Terms, triviality and operation interruption

All vagit women feel fear of curtains. And even more terrible, as if the canopies were passed not by a natural path, but by a Caesarean rose. Ale, it wasn’t so scary, let’s figure out why to rob caesarean roses, on which term you call the operation, how much money it will take and look at the whole operation.

For an hour of caution, the doctor gives a recommendation about those who are guilty of passing the canopies. If a woman’s vaginal flow is normal, then it’s easier to pass through all the canopies with a natural path. Well, if it’s a wake-up call for an hour of vagity, or with the canopies themselves, then the doctors can do the canopies for the help of a caesarean rose.

Dispense emergency and planned cesarean rosetin:

• the hour of vacancy is assigned. In this period, the parent is prepared in advance before the operation, to undergo all the necessary obstezhennia and to the forefront of the definitions of the terms of vagity lie in the pathology. The most common indications for planned caesarean delivery are:
• anterior removal of the placenta;
• hemolytic disease of the fetus;
• rich vagity;
• severe form of gestosis;
• absolutely narrow pelvis;
• transverse position of the fetus and in.
• Emergency caesarean roztin be carried out in case of non-performing conditions without delay for a half hour, which threatens the health of the mother and child. Depending on the timing of the decision to carry out the operation, there may be healthy deposits like children and mothers. In such situations, the qualifications of the doctor and the brilliance of the breed are even more important (even without it, the operation cannot be carried out).

Optimal terms

Planned cesarean roztin, as a rule, slacken on the 40th tyzhnі vagіtnostі. This is the optimal term for the operation - for a sufficient mass, the child is already respected by the denunciation, and the lungs of the child should be blamed, so that they can die on their own.

In case of repeated caesarean resection, the terms of the operation are shifted to the lower side - it is possible to slacken a little earlier than the planned term of the slope, call the 38th day of pregnancy.

Such a pidkhid allows the cob to sink into the essence, which changes the risk of other complications at the hour of the operation. Keep in mind that only a few drugs can correctly be used in terms of caesarean protection in a specific skin condition.

Preparation before surgery

The child, who was scheduled for a planned caesarean, should be sent to the hospital about a week before the operation. If a woman wants to be left at home, she can come to the clinic on the day, if we have an operation. Alece is acceptable only for the presence of strong complications and good health of the mother and child.

Postoperative period

After the operation, pain is prescribed, the teeth of the woman are very painful, especially after a caesarean rupture. So, in the fall of the woman, the drug can be used for various medicinal preparations, for example, antibiotics, or additives that improve the functioning of the intestinal tract.

You can get up after the operation no earlier than six years before. It is also recommended to buy a postoperative bandage, which will significantly ease the pace of walking for an hour.

Eating after the operation can be special - in the first place, after a caesarean rosette, you can drink only pure water.

On a friend's house, you can eat soup, porridge and other things.

On the third doba, with the right advice, you can get used to whether you can, as it is allowed under the hour of lactation.

If you still have been assigned a planned caesarean rose, then do not be afraid of the war. Most often, the fear of caesarean is due to the lack of information about the interruption of the operation. Knowing what you yourself have to go through, it is easier for women to psychologically prepare themselves for the future.

The canopies are not just the most important and most important step in the life of the vagitis, but, what is already there, sometimes in the doorway. For the first few months, especially distrustful future mothers are playing forums, joking around, like people without pain. Read the opinions of women who have experienced different technologies. And more and more they change their minds, that the canopies without torment are practically neumovirnі. And as a salvation, such a thought creeps into my head: why not choose Caesar's roses? Even if it’s so simple, not unsafe, lower operation for appendicitis. You need to spend a lot of money on the operating table, and there ... Falling asleep, throwing yourself over, taking the zhuchu breast in your arms, and that's it - mom! Miracles, that year. But why is everything so bezkhmarno true, why are Caesar's roses - is it more serious operative delivery? What are the indications for a caesarean section?

There are several options, why the operation to remove the fetus through a cut on the mother's stomach was called a caesarean rupture. It is from one of the legends, so Gaius Julius Caesar was born. Zgіdno z іnshoy - the name resembles the Latin version of "sectio caesaria", which literally translates as "rіzhu rossіchene".

It would be practically impossible for a child to live in those distant hours after a caesarean section for a parent. For whom, the problems of natural canopies often ended in the death of a child's mother. To that, at the folded vipads, they tried to vryatuvat wanting a child. Only with the development of medicine in the 19th century came the possibility of survival both, but lethality and at that hour became a quarter of the number of women who underwent surgery.

With a wide range of antibiotics in the middle of the 20th century, mortality under the hour of an operative birth was reduced to single depressions, and caesarean began to work no less for suvorim svidchennyami, and in some countries for women. For example, in Brazil, according to the data for 2015, more than half of the children were born in an operational way. However, cesareans are not so nonchalant, as it is customary to think. The new one has its own reasons for being complicated, which can be unsafe, both for mothers and for children.

Yakі є indication before caesarean roset

Skin surgery may have its own reasons - a coincidence that was brought to the point of necessity. Caesar's roses are not blame for those who are pregnant. As if the presence of an operative intervention carried a serious risk of the life of the mother of the fetus, it is called absolute indications. If a woman can give birth independently, if she is tied up with a high need for her child, such indications will be noticeable.

Increasing the number of operational thresholds in the world is more important than ever due to the lack of medical attention for the obviousness of visual indications. In a spiral situation, it is more and more common to slay caesarean roses in order to reduce the possibility of unacceptable nasledkiv.

Like a medical doctor, cesareans may have their own contraindications. They are known: fetal death intra-or perinatally, fetal indulgence, severe prematurity. Even though there is no innocence in the vitality of the fetus, doctors try not to leave a scar on the mother.

