The belly is opened for a cesarean section, which will hurt your vitality, is it true?
The doctor replied: Western medicine does not have such a statement, but cesarean section is an operation. The operation will cause tissue damage, destruction of the original anatomical structure, bleeding and other related problems. It will take a certain time for tissue repair, healing, and gastrointestinal function recovery. , So you need to recover slowly after surgery. Compared to natural delivery, cesarean section can cause serious tissue damage, so natural delivery is advocated.
It is said that during natural childbirth, the baby will be smarter after being squeezed through the vagina. Is this true?
The doctor replied: Although natural childbirth is highly encouraged, there is no such saying. There are currently studies that believe that babies from 0 to 3 years old are the key to the formation of intelligence, and they have considerable plasticity until they are 8 years old. So it is better to actively study the baby's early education methods.
Compared with babies born with cesarean section, they are not squeezed by the birth canal, the mucus in the airway is not squeezed and discharged, and the lungs are not exercised, which are prone to respiratory diseases such as neonatal asphyxia and respiratory distress. Low function, will face more risk of infection and higher incidence of allergies, but also easily cause sensory integration disorders.
It is not easy for moms who have had a normal birth to have a small belly, loose vaginas, and suffer from postpartum hemorrhoids. Is natural childbirth really so scary?
The doctor replied: Natural childbirth is a natural process, as the name suggests, so natural childbirth adapts to the laws of nature. It is easier to restore your body than cesarean section. As for these problems after childbirth, for example, abdominal wall laxity is formed by all women during pregnancy and has nothing to do with normal delivery; vaginal laxity can be restored by postpartum exercises (such as levator exercises). As long as it does not give birth repeatedly, the vagina will not relax. Hemorrhoids are mainly caused by the obstruction of hemorrhoid venous return, which usually occurs during pregnancy, and pregnant women who have undergone cesarean section are equally prone to hemorrhoids. The degree of hemorrhoids may be aggravated due to exertion during labor. After childbirth, hemorrhoids can be relieved by taking a bath and applying medicine.
Carrying out a cesarean section helps to keep in shape because the pelvis will not be enlarged?
The doctor replied: There will be a certain degree of deformation of the pelvis during pregnancy, which is fair to all women. During pregnancy, the joint ligaments are loose, the enlarged uterus protrudes forward to shift the center of gravity backward, and the lumbar spine protrudes forward. The "opening of the bones" during natural childbirth is not the opening of the bones, but the dilation of the cervix, which does not affect the pelvis.
It is said that during childbirth, the baby may be damaged by the lack of oxygen in the birth canal, which means that if the baby is not delivered properly, the baby will become demented, is it true?
The doctor answered: Any improper delivery method may cause cerebral palsy, that is, hypoxic ischemic encephalopathy, and affect the child's intelligence and mobility. Natural childbirth is certainly possible. Therefore, it is necessary to have professional medical personnel to closely monitor the trial production process. The mother can inhale oxygen to increase the fetal blood oxygen saturation and improve intrauterine hypoxia. In addition, fetal heart rate monitoring is performed to determine whether the child can continue to give birth. If the cause of hypoxia is difficult to remove and harm the fetus, cesarean section can be performed.
Strictly speaking, all fetuses are "asphyxiated babies" at the time of delivery, because all neonates with normal pregnancy course and outcome have a mixed respiratory and metabolic acidosis and hypoxemia. This essentially suffocation is not a pathological process, it is considered physiological to ensure the establishment of respiratory circulation.
Will cesarean section cause breastfeeding difficulties?
The doctor replied: No. There may be some inconveniences, such as lying on your back after anesthesia, postoperative wound pain, and the need for fluids, etc., which may restrict the mother's activities, but this does not hinder breastfeeding. As long as these difficulties can be overcome, breastfeeding is not difficult. Every hospital has postpartum breastfeeding counselling, which is very practical and proper posture is very important. The diet after cesarean section is more restricted than that of natural childbirth. It is necessary to transition from fasting, liquid food, semi-liquid food to general food. As long as the transition is appropriate to promote the recovery of gastrointestinal function, you can eat normally for two days after the operation. Maternal breastfeeding is related to diet and nutritional status. Postpartum mental stress or poor sleep can affect milk production, but the most important thing is to let the baby suck more nipples. The lactation reflex is an important reason for promoting lactation.
