Caesarean section: Risks and complications
More and more women opt for a birth by caesarean section. And even if the caesarean section is now a routine procedure, consist but some risks that are not to be taken into consideration in a vaginal birth. Here you can find out, you might encounter after a caesarean section and why you should not make lightly opting for a caesarean section.
The reasons to bring a child by Caesarean section, are manifold. Complications before or during birth, multiple births or a caesarean delivery on maternal request for fear of natural birth and the physical hardships involved, are just a few factors that may cause the decision for a surgical delivery. In Germany 30% of children are annually born by Caesarean section and the engagement has long since become routine. Therefore, the cesarean section is generally considered safe, but harbors like any other operation also risks that you should consider before making a decision for a surgical delivery.
Risks during the caesarean surgery
Even if a caesarean section very common nowadays is used, it is by no means a harmless procedure. During and after surgery can cause some complications. Problems that may arise during childbirth include:
- High blood loss: If performing a cesarean section with you, be cut several layers of tissue to bring your baby into the world. By the intersection inevitable intact blood vessels are severed and there is a severe open wound. Blood loss is therefore many times higher than for a vaginal birth and is a reason that will be required when a cesarean birth, more often than with spontaneous births, blood transfusions.
- Injuries of internal organs: When caesarean section is cut after opening of the individual layers your stomach uterus in the lower third. Even if the doctors and nurses proceed absolutely careful when operating, it may occur during the procedure to cuts of the adjacent organs, such as the bladder or bowel. These injuries are rare life-threatening, but can cause longer-lasting soreness or later adhesions and impairment of the affected organs.
- Small injury to the childIn some cases, it may happen that the baby wears it through surgery small abrasion or of cutting. These usually heal on themselves and have to be treated very rarely.
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Risks after the caesarean surgery
Especially after the actual surgery occurs in many cesarean patients to unpleasant side effects that are much less likely to occur at a natural birth. Furthermore, on account of births by caesarean section often complications, of which not only the mother but also the baby is affected.
- Wound healing disorders and infections: Since a large wound caused deliberately in a Caesarean section, there after such intervention takes longer for the new mother comes back on its feet and can leave the hospital. Usually You stay after cesarean about seven days in the hospital after a complication-free vaginal birth You may after a few days back home. Getting up and carrying and supplying your baby are usually more difficult after a caesarean section because an intensive wound pain is present. In addition, it can happen under sterile conditions that the surgical wound became infected, which can lead to enduring pain and wound healing complications. Also extended after a cesarean the duration of the flow week, as the tissue within the uterus regresses slower than after a vaginal delivery.
- adhesions:: During the surgical wound heals within the individual layers of tissue adhesions between your internal organs and tissues can form where appropriate. Although you often do not feel these so-called adhesions at the beginning, they can constrict bodies and impede their function and mobility. This may result in chronic upper and lower abdominal pain, intestinal strictures and -trägheit or infertility, for example by a closure of the fallopian tubes. To painful and lasting prevent adhesions, there are many clinics the possibility of issuing a so-called adhesion barrier to the individual interfaces in suturing the wound. The thin membrane is composed mainly of hyaluronic acid and forms a protective film which separates the layers of tissue affected by adhesions. After use, the adhesion barrier slowly dissolves and is degraded by metabolism.
- Problems in subsequent births:: Often you can hear that after a caesarean section for that woman no more spontaneous delivery is possible. That is not right. However, it is true that there is an increased risk of uterine rupture. The interface, which was created by a previous Caesarean section, is not as strong as the rest of the tissue and is often a cause of complications during childbirth. therefore is often advised in advance to another Caesarean section to minimize the risk. The likelihood of placenta previa up to 60 percent higher than after a vaginal birth after a caesarean section in another pregnancy.
- Health problems in children: When your child the consequences of caesarean birth can be felt in different ways. So by Caesarean section born children occasionally have difficulties in adapting to the new living conditions. In vaginally born babies during passage through the birth canal, the amniotic fluid is forced out of the lungs and optimized by the contractions of the cycle. In cesarean births this effect is eliminated, resulting in many cases, initial respiratory and circulatory ailments. In some cases, the newborn also react with drowsiness or a delayed start breathing the anesthesia of the mother.
In general it can be said that a birth, regardless of whether it is never free of risks spontaneously or by caesarean section and there may be complications in any case. It is therefore particularly important that you can inform you in detail before the birth of your child by your physician available to all you options and related party with your partner or a person you're discussing. You should rethink just so you can make the best decision for you and your baby your decision.