I remember a joke where the teacher asked the students, "Did you know that medicine classifies "pain" into 12 levels?" Level 1 is the pain of being bitten by mosquitoes, and level 12 is the most painful, which is the pain of a woman during childbirth. Some students raised their hands and asked, "Teacher, is there any pain in the 13th grade?" Another student replied, "It must be a woman who was bitten by a mosquito during childbirth." ”
A seemingly funny dialogue actually illustrates the extent of women's labor pain from the side, and it is understandable why many women describe themselves as "like breaking through a ghost door" when giving birth. Xiao Li's first due date is approaching, and she wants to choose a cesarean section because she is afraid of the great pain during the vaginal birth. But when she heard that a cesarean section was not good for the child, she became anxious again. Should I have a vaginal or cesarean section?
Who is better vaginal or cesarean section? Choosing the right one is the best
For expectant mothers who are about to give birth, the appropriate delivery method is related to the smooth delivery of the child, and whether the mother and child are safe.
Under normal circumstances, if the expectant mother's pelvis is developing normally, the physical condition is good, and the fetus development is also normal, it is recommended to choose a spontaneous delivery, that is, a natural delivery method, relying on the paroxysmal and rhythmic contraction of the uterus to deliver the fetus out of the body, which is also the most normal and ideal delivery method clinically.
1. Why is it said that normal and ideal normal birth?
This is because the various changes in uterine contraction will gradually adapt the fetus to the external environment, from relying on maternal blood to self-breathing, which is conducive to the independent life of the fetus after birth.
Uterine contractions during delivery can help drain amniotic fluid and mucus from the fetal respiratory tract, better exercise the fetus's chest and lungs, and avoid the occurrence of aspiration pneumonia in newborns.
At the same time, in the process of vaginal delivery, the mother will pass the immunoglobulin to the fetus to help the fetus improve its resistance. When the fetus is in vaginal delivery, the head is squeezed by the vagina and engorged, which will also stimulate its center, which is more conducive to stimulating breathing after birth and causing loud crying.
In addition, a vaginal birth is also beneficial to the physical recovery of the expectant mother. The uterine opening opens during paroxysmal, rhythmic contractions of the uterus, which in turn enhances postpartum uterine contractility, promotes postpartum lochia discharge and uterine recovery, and reduces postpartum haemorrhage.
Usually, the body recovers faster after vaginal delivery, and women with better physical conditions can get out of bed and walk 2 hours after vaginal delivery, and can breastfeed earlier.
Women who have had a caesarean section need longer recovery time due to the presence of wounds. There may be more bleeding during surgery, greatly increasing the risk of complications such as postpartum infection and major bleeding.
But for expectant mothers who cannot give birth smoothly from the vagina, caesarean section is a better and more suitable way to give birth.
2. Under what circumstances is a caesarean section recommended?
Let's start with the physical condition of the expectant mother:
1. If the expectant mother has narrowing or deformity in her pelvis, soft birth canal abnormalities such as obstruction, scarring or uterine body repair, placenta previa or placental abruption, etc.;
2. Or the expectant mother is an elderly new mother, has a history of multiple miscarriages, suffers from severe pregnancy complications such as hypertension, heart disease, diabetes, chronic nephritis and other diseases, can not bear the normal delivery, it is recommended to choose cesarean section.
Let's look at the fetus:
If the fetus is found to be too large, abnormal fetal position including transverse position, breech position, etc., fetal hypoxia in utero, and the fetus cannot be delivered vaginally during labor stagnation, cesarean delivery is also recommended in these cases.
However, before cesarean section, it is still necessary to make it clear that this is an operation, and there are risks in surgery, and the risk of cesarean section is that there may be anesthesia accidents, poor wound healing, and damage to the mother's bladder, ureters, etc. If there is a loss of compression of the birth canal, amniotic fluid and mucus in the neonatal respiratory tract cannot be effectively drained, and amniotic fluid aspiration syndrome is more likely to occur.
In the long term, incisional pregnancy may occur in another pregnancy after cesarean section, and the likelihood of placenta previa or even placental implantation increases.
Is it okay for expectant mothers to give birth to a fetus successfully? No, there is something more difficult waiting for it, that is, placental detachment, can not be delivered normally, placental retention is more painful.
Vaginal delivery is not a one-time event, and placental retention should also be vigilant
Under normal circumstances, the uterus will rest briefly for 5 minutes after the delivery of the fetus, followed by rhythmic contraction, the placental attachment surface will shrink, which is separated from the deciduous layer of the sponge to form a postplacental hematoma, and finally completely peel off from the uterine wall, with the contraction of the uterus descending to the lower part of the uterus or the upper part of the vagina, the mother herself slightly abdominal pressure, while the midwife assists her to complete the delivery of the placenta.
However, if 30 minutes have passed since the fetus was delivered and the placenta has not yet been delivered, placental retention occurs, which can easily lead to postpartum hemorrhage and infection.
