What you don't know about births

What you don't know about births

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All the questions you wonder about births, Gynecology and Obstetrics Specialist Hospital Acibadem. Dr. Suat Dede is answering.

1. What is normal birth?Normal or vaginal delivery is the name given to the baby through the birth canal after the opening of the cervix which occurs with the pain of birth. With uterine contractions that come at regular intervals and increase in frequency close to birth, the baby is pushed through the uterus into the birth canal and passes through the vagina to the world. Following the birth of the baby, the placenta (the wife of the baby) is also born via the vagina. A normal birth lasts on average between 14-22 hours, but shorter or longer term births have been reported. An incision called episiotomy can be made to prevent tearing of the vagina during the birth of the baby. In addition, special tools called vacuum or forceps can be used to assist the birth of the baby, although this is rarely performed nowadays.2. What are the advantages of normal birth for mother and baby?Although normal delivery lasts longer, faster recovery of the mother after birth and shorter hospital stay are among the most important advantages of vaginal delivery. In addition, the mother's earlier contact with her baby and the early onset of breastfeeding are other advantages of normal birth. As the baby passes through the birth canal during vaginal delivery, it is less likely to have respiratory problems following delivery, since the fluids in the baby's lungs are easier to expel. In addition, some beneficial microorganisms that the baby is exposed to as they pass through the mother's birth canal are useful for early development of the immune system and protection of the baby's intestines. Medical advantages of normal birth include less uterine removal due to postpartum hemorrhage and lower maternal mortality due to birth.3. How does normal painless birth occur by suggestion?Hypnobirthing is the use of hypnotherapy to assist birth. The aim of the birth by the suggestion method is to eliminate the fear of birth and the stress and pain that develops accordingly. Although it was inspired by a theory first proposed in the 1930s, it has become a more commonly used technique today. Although hypnosis is highly controversial, the suggestion method reduces total delivery time, reduces cesarean rates, therefore, it reduces the need for painkillers or epidural anesthesia, makes the birth easier and more comfortable, and as a result the birth experience is found to be more satisfactory both by the mother and her relatives. With the help of the technique, the mother's understanding of her own body characteristics and her mind is filled with positive elements about the birth. It is provided. This positive effect leads to a decrease in the fear and anxiety of the expectant mother to give birth and thus to eliminate the tension and the pain it causes. The advice given during the suggestion increases the level of hormones such as endorphins and serotonin in the mother to make her feel good. With the effect of these hormones, the mother relaxes and feels less pain.4. What is Cesarean Delivery?Cesarean section is the delivery of the baby through the abdomen via a surgical incision in the uterus. Unlike normal birth, the baby does not have to pass through the birth canal. Caesarean section can be done after the onset of pain or before the pain starts. Because cesarean section is an operation, anesthesia should be applied to perform the procedure. Cesarean section can be performed with general anesthesia, spinal anesthesia or epidural analgesia. The procedure usually lasts between 30-60 minutes and is now performed with an extremely low risk for the mother and the baby.5. In which cases should cesarean delivery be preferred?The most common cause of caesarean section is previous cesarean delivery. However, the most common cause of cesarean section performed for the first time when the baby passes through the birth canal for any reason pauses or the baby's or mother's life is at risk. However, among the cases that the baby's mother's birth channel is not too big (especially over 4000 g). This risk exists in infants), the baby's partner closes the birth canal (placenta previa), the baby's cord leading or prolapse of the cord, the baby's head does not come in front of the feet or side development (breech delivery also often delivered by cesarean section), rupture of the uterus during delivery. or the separation of the baby's spouse from the uterine wall before the birth takes place (detachment placenta). However, cesarean section (elective caesarean section) is a long debated point. While some physicians argue that the mother's wish is not taken into consideration in the medical decision stage, some doctors argue that women should be able to decide on their own way of birth. However, it is a known fact that performing cesarean section with the desire of the mother has a significant contribution to the increase in the current cesarean rates.6. What are the drawbacks of cesarean delivery?After cesarean delivery, mothers typically stay in hospital for longer (at least 2 days). Recovery time after hospitalization is also longer than vaginal delivery. In addition, compared to normal birth, the pain is more severe and there is significant pain especially at the incision site. During the healing process, the feeling of discomfort is more pronounced and especially the wound site is