C-section is not an equal substitute for vaginal birth

C-section is the delivery of a child by cutting through the belly and uterus (womb) rather than through the vagina. C-section is not an equal substitute for vaginal birth.

Cesarean rate is on the increase worldwide and remains a cause for concern considering the risks associated with the procedure. There is no doubt that cesarean is beneficial, there are risks involved with it just like other surgical operations.

  • Even when the blood is screened, the disease or infection might be in the window period and might not show up during screening.
  • Also, after CS, the mother passes through pain and stress due to the cut made to the stomach.
  • The pain varies, but the pain might last for months and in some cases will affect the mother’s daily activities.
  • Infection of the cut from the operation can also occur if the cut is not treated or cleaned adequately.
  • If the person is diabetic, then it won’t heal as fast as someone without diabetes.
  • The UN health agency has revised a benchmark used by health professionalS

worldwide in caring for women during childbirth because it has caused a surge in interventions like caesarean sections that could be unnecessary. Since the 1950s a woman progressing through labour at a rate slower than ONE CENTIMETRE OF CERVICAL DILATION PER HOUR has been considered abnormal, (Olufemi Oladapo) a medical officer with the World Health Organization’s department of reproductive health.

However, what has been happening over the last two decades is that many women have been having unnecessary medical intervention. WHO guidelines say that for a woman delivering her first child, any labour that does not extend beyond 12 hours should be considered normal. For a subsequent pregnancy, the figure drops to less than 10 hours.

WHEN SHOULD SURGICAL OPERATION BE CONSIDERED FOR A DELIVERY?

Cesarean  (CS) may be considered when;

  • The passage (pelvis) is too narrow for the baby (fetus),
  • The placenta or tumor is blocking the passage 
  • The womb (uterus) is in danger of a rupture.
  • Labor is not progressing.
  • Multiple gestation, such as twins or triplets, have occurred.
  • The fetus experiences an emergency or severe health concern.
  • The fetus is in the breech or transverse position.
  • The baby is too large to pass through the cervix.
  • The mother has a contagious virus, such as herpes or HIV, that a vaginal birth would transmit to the infant.
  • The mother has complicating conditions, such as diabetes or high blood pressure.
  • The mother has a uterine condition or a fibroid obstructing the cervix.
  • The placental or umbilical cord has anomalies.
  • The mother has previously given birth via C-section.

DO YOU KNOW THAT MANY MOTHERS NOW DEMAND FOR CS AND MANY DOCTORS ENCOURAGE MOTHERS TO DO THAT, WITHOUT A SERIOUS CONDITION/ COMPLICATION?

 

By the way, Why will a woman prefer a surgery to a normal vaginal delivery despite how expensive that may be?

These are some of the reasons;

Fear of labour pains. Many mothers are scared to go through the temporary pains of the vaginal birth but eventually pass through lingering pains of CS.   

Some people want a C-section to avoid the pain of childbirth. But when you undergo surgery, the pain actually lasts longer. “It’s centered in the abdomen, so laughing, coughing, sneezing, getting in and out of bed, it all hurts. You’ll be sent home with pain medications, and that’s because you’ll definitely need them.

Vaginal childbirth comes with its own pain when the baby’s coming out, but afterward, it’s more of a soreness “that heals very very quickly. If you speak to anybody who’s had the two, she will say that one recovers quicker from vaginal birth than with surgery.

  • Preservation of the tone of the perineum and vagina. The fear that normal vaginal delivery might cause a tear in the vagina.
  • A choice to deliver a baby on a special days, husband’s birthday, Christmas etc

YOU WANT TO KNOW WHY SOME DOCTORS ENCOURAGE CS EVEN WHEN IT CAN BE AVOIDED? 

Don’t tell anyone that told you. smiles

Doctors make more money from the procedure than normal delivery! More CS more money!

The World Health Organization warns, that many C-sections are performed when they’re not medically necessary, which can be risky for both mom and baby because it’s a serious surgery. This could be because some doctors will rush to a C-section at the first sign of complication, and occasionally, because some women are asking for them so they can choose their delivery date or avoid natural childbirth to keep their vaginas in tact.

