On what term of pregnancy do planned cesarean and what are its advantages?
With this kind of surgery, the likelihood of a rupture of the uterus is sharply reduced. Besides? various kinds of complications observed during childbirth in a natural way during cesarean occur less often. The operation also reduces the risk of developing prolapse of the uterus, which prevents the onset of severe, uterine bleeding during childbirth.
If we talk about how long a planned cesarean is done, it is usually 39 weeks. The thing is that by this time in the body of the fetus begins to develop such a substance as a surfactant, which facilitates the opening of the lungs at the first breath of an infant. In case the operation is carried out earlier than the indicated period, the baby needs artificial ventilation of the lungs.
Who is assigned a planned cesarean?
This type of surgery is not always appointed. The main indications for its conduct are:
- features of the anatomical structure (narrow pelvis);
- presence of mechanical obstructions to births in a natural way (myoma, bone deformities, swelling);
- presence of caesarean section in the past.
With regard to the last point, then earlier if a woman had already had a cesarean section, then the next ones were also carried out. Today, with a dense scab on the uterus, labor can also take place through natural paths. However, repeated cesarean is necessary if there are complications such as a vertical incision of the uterus, rupture of the uterus, a violation of the presentation of the placenta or fetus.
If we talk about how long the second scheduled elective cesareans are doing, then usually it is the same as at the first - 39 weeks. However, with the risk of complications can occur earlier.
What is dangerous caesarean section?
Like any surgical intervention, caesarean section is associated with the development of certain risks of complications. To such, first of all, are:
- development of adhesions and scars, which subsequently bind together the organs located in the small pelvis and the muscles of the abdominal wall. This is accompanied by unpleasant sensations, discomfort;
- violation of placenta previa in subsequent childbirth.
- adherent placenta. This complication is observed when the placenta can not independently detach itself from the uterine wall. Therefore, manual separation is required, which is accompanied by heavy bleeding. This kind of violation is observed in cases where a woman had in the past already 3 or more cesarean.
How is the recovery period after cesarean delivery?
The first day after the operation, a woman is under the supervision of doctors in the post-natal ward. Within a few days after the operation, she is prescribed painkillers.
Stitches superimposed on the anterior abdominal wall are treated daily with antiseptic solutions, and then taken off for 7-10 days. In the absence of complications in the mother, and if the baby does not have any irregularities and was born absolutely healthy, the discharge home takes place one week after the cesarean section.
Thus, the choice of the period for which it is better to do planned cesarean doctors is determined based on the condition of the fetus and the pregnant woman. In the absence of any risks, such an operation can be carried out with the onset of the first fights in the pregnant woman.