Tracing the cause of retained placenta, the most common is uterine atony. After the fetus is delivered, the mother is weak, the abdominal wall is loose, and the abdominal pressure cannot be applied, resulting in weak uterine contractions. If this is combined with a full bladder, it is more likely to cause the placenta to remain in the uterine cavity and not be delivered.
In addition, premature rupture of membranes, uncoordinated uterine contractions caused by improper management of the third stage of labor, rough or poor endometrium caused by multiple abortions or a history of endometritis, and the occurrence of implantable placenta are all causes of placenta retention.
When the woman gives birth, once the placenta is found to be persistent, the doctor will take corresponding measures to treat and treat it in time. For example, intramuscular oxytocin promotes uterine contractions and helps the placenta to peel off naturally. However, if active bleeding occurs, manual placental removal is performed immediately.
"Pain does not want to give birth" during childbirth, and placental retention is "life is better than death"
Manual removal of the placenta is an artificial method to help the placenta and the uterine wall to peel off, but the artificial promotion of placental dissection should not be performed too early to avoid placental dissection or uterine inversion caused by excessive force pressing down the uterine fundus and pulling the umbilical cord. It is necessary to accurately identify its indications before proceeding, so as to effectively prevent and reduce postpartum hemorrhage.
If after the fetus is delivered, the placenta has been partially detached but the amount of uterine active bleeding is greater than 150 ml, and although the bleeding is not much after the third stage of labor exceeds 30 minutes, but the placenta is still not delivered after oxytocin and fundus compression, manual removal of the placenta should be considered.
Mothers who have reluctantly undergone artificial placenta removal describe it as "life is better than death, tearing the heart and lungs", feeling that their internal organs are pulled out. After proper anesthesia and strict sterilization, the midwife holds the fundus with one hand in the woman's abdomen, and the other hand enters the uterine cavity along the umbilical cord until the placenta and the edge of the placenta are touched, and then separates the placenta from the uterus with her fingers along the interstitum.
This procedure is usually done gently by midwives to avoid the uterus that can result from violent forced stripping. If a defect of the placenta is found after manual removal of the placenta, the midwife may also reach into the uterine cavity again to clear the placenta and membranes.
Traditionally, manual placental removal is followed by antibiotic therapy to prevent infection.
As a mother, you should drink more water after surgery, and the amount of water you drink should be enough to empty the bladder within 4-6 hours after delivery to avoid uterine contractions being affected. At the same time, the mother should also have skin contact with the fetus as soon as possible, so that the baby can suck early, which can reflexively help the uterus contract, thereby reducing the amount of bleeding.
After this series of operations, the placenta was finally delivered. Some people choose to throw it away, but others want to stay and sell it or eat it, thinking that it is a big supplement. Is this true?
Can placentas be bought and sold? Can I eat it? Beware of breaking the law and eating out health risks
I remember a long time ago there were news reports that a certain woman found that her placenta was stolen by hospital staff after giving birth in the hospital and sold it to the company that made placenta capsules.
From this case, it is not difficult to find that the sale and consumption of placenta has formed a so-called "industry". As everyone knows, placenta is forbidden to be bought and sold.
As early as around 2000, European and American countries began to eat placenta, and then introduced to the mainland. However, there are huge ethical and safety risks associated with the sale and consumption of placentas on the mainland.
The former Ministry of Health clearly stated in 2005 that the placenta is owned by the mother, and only the person can decide whether to discard or donate it, and medical institutions can assist in disposing of it, but no institution or individual can buy or sell the placenta.
In addition, although the placenta is also recorded in ancient medical texts, it is called "Zihe Che", that is, dry placenta, but in 2015 Zihe Che and its related proprietary Chinese medicines were all deleted.
So can eating placenta really make up for it?
According to nutritional studies, there are certain nutrients in the placenta, such as protein, iron, zinc, selenium and B vitamins. However, the content or supplement of these nutrients is not as good as eating fish, meat, eggs, milk, etc. in our daily diet, so it is not recommended to eat placenta as a nutrient.
Not eating placenta is not just because of the low nutrient content, the point is that eating placenta may bring health risks.
The first is the safety risk of eating, buying a placenta to cook by yourself or eating placenta capsules, may be a placenta of unknown origin, whether it carries infectious disease viruses is unknown, such as hepatitis virus, treponema pallidum, herpes virus, etc.
Improper consumption poses a certain risk of viral infection, especially placenta capsules made from low-temperature freeze-dried, which are more likely to leave a risk of microbial transmission.
In addition, the placenta, which plays a role in protecting the fetus, can help the fetus resist the invasion of harmful substances during pregnancy, so there will be some harmful substances remaining after delivery. According to relevant studies, mercury, lead, cadmium and other heavy metals are found in the placenta, and heavy metal pollution may occur if eaten rashly.
Some folklore also believes that eating placenta can help with milk, but so far there is no scientific evidence to prove it, so it is better not to eat it.
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