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Cesarean section
A birth is helping operation at which the abdominal cavity and the womb are opened to take the child to the world the cesarean section. Cesarean section synonymously is also used for cesarean section. Approximately 15 per cent of all children are released with a cesarean section in Germany. Into this one years lusted have the operation techniques improved so that the mothers can be dismissed already few days after the operation.
By the pregnancy precautions, nowadays many birth risks can be recognized at full term. A planned cesarean section is then shown.
The reasons for a scheduled operative delivery are, for example:
- The placenta blocks the normal birth way.
- The baby lies in the uterus transverse or at an angle and can't be born vaginally so.
- Lies in breech presentation and the spontaneous delivery is considered too risky first giving birth to the child of one.
- The pelvis of the mother is formed exceptionally narrowly or not normally.
- Lies with a twin pregnancy the first twin into breech presentation and/or one or both are very smally children and/or the second twin becomes gram more heavily than the first one on more than 500 estimated.
- The unborn is provided no longer sufficiently with oxygen due to a placenta insufficiency. This can for example happen the mother or a real prolonged gestation at a diabetes, gestosis, nicotine abuse.
- There is the risk of a womb rip at previous operations of the womb at a vaginal delivery.
The mother can decide at a planned slice relationship whether she wants a general anesthesia or only a local anesthesia (peridural anesthesia.) The PDA lies the advantages in it, that the mother doesn't miss the first contact to the child by oversleeping and be not charged to mother and child by a general anesthesia.
At a cesarean section operation with PDA the operation field isn't understandable for the mother, she, however, hears what happens in her environment. The pain is, turned off feeling unpleasantly at a cesarean section operation, however, remains.
A cesarean section under general anesthesia is necessary if it comes to a critical situation under the birth and the child isn't provided with oxygen sufficiently. The obstetricians then must rapidly trade and give a general anesthesia.
The following circumstances make this step necessary:
- a premature placenta detachment,
- a cord prolapse,
- the neck of the child is twined by the cord,
- the repeated medicinal birth induction doesn't lead to any success.
Technique
The surgeon opens the abdomen by a cross or longitudinal section. The abdominal wall is opened pressedly for a 12 to 16 centimeters long incision over the pubic bone limit at a cross-section. The operation field is extended with sore heels, the incision is then run through the uterus musculature. The physician can grip into the uterus and take the child out cautiously. This part of the operation lasts for only few minutes. Most time needs sewing the individual abdomen layers up cautiously. The external edges of a wound are held together with clamps.
Becomes the cross-section for looked loading the mother as some since it more rapidly heals and only a hardly visible scar stays behind later. For example extreme pressure of time, corpulence and hypogastrium operation previous are considered indications for a longitudinal section.
A newer cesarean section method is the misgav-ladach sectio. This gentle technique is named after a hospital of the same name in Jerusalem. All layers of the abdominal wall are opened only lightly with a scalpel and further then only stretched at a cross-section. Only the ones for whom this is imperative stack tissue be stitched up. The advantages lie in it that the women are mobile, normally can eat and need considerably less analgesics rapidly again.
The first days after the birth are often arduous for the mother. The OP scar hurts and may not be charged, a sore drainage remains in the wound. Her nutrition gets the woman over a drip, perhaps another bladder catheter lies. A thrombosis or infections are prevented with medicines.
As a rule, the scar heals without problems. It only leaves a fine hardly visible stroke. Pelvic floor problems or traumatic birth experiences don't load the mother to a sectio. Some women, primarily if they had to give birth by a need cesarean section, need some time to process the birth psychically.
Children who were born with cesarean section suffer from breath problems once in a while because they frequently still have fetus waters in the lungs. The children must at a vaginal delivery through the narrow birth way. The fetus water is pressed from the lungs.
Risks
The risk for the woman of dying at a cesarean section is higher than at a vaginal delivery approximately three times. The perinatal is reduces mortality for the children (under the birth.)
These informations may be considered a substitute for a piece of medical advice in no case. The content of health-illness.com doesn't can and may be put into any case to make diagnoses or carry out self medical treatment independently.
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