The risks involve in CS are;

  • Poor breastfeeding. Following CS. The concentration of oxytocin declines resulting in decreased milk ejection (Nissen et al., 1996). Dopamine, another hormone whose concentration rises after CS inhibits the secretion of prolactin, a crucial hormone in lactogenesis thereby reducing milk production (Ben-Jonathan and Hnasko, 2001).

 

  • Another  downside to C-sections is that babies aren’t colonized with the mother’s bacteria, which may or may not affect their health. A mother’s intestinal and vaginal flora play a key role in colonizing the baby with its first intestinal microbes, aka gut flora. Studies have shown that missing out on that when being born via C-section can throw off the whole gut microbiome—possibly for life.

 

  • Maternal death.
  • Bleeding: The bleeding that occurs in CS is also usually much more than that of normal vaginal delivery.
  • Dangerous clot formation in blood vessels.
  • Issues such as cutting of the uterus which could result in cutting the blood vessels accidentally.
  • The patient might need blood transfusion due to blood loss and  blood transfusion might lead to infections and diseases such as HIV and hepatitis.

KEGEL EXERCISES

Kegel exercises help to strengthen the muscles located in the lower section of the pelvic region. these muscles are responsible for holding the pelvic organs in place and also responsible for controlling the flow of urine from the body.

HOW TO FIND THE RIGHT PELVIC  MUSCLE FOR KEGEL

  • Try to stop the flow of urine. Do this simple exercise, while sitting on the toilet basin urinating. Try and tighen up your pelvic muscle to stop the flow of urine. If you can stop the flow of urine successfully, YES!  you have just located the right  pelvic muscle for kegel

Caution please! You only need to practice on the toilet while you’re finding the right pelvic muscles. Once you’ve figured out which pelvic muscles you need to engage, you can do the exercises anywhere.

In fact, you shouldn’t continue to do the exercises while urinating, as it causes urine retention in your bladder. In turn, that can cause bladder infections.

When engaging your pelvic muscles, you shouldn’t be using your thighs or stomach to help. You also shouldn’t be using your buttocks muscles either. Make sure you are just using your pelvic muscles.

  • Use your finger to find these muscles. To use this method, wash your hands first. Put your finger in your vagina. If you feel the pressure around it while trying to tighten the muscles of the pelvis, you are tightening the correct muscles.

You can also ask your husband to help you with this step if you can’t do it yourself. Simply ask him to use a finger or his penis to see if he or she can feel you tightening your muscles.

NOW LET’S BEGIN

The first thing you have to do is to empty your bladder, I mean go and urinate.

 Don’t do kegel while urinating it can cause an infection in and don’t do it while there is a retention of urine in the bladder.

Get into a comfortable position. 

1. lie down on your back.

Kegel exercises are very simple to do, they can be done while you are in any position. You can do them right in the public with no one noticing.

You can lie down, sit, or stand, any position is fine to do Kegel exercises

 2. Contract your pelvic muscles. Just has you practiced while urinating or having a penile penetration from your husband.

That means that you don’t have to push like you do when you’re using the toilet, Instead, you pull up, like you’re pulling your muscles into you.

Repeat the motion. Once you learn the right motion, and are able to engage the right muscles. Start with contracting the muscles for five seconds, and then release for five seconds. Repeat this process five times in a row.

PRECAUTION

Don’t  engage your other muscles. Don’t use your belly, buttocks, legs stomach,  muscles while doing Kegel muscles. It’s not all that bad to engage them anyway. It’s just that you are trying to work your pelvic muscles, and using the other muscles means you are not working your pelvic muscles as hard.

Put your hand on your stomach and tighten your pelvic floor muscles. If your stomach moves, you must focus more on keeping it from moving while you do these exercises.

Try not to hold your breath. Kegel exercises are not meant to be strenuous and you should not hold your breath while doing them. If you are having a hard time breathing when you do these exercises or can’t help but hold your breath, you may want to consult someone, like your doctor, who can help you do these exercises correctly.

Don’t stop practicing this in pregnancy. Continuous practice will help you to hold in your urine, even when your baby is pressing on your bladder. In addition, having strong muscles will help you when you are in labor.

BENEFITS OF KEGEL EXERCISES

  • Studies have shown that doing Kegel exercises while pregnant decreases your chances of having complications such as pelvic muscle tearing.
  • In addition, you may spend less time in labor if you strengthen those muscles
  • It also decreases your chances of having C-section

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