If the new mother is motionless after cesarean section, it is easy to form an embolism?
The doctor replied: Yes! The blood is in a hypercoagulable state during pregnancy. After epidural anesthesia and cesarean section, you can turn over and move around within 6 hours. Within 6 hours, you can also lie on your back and your family members can help move your limbs, promote blood circulation and relieve fatigue.
Most moms have been cut sideways during natural childbirth, but it is said that stitches are more painful than during childbirth. Is this true?
The doctor replied: Some women said this. In fact, there is local anesthesia during the lateral incision, but sometimes the anesthesia block is not effective and will feel painful. After the baby was delivered, the mother's attention shifted from the baby to herself, and the pain of contractions eased, she felt the pain of stitching. The pain of stitching is tolerable, and as long as it takes a short time, it is really nothing compared to the production process.
Will natural childbirth affect future sex life?
The doctor replied: No. About 6 weeks after the natural childbirth, the whole body organs, except the breast, basically return to the state of pregnancy, and the vagina will also recover. Lateral perineal incision wounds are usually healed 3 to 4 days after delivery and will not affect sexual life. However, due to postpartum lochia discharge, lateral incision wound healing and other reasons, it may feel uncomfortable or increase in leucorrhea. As long as you rest for a period of time, there will be no problem. In addition, the elasticity of the pelvic floor muscles and their fascia can be weakened during delivery, so postpartum exercises should be actively done after delivery. Postpartum yoga is also a good way to restore your body. Exercise moderately and do not participate in heavy physical labor prematurely.
Spontaneous delivery may cause hemorrhage and other accidents, while cesarean section is closely controlled by doctors, and the possibility of accidents is very small. Is that true?
The doctor replied: Of course not! Cesarean section is an operation, and all operations have surgical risks, so the operation must be decided after careful evaluation. A cesarean section requires an incision of the skin, tissue, and uterine wall to take out the baby, which itself can cause bleeding. The main causes of postpartum hemorrhage are: weakness of uterine contraction, soft birth canal injury, placental factors, and coagulation dysfunction. Both natural birth and cesarean section may occur.
It is said that for several years after the cesarean section, the scar on the stomach will be itchy and painful. Is this true?
The doctor replied: Under normal circumstances, wound healing does not do this. The wound on the abdomen is no different from the wounds of other operations and traumas. There is nothing special because it is a cesarean section!
If you give birth by yourself and you have to undergo a cesarean section if you cannot give birth, you will not only suffer two crimes, but also the anesthesiologist and doctor may not be available, which will delay the opportunity. Could this happen? How to avoid it?
The doctor replied: This question is more complicated! Various problems may occur during the trial delivery. There are many problems to be observed, such as the degree of fetal decline, changes in the occipital position, whether the head and pelvis are commensurate, the condition of the fetal heart rate, the state of the parturient and other factors will affect the delivery. There are often cases where the cesarean section cannot be delivered after the uterine opening is complete, which is really painful for the parturient. However, these situations are unpredictable, and there are two possibilities for the trial production process and failure. It is impossible to know without trying.
In emergencies, there are cases where surgery is performed without anesthesia or local anesthesia (not enough anesthesia). If there are no conditions for anesthesia at that time, such as when the mother is full, the fetus cannot wait for the anesthesia time in distress, or the anesthesiologist cannot be in place, the mother and her family should understand and fully cooperate with the doctor.
13 Can I perform a cesarean section at most three times?
This sentence is neither right nor right. I am afraid that this question cannot be explained in one sentence. If you want to understand it thoroughly, you have to start from the beginning.
There are historical reasons for the high incidence of cesarean section in the past:
1. Obstetric technology is becoming more and more popular, and the popularization of cesarean section technology is particularly prominent. In the past, many primary hospitals had very few people who mastered the technique of cesarean section, and everyone paid more attention to the risks of surgery. I heard from the seniors that the question that the bosses often tortured during the big rounds and handoffs at that time was "Why do you want to cut?"