Absolutely from the side of the parent.

One of the absolute indications is to change the configuration of the pelvis. As for the breed, one or more of the pelvis has been changed, but it is important for the anatomically narrow pelvis. With an anatomically narrow pelvis of the third-fourth degree of manifestation, birth by natural path is impossible. Such a situation is observed in 5-7% of all cases. Also, the cause of caesarean rupture will be deformities of the pelvis after suffering illnesses, cystic swelling, injuries of the pubic symphysis after the anterior canopies. There are five more absolute indications from the side of the mother.

1. Crossing for a child at the hour of the passage of ancestral paths. Before such, there may be scarring and deformities of the cervical dilatation of the uterus and the walls of the uterus, swelling of an unfriendly localization (uterine fibroids). great roses, swollen ovaries), pronounced varicose veins in the area of ​​the articular organs, buttocks in the area of ​​the crotch. The main reason for operative birth in such cases is the threat of large ruptures of scar tissue, which is less elastic. Puffy, creamy, can cause pressure during the passage of the fetus and necrotize, and uterine fibroids of great growth can be mechanically shifted to the path of the fetus. Varicose veins are not safe, they can develop with further bright bleeding, which threatens to give birth to death.
2. Anterior removal of a normally displaced placenta. Yakshcho vіdsharuvannya borrowing more than a third in the current area, or it’s rapidly progressing, with which the natural path of a woman can’t give birth, plіd quickly zagin in the minds of growing hypoxia. In addition, the discharge threatens to give rise to severe bleeding. The reason for the placental rupture can be abdominal trauma, stress, preeclampsia, uterine deformity at the entry of water in the minds of rich water, rich vaginess.
3. Placenta previa. As the placenta overlaps the cervix at the lower part of the uterus - it is not overly protruding. Vidpovidno, with incompetent prolapse, the cervix is ​​partially blocked. Absolute indications are external previa, as well as the occurrence of non-previa placenta previa with some complication of vaginess.
4. Threat to rupture of the uterus. Even unsafe situation. For the presence of an emergency operational intervention, I threaten to cause death. Imovirnіst rozrivivіv uteri podvishchuєєtsya nayavnnostі factors rizikom: impossibly scar after the front section of the caesarean section, numerical canopy, great plaid, rich vagity on aphids pathologically changed mucosal ball of the uterus.
5. Pre-eclampsia and exlampsia. Complicated gestosis from the side of the central nervous system, which means negaic birth is independent of the term of pregnancy

... and from the side of the fetus

The need for surgery is due to the fact that the position of the fetus is damaged. Go about the cross, spit roztashuvannya ditini. If the child is lying down, a caesarean section is performed in case of suspicion of a large pregnancy (the weight of the fetus is greater than 3500 g), or in cases of parental pathology. You can see more showings.

1. Wrong head inserted. In case of birth positions (if the baby’s neck is ripped and the sweatshirt is replaced to the ancestral ways, the cholo, dark head) canopies by natural order are superficially unsafe to wind with a small fetus and garnih rosemaries of the woman’s pelvis.
2. Overlapping that vipadanny parts of the umbilical cord. The reason for this is a very high risk of fetal death in the process of gently sagging the umbilical cord.
3. Gostra dichal insufficiency (hypoxia) of the fetus. Diagnosis is made every half hour from various reasons. For example, insertion of the placenta, weakness of the birth cycle, improper preposition of the fetus and insertion of the head. With hostile hypoxia on CTG and during auscultation in fetal heart failure, changes are observed. As if conservative exultation is unsuccessful, the only possibility of vryatuvativ plaid is left with caesarean roses.
4. The death of a terminal station of a woman for a living fetus. Caesar's birth gives the opportunity to give birth to a woman in a coma, in agony, which the half hour has died, by the very same time, the life of a child.

Visible from the side of the breed.

Before the last indications to the caesarean side of the mother, such six stations are given.

1. Clinically thin pelvis. In 1-2% of cases, there may be an inconsistency between the frontal parts of the fetus and the pelvis of the parent. This situation is called a clinically narrow pelvis. The prognosis is possible on ultrasound on the basis of vagity after fetal resuscitation; In case of incorrect management tactics, the mother and the fetus can be seriously aggravated, right up to the death of the fetus, so it is possible to carry out the operation without checking for injuries.
2. Preeclampsia. Trivaly atypical perebіg, weak effect in the light - not the best companion of a woman in natural canopies. Nebezpeka polagaє have an unacceptable influx of gestosis on the body of the mother and child, as well as the development of the development of complications - preeclampsia and eclampsia.
3. The manifestation of the reproductive system is ill. For example, bezpliddya, obviously innocence. In addition, the main illness can appear on the front of effective ancestral activity, a woman, as for a long time could not be conceived, most of all with fear to be put up to the ability to spend a child for a little while and at a price that does not allow such a product to be taxed by nature.
4. Severe extragenital pathology. Decompensated disease of the cardiovascular, dichal, endocrine systems. Unstable contagion of the nirok itself is not indicated for caesarean rupture, but it is often aggravated by obstetric pathology (preeclampsia, placental insufficiency, placental insufficiency, early removal of the placenta), therefore, such cases are often resolved promptly. Illness of the eyes also often progresses under the hour of pregnancy. Indications before caesarean roztina є patologiya sіtkіvki. If the problem was revealed in advance of the next hour of pregnancy, then the eye can be “welded”. To the same canopies the natural path is possible. As soon as the problem was not solved, the people were safer by an operative way, so that the cessation of the system and the imovirnoy blindness would be eliminated.
5. The stability of the weakness of generic activity. Yakshcho won't be given medical therapy and threaten with protracted canopies and hypoxia of the fetus.
6. Woman older than 30 years old. Realities daylight there is a strong tendency to make canopies for the last century, if the career is already established and the fathers can provide materially for the future child, then the first canopies “over 30” won’t cheer anyone up. Ale physiology female organism zalishaetsya unchangeable ... Over time, fabrics wear out elasticity and strength until they are stretched, the greater risk of developing flat lines. As an older woman, chronic illnesses often appear, which aggravates the excess of vaginess. However, no one recommends cesareans only for a century. The indications for the operation will be the presence of concomitant fluctuations in the flow rate.

