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Although there are positive aspects such as faster recovery in vaginal delivery, less anesthesia, caesarean section is inevitable in some cases. In those who have had previous cesarean section, maternal labor after myomectomy can have serious consequences for both mother and fetus.
The position of the fetus in the womb determines the mode of delivery. Breech, foot arrivals, lateral and transverse stopping of the fetus require cesarean section. Multiple pregnancies; especially if the first fetus is breech and the lag behind comes birth is performed with surgery. Cord prolapse is an emergency cesarean indication. The spouse feeding the fetus, that is, the placenta covering the cervix is called placenta previa, in which case vaginal delivery cannot be performed. Detachment, known as early removal of the placenta, requires placental emergency cesarean section. Sometimes delivery is planned and initiated vaginally. However, the heart rate of the fetus may become irregular, slow down or delivery may not proceed as intended. Sudden bleeding in the mother may begin. In these cases, vaginal delivery is urgently returned to cesarean section.
Caesarean section is preferred in cases where the fetus head is too large to pass into the pelvis. Another dangerous situation in large fetuses can be seen especially in the birth of mothers who develop diabetes during pregnancy. In these cases, the shoulder circumference of the fetus is lubricated, the head can be worn even if the head will pass, which is a very unpleasant complication.
Caesarean section is considered as an alternative in cases of preeclampsia / eclampsia if the mother has severe internal disease. Those with active herpes (herpes) infection in the genital area and those with active genital warts should be delivered by cesarean section.
It is meaningless to insist on normal birth in patients who are afraid of vaginal delivery and cannot adapt.
In caesarean section, the fetus is delivered as soon as possible. Although performed frequently, cesarean section is one of the most difficult and risky operations. Fast decision making, mastery, surgical experience and skills; is a must. In cesarean section, skin, subcutaneous, muscle, fascia, peritoneum and uterus are cut and opened respectively. After the fetus and placenta are removed, they are closed again in the same order.
The duration of surgery varies from case to case. In some cases no problem is encountered and the standard operation ends within 35-45 minutes. However, each case is an adventure in itself. Cases where the placenta adheres to the uterus or organs can present enormous difficulties. Or, those who have undergone previous surgery may have adherent abdominal layers and may cause great difficulty during surgery. Even in very experienced hands, the case may become deadlocked. There is no patient, there is a disease in surgery, especially in cesarean section is a very accurate description.
Since both the doctor and the patient are fully prepared in planned cesarean sections, risks for fetus are minimized. In rare cases, it may be necessary to remove the uterus after a caesarean section for bleeding that cannot be stopped for various reasons.