, so that the parturient can eliminate tension, thus alleviating the pain of delivery. When the parturient is in pain, appropriate massage or oppression will be given to relieve the discomfort caused by labor pains.
The biggest advantage of Doula delivery is that it has no side effects at all, and it is the most natural painless delivery method.
Disadvantages of Doula delivery: the analgesic effect is poor, which requires the psychological quality of the parturient.
Electric shock analgesia: TANS, HANS
Intermittent stimulation is sent to the epidermal nerve through electrodes on the skin, thus blocking the transmission of pain signals to the brain and achieving analgesic effect. This method is very convenient and can be used from the beginning of delivery. There is no side effect on mother and baby, but the analgesic effect is relatively poor.
Intravenous or intramuscular injection of painkillers
Demerol, diazepam, pethidine and so on all belong to this kind of drugs, which can achieve the effect of labor analgesia through intramuscular or intravenous injection.
Although this method can relieve the pain, it will make the parturient sleepy, and the medicine will inevitably affect the health of the newborn baby.
Sacral canal anesthesia
Epidural anesthesia refers to the doctor placing a drug tube in the epidural space of the lying-in woman's waist. The concentration of anesthetic in the drug tube is only about 1/5 of that during cesarean section, which is very safe. General anesthesia takes about 10 minute, and the pain begins to ease, which is a commonly used analgesic method in most hospitals at present.
Especially suitable for lying-in women:
☆ Pregnant women with strong contractions and severe labor pains.
☆ Pregnant women with pregnancy-induced hypertension syndrome who have used diazepam and analgesics but still have obvious pain.
Premature parturient
☆ Pregnant women with heart disease or respiratory diseases who can't hold their breath.
Advantages: the pain during childbirth is greatly reduced, and expectant mothers can walk freely in the fields.
Disadvantages: it will reduce the contraction function of abdominal wall muscles, and some expectant mothers will also have the phenomenon of prolonged second stage of labor, so it is necessary to reduce the dosage when the cervix is close to full opening. Very few parturients will have complications of local anesthesia or spinal anesthesia.
Laughter inhalation
Nitrous oxide is nitrous oxide, which is an inhalation anesthetic. Colorless and sweet, it is the least toxic inhalation anesthetic. No irritation to respiratory tract, no harm to body. Generally, inhalation for 30 seconds to 45 seconds can relieve pain.
Advantages of nitrous oxide painless delivery;
● Analgesic effect, shortening the labor process;
Take effect quickly, the effect disappears quickly and there is no accumulation;
No side effects on mother and baby;
Sweet taste, no irritation to respiratory tract, easy to accept;
● Easy to use and easy to learn.
Disadvantages of nitrous oxide painless delivery;
The analgesic effect is not as good as epidural anesthesia, and it needs to endure some pains, which is more suitable for mothers with fertility experience.
5. Advantages and disadvantages of water delivery
Advantages:
Giving birth in a delivery pool filled with warm water can reduce the pain of pregnant women during the whole delivery process. Because the delivery pool is similar to the amniotic fluid environment in the mother's uterus, the fetus will adapt to this new external environment after leaving the mother. The "instinct" of the fetus will make them hold their breath before coming out of the water and will not be choked by the water. Giving birth in water with suitable water temperature can calm the maternal mood, promote the relaxation of leg muscles and dilate the cervix. The buoyancy of water helps the body to play its natural rhythm and is convenient for turning over and resting.
This delivery method not only has less bleeding during delivery, but also has less perineal injury; Moreover, because the position of the parturient in the water can be adjusted independently, the force is more natural during delivery, and the fetal heart will not change abnormally. Because the delivery time is relatively short, the physical consumption of the parturient is very small, and the postpartum recovery is obviously better than other delivery forms. In addition, babies born underwater are less likely to be injured than babies born in ordinary ways.
Disadvantages:
There may be terrible consequences such as neonatal asphyxia and death, and there are still difficulties in disinfection and how to prevent infection. Therefore, the American College of Obstetrics and Gynecology has not confirmed that underwater delivery is a safe delivery method.
It is suggested that mothers who give birth in water should be cautious when choosing hospitals.
People who are not suitable for giving birth in water:
1. If the fetus is found to be unhealthy, or the fetal position is not correct, multiple births, etc. , should not be used.
2. Pregnant women with diseases. Relevant experts believe that pregnant women with diseases had better adopt a more secure mode of production. Because diseases often cause syndromes and cause unnecessary harm.
3. Various factors affect pregnant women who give birth naturally, such as fetal macrosomia or maternal obesity. The weight of babies born in water should be controlled at about 3 kg.
4. Maternal women with a history of abortion.