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Avoiding Cesarean

 

Cesarean is one of the major surgical procedure. The recovery time is much longer after a cesarean. The cesarean outcomes are about the same like vaginal deliveries for babies, but cesarean pose higher risks of complications for mothers.

All women should take some precautionary steps to prevent cesarean. 40 to 50% of cesarean could be avoided with proper management of pregnancy, labor and delivery.

The following are some key things :

  • Prepare yourself for childbirth.
  • Consider keeping a Doula for labor support. A doula is a trained lay woman who can give emotional support during      labor.
  • Stay active in labor. During labor, remain upright and active as long as you can to help your body along.
  • Physical activity, warm showers and baths will help gravity work to bring the babyís head down into the pelvis.
  • Having an epidural too early to stop the pain may also stop your labor and make a Cesarean necessary.
  • If you need pain relief, one of the most important things you can do is to hold out until your cervix is dilated at      least five centimeters.
  • Donít induce labor unless medically necessary. Because, inducing labor often prevents the cervix from dilating      enough or keeps the baby from moving into the correct position for delivery.
  • Actively manage labor.
  • Not all the cesarean section should or can be avoided. In some complicated situations the doctor will induce labor or      recommend cesarean in order to protect both the mother and the child.


  • Some of the common reasons for cesarean are :

  • The main cause is that of the inability for the cervix to dilate or the baby to descend through the birth canal.
  • The placenta covering the opening of the cervix (placenta previa).
  • When the placenta begins to separate from the uterus before the birth which is called as placenta abruption.
  • A problem with the presentation of the baby.
  • Some type of fetal distress.
  • These are not the only causes for cesarean, a normal vaginal delivery can also occur even with some of these conditions.


  • Some Cesarean births are mandatory like, for example, if the placenta covers the cervix (placenta previa), vaginal birth is impossible without a possible fatal hemorrhage.

    It is also important during early labor to try to walk and to delay epidural anesthesia. The lack of walking in early labor and early epidural anesthesia have recently been associated with a higher chance of a Cesarean birth.

    A Cesarean delivery is usually performed using epidural or spinal anesthesia. This allows the mother to be awake during the operation and is usually safer for the mother and baby. On occasion, under emergency circumstances, a general anesthetic (putting the mother to sleep) might be required.

     

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