Caesarean section: eight questions with answer

pregnancy

A woman who has given birth to this process can breastfeed her baby and the rest of her deliveries can occur vaginally, among others

The surgical wound of a caesarean section, which affects the uterus and the abdomen can be more painful and carry more recovery time than an episiotomy (small incision that is made in the perineum to minimize the risk of tear at the time of the exit ofthe baby's head).Although, “in general, the recovery is better when childbirth is vaginal, the difference is usually minimal and there are even patients who have a hard time recovering from the points that this birth entails than to the mothers who have beenpracticed a caesarean section, ”explains Mercedes Andeyro, head of the Gynecology and Obstetrics Service of the General Hospital of Villalba in Madrid.However, the case of mothers can be given that "after caesarean section, they need more support from their environment and health professional, because psychologically it can cost them to assimilate that their delivery has been different from how they expected," adds the doctor.

The figures on the number of caesarean sections that are practiced per year in Spain vary depending on private or public health.Between 28 and 38% of women who give birth in the private sector, caesarean section are practiced and between 15 and 25% in public health.These figures move away from 19% recommended by the World Health Organization (WHO).The data also vary between the different hospital centers and the different autonomous communities, the lowest caesarean sections are located in the Basque Country (16.3% in 2014) and the largest in the Valencian Community (29.5% in 2014).But what is the difference between these data?“To issues such as delivery is too personalized and the gynecologist adapts the time to give birth to his agenda, as is more often in private health or skip some step from the standardized protocol that indicates when a caesarean section is necessary and advanced inThe decision to carry it out, ”explains the gynecologist Mercedes Andeyro, who offers answers to the following questions:

When is a caesarean section?

When there is a risk for the mother or newborn.Vaginal delivery is always preferable, but there are situations in which this route would lead.

When is a caesarean section?

Sometimes, the risks are known since before the delivery time, so that a scheduled caesarean section is chosen, but other times the risks are detected during the delivery dilation phase and an urgent caesarean section is required, such asIn the case of the premature detachment of the placenta, prolapse of umbilical cord (tangled in the baby's body), a narrow pelvis compared to the child's head or that contractions and the delivery process stops and does not advance.

Do doctors try by all means to produce a childbirth without caesarean section?

Yes, or at least it should be, if there is no contraindication.When we decide to perform a caesarean section, it is because vaginal delivery is not safe for the mother, the newborn or for both.

Is there a profile of the woman who is practiced caesarean section?

There is no established profile, but there are risk factors that increase the probability of practicing a caesarean section, especially if several circumstances coincide, as in the case of: women over 40, with obesity, with no history of delivery vaginallyor that they have already had a caesarean section because the baby was very large (more than four kilos).

Does genetics and caesarean sections influenced by family women?

It does not influence, except in the event that childbirth is conditioned by a hereditary disease that contraindique vaginal delivery.Like when a mother has a neurological disease that prevents her from having a vaginal birth.If your daughter also suffers from it, you will have to practice caesarean section.

A woman with caesarean section can breastfeed her child?Or there are usually more complications?

Yes, you can breastfeed your child.Although it can cost some more time the adaptation to the breastfeeding process because the mother is more annoyed and limited by the pain derived from surgery.Breastfeeding is a process that begins in the same operating room when performing skin -to -skin contact, a practice that is done in more and more hospital centers and also helps maintain the body temperature of the newborn and favors the link between mother and son /a.

What guidelines can be followed to recover from a caesarean section?

A woman who has had a cesarean section can recover without complications with indications such as:

After caesarean section, the mother can walk, climb stairs, lift objects of weight and perform physical activity.As the woman recovers, she can also resume sexual relations during the puerperium (period of time that the complete recovery of the reproductive system after childbirth lasts and that usually lasts for five and six weeks).

What changes have occurred in recent years with respect to caesarean section in hospitals?

The general tendency is towards the practice of humanized caesarean section.Although not all health centers contemplate this option and therefore, the websites of the hospitals should be consulted to choose the one that best suits the desired environment and protocol when giving birth.Some public hospitals already enhance aspects such as:

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