Thursday, June 08, 2006

Bundle of joy... the mode of delivery

It is always a big joy when there is an addition in the family,- be it in our home or in any of our friend’s or relatives. The new bundle of joy always brings happiness to the family.
People opting for Caesarean sections are very high for the past five years. Gone are the days when the patients ask us to give them a normal delivery. The moment the patient whines in pain the mother is just in front of the doctor pestering her to do Caesarean section for her daughter. Less do they realize that their daughter’s whole obstetric life is getting damaged. If the patient really trusts the doctor, I am sure more patients would go for normal delivery. Some facts about caesarean sections…
A caesarean section (c-section) is a surgical procedure where a baby is delivered through an incision made in the mother's abdominal wall, and then through the wall of the uterus. A caesarean section is usually performed when it is safer for the mother or the baby than a vaginal delivery. Other times, a woman may choose to have a caesarean section rather than deliver her baby vaginally.
The problems that lead to C.S:
A caesarean section is needed if a vaginal birth isn't possible. Some of the reasons for this may include:
The baby's head is too large for the mother's pelvic opening.
The baby is presenting bottom or feet first (breech) or is lying sideways (transverse).
The cervix is blocked by the placenta (placenta preavia).
The placenta is no longer providing the baby with enough oxygen (placental insufficiency).
Multiple babies.
Dangerous maternal conditions such as high blood pressure and uncontrollable diabetes.
The umbilical cord is prolapsed, (fallen down) through the cervix and into the vagina.

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