... and from the side of the fetus

Popri zagalne perekonannya, dvіynya - not shown before the caesarean rose. As if the little ones were scattered far away (offended by the children to lie with their heads down), then the future mother as a whole can give birth independently. Ale, if a child has problems with rotting, or it is a factor in the risk in current pregnancy (mother's death, a scar on the mother, rebirth in life and development of children), then best option People will have an operation without any problems. They see three more camps, which they can cause Caesars.

1. Great plaid. The weight of the body of a baby more than 4000 g is predicted at once, with any pathology of vaginess, it will be a good drive to a caesarean rupture.
2. Chronic FNN (fetoplacental insufficiency). Pathology of vagity, in case of blood loss between the placenta and the fetus. As a result, the child does not take enough food, which is necessary for its development. Approximately five percent of the vacancies, aggravated by fetoplacental insufficiency, will end with the dead child. The causes of this illness can be obstetric illness, infectious processes (mostly chlamydia), concomitant ailments. In case of severe decompensation, it is necessary to give birth to the woman in advance, in order to give the child a chance for the development of the uterus.
3. With pelvic presentation of the fetus. The pelvis is overdue at once from the front vilitim of the navcolous waters, the great fruit, the ringing of the pelvis of the first or another stage, the drive to the slopes for the help of the caesarean rose.

Also, in obstetrics, there are no problems, if the pluses of caesarean rupture are obvious: the operation helps to heal the child and the mother of injuries for a long time, gives the ability to quickly win the baby, bleed and heal the life of the woman. Although there are some reasons for the birth of a necessary operative birth, then it is considered unsafe for life and health.

Surgical delivery tactics

With whom it is important to know how to pass caesarіv roztin and on what term yogo to win.
There are two types of operation in terms of terminology.

1. Planned Caesarean Roztin. As for the wedding, you should know more about the hour of vagity or bring it to her, choose the exact date that the operation is assigned. To say exactly, in what terms to slay caesarean roses, we can’t be sure. Call the doctors to give a message to the optimal terms (39-40 days, ideally after an independent cob of ancestral activity). But there are situations, if it is impossible to check: in case of gestosis, thin scar on the mother, fetoplacental insufficiency, the terms can be shifted to more or less the same, but sometimes, unfortunately, earlier. The preparation includes cleansing the enema, fenced with water and water 12 years before the operation.
2. Emergency caesarean roztin. To be carried out in case of unfavorable situations, which caused the process to fall. An emergency delivery does not take an hour to prepare the breed. There are also fewer possibilities for choosing anesthesia and the type of injection.

Select anesthesia

A team of doctors (two obstetrician-gynecologists and an anesthetist) and an operating nurse are present at the operation. Choice of anesthesia for caesarean delivery
deposit according to the terminology of the operation. In case of an emergency caesarean section, surgery should be performed under general anesthesia. Bazhannya porodilly is covered for the hour of the planned operation.

Until recently, the most important vicorist was endotracheal inhalal anesthesia. For yoga prosperity, you should be born, especially in critical situations, wine may istotny nedolіk- Dіє gnіtyuche on the dichalnu and nervous system of the fetus. For this reason, when anesthesia is given, the fetus can pass no more than ten minutes before the end.

In the minds of modern medicine, more and more often, a safe type of anesthesia - regional anesthesia - is becoming more and more common. Until now, spinal and epidural anesthesia for caesarean section is considered. An “injection” at the back gives the opportunity to hurt a woman, with whom she is left at the sight, to see a child in the world and to bring her to the weather with her breasts in the wake of the woe. For a child with a small amount of Skoda, the amount of anesthetics is miserable, and only the smallest quantity is consumed in the blood. The only shortfall of this type of pain relief is a sudden effect, so in critical situations, deep anesthesia does take up a lot of time.

How to cut

How to open the deposit according to the reasons for the operation. With a planned caesarean delivery, a transverse cut in the lower segment of the uterus, more and more often, the suture material is removed. In an emergency situation, they can go to a late opening, the veins give good access to the uterus, and even a small amount of damage to a pronounced cosmetic defect.

For an hour, caesareans rose for about a year, this includes a child's hero, a revision of the empty uterus, and suturing of tissues. After the operation, the woman should be transferred to the resuscitation unit, they will wait for 12 years for extraction with an uncomplicated postoperative period. Then, three or three days later, before the registration, the mother will spend at the ward together with the child.

Possibly folded

The caesarean roset has a low complication. In case of an emergency caesarean, stench occurs two to five times more often, lower than planned. Ale navіt іn thіѕ mаkіng їkhnа їkhnа іn frequency does not exceed 5% vіd uсіх operational pologіv.

In the post-operative period, there is a risk of bleeding due to a large contraction of the uterus, as well as a wider inflammation of the uterus - endometritis, peritonitis, inflammation of the appendages. Possible thrombosis, embolism. Okremo look at the complications after the anesthesia.

