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Expert Article: The Rising Trend Of Caesarean Sections (C-Section)
Nowadays, more and more deliveries are being done by Caesarean Section worldwide. As women have only one or two children nowadays, each delivery becomes an important one and each child extremely precious. Focus is not on the number of children but the quality of each child- making sure that the child has no injury, no distress, no slowing down of the heart rate, no asphyxia (less oxygen going to the brain), does not pass meconium or aspirate it (passing stool inside the womb). All these problems, if they happen, can cause major or subtle disability to the child later. Even a few minutes of delay in the baby crying after birth can have some effect on its development later.
Not only the child but the mother's health is of extreme importance. Difficult normal deliveries with tears in the vagina, forceps deliveries or prolonged labour can cause damage and result in loss of urine control later (stress urinary incontinence) or looseness of vagina and prolapse (womb coming down). In addition, there is a high risk of severe bleeding post-delivery in these cases.
Some
of
the
common
causes
of
planned
caesarean
section
are
breech
presentation
or
transverse
lie
(baby
is
upside
down
or
lying
across
in
the
womb),
baby
being
IUGR
(intrauterine
growth
retardation),
or
the
amniotic
fluid
around
the
baby
has
dried
up.
Sometimes
the
mothers'
pelvis
is
narrow,
and
the
baby's
head
does
not
enter
inside.
In
many
twin
pregnancies,
patients
with
placenta
Bravia
(lying
low
down
in
the
womb)
are
risky
to
deliver
vaginally.
Sometimes the patient is in labour, but during that time, the baby's heartbeat starts to fall, the baby passes stools inside the womb, or the labour does not progress at the required pace. These may result in an emergency caesarean section.
Nowadays, most caesareans are done under spinal anaesthesia (very thin needle in the back) where the lower part of the body is numbed; this is safer for mother and child. Usually, a bikini scar should be given, and good quality self-dissolving stitches used. A paediatrician should be available at hand to immediately look after the baby post-delivery. There should be enough staff around to handle any emergency immediately.
Normal delivery, if possible easily and without trauma to mother and child, is still the best option, but a well done caesarean section in chosen patients saves lives and ensures a healthy baby to a healthy mother.
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