Normal birth? Caesarean section?
To find the answer to this very important question, first of all, what is a normal vaginal delivery? What are the risks? How about a cesarean? What are the risks? We need to know the answers to such questions.
The person who will help you the most in finding the answer to this end will be your trusted doctor, who will be with you during your pregnancy and who will probably give birth.
normal deliveryHow does it happen and what are the risks?
A normal vaginal delivery is the vaginal delivery of the baby and his partner. The cervix is normally closed. With the increase in uterine contractions, the opening and effacement of the cervix begins to occur. If spontaneous contractions do not start, drugs that soften the cervix can be given from below, orally or sublingually.
While normal birth may take 10-14 hours in first births, it takes 6-8 hours in those who gave birth before.
1st of birthstage
- The period from the onset of contractions to the full opening of the cervix (10 cm) and its effacement (100%) is called the 1st stage of labor.
- If uterine contractions are effective in the first stage of labor, the birth process is followed. When it is thought that the contractions are insufficient, some drugs that increase the contractions can be given with special machines (simpitan 5 IU ampoule). While these are given, both you and your baby’s heartbeats will be constantly monitored.
- In the period when contractions are frequent (every 2-3 minutes), sometimes a decrease in baby heart sounds can be observed. A drop in baby heart rate isn’t always bad. Decreases in heart rate should be evaluated by your doctor following you. If necessary, an emergency cesarean section may be required.
- Again, during labor, although rare, the baby’s partner may separate early from the uterine wall and emergency delivery may be required. This condition is called “Ablation Placenta”. The diagnosis is completely revealed with the course of birth. It is often impossible to predict. It is manifested by a decrease in the baby’s heart sounds, bleeding and an increase in uterine contractions. This is a very serious and life-threatening condition for the baby, and emergency delivery may be required.
- It is normal for the fluid in the baby to come out with the opening of the membranes in which the baby floats during labor. However, sometimes the baby’s cord may sag with water, and therefore, a decrease in blood flow to the baby can be observed. This is again an emergency and requires immediate delivery.
- Anesthetizing from the waist is usually done after the cervix is opened 3 cm.
- The period from the full opening of the cervix (10 cm) to the birth of the baby is called the second stage of labor.
- The second stage of labor takes an average of 1-2 hours and you will be asked to push actively during this time. When your pain is full, you should push so that your baby goes down. The pushing period should be stopped when the pain is over. Your doctor will assist you during the pushing process.
- When anesthetized from the waist for painless deliveries, the second stage of labor may be prolonged for approximately 1 hour.
- The labor may be prolonged depending on the size of the baby, the narrowness of the birth canal or the lack of driving forces. Such situations are monitored by the doctor following you, and cesarean delivery can be planned when it is thought that the labor has not progressed or the baby is stuck.
- As in the first stage of birth, a situation in which the baby gets into trouble may occur with a decrease in the heart sounds of the baby in this period. When the doctor following your birth encounters such a situation, he or she may make the necessary evaluation and recommend cesarean delivery.
- When the baby’s exit approaches, you will be taken to the delivery room, where the birth will take place. In order to avoid uncontrolled tears and injuries during childbirth, and to allow the baby to come out more easily, an incision can be made at the vaginal outlet, called “episiotomy”, from the midline or from the side. Currently, routine episiotomy is no longer recommended.
- The episiotomy may be larger depending on the situation. In such a case, there may be some bleeding, but this is generally not life-threatening.
- Despite the episiotomy, this incision may extend spontaneously during delivery and may rarely include a torn breech. These tears will be repaired properly, but rarely complaints such as gas and stool incontinence may develop. This problem can be repaired some time after birth.
- Episiotomy is a surgical procedure and as with all surgical operations, there is a risk of infection. The development of infection can be prevented with proper cleaning during birth and proper care afterwards. If infection develops, the healing of this incision may be delayed and even the incision may not close. In such cases, this area will be surgically repaired after treatment with appropriate antibiotics.
- Despite the opening of the episiotomy, tears may occur on the other sides of the vagina during delivery. These tears are seen in the controls and are recommended.
- The sutures placed in episiotomy are self-dissolving stitches and do not need to be removed. There is no need for postpartum dressing. It is only checked one day after birth.
- Cesarean section delivery is very difficult when the baby is close to being born. For this reason, in cases where an emergency develops close to the birth or the labor does not progress, delivery may be required using some instruments. These tools are vacuum and forceps (spoon). It is not widely used today and is not used on a planned basis, but its use in emergency situations is life-saving.
- Forceps can be compared to a metal spoon. When applied with appropriate technique and by experienced people, the probability of problems is very low. However, in rare cases, vaginal tears, urinary tract injuries, and cracks, fractures or bleeding may occur in the baby’s skull bones.
- Vacuum is the process of holding a plastic container to the baby’s head with a vacuum and pulling. It is an easier procedure than the forceps operation, but similar problems can be observed in this procedure.
- Long labors, giving birth to a large baby, use of instruments at birth or tears at birth can cause disorders in the pelvic floor and thus problems such as urinary incontinence and uterine prolapse in advanced ages. Such problems may develop in 6-29% of postpartum women. However, it should not be forgotten that such cases may develop after cesarean section, although less.
3. of birthstage
- The period between the birth of the baby and the delivery of the baby’s partner (placenta) is called the third stage of birth.
- The third stage of labor can last from half an hour to an hour.
- During this period, the baby’s spouse is expected to leave the uterus and no additional action is taken.
- In rare cases, the baby’s partner may not leave the womb in the third stage of labor. In this case, if there is no bleeding, an attempt may be required to separate the placenta after waiting for a while.
- Separation of the placenta by hand or with instruments is performed under general anesthesia and there is a risk of death of 4/100,000 due to general anesthesia.
- While trying to separate the placenta with instruments, there may be a perforation in the uterine wall depending on the procedure and open surgery may be needed.
- As the placenta separates, sometimes the placenta may have advanced to the inner parts of the uterus. This condition is rarely observed and can be observed especially in those who have had previous cesarean section or hysterectomy, those with fibroids, and in cases where the baby’s partner is located in the lower part of the uterus. When such a situation is encountered, open surgery may be required, and since the diagnosis will be made while you sleep, open surgery can be started by informing your family. The placenta is tried to be separated by various methods, but if the bleeding cannot be stopped in any way, the uterus may need to be removed. This is an undesirable but life-saving situation.
- After separation of the placenta, a part of the placenta may remain inside, although rarely. This situation can be noticed after birth and an additional operation may be required.
If a normal delivery is planned, your doctor should have you read and sign the normal vaginal delivery consent form. pregnancy=”””” href=”””” http:=”””” images=”””” initial=”””” margin-bottom:=”””” margin-left:=””””” margin -right:=”””” margin-top:=”””” outline-color:=”””” outline-style:=”””” outline-width:=”””” padding-bottom:=” “”” padding-left:=”””” padding-right:=”””” padding-top:=”””” stories=”””” target=”””” text-decoration:=””” ” www.ibrahimesinler.com=””””>Click to see the normal birth consent form.