Operation results

For a pleasant break after the post-operative period, the woman is discharged from the marginal mortgage for a quarter-fifth of the day. Ale, in the distance, the traces of a Caesarean rose can make you know about yourself through the fates. One of them is Spike's ailment. Adhesions can be established after surgery in an empty small pelvis, the feet of their wideness lie down in genetic strength tissue of the woman before scarring, as well as inflamed in the postoperative period. In this case, caesareans have a risky possibility of secondary infertility, as well as a risk of post-mortem vagity.

Crimson, a scar is left on the mat. Yogo became a great role in the distant reproductive plans of a woman. Canopies through natural birth paths are possible with a scar, but it is even more important to protect one’s ability. Ultrasound monitoring of advanced vagility allows you to designate the optimal tactics for re-birth of a woman with a history of caesarean rupture.

Complicated and trival rehabilitation is the axis of the main minus of the caesarean rupture. The head of the medical staff is to give the correct recommendations, and the breeders are not available to follow them.

Renewal period

The early postoperative period includes diet, antibiotic prophylaxis, and drugs for short uterine contraction. It is even more important to get up and start walking already in six years after the operation - this is how they anticipate the development of spike ailment. It is no less important for the renewal of the yakoma to start breastfeeding earlier. The cream is obviously corrosive for children, prevention of post-mortem bleeding is possible (in case of piss, the hormone oxytocin is vibrated, which stimulates the rapid activity of the uterus).

After drinking, it’s important to have a regular bowel movement - for additional diet, rich in cellular tissue, it’s also necessary not to forget to drink a lot of water, and even spend a lot of money with mothers, who’s good, colossal.

Proximity from the nearest person is possible not earlier, but in two months for the day of contraindication. Doing sports - for pіvroku. The pain in the region of the rose will pass at all individually, but if it doesn’t get better after a month, the woman will cease to be turbulent. An important rule: in the postoperative period, it is not possible to increase the weight of your child, lower the weight of your child. Do not hesitate to ask for help, and even more importantly, it is one of the features of a caesarean rose.

It’s not the ones who, like a path to appear on the world of a new man, but those who were born healthy, and the canopies passed without difficulty. Do not fight the people with an operational path, as if on those dates. But remember: to ask for those that are more beautiful - caesarean and natural canopies - you can only change depending on the specific situation, and the price of a pardon is high.

Rozdrukuvati

The operation of the caesarean section is a topic that does not flood the life future mother. From the time of its appearance and to the present day, the surgical method of birth is the cause of fears, pardons and hot superchok.

In the rest of the hour, a large number of caesarean patients appeared. Bagato vagіtnykh seriously vvazhayut that the operation - only one of the options for the pologo help, which can be chosen for the upper bazhannyam, like, for example, vertical canopies or canopies near the water. Deyakі navіt stverdzhuyut, scho caesarіv roztin - more modern, non-tight and painless option for the people of the child, more simple and safe for mothers and babies, lower and more folding process of natural canopies. Indeed, it is not so; Operative delivery is a special kind of obstetric assistance, indispensable in depressions, if the natural canopies are low for reasons that are impossible to bring about an unsafe life for the mother of the fetus. However, it is impossible to call the “Caesarians” in a less painful, or safer way. As if it were more surgical intervention, operative birth was caused by significant risks for a healthy mother, both in the process of the operation itself, and in the postoperative period. For the same reason, cesarean roztin should not be carried out simply “for the care” of the patient, without real medical evidence.

Show to caesarean, list

The indications before the operative delivery are subdivided into absolute ones. Situations lie before absolute circumstances, in those cases, through natural birth paths, in principle, the unsafe life of the mother and/or the fetus is impossible. The axis of the widest absolute indication before delivery for an additional caesarean operation:

External placenta previa- Attachment of the child's mass in the lower segment of the uterus, with a slight overlap of the region of the internal os of the cervix. In this case, the canopies through the natural birth paths are impossible: the placenta simply closes the small exit from the uterus. In addition, with the first succulents that accompany the opening of the cervix, the placenta is more likely to open in the area of ​​the internal os; you can bring to the development of sweating bleeding, which will become a real problem for the life of a mother and a baby.

Transverse position of the fetus- Such a roztashuvannya of a baby, with which yoga it is impossible to push through the ancestral paths. In the transverse position, the plaid is roztashovuetsya in the mother horizontally, perpendicular to the ridge of the mother. In this case, there is no recumbent part of the fetus - heads or sidnits, - as it is normally due to put pressure on the cervix for an hour, the essence, which helps to expand. As a result, when the canopies at the transverse position of the fetus, the cervix of the uterus practically does not open, and the walls of the uterus, which shorten, fix a vice on the baby’s transversely spreading ridge, which threatens with important canopy injuries.

Vuzky pelvisє Absolute shows to the operational rosode, yaksho is the third -foot of the quarters of the pelvis of the pelvis (Zhnnoye Rosemi -bylsh nіzh by 3 cm) abundant pelvis - the sound of the inside of the snakes, the marshmallows of the tazy, the teshok, With such a degree of sounding, the canopies through the natural birth paths are not possible independently from the growth and growth of the fetus.

Great plaid do not wait for absolute indications before the operational slopes: with normal pelvic dimensions, a large child can appear in the world by a natural path. Great vvazhayutsya neonarodzhenі z vaga over 3600 g. However, with a vase of the fetus over 4500 g, a normal pelvis can appear for the fetus over that narrow, and the canopies are a natural path risky for health.