2. With the development of the economy and the implementation of the one-child policy, human lives are becoming more and more precious, especially for children in China. The collateral damage caused by the dystocia has made the hospital lose money quickly! As anesthesia technology and cesarean section surgery technology are becoming more mature, the controllability of surgical delivery highlights its advantages. Therefore, when encountering extreme situations such as birth complications or fetal asphyxia, the bosses often torture "Why don't you have an early dissection!"
Of course, these are the jokes the seniors told the juniors, and the situation is far more complicated than this.
So why can't cesarean section be performed more than three times?
That person had undergone an cesarean three times and was pregnant again. Is it possible to give birth?
This is not scientific!!
In fact, in China, it is relatively rare for the production capacity of caesarean section to reach 3 times, because the country only fully liberalizes the second child, and the third time a fine is imposed. For the fourth time, it was either a remarriage, an accident in the first few children, or a horror!
For us ordinary people, there is basically no such possibility.
Therefore, why is it not recommended to have more than three cesarean sections at most, the main reason is that the country has not let go of three births!
However, after cesarean section, the risk of pregnancy again is always there. The more operations the uterus undergoes, the more uncertainties there are. Although it cannot be judged that the uterus that has undergone a second caesarean section is definitely worse than the one that has only undergone an cesarean section, the damage to the same uterus will definitely increase for the uterus that has been sectioned again.
Since the release of the second child, the maternal mortality rate in China has increased by 30% compared with the same period in the past. I think this problem, the past cesarean section, has contributed. Of course, the problem of fertility at an advanced age may contribute more.
So with regard to the question of three times or four times, think clearly, if the childbirth is just needed and you have no choice, the doctor can only cooperate. If not, I think, the risks in life should be minimized.
What kind of uncertainty exists in your uterus after cesarean section?
First: the scar strength problem, will the uterus rupture?
This is a concern of many people. In fact, this problem is nothing to worry about. Because the strength of uterine scars cannot be assessed. Some people use ultrasound to measure the thickness of the lower uterus, and use this as the basis for whether or not the second pregnancy of cesarean section is to be delivered through the vagina. However, there is no evidence to prove that the thicker lower part of the uterus can be safely delivered by ultrasound.
However, for people who have had two cesarean sections, three cesarean sections, or a history of intramural fibroids, do not try to give birth.
Example: The picture above is a side view of the uterus, the red arrow points to the scar
Uterine rupture refers to the rupture of the body of the uterus or the lower part of the uterus, which can occur in all stages of pregnancy, but is common during childbirth or the end of pregnancy. It is a serious obstetric complication and seriously threatens the lives of mothers and babies. Uterine rupture mostly occurs in women who have had dystocia, advanced age and prolific birth, and women who have had uterine operations or injuries. The scarred uterine rupture occurred when the uterus had an incision, such as the previous cesarean section or hysterectomy, and the wound of myomectomy approached or reached the endometrial layer.
Uterine rupture is most common with cesarean section scar rupture. In the third trimester of pregnancy, the uterus enlarges, especially during childbirth, the original scars heal poorly, and cannot bear the increased pressure in the uterus, the scar splits, and spontaneously rupture; the classical cesarean section is not as good as the lower segment due to the incision and poor healing. Therefore, uterine body incision scars are easier to rupture than lower scars, and the incidence rate is several times that of lower scars.
There are some special risk factors for scarred uterine rupture after cesarean section, including:
1. It is related to the position of the incision of the previous cesarean section and the healing of the incision: The transverse incision of the lower uterus is widely used at present. If the position of the incision is not selected properly, choose the uterine body or the junction with the lower section. The anatomy of the resection margins will affect the healing and increase the risk of uterine rupture.
2. It is related to the suture method used in the previous cesarean section. In 2002, a cohort study of nearly 3,000 patients in the United States showed that compared with double-layer sutures, the incidence of uterine rupture in pregnant women with single-layer sutures increased by 4 times to 3.1%; while those with double-layer sutures The incidence of uterine rupture in pregnant women is only 0.5%.
3. Related to the number of cesarean sections: A study of more than 1,000 pregnant women suggested that the incidence of uterine rupture in the re-pregnancy trial of pregnant women who had undergone two or more cesarean sections was 1.7%. The incidence of uterine rupture in pregnant women who had only undergone a cesarean section was 0.6%.
