There are many circumstances in whichCaesarean section is necessary to save the mother's life, and most of all, children. Experts believe that such an operation is really inevitable in 6-10 percent of cases.
Hard indications for cesarean section
The following conditions are always assumedthe need for cesarean delivery: health problems in the mother (ie a strong toxicosis, uncontrolled diabetes), active genital herpes at the time of birth, detachment of the placenta, or a heart attack, loss of the umbilical cord, the lateral position of the fetus (baby is lying horizontally, ie across the abdomen).
Soft indications for cesarean section
In the situations described below caesarean section can be avoided if the mother will be able to receive appropriate assistance and support.
• Остановка родов. Это состояние называют также дистоцией, или дискоординацией родовой деятельности. Около 30 процентов кесаревых делают именно в такой ситуации. В России каждый пятый ребенок рождается в результате хирургического вмешательства. Неужели 20 процентов русских женщин не могут родить сами? Мы считаем, что чаще всего происходит дискоординация не родовой деятельности, а деятельности системы родовспоможения.
• Inconsistency pelvis and the baby's head. This means that the baby is too large to pass through the mother's pelvis, and is responsible for approximately 5 percent of the Caesarean. Experts believe that in fact the size of this discrepancy is extremely rare and the majority of mothers of such diagnosis can be made only after some time spent in labor. Ultrasound and X-ray studies have not always give accurate results. If labor does not progress from the moment the baby's head sank into the birth canal (the second stage of labor), cesarean section is assigned. This is necessary to avoid serious complications (for example, shoulder dystocia, when the head passes through the birth canal, and no shoulders), which can bring serious harm to the child.
• fetal distress isthe cause of 16 percent of the Caesarean, but it is the most controversial. Experienced doctors know that the monitor readings do not always reflect the true state of the child. It is almost impossible to determine whether the child really is not enough oxygen or with him all right, and the monitor at this time the wolf howls. But doctors can not (and do not want) to play with the fate of »dice» and expect the best when the device signals them of an emergency.
• Re-birth after cesarean. For this reason, it makes about 30 percent of the Caesarean. However, in Chapter 7 we present data rigorous studies showing that 70 to 90 percent of women are after cesarean section to give birth vaginally.
• Breech presentation is responsible for 4-5 percent of the Caesarean. The other causes are multiple pregnancy, eclampsia and diabetes *.
* Eclampsia - a form of late toxicosis pregnant.
Now a few words to improve this statistic. If the mother to follow the advice given in the article »Ten ways to avoid cesarean section»The number of vaginal birth after cesareancan be increased from 20 to 70 percent, reducing by 20 percent the total number of caesarean sections. Also, if halve cases stop childbirth, another 15 per cent of children will be able to come into the world as it should be. Discard five percent of wrong diagnosis »fetal distress», and the total number of caesarean will be reduced by 40 percent!
