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Caesarean section is a complex surgery that, in medical terms, is only recommended in very specific circumstances, but it is also an alternative for many women for whom badl delivery can to be a trauma.
Spread the misconception that caesareans are safer for babies. They say that they suffer less, and even that they are more beautiful. Life and science, however, have shown that in a pregnancy there is no place for the absolute: the fact that the body and mind of each woman are so different makes it almost impossible to predict which is best for them and for them. babies who carry in the belly.
It is necessary to have very present this idea of the philosopher Virginia Held, who badured that the childbirth is only comparable to the death; It is an experience of such intensity that affects not only women in physical terms, but can also be a psychological determinant (both positively and negatively). Therefore, when it comes to cesarean section, it is necessary to badyze the whole panorama and give as much importance to the medical questions as to what is going on. autonomy of a mother when she decides on her body.
Worldwide, the World Health Organization (WHO) conducted a study that concluded that the percentage of caesareans should not exceed 15% . The figure comes after observing that this intervention – opening the mother's abdomen to extract the baby – could prevent maternal or neonatal death in 10% of cases. The rest of the Caesareas is generally useless in medical terms, and yet in Latin America 40.5% of births occur this way and there are even private clinics in which this number rises to 90% ( according to a study published in 2016 and cited in the book Parir by Ibone Olza)
The WHO seeks to prevent unnecessary cesarean section because pregnancy is not a disease and over time she has been medicated in excess, which is not always positive for women. "A cesarean section is as if you are being operated on for appendicitis and when you leave the operating room, you are given a newborn baby so that you can take care of it, so releasing the maternity ward is very difficult! -explains surgeon Ibone Olza in his book- Ideally, caesarean sections should be performed only when they are needed for medical reasons.This is a major abdominal surgery that can lead to significant and sometimes permanent or even life-threatening complications and disabilities, especially in areas where there is a lack of facilities or the ability to perform surgeries safely and to treat surgical complications. "[19659003] The Point of View Olza is thwarted by an equally alarming reality: in many countries, there are no conditions for performing a caesarean section in cases where it is absolutely necessary to protect the life of the mother and her child
To all this adds up a key element of the discussion: beyond what the doctors say, what is the position of the women? There are moms who hate cesarean section, not only because it's an operation that can take up to six weeks to heal, but because they feel weird in front of their child and consider that They stole the delivery. "The brains of women who have had a caesarean section may take longer to adapt to maternity ," Olza explains, which means that after a cesarean section, it is more expensive to "feel" the intensity of the bond with the baby.
But there are also women who still live with anguish about the trauma left by badl birth, which affects their relationship with their children, their partner, and their body (perhaps interested by step by step stage of a natural childbirth) . If delivery is the closest thing to death, mothers should be free to choose whether they want to live the process or not (especially in times when you have all the tools to make it easier). Being forced to endure the fear and pain of natural childbirth is as violent as enduring a doctor to perform major surgery because it is easier to program. In the end, the way the experience is lived is determined by the information that a woman receives, the decision that she takes autonomously and the way she prepares herself for the path she has chosen.
If you are pregnant, considering having children or know someone for whom this information may be helpful to you, we present you with some key points about caesareans that will allow you to make better decisions and to advise you (we work with Alexandra Casasbuenas, specialized gynecologist) in maternal fetal medicine, and after reading the book Parir by Ibone Olza):
1 A caesarean section should not be programmed – unless the mother or baby run some risk – before week 37. The baby will not be in ideal conditions yet to know the world.
2. After week 40, the possibility that the baby suffers from hypoxia during childbirth (lack of oxygen) increases and this can lead to birth with cerebral palsy or mental retardation. To avoid this risk, in Colombia doctors prefer to induce labor or schedule a caesarean section at week 39.
3. If the baby does not fit comfortably and sits, it is safer. To have a caesarean section.
4. Caesarean section is not recommended if you plan to have more than two children. With each new Caesarean section, the possibility that the placenta implanted poorly in the uterus increases by 20% and this is a very serious complication for the mother.
5 . During badl delivery, the baby's lungs are squeezed, which allows him to expel the amniotic fluid and breathe easier at birth. Similarly, the child's respiratory tract and gastrointestinal tract are invaded by the mother's bad bacteria, which will help to give less colic, eat better, strengthen your immune system. On the contrary, studies show that babies have greater breathing difficulties at birth by caesarean section and, in some cases, may require hospitalization. They may also suffer from hypoglycemia and hypothermia, especially if they are not placed on the body of the mother at birth. And there are some studies that indicate that newborns after a scheduled cesarean have more difficulties in olfactory orientation for the initiation of lactation.
6. According to the WHO, there is no evidence that a new caesarean section is needed after an anterior cesarean section. However, there is a risk that the sore of this first caesarean section opens if there is posterior badl delivery.
7. It is necessary to study each case independently. For example, badl fibroids are recommended for women who have fibroids because there is a risk of hemorrhage with cesarean section.
8. In case of caesarean section, the woman is more likely to suffer from peritonitis or to injure herself in the abdomen, bladder or intestines.
9. There are two types of caesareans: schedule and urgency. The first (which occurs when the baby is sitting, for example) has less risk of infection than badl delivery. The urgency is more risk of bleeding and infection than scheduled badl delivery. Any badl delivery can end with an emergency cesarean section.
10. A study of 1,100 women found that mothers who had a caesarean section had the highest scores in the postpartum depression test, although six months after birth, these differences were no longer detectable.
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