What are the indications for caesarean section?

Today, 25% of children are born with caesarean section. Of course, in the greater degree this applies to developed countries, where maternity is already decided in adulthood. Nevertheless, there are specific indications for cesarean section and without them this intervention is not carried out.

Some women now want to resort tothis manipulation, to avoid pain and a number of other unpleasant moments that arise during natural childbirth. However, it is necessary to understand that cesarean section is a serious operation with a painful rehabilitation period and possible serious complications.

Therefore, there are strict testimonies for him,without which it is not practical to conduct it. They are absolute, when the natural birth is simply impossible, lead to the death of the fetus or mother, or will harm their health.

There are also indications for cesarean section, withthe presence of which there is a possibility of unpleasant consequences. It depends on each specific case. In this situation, the doctor and the patient weigh the pros and cons and make the final decision.

Cesarean section can be emergency and planned. In the first case, its necessity is known long before the onset of labor, and sometimes even before pregnancy. Emergency intervention is carried out when its expediency becomes evident already in the process of delivery.

So, the indications for caesarean section:

• cranio-pelvic disproportion;
• unsuccessful penis and presentation;
• prolonged labor;
• Fetal disease;
• prolapse of the umbilical cord;
• mechanical obstacles;
• placental abruption;
• multiple pregnancies;
• placenta previa;
• probability of uterine rupture;
• mother's illness;
• cesarean section in past births.

Relative contraindications to natural childbirth are:

• a narrow pelvis of the woman in childbirth;
• weak labor activity;
• complications of pregnancy;
• mother's diseases, not related to the bearing of the child.

Let's consider the indications for caesarean section in more detail. In case of cranio-pelvic disproportion, either the head of the child is too large or the mother's narrow pelvis takes place, and a combination of the two is possible. Usually, before delivery, this situation is poorly diagnosed, although it is often suspected. Especially since the head of the child is somewhat compressed, and the mother's pelvis is divergent. However, if the bouts are strong, but there is no progress of labor, it is possible that there is a craniocerebral disproportion.

In case of unsuccessful presentation, the child is located in the uterus so that natural births are difficult and dangerous. Distinguish its following types:

• transverse;
• gluteal (foot and full);
• frontal and facial;
• posterior occipital.

Prolonged birth takes place when there is noprogress in ovulation of the fetus, opening of the cervix and insufficiently strong contractions even after attempts to stimulate the uterus to stronger contractions or to relax it. Such a diagnosis is made only after the onset of the active phase, when the opening is more than 5 cm.

Now consider such indications for cesareansection, as a presentation and detachment of the placenta. At the first pathology, it overlaps the cervix and is implanted to it. Therefore, when it is opened, the placenta is separated, bleeding begins, and the child lacks oxygen. The main symptom is bleeding after 7 months, not accompanied by pain.

With detachment of the placenta, it is prematureis separated from the uterus. This causes bleeding and pain. In this case, the fetus lacks oxygen. Depending on the degree of pathology, intervention may be required. Placental abruption occurs most often in the last trimester or during childbirth.

The greater risk of this pathology among drinkers and smokersmothers, as well as under high pressure. If the palpitations of the fetus are normal, the bleeding is small and the contractions continue, then it is possible to perform natural childbirth.

So, the indications for caesarean section areabsolute, when there is simply no other option, or relative, when it is necessary to carefully weigh everything. In any case, the decision should be made by a competent doctor, taking into account the wishes of the mother in childbirth.