In some circumstances, a cesarean sectionreally could be the only way to save the life of mother and child. But we believe that at least half of the cases it can be avoided if parents take responsibility for delivery. You can do the following.

1. Choose the right one who takes birth, as well as their place of. Determine who will be able to provide you with the mostsafe and prosperous generations. We can not recommend everyone to give birth at home, as this has not yet created the conditions in the health care system. But you have three places where you can have: a house, a family center and hospital. Hospital births are more likely to end in caesarean.

Поговорите со своим акушером и убедитесь, что он (или она) не являются непреклонными сторонниками родов в положении лежа на спине. В противном случае этот врач вам не подходит. Также узнайте, что он думает о ходьбе во время схваток и вертикальных родах. Разрешат ли вам рожать на корточках или лежа на боку? Спокоен ли врач в отношении вас или он предполагает серьезные осложнения? Имеет ли он опыт вагинальных родов после кесарева? Как часто он сам делает кесарево сечение? Если эта цифра превышает 15 процентов, то, скорее всего, у него превалирует хирургический подход к родам. Поинтересуйтесь обязательными анализами и процедурами во время родов. Пользуется ли ваш врач постоянным ЭМП? Какому проценту его пациенток требовался постоянный ЭМП?

2. Hire a professional assistant. If you're like most pregnant women, we decided to give birth in the hospital, then hire a professional assistant for delivery. This will help you significantly reduce the chance of surgery.

3. Think »vertically». Black out of his imagination followingpicture: the woman lies on her back, and the doctor is conveniently located in front of her. Recumbent posture - this posture for caesarean section. And the more you will be in it, the greater the likelihood that you will make it. Studies have shown that in the vertical position the uterus works better delivery time is reduced, the cervix dilates easier and more safe childbirth. The more mothers and physicians will win a »horizontal» approach and start thinking »vertically», the more children will be born as it should be. Arise during childbirth. Supine posture is the root cause long and painful birth, which may well end up in the operating room. Horizontal position left us a legacy from the past, when the labor carried out under general anesthesia, when superimposed tongs, and his mother was unable to bear alone. In the vertical position squatting increased pelvic volume and use the force of gravity. However, the »vertical» thinking does not mean that you can not lie down to rest during childbirth. Many women may lie from time to time by placing cushions and enjoying the caresses of the partner. If a holiday does not bring you relief, try using a bath. Freedom of choice in childbirth - the best way to avoid a cesarean section.

4. Walking. If you start thinking vertically, begin to move. Studies have shown that walking is not only faster delivery, but also useful for children.

5. Correct use of EMF and intravenous fluids. Proponents of mandatory elektromonitoringafetus argue that this way you can reduce the number of stillbirths and children born with brain damage. EMF has become standard procedure even before its usefulness has been proven. Currently, doctors are afraid to do the EMF, because they are afraid of responsibility before the law. But numerous studies have shown that under normal childbirth for mother and child there is no difference, listen to the heartbeat of the fetus by means of this device or conventional Fetoscopy. According to these same studies have found that when using EMF women are twice as likely caesarean section than in the group of women in childbirth, are not subject to inspection. Moreover, judging by the results of recent studies, most cases of cerebral palsy is explained by the premature caesarean section (ie, the operation was carried out before the went into labor). EMF should be done only when there are serious indications. Remember, once you will be connected to any monitor, chances of getting a cesarean sharply. However, in some cases, EMI, in contrast, can avoid caesarean section. If the doctor suspects complications (such as birth stopping), and the monitor displays information that a child is all right, then you most likely will make it possible to give birth to more and not rush to operate. When used properly, technology can be your friend.

6. Wary of epidural anesthesia. Epidural anesthesia as elektromonitoringfruit can be your friend and your enemy. A survey of five hundred nulliparous women showed that those who did an epidural were more often on the operating table because discoordination labor. However, other studies do not consider that an epidural increases the chance of caesarean section. We are present at birth, when made in a timely manner epidural helped her mother to relax and give birth naturally. On the other hand, too frequent use of »divine miracle» (as some mothers called an epidural) can be depressing effect on uterine job. With this anesthesia, you lose a very important helper - gravity. In addition, you lie on your back, then there are half-way to the operating room.

