What cesarean delivery and because it becomes more and more 'popular? This is one of the interventions made in the world and its incidence has increased with the development of modern neonatal medicine, the application of pre-natal diagnostic techniques like ultrasound and cardiotocography, as well as the increasing age of mothers, the techniques of reproductive medicine, but also likely economic and social factors, not least among them the increase in medical-legal litigation. The surgical technique involves a transverse abdominal incision above the pubis very aesthetic that does not leave big tracks and then the uterus in its less vascularized area (lower uterine segment), which allows the extraction of the baby, placenta and membranes.
The duration of action of cesarean delivery is approximately between 25 and 45 minutes. Everything depends on the technical difficulties that each patient (eg presence of adhesions, previous surgery, anomalies of the uterus and placental insertion).
A Caesarean may be needed for emergency conditions affecting the mother, fetus or both, and is made in labor by abnormal dilation of the uterine neck, mechanics of delivery (difficulty in descent of the baby's head) or an oncoming iI distress or fetal distress (the fetus can not stand the stress of childbirth). However, there is urgent indications outside of labor and are particularly dramatic and frequently put in jeopardy of life or the fetus that the mother, one of these placental abruption (endangering the life of the mother and child), the sanguinamelo a placenta previa, prolapse of cord, a sudden severe fetal distress, the crisis that comes to complicate an eclamptic gestosis. When it is programmed outside the labor it comes to elective caesarean section. When II is repeated after a previous caesarean operation is similar talk of cutting Repeated cesarean section. A caesarean may be planned when you know in advance maternal or fetal conditions that would make delivery impossible or dangerous such as: abnormal fetal position, multiple pregnancies, abnormal placental insertion (placenta previa), uterine malformations congenital or acquired, fetal macrosomia (estimated fetal weight of which exceeds 4.1 kg) or disproportion between fetal size and maternal bony pelvis, abnormal maternal pelvis, severe maternal disease (also on the psychological sphere), when it is important to terminate the pregnancy and obstetric conditions are not favorable for induction of labor or when you want to avoid further stress to the fetus or mother, or when it is preferable that the baby does not come into contact with possibly infected vaginal secretions.
The anesthetic technique used is the peripheral-type "epidural" that blocks pain sensations in the lower half of the body, the patient can thus be followed at all times deil'intervento and see the little newborn, talk to him, touch it. When conditions of extreme urgency or contra-indications do not allow the system is being under general anesthesia. Sexuality and lactation normally does not undergo any change after a caesarean section even if antibiotics are prescribed to the mother. The resumption of daily activities will be very rapid. After a first aid within 72 hours, we recommend a further inspection after about 7 days and then after about a month after discharge. Your life will be normal.
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