4. It is related to the length of the interval between two pregnancies: if the interval between the second pregnancy after cesarean section and the previous pregnancy is too short, the uterine incision will not heal completely, which increases the risk of uterine rupture. Although the research results are controversial, most scholars generally believe that it is safer to get pregnant again 2 to 3 years after cesarean section.
Second: the problem of the diverticulum of the lower uterine incision
Many people have inexplicable menstrual tailings. The main manifestation is that the menstruation a few days ago is no different from normal menstruation, except that there is a little brown or brown thing left, dragging it for many days, even more than ten days. Asking the medical history again, many people often do this after having a cesarean section. This is actually the problem of the incision in the lower part of the uterus. Of course, it may not be a diverticulum visible on ultrasound, or it may be a little uneven, a small depression that is difficult to find.
Significant lower uterine incision diverticulum, in addition to the above symptoms, ultrasound can clearly see the loss of the muscle layer of the lower uterus, as well as holes. Small diverticulum does not affect conception, but for large diverticulum, surgical repair is recommended before pregnancy.
In principle, there is no significant impact on life. Surgery is not recommended, because this operation may not achieve the desired results. What's more, the operation is difficult and the risk of injury is also a troublesome problem.
Third: the problem of scar pregnancy.
Pregnancy at uterine scar after cesarean section refers to the implantation of the gestational sac, villi or placenta on the scar of the previous cesarean section uterine incision. The pregnancy is completely or partially outside the uterine cavity, surrounded by myometrium or fibrous connective tissue. , Is a special type of ectopic pregnancy. Due to the thinning of the muscular layer at the scar, the hyperplasia of connective tissue and blood vessels, as the pregnancy progresses, the villi and the myometrium adhere and implant. In severe cases, it can penetrate the uterus and cause uterine rupture.
However, sometimes, the pregnancy implantation is low, and it is difficult to distinguish whether it is a scar pregnancy or a low implantation.
Therefore, as long as you are unsure and want this baby very much, we will discuss the matter again according to the specific situation when it is clear that it is a scar pregnancy. (Note that it is a matter of consultation and risk. The doctor cannot replace you with this problem!)
Fourth: the difficulty of surgery.
This is the root cause of doctors' aversion to repeated operations after repeated cesarean sections. No matter how awesome the surgeon is, he can't imagine that the uterus that was dissected by him may also be stuck together in a mess. Because, most surgeons will think that their own operations are so much better than others. The uterus that you have dissected yourself may be a little more confident (after all, even if the adhesion is serious, it is the thunder that you buried yourself, and you have to sweep it out with tears). If it is the uterus that was dissected by someone else, the uncertainty is even greater. Now, occasionally I encounter a doctor who has a mess of adhesions and has no morals, and he may have already cursed on the operating table!
If you encounter doctors scolding on the operating table, remind everyone, don’t blindly blame the predecessor's attitude towards surgery, in fact, no one did it intentionally. After all, the predecessor is also serving you in the best way he thinks. Who knows, if it were the previous surgery performed by the current doctor, wouldn't it be a mess? There are people with this constitution.
The doctor who scolds is actually a person of true temperament, and communicates well. In fact, this kind of person has no limit on how to get better.
Fifth: The risk of major bleeding.
The most frightening thing is the dangerous placenta previa. Regardless of placenta previa or not, in short, the risk of major bleeding in a second pregnancy is increased. Anyway, I have a second child or a third child. In this case, you have to encourage the doctor to cut the uterus not to be soft. After all, life comes first. Of course, the doctor is not so boring, he always cuts the uterus to play, if other hemostatic methods are effective, you ask him, he will not cut it for you.
If you have undergone cesarean section so many times, you should have a cesarean section at the same time! Ask the doctor to ligate the fallopian tube easily. In this way, you will no longer have to worry about accidental pregnancy, sex is more powerful, and you are far away from terrorist attacks such as ectopic pregnancy and incision pregnancy, and it will not cause other effects on your body.
Therefore, how many times the cesarean section can be performed is not determined by the doctor, but by you, and is affected by national policy regulation. I am pregnant, and the doctors have to bite the bullet! Therefore, sometimes I really have to be considerate of the mood of obstetrics doctors, especially those who fight and kill at every turn, they are also afraid.