possible. In cesarean births, there is approximately 2 times more bleeding than normal birth and the risk of infection is higher than normal birth. Although it is thought that the baby will harm the birth canal in normal births, it should be remembered that organs such as bladder and intestines may be damaged during cesarean section. As a result, the risks that may occur in each operation are valid for cesarean section. Among these, problems related to anesthesia, post-procedure adhesions that may occur in the abdomen and related problems (infertility, ectopic pregnancy), intravascular coagulation and the risk of flotation to vital organs (paralysis and respiratory failure) may occur after caesarean section. It should also be kept in mind that subsequent deliveries are most likely to be performed by caesarean section when the baby is born, and that the baby's spouse may be placed in front of the birth canal (placenta previa) or uterine rupture (uterine rupture).7. Should epidural analgesia be preferred in cesarean delivery?Epidural anesthesia is the most preferred method for pain control during labor. With epidural anesthesia, the sensation of pain in the area just below the waist is eliminated. For this procedure, drugs called local anesthetics are given to the area around the spinal cord with a special thin tube (catheter) with a needle made from the waist area and the sense of pain is removed in the areas below the medication area. When the efficacy of the drug decreases or is needed, the additional dose can be given again via the inserted catheter. The most important advantage is the absence of birth pain for epidural anesthesia. Thus, a more positive birth experience emerges as the feeling of discomfort caused by birth pains is eliminated. However, the awareness of the expectant mother is clear and active; this contributes to her participation in all stages of labor and breastfeeding her baby immediately after birth. In addition, the discomfort and fatigue of the birth will be less, especially in long-term labor will help the mother to stay strong. However, in the case of delivery by cesarean section, additional anesthesia will not be necessary. As with any anesthetic, epidural anesthesia has risks. The most obvious risk of epidural anesthesia is the sudden drop in blood pressure, which should be supplemented with serum before the procedure in patients with low blood pressure. It can also cause headaches that can be a nightmare for the mother if not done with the appropriate technique. Permanent nerve injury after epidural anesthesia is extremely rare; therefore, there is no need to be anxious about it. However, after epidural anesthesia, breastfeeding is started later, which can be a problem especially after vaginal births.8. What is water birth?Birth in water is the birth in a bathtub or container specially prepared for birth filled with warm water. Some expectant mothers prefer to stay in water only during birth pains, while others give birth in water. The rationale behind birth is the idea that the baby is already in a fluid-filled environment for 9 months and will come back to a less stressful experience in a similar environment. . Nowadays, an increasing number of obstetricians and midwives believe that birth in water reduces birth pains and the stress of birth.9. What are the benefits of water birth?Warm water has a soothing and relaxing effect. Warm water helps to increase the energy of the expectant mother at the stage of birth pain. In addition, the lifting effect of water helps the mother to move more comfortably by reducing her weight, increasing blood circulation, making uterine contractions more effective and painless, and giving the baby more oxygen. With all these positive effects reduces the need for anesthesia and painkillers. Some studies have shown that women who give birth to water need less epidural anesthesia. In addition, warm water is effective in reducing the increased blood pressure of the expectant mother due to stress. Warm water can be useful in shortening the time the expectant mother suffers from birth pain. It may also be effective in softening the birth canal and reducing tearing during birth or reducing the need for episiotomy. It is known that water delivery is beneficial in reducing cesarean rates. It also reduces the incontinence problems that may occur after childbirth.Suda birth does not increase the risk of infection of mother and baby, nor does it have a negative effect on the baby's condition immediately after birth.10. Are there risks of birth in water?Although many medical institutions nowadays accept water delivery as an alternative delivery method, it is said that water delivery can be performed only after a smooth pregnancy. Although the data on this subject are very few yet, although there are many theoretically positive effects, water birth is still accepted as experimental. In some cases, water birth may be a risk for mother and baby. If herpes (herpes) infection is present in the mother's birth canal or birth canal, this infection can be transmitted easily by water and is not suitable for birth. In addition, the presence of other vaginal infections in the mother, the presence of excessive bleeding, breech presentation of the baby, multiple pregnancy (twin) or premature birth if there is a more accurate approach to the birth of water is preferred. Maternal high blood pressure or the baby's first poop (meconium) in the uterus is not preferred in the case of birth in water.

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