Bagatorazov entanglement of the umbilical cord to cause significant shortness of life and loss of blood in the fetus. In addition, there are more than three, umbilical cord loops to normalize the growth of the fetus in the mother and reshuffle the damage that is necessary for the normal biomechanism of the folds. The biomechanism is the name given to the succulence of the baby’s wet hands at the hour of the people, which help him to grow up to the shape of the mother’s pelvis. As a result, there is not much opportunity to create the necessary disruption - for example, fold, cut and turn the head, birth injuries inevitably lead to normal pelvic dimensions and the fetus itself.

mother's illness, which are accompanied by impaired mucosal tone and nervous regulation of the robotic pelvic organs. Canopies through natural birth paths in times of impossibility, shards for these pathologies do not develop productive birth activity. The butt of such an absolute indication to "caesarean" paralysis and paresis (partial paralysis) of the pelvic organs, as well as sclerosis - damage to the nervous system, which is characterized by impaired transmission of the nerve impulse to the organs and tissues.

Reduced vagity and flatness, to become a real threat to the life of the mother and fetus, are the main absolute indications for emergency surgical delivery.

Vlasne, the operation, which took away the name "caesar roztin", was first carried out by itself with the method of life. Before "life" indications are more severe damage to the heart activity of the mother of the fetus, placental rupture, important forms of toxicosis (preeclampsia), impaired placental blood flow of the 3rd stage, a threat to uterine growth or an old postoperative scar on the mother.

Until the last indications, there are situations, in case of any operational development, it is more beautiful than natural canopies:

• for women younger than 16 years old, navpaki, older than 40 years old;
• pathology of the eye, the cardiovascular and neuroendocrine systems;
• insignificant sounding of the pelvis and the increase in the mass of the fetus;
• in the pelvis, lying down - roztashuvannya baby in the mattsі, with which there are beds or legs below;
• aggravation of the excess of vaginess - toxicosis disruption of placental blood flow;
• manifestation of severe and gynecological chronic illnesses.

To overcome the need for prompt presentation, one absolute or a few additional indications are sufficient.

Operation chi canopies?

Why are the Caesars roztin robbing only for showings? Even the operation should be carried out more quickly behind the natural canopies, more ill and including the risk of canopy injuries for the mother and the baby. If you need to know more about the nutrition, you need to know more about the specifics of the operative birth.

1. Caesarean roztin - empty operation; It means that in order to take away the fetus, the healers need to open an empty heart. Zusіh types of operative vtruchan empty operations caused by the largest number of risks for the life of that healthy patient. Cause and risk of development of intracerebral bleeding, risk of infection of the organs of the empty stomach, risk of postoperative sutures, destruction of suture material and many others. In the post-operative period, the breed will experience significant pain in the abdomen, which will require medical pain relief. Remembrance of the mother's body after the operational slopes to take place longer, lower after the natural birth, and due to significant changes in physical activity. Well, how to repair the traumatic nature of “natural” and “piece” canopies, then, obviously, sadna, cut the crotch and navit rozrivi sloping paths of blindness with traumatism of an empty surgical operation.

2. For the removal of the fetus, the doctors are brought to rossikat the anterior fetal wall, aponeurosis - a wide tendon plate, which closes the m'yazi of the ventral press, the ocherevina - a thin serosa membrane, which protects the internal organs of the fetal cavity and the wall of the uterus. After the fetus has been twisted, sutures are applied to the uterus, the backbone, the aponeurosis, the subcutaneous-fat tissue and the skin. Modern suture material is hypoallergenic, aseptic, tobto. does not call for suppuration, and in the course of time it will be reopened again, but the traces of the operative intervention are still forgotten forever. Nasampered, tserbtsі - litter of happy fabrics, which the seam has settled at home; on the view of the real cells of the organ, the cells of a happy tissue do not depend on the specific functions necessary for the normal functioning of the organ. The tissue, which has settled down on the seam, is less mica, lower is the tissue of the organ, therefore, when the injury is stretched on the scar, it can become ruptured. Rizik rozryva scar on the mattsі zavzhd zberіgaєtsya at all advancing vagіtnostі and canopies. By stretching the strength of the vagity for the presence of a post-operative scar on the mother, the woman is rebuked under a particularly relatable medical look. In addition, operatively interfacing the mother’s ability to more than three children: in the process of skin offensive surgery, the tissue on the old scar hangs, which changes the area of ​​the anterior wall of the uterus and creates an even greater risk of expansion in the offensive vagity. Otherwise, I don’t accept the traces of any operational insertion in the empty stomach - the adoption of adhesions; tse good tissue strands between organs and walls of the empty stomach. Spikes can disrupt permeability fallopian tubesі intestines, leading to a second absence and serious problems of etching.

3. The main disadvantage of operative birth for a baby is those that, during caesarean resection, the baby does not go through the birth path and does not feel the pressure of the world, as it is necessary for the “launch” of autonomous processes of life. In case of various pathologies of the fetus and the mother herself, the fact that the caesarean rupture is overwhelmed and the choice of doctors on the merit of the operation is determined: dropping the vise for a three-hour hour becomes an additional advantage for the baby. How to go about the order of life of mothers and babies, operational canopies are also the best for the rahunok of the timchasovy perevaga: from the beginning of the operation to the end of the fetus, it takes no more than 7 quills in the average. However, for a healthy fetus, the folding path through the birth canal, no wonder, is more beautiful for a swedish wound from an operative wound: a baby genetically “programs” the very same scenario for birth, and operationally, for a new additional stress.

In the process of pushing the birth canal through the birth canal, it is necessary to move the pressure from the side of the birth paths, so that the introduction of the fetal - internal uterine - root from the yogo leg; it is necessary for equal spreading of legenevy tissue at the first hour inhalation and an ear of full-length legenevy breathing. No less important is the difference of a vice, like a watchful little one in the process of natural canopies, and for the cob of independent work, yoga, herbal and nervous system. great value May the passage of the baby through this birth passage and for the full cob work of the heart-vascular system: it is rich in what itself to lay down the launch of another blood circulation and closing of the oval vein - I will open between the atria, which functions in the fetus at the time of vagity.