7. Do not hurry. Во время родов, как и во время занятия сексом, спешить не следует. Не дайте убедить себя, что рожать надо быстро, чтобы не задерживать других людей. В момент родов — вы звезда, а все остальные лишь ваша свита. Роды являются слишком важным событием в вашей жизни, чтобы оглядываться на время. Очень часто «дискоординация родовой деятельности» является ни чем иным, как нежеланием врача подождать. Нет никаких доказательств того, что долгие роды опасны для ребенка, как не существует каких-либо ограничений по времени родов. Хотя имеются таблицы, в которых указана средняя продолжительность родов, это лишь усредненные цифры, которые могут совершенно не относиться к вам лично. Ваша матка не видела этих таблиц. Долгие роды вызывают беспокойство, так как бытует мнение, что при каждой схватке количество поступающего к ребенку кислорода сокращается. То есть, чем дольше схватка, тем меньше кислорода получает ваш ребенок. Однако это предположение никогда не было подтверждено научно.

8. Trust your instincts (and act on it) in relation to a method of childbirth. While there is a return to thenatural childbirth, women are faced with a new phenomenon. The day before the calculated date of delivery of pregnant women screened for the absence of disease and the willingness to leave and sent to the hospital. There she was given an injection pitocin and epidural anesthesia. That is such births artificially stimulated, tested and accepted. After a very short time (about 12 hours), the parents and the child returning home without a trace of fatigue. Before gladly vote for such deliveries, consider what their number goes on such a beautiful plan and will end in the operating room.

Defenders of projected births think soYou can reduce the number of Caesarean sections. In one study, timely induction of labor pitocin helped reduce the number of Caesarean from 20 to six percent. That is, the stimulation was performed before the woman in labor and struggled to lose the ability to continue to labor on their own, without surgery. However, if a woman is well prepared for childbirth, has a relaxation technique and is able to recognize the signals of your body, it is better able to cope with prolonged labor. She knows how to avoid fatigue, and is able to execute your plan childbirth without fear to get on the operating table. Before you are thinking on the projected delivery, keep in mind that the fight caused by Pitocin, more painful than the contractions caused by generation of natural hormones, and very often they are coming faster than she has time to prepare for them.

9. Demand that the doctors were free to make decisions. Physicians also need to »analgesic»! According to obstetrician (and in our opinion, too), the number of caesarean sections could be reduced if doctors were not afraid of the responsibility before the law. Those midwives with whom we spoke on the subject, believe that the number of such operations can be reduced to 25 (30 in some areas) to 10 per cent if there is no fear to get charged with mistreatment of the patient. There was a time when doctors operated only in the interests of the mother and child, not taking into account the proceedings. But increasing the number of screening commissions quickly cooled their ardor. If in some cases the indications for cesarean section are obvious, others are highly questionable and require the doctor to make responsible decisions. However, fear of the law almost always makes the doctor sent the woman in childbirth in the operating room. Sometimes a doctor have to show much more intuition during vaginal delivery than in the time of the decision on the appointment of the operation. Natural childbirth requires an understanding of the natural process. If the birth is delayed, then the doctor must call for help all his experience to help the new mother to cope with them. But while doctors are afraid of responsibility, the situation with the risky natural childbirth does not change. Doctors are not going to reduce the number of Caesarean sections. So, it should do the women themselves.

10. Be aware of your vulnerabilities. Think ahead. When during labor offers to do a cesarean section instead, you're unlikely to be able to talk intelligently to experience hell a couple of hours. In preparation for childbirth, you should understand exactly what situations do cesarean section inevitable, and when it is possible to give birth without surgery. In addition, you need to understand what are the advantages and disadvantages of the intervention, as well as to know how we can rectify the situation, if something does go according to plan. It is in this case, great help can have a professional assistant. If you have tried all the methods provided for your birth plan, you can make a decision about the operation without regret and guilt.