Caesarean delivery, risks
Il Caesarean section it is practiced in the country in almost 38% of cases and often without any real medical motivation. But what are the risks of Caesar deliveryo for the mother and the child and how are the surgery and convalescence carried out?
Caesarean section, how it works
Il Caesarean section it's a surgery for all intents and purposes, which is considered a routine intervention in hospitals and accredited clinics across the country. We see as it happens.
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The surgery is carried out with spinal anesthesia which practically numbs the whole part of the body below the navel. The woman, therefore, remains awake and alert and can witness the birth of her child. The doctor makes a single incision through which she takes the baby out. After birth, the baby is shown to the mother for a few seconds and then taken to another adjacent room for routine operations. Meanwhile, the surgeon closes the wound with stitches and closes the dressing.
The whole takes approx half an hour and immediately after the operation the woman is taken to the room waiting for the baby to arrive.
Caesarean section complications
The caesarean section is still a surgical intervention and as such it is not exempt from possibilities complications. Among the more serious ones we remember the deep vein thrombosis, a complication affecting the cardiovascular system and which must be treated immediately with appropriate therapies.
Just to minimize the risk, the new mother is sent to get out of bed as soon as possible and take a few steps.
Among other possible complications, albeit rare:
- infection of the uterine wall, with fever, abdominal pain, abnormal vaginal discharge and vaginal bleeding;
- problems with the urinary system.
However, spinal anestia can lead to some problems in the following hours such as back pain, migraine, paraesthesia.
Risks and dangers of caesarean delivery
I risks for mom mainly concern:
- possible reactions allergic the anesthesia drug or other drugs used during the surgery;
- hemorrhages postoperative;
- infections of the caesarean section wound: for this reason it is important to touch the wound to check that there are no bumps or irregularities that can lead to suspicion of an accumulation of fluid and pus. In this case, the gynecologist could aspirate the liquid with a syringe to check the quality of the serum and understand if an infection is in progress.
However, it should be emphasized that the caesarean section remains one of the most practiced surgical interventions in hospitals in clinics and countryside and the safety and quality standards are quite high.
I risks for the child they can be:
- diabetes and asthma: According to some studies, children born by caesarean section are at greater risk of developing immunological diseases such as diabetes and asthma due to a sort of DNA alteration. According to scholars, the reason for the DNA alteration could be traced to the high level of stress that newborns undergo during this procedure.
- Allergy: children born with natural birth come into contact with the mother's vaginal and intestinal bacterial flora, while this does not happen for those born with a caesarean. And it seems that this is precisely the reason why babies born with a caesarean would have a more vulnerable immune system and a greater predisposition to allergies.
- A small wound, which does not involve problems or dangers, which is done accidentally during the engraving.
- Respiratory problems which are overcome after a few days and which are more frequent in babies who are born before the 39th week.
Cesarean delivery when scheduled
In some cases the caesarean delivery is planned by the mother and gynecologist, in other cases it becomes an obligatory choice. Let's see in which cases a caesarean delivery can be scheduled (elective caesarean section):
- breech position of the fetus (which therefore is not upside down, ready to be channeled into the birth canal);
- abnormalities of the maternal pelvis which would therefore prevent the baby from going out;
- monochorionic and monoamniotic twin pregnancy (which is however a very rare occurrence);
- child of very large weight and height (macrosomia);
- malformations or pathologies of the child;
- previous placenta;
- presence of primary herpes simplex lesions at the genital level in the last trimester of pregnancy;
- HIV infection (in this case the plasma viral load must still be evaluated with a blood test);
- a previous rupture of the uterus or a previous caesarean with longitudinal incision
- heart or respiratory diseases that would prevent the mother from actively participating in labor and delivery.
They do not constitute, instead, indications for the caesarean:
- a previous caesarean section
- a preterm labor
- a hepatitis B or hepatitis C virus infection
- twin pregnancy.
In any case, where a elective caesarean section the intervention will never be fixed before the deadline of the end of the thirty-eighth week of gestatione.
Caesarean section, convalescence
Immediately after the caesarean section, you are taken to your room where you stay in bed with the catheter, which will be removed only after having channeled. The effect of the anesthesia disappears slowly and after a few hours you can feel a lot of pain caused by the wound and by the surgery. The pain it is kept under control with analgesic drugs that directly spray the wound or that are injected at times by the nurse.
The advice of doctors, operators, nurses and those who have already been there is that of get up as soon as possible. At first the pain will be very strong, almost excruciating, but already if you get up and sit on the bed or move a few steps up to the chair you realize that it becomes more manageable.
In any case within three days you will need to be able to get up, get dressed and leave the hospital to go home and therefore it is absolutely possible to find the strength to get up the day after the surgery and walk a little.