The operation of a caesarean rupture with additional surgical interventions of the maximum volume for obstetrics is associated with a significant risk for a healthy mother, and should not be carried out for the patient's care. Cesarіv roztin cannot be considered as an alternative variant of slopes; tse dodatkove vtruchannya in natural process that viroblyaetsya suvoro for medical indications. The rest of the decision about the need for surgery, you can take only a medicine, which will keep the future mother at the process of pregnancy and the half hour will be low.

Canopies - the whole process, which is the body of a woman with a lot of attachments. However, for other reasons, natural canopies can become unsafe for health or bring life to a child's mother. In such cases, an operative birth is carried out - a caesarean operation.

Caesar_v roztin mozhe buti we are planningі terms. Scheduled caesarean roses are assigned for another hour of pregnancy: for the indications of chi for the future mothers. Decisions about the term caesarean rupture are accepted, which is blamed for the aggravation of the early afternoon, or unsafe situations, which imply the term delivery (hospital hypoxia of the fetus, placental emptying).

Indications before the caesarean section are divided into absoluteі visible. Absolute vvazhayutsya, on the basis of such doctors, without any reservations, they prescribe an operation, but about natural canopies, you can’t move. Until such testimony lie so.

Absolute indication to caesarean section

The narrow pelvis of the parent. Because of the anatomical features of a woman, it is simply not possible to give birth on her own, so that one can blame the problems of the child’s passage along the birth paths. Tsya osobli_stvo vyyavlyaєєєєєєєєєєєє at the setting on the form, and the woman in the form of the cob get ready and nalashtovuєsya on operative birth.

Mechanical shift, to prevent the fetus from going through the natural path. You can use:

• defragmentation of pelvic cysts;
• swelling of the ovaries;
• placenta previa (the placenta is rotting there, it is guilty, crossing the way for the fetus to exit the cervix);
• okremі vypadki uterine myoma.

Imovirnіst rozrivіv uterus. Given the indication to the fold through the caesarean rupture may be the month, as well as on the matts є as sutures and scars, for example, after the previous operations of the caesarean rupture and empty operations.

Anterior removal of the placenta. Pathology manifests itself in the fact that the placenta is still up to the cob of ancestral activity in the uterus, allowing the child to eat and access sour.

Vіdnosnі indication to caesarean rosette

Vіdnosnі pokazyvanya to caesarean rosette convey the possibility of natural canopies, but with a risk for the little chi mami. In such a situation, all individual factors are seriously considered. Until vіdnosnyh evidence zarakhovuyut:

• ruined by the mother’s eyes (it’s embarrassed by high ambitions on the eyes, if the people of the woman are pushing);
• problems with robots;
• cerebrovascular disease;
• pathology of the nervous system;
• oncological illness too.

Like a bachite, you don’t get sick when you’re pregnant, but intense pressure on the mother’s body can lead to a change in complications.

In addition, it is indicated to serve a caesarean rose preeclampsia- Damage in the system of blood flow and vessels.

Before you show threatening to the health of the child carry out various infections in the mother, so that the child can become infected while walking along the birth paths.

Well, before the term caesarean rose, yoga is prescribed at times, as the birth activity is even weaker than the call.

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For the term caesarean roses, there may be offensive types:

• we plan;
• extreme

For the technique of vikonannya they are distinguished:

• abdominal caesarean roztin - rozrіz vykonuєtsya through the anterior hip wall;
• pіhvovy kaesarіv roztin - rozrіz through the front crypt pihvi.

How is the operation of a caesarean rupture, which is to be done before and after it

How to pass caesarean roses

On what terms do I work for planned caesarean roztin? The date of the operation is assigned in an individual order and to fall into the age of a woman and a child. If there are no special indications, then caesarean roses are assigned to the nearest day before the transfer date. Buvaє and so, that the operation is carried out with the cob of essence.

How to prepare for a caesarean birth

Call the future mother, as if to check the planned caesarean birth, place at the gently sloping booths in advance in order to carry out the obstezhennia - signify that the child is full-term and ready to be born, and step behind the camp of the woman. As a rule, the operation of a caesarean section is scheduled for early in the morning, and the rest of the reception is possible no later than 18 years before the evening before. The sluice of the operation is to be blamed for being empty, so that the hit of yoga is lost in the dyhal way. Vranci, on the day of surgery, carry out hygienic procedures to prepare for cesarean delivery: give an enema, shave the pubis. They gave the woman a change in her shirt, and її brought in to be taken on a wheelchair to the operating room.

Anesthesia is carried out immediately before the operation, a catheter is inserted on the sieve mіkhur (yogo is removed after a year after the operation), the patient is treated with a disinfectant method. A small screen is installed in the area of ​​the woman's breasts so that she cannot prevent the operation from being interrupted.

Anesthesia

Currently available 2 types of anesthesia: epidural and deep anesthesia. Epidural anesthesia transfers the introduction of a thin tube through the neck at the exit of the nerve roots of the spinal cord. It’s not worth it to sound scary, but it’s true that the woman is unacceptable for only a few seconds, if there is a puncture. Dali won't stop feeling pain and tactile feeling in the lower part of the body.

Hot narcosis. Which type of anesthesia is required for emergency caesarean section, if there is no time for an epidural injection. A drug of the so-called anterior anesthesia is injected into the back, then through the tube in the trachea, a sum of anesthetic gas and sour is injected, and the drug is injected, which relaxes the muscles.

Head of caesarean surgery

After the anesthesia has subsided, the operation begins. How to perform a caesarean section? Raise the back of the head on the cherevnіy wall. During the operation, 2 types of cuts are possible: late (vertical from the womb to the navel; to fight for an emergency caesarean section, so that through the new baby is farther away) and transverse (above the womb).

