It is better to prepare for the unexpected advancebefore you go to give birth. Setting yourself up for something to do everything possible to vaginal delivery, but it is necessary to know what awaits you if a caesarean section is needed. The better you understand the problem, the less will it be afraid. And even if not received by those generations of which you dreamed of, you can try to get satisfaction. Therefore, in the chapter devoted to the compilation of the birth plan, we encourage parents to consider an alternate plan in case of caesarean section. This is especially important when you walk into the six per cent, which caesarean necessary.
Before birth
В зависимости от ситуации вас могут ожидать следующие процедуры перед операцией. Акушер объяснит вам, почему он считает кесарево сечение необходимым. Родители обязательно должны принимать участие в принятии этого решения, чтобы осознать значение кесарева для здоровья матери или ребенка. Убедитесь в том, что вагинальные роды невозможны или опасны и что других альтернатив не существует. Если вы будете уверены в этом, то сможете впоследствии избежать горьких сожалений. После этого медсестра побреет область живота и лобка. Затем вам оставят внутривенный катетер, чтобы избежать обезвоживания до и во время операции, а также иметь возможность вводить необходимые лекарственные препараты. Чтобы избежать, повреждения мочевого пузыря во время операции, вам сделают катетеризацию. Вам запретят принимать пищу за несколько часов до операции, чтобы избежать тошноты, рвоты или на тот случай, если потребуется сделать общий наркоз. Вам также могут ввести некоторые медикаменты, чтобы уменьшить вероятность осложнений от анестезии. Кроме того, следует ожидать внешнего и внутреннего электромониторинга плода перед принятием окончательного решения.
The choice of anesthesia
You can make two types of anesthesia: general (you inhale the gas and quickly fall asleep) and regional (spinal or epidural, during which the doctor introduces you the anesthetic in the spinal column and you do not feel on the edges of the line to toe). Before the surgery, you will be able to discuss with the anesthesiologist both types of anesthesia and the associated risk. Be sure to tell your doctor about allergic reaction to medications, anesthesia and other medical problems, if any. The doctor is obliged to ask you about it himself.
General anesthesia is usually made at the urgentcaesarean, and she has a lot of shortcomings in respect of, and you and your child. You sleep in one of the greatest moments of your life, and some anesthetic drugs can have an overwhelming effect on the baby, and after the operation it may need assistance to restore respiratory function. Compared with epidural, spinal anesthesia technically simpler version, it operates faster and more efficient, but more often it after complications (headache and low blood pressure).
Epidural advantage is that youYou get pain relief immediately after birth. Before you leave the operating room, the anesthesiologist can make you an injection of long-acting analgesic agents. Usually it morphine, it operates for 24 hours, and relieve pain without the usual side effects that are observed with administration of anesthetic intravenously or intramuscularly. If you will not suffer from the pain you can quickly feel like a mother. When the effect of epidural anesthesia is over, you can take painkillers tablets, do not prevent you from breastfeeding.
Epidural anesthesia is the bestchoice, unless the situation requires urgent intervention. During the operation you will be awake and able to see how your child is born. You will not feel like you make the cut, but pulling and pulsating sensations you can experience childbirth.
Caesarean section is an operation, but stillthese are the families, so they must be examined not only from the safety position and efficiency, but accept with dignity and reverence. You can achieve this if discuss with your doctor plan a caesarean before labor will begin.
At the time around you will be in five generaprofessionals: Two surgeon, a pediatrician, an anesthesiologist and a surgical nurse. In addition, the operating will be operating nurse and a nurse to help the pediatrician to care for a newborn. Operating room nurse rubs your stomach analgesic and covers you with sterile wipes. The child's father usually sits next to the anesthesiologist in the head of the operating table and holds your hand during childbirth, providing emotional support. Before making the incision, the surgeon will make some test shots and ask if you feel something. A few minutes after the start of anesthesia is usually felt a small tremor, and nausea. Describe what you feel, the anesthesiologist, and he can give us medicines that reduce the discomfort.
