In the later stages of pregnancy, expectant mothers often think about the upcoming birth. But for some of them, doctors, for various reasons, recommend a cesarean section. For example, it is often used if it is expected that problems will occur during natural birth. For example, a woman does not have a sufficiently wide pelvis, while the fetus is large.
Another reason to prescribe an operation may be a previous surgical intervention provided that the suture is inconsistent, that is, the risk of uterine rupture. Placenta previa can also cause doctors to insist on the need for delivery through cesarean section.
With pelvic presentation , options are possible, but recently, surgical intervention has been more often practiced, especially if a male child.
The problem is that when passing through the birth canal, there is a high risk of damage to the testicles, which can subsequently negatively affect the level of testosterone. Other injuries are possible, including fatal ones. But you should not be afraid right away - these cases are extremely rare.
How is it that the fetus is not correctly located in the uterus? Of course, during the course of pregnancy, the baby changes its position several times, however, as it grows, it tends to
head presentation, since the center of gravity is displaced. Sometimes this does not happen. As a rule, there are serious
reasons for this: entanglement of the umbilical cord, abnormalities in the development of the uterus, oligohydramnios or polyhydramnios, hypertonicity, fetal developmental pathologies, etc.
There are several different positions, and not everyone is an occasion to have a cesarean section. With a pelvic presentation of the foot type, when the fetus rests with its feet on the cervix, this is not even discussed. Until about the 32nd week, the chance of change is not so small, because the child still has enough space to turn over, but later it is unlikely that this will happen.
Until this critical period, the expectant mother can do special exercises, which, according to gynecologists, help the baby to take the right position.
There are 2 more types of positions - gluteal and mixed. Caesarean section for pelvic presentation of these species is not always shown, however, if doctors offer surgery, it is better to agree. And there are two reasons for this: first, quite often in such cases, the umbilical cord can be caught between the baby’s head and the birth canal, which can cause hypoxia. In addition, if the baby's head is thrown back, during childbirth he may get a spinal injury.
That is why cesarean section with pelvic presentation is the best solution.
This is not necessary to be afraid of - the operation is fairly quick, and, as a rule, the woman in labor is conscious. General anesthesia for cesarean section is used quite rarely, more often cost epidural and
spinal anesthesia or a combination of both.
Of course, it is rather unpleasant for some women to realize the fact that childbirth will not take place naturally, but with the help of doctors, but it is better to think about your health and the condition of the baby. A planned operation is always better than an emergency. Doctors have the opportunity to discuss everything several times and make an informed decision about whether a cesarean section is needed. How long is it planned? Usually this is the 37-38th week, since it is better not to bring to the start of labor, so that the operation does not become emergency.
Now medicine has reached such a level that almost any woman can become a mother. And even if serious problems are observed during pregnancy, in most cases, doctors will be able to help give birth to a healthy baby.