They gave the surgeon a rose of m'yazi, to break a rose on the matts and a curve of fruitful mihur. After the child's miscarriage, the placenta bulges. Then the doctor sews up the womb with threads, as if they are rozmoktuyutsya through a sprat of months after that, as the tissue grows, and then we will sew the heart of the wall. A sterile bandage is applied, a kriga is put on the life in order to make the uterus contract intensively, and also to change blood loss.

The trivality of the caesarean rosette is occupied from 20 to 40 times, with which the child goes out into the light already at 10 times, or even earlier.

Postoperative period

Even after the operation of the caesarean rosette, the woman will have to go to the resuscitation ward and intensive care in order for the doctors to be able to watch the camp. Then the new mother will be transferred to the emergency ward. To change the pain sensations, they are prescribed pain medications, preparations for the contraction of the uterus and the normalization of the intestinal tract. Some people prescribe antibiotics, but sometimes they vary individually. Stepwise doses of liqiv are changed and in them they are prescribed zovsim.

Like the operation went without a hitch, stand up first time women are allowed only after 6 years. It’s necessary to sit on the couch, and then we’ll stand up for a bit. At the same time, you can’t strain, if you want to have minimal physical tension, I’ll threaten the shards with loose seams.

On the edge of the bagana behind the back come postoperative bandage, yogo wearing significantly relieve the transfer of that unacceptable sight in the first days after the operation of the caesarean roset, especially if you need to lie down and get up from the bed.

Doglyad, diet that stіlets

On the first day after the operation, it is recommended to drink less water without gas, and you will need to drink a lot, in order to replenish your blood intake. It will also be necessary to empty the sich mіkhur. It is important that the latest mihur pereskodzha uterine shortness.

The next day, they allow some food (porridge, broth, thin). If everything is in order, then from the third day of the operation, you can turn to a normal diet recommended for women, who can eat, after a lot of mothers suffer from constipation, and in order to help alleviate the situation, it is important not to live a firm life for a few days.

The same problem is overcome by enemas, candles (sound the vicorist candles with glycerin; if you put such a candle, try to lie down for an hour) and living in food products, which may weaken the diet (kefir, dried fruit, too).

After registration from the canopy booth

The first and second months after the caesarean surgery, you will not be able to take a bath, swim in the pools and water basins, you will only be able to pray in the shower.

Active physical adventure it is necessary to pay less, less than two months. It's time to need help from that person's relatives. It is not possible to want to be mindful of physical activity. Ideally, the doctor after the operation is guilty of telling you about the right, so as to speed up the renewal of the body, you can ask about yourself.

Reinforce state of life It is recommended to be taken no earlier than 2 months after the operation. Obov'yazkovo podbayte about contraception. Fahіvtsі rajah plan to come on the vagіtnіst less than in 2 years, for the whole hour the body will be able to renew itself and be able to secure the full development of the future baby.

What can natural canopies do after a caesarean?

In spite of the broadening of thoughts, a woman can give birth to a child herself, as in the past, her pregnancy ended with a caesarean rosette. As if the seams were hot, there were no daily fluctuations, the reproductive system was successfully restored and there were no daily indications for another caesarean rupture.

Pros and cons of cesarean surgery

It is possible to promptly give birth, both for medical indications, and for a woman’s well-being. Let the doctors speak out against such a decision, encouraging the future mother in the surgical intervention. As you also consider the possibility of the operation being carried out, understand that normal canopies are not contraindicated for you, seriously consider all the positive and negative aspects of nutrition.

Plus a caesarean rose:

• in case of surgery for non-malignant injuries of the state organs, such as rupture and rupture;
• A birth for an additional caesarean rose takes a maximum of 40 hvilin, at that hour, as with natural canopies, a woman is often embarrassed to endure a long stretch of years.

Minuses of caesarean rosette:

• psychological aspect: mothers swear that they don’t smell a bond with a child, they can’t smell that they themselves gave birth;
• the exchange of physical activity and that of the municipality;
• scar. Read the report about it at the article

Results of the caesarean surgery

Labels can be divided into 2 types: for mother, at the link with surgical interventions, that for kids, at the link with unnatural people

Notes for moms:

• bіl at the seams, a scar on the stomach;
• the impoverishment of physical activity, the impossibility of taking a bath and the intimacy of the blue for decades;
• psychological state.

Suggestions for kids:

• psychological; I have a thought that children, as if they appeared in the light of the way of the operation, are more attached to the world of need. Varto signify that the thoughts of the children from this drive diverge, that evidence of mothers shows that in the most cases the children are afraid of the mental development of the mind, and there is no trace of turbulence from that drive. However, it is impossible to recount the fact that the child does not go through the path, the preparations for him by nature, and helps to prepare for a new middle ground;
• the possibility of a surplus of navcoloplid rіdina in the legs of the new people;
• getting into the blood of a child and drugs for anesthesia. Read more about the consequences of caesarean rupture and marvel at the video

Complimentary after caesarean section

Complicated after anesthesia. If you are due to have a caesarean section due to the need for epidural anesthesia, you need to remember the coming moment. After the operation, the catheter for pain relief is still left at the back for a certain hour, and the preparations for pain relief are injected in a new way. Therefore, after the operation is over, the woman may not be able to offend one leg and may not be able to shift.

There are fluctuations, if, when the woman is shifted to the couch, her legs turn, the shards of the operation are not seen, this fact may remain unremarked for a long time.

What do I threaten? As a result, the knowledge of science in the non-natural camp is developing trival positional pressure syndrome. In other words, the soft tissues of the trival hour perebuvayut without bleeding. After the neutralization of pressure, a shock develops, a strong infusion, a disruption of the rukhovo activity of the end, and, do not start, but do it often, nir's insufficiency everything is accompanied by severe pains that last for decades.