During childbirth
At this point, you and your partner canfeel the fear and excitement. Try to switch all your .vnimanie on childbirth and, baby, and not to focus so. operation. Do not be distracted by the relaxed and playful atmosphere that usually prevails in the operating room. As one surgeon agitated father: »Worry not, when we stop joking.» Under this non-serious hiding power, is always present during surgery. You must prepare for the attack of the greatest moment. The surgeon makes a horizontal cross-section directly above the pubic bone, which is called »bikini cut», and the incision in the lower part of the uterus. After this section is a seam, which is then hidden folds of fat or hair pubis. Lower incision usually heals well, the seam turns out strong enough to permit the re-birth vaginally. In addition to the scalpel the surgeon usually uses an electric knife, which buzzes, dissecting skin. When your uterus is opened, you will hear a hissing sound - is aspirated amniotic fluid.
Вы можете попросить приспустить (но не убирать совсем) шторку, отделяющую вас от операционного пространства. Тогда вы сможете увидеть сами или при помощи зеркала, как появляется на свет ваш ребенок. Когда врач будет доставать ребенка, вы ощутите толчки и пульсацию. Ребенка поднимут вверх, и вы увидите своего новорожденного на фоне голубых и зеленых шапочек людей в масках. Вся операция от момента разреза до доставания ребенка занимает от пяти до десяти минут. Акушер отсосет слизь изо рта и носа ребенка и передаст новорожденного педиатру. Тот положит ребенка на подогретый стол, отсосет остатки слизи, даст ребенку глотнуть кислорода и, возможно, сделает ему интенсивный массаж спины. Это необходимо для того, чтобы заставить ребенка дышать, так как он не был стимулирован во время прохождения по родовым путям. Некоторые дети начинают издавать протестующие крики уже в момент вытаскивания их из матки.
After all the system will function normally,pediatrician or nurse wrapped the baby and give it to you in his arms. Perhaps you will feel awkward, pressing his cheek against the cheek of your baby while your partner will embrace both of you. At this point, the anesthesiologist usually turns to the photographer and making a lot of pictures of parents and children. After a brief meeting with the baby nurse takes the newborn, and often leads to a father. At that time, doctors sutured, and you fall asleep. After some time (15-30 minutes) you remove the placenta. Then you go to a rehabilitation or delivery room, where a nurse checks your condition and helps to cope with the physical and perhaps emotional discomfort. Fathers usually do not know to whom they should go - to a child or wife. One Superbad daddy once told me: »It's hard to enjoy your child, when his wife was still in the operating room.» We advised him to go to the Children's Department to begin to fulfill their paternal responsibilities. When the mother and baby will be all right (usually it takes a few minutes to a few hours), you again meet the three of us in a rehabilitation ward.
After childbirth
After birth, the mother and the child needs a smallrecreation. On the first day, many children born by cesarean section, often can not completely get rid of mucus. Therefore, they will need another day or two to clear the lungs, as well as additional oxygen and care of specially trained nurses. But some children do not need special assistance. They are happy to be in this world, and would tend to assume their responsibilities. If the child is healthy and you feel good and miss it, ask them to bring it to you as often as possible. If a child is not brought within ten minutes, ask again. You may even have to be persistent. Children's nurses sometimes so tied to the newborn, they have to be reminded of who is the real mother! »We're too busy» - can not be considered a satisfactory explanation. If the baby is healthy, then you can get it almost immediately after cesarean section. From our experience we know that the best analgesic after the operation is a child who needs to be caressed, cradled and fed.
Modern surgical births are safe andeffective but postoperative period passes all different. Some recover very quickly and can take care of the baby and feed it within six hours after birth. Others come to life for a few days. Depending on what drugs you are taking for pain, discomfort may occur another day or two. In the early days you can not be too mobile due to the cut in the pain, but a nurse to help you take care of yourself and your child.