Obov'yazkovo ask the staff of the canopy booth to check that you were correctly laid on the couch. Remember that some crush syndrome can lead to death.

In addition, anesthesia is often accompanied by headaches and back pain.

One of the widest folds - tse adhesions. Loops of the intestines and other organs of the empty stomach grow among themselves. Excitement to lie down in the face of the individual features of the woman: on the right, you can get surrounded by the most important physiotherapy or to meet the needs of a surgical intervention.

endometritis- Ignition process at the mother. For yoga, it is prescribed a course of antibiotics immediately after the operation.

Bleeding it is also possible to make it easier after the operation of the caesarean rosette and, in a few fluctuations, to bring the uterus out to the point of necessity.

The complication can be caused by the process seams, to their diversity.

Also, the operation of a caesarean rupture is a guarantee of life for mothers and children in quiet situations, if the natural canopies are not possible or safe. With skin cancer, the operation is improved, and the number of complications is changed. However, the human factor cannot be excluded, because if you know about the main features of the operation and the post-operational observation, it will help you to get comfortable and enjoy the joys of motherhood without zayvih pretense.

Video, how to pass caesarean roztin

I fit!

Cesarіv roztin - an operation, in the course of a neonatal child, a woman is pulled out of the uterus of a vagit woman through a roza in the abdomen. Cesarіv rosetin є an alternative to natural canopies.

Why was Caesar's Roztin so called?

It is important that the name of the operation was attributed to Guy Julius Caesar. According to the legend, the mother of the future emperor died in the middle of the hour and the doctors didn’t lose anything, the Crimea rose alive and stubbornly dumb, to vryatuvati yogo. From that hour on, such operations are called "caesarean retiring." Second version. Nebito under the hour of Caesar's rule, buv the adoption of the law, what the goiter of obstetricians at the death of the mother, what the people, rozsikati її cherevo and vitiaguvati plaid.

The first Caesarean rose, in the course of which both mothers and children survived, was carried out near Praz in 1337 roci. Let's take it for granted that we could find out the documents that confirm this fact. During the operation, Wenzel I, Duke of Luxembourg, appeared. The canopies of my mother, the seventeenth Beatrice, were important and the healers managed to find out that she died. The stench blew the distance to the child, so that they could baptize її.

Beatrice came to you in pain. It is important that the shock, which she recognized, having protected her from bloodshed, she survived that very thing. Vaughn lived for 46 more years and now outlived her son, really, by more than 16 days.

If you need caesarean rosetin?

Cesarіv roztin - an alternative to vaginal canopies. In some cases, a planned cesarean is performed, and in others, the operation is carried out on an emergency basis.

Before that, as a sign of the operation, the doctors carefully study the patient's anamnesis, and also know about the excess of vagity. Indicated before caesarean section is a rich vagity, too great a plaid, an increase in the placenta, as well as in the pelvis or transverse displacement of the child. The operation can be attributed to a distant leg, as the mother suffers from severe shortness of life or an important form of diabetes, and also in that case, as she already suffered a caesarean section at the front of the canopy.

Decisions about an emergency operation are taken, as the curtains are tightened, and also in that case, as signs of acid starvation of the fetus appear, or irregular heartbeat occurs.

What is the hour of the operation?

The operation is carried out as quickly as possible and necessary for the order of life and the mother of the baby. During the operation, the main anesthesia is used, the most extensive is the spinal one, the decision about the type of anesthesia is taken by the drug.

Doctors neatly, ball by ball, I first cut the skin, sweat the mud, and then the heart of the wall. The next stage is the growth of the empty uterus. As for the natural canopies, the little one is guilty of appearing headfirst into the world. The mouth of that newborn is cleaned from the mucus of those other rіdins, and they are also changed, so that the umbilical cord is not wrapped around. After whom, they pull the child around, cut the umbilical cord, wash, call and kill the newborn. Following the child, the doctors will take the placenta, after which they sew up the cuts before the balls reverse order. Sound from the first incision until it is impossible to pass no more than 15 quills, and the whole operation will take about 45 quills.

How do women recover after surgery?

Women, like the operation of a caesarean roset, were carried out at the liquorice for more than an hour, lower ti, hto narodzhuvav natural way. Irrespective of those that the technique of the operation is becoming more and more perfect, women will need more than an hour for renewal after her. Patients are often prescribed painkillers and antibiotics, and their mobility is short-lived.

However, even though the operation went without complications, the recovery period also went without any particular problems. Women after the discharge are guilty of the process of closing the seam and with symptoms of inflamed (blackened, swollen, elevated temperature) are guilty of returning to the doctor yaknaishvidshe.

As if the woman had already endured Caesar's roses earlier, it's neobov'yazkovo, so it's impossible to make a child step on a natural path. Caesar's roses do not always impose a cold and on the number of offensive operations - in the fall, if the women in this rank made five and more children.

Chi can robiti cesarean roztin without other indications?

Caesarean roztin is one of the most extensive operations in the world. Її the appearance of that fully sprung into the reduction of maternal and child mortality. The all-world organization for the protection of health is naked, that it is necessary to carry out the operation only in quiet weather, if the natural canopies threaten the life of the child's mother.

In some countries, the practice of choosing the type of birth by a woman has been expanded. Choosing cesarean roses, the stench wants to die rozrіzіv i rozrivіv promyzhin, as well as labor pains. Fahіvtsі vvazhayut that, regardless of those who caesarіv roztin effectively help to solve these problems, they can provoke others, often not less serious. Among them are disability and death. The very same WHO experts are pleased to see the operation